Week 7: Collaborative Practice

Reading 1: Interprofessional Collaboration and Chronic Disease Management

Bookey Basset

methods

literature review and Rodgers method

antecedents - 5

1. role awareness

2. interprofessional education

3. trust between members

4. beleif of collaboration improving care

5. orhanizational staff

Attributes - 7

1. evolving interpersonal process

2. shared goals

3. interdependece

4. effective interpersonal communicationg

5. evaluation of team processes

6. involving older adults and family members

7. diverse team membership

conseuqences - 4

1. redefining team compostion

2. comprehensive care planning

3. improved provider knowledge

4. confidence and job satisfication

synthesized definintion

elolving interpersonal process involving a diverse team who intedependently egage in frequent communication for optimal health

how the findings of the study can be used - 3

1. further guide concept development

2. inform practice

3. guide cirrculum development

a role is a __________ psychosocial concept

mutlidimensional

defined as a ______ _______ of behaviour and self expression

traditional pattern

the role compentencies for care professionals are: 4

1. person centered care

2. comminication

3. professionalism

4. system based practice

role clarity

if nurses are not clear about their professional roles, it is difficult for them to comminicate their value as health care providers to other providers

basic concepts of interpressional communication and collaboration - 2

1. effective communication

2. collaboration

standards for a healthy work environment

1. collegiality

2. shared metal model

3. open communication

collegiality - 5

1. blending of collective competentices of each provider to deliver care

2. efficent communication

3. collaboration

4. adequte staffing

5. recognize value

shared metal model

buy into the collaborative team concept

effective teamwork

teamwork and communication

team members strenghts enhance ability to deliver safe care

requires trust, mutual support and thoughfulness

changing inneffective to effective communication

communication in silos

common language with focus on patient problems

communication based on status

open team centered communication

disreuptive comminication

mutual goals

dominate, order

role clarity, collaborative model

barriers to effective team communication - 6

1. not sharing information

2. heirarchial structure

3. variations in style or vocab

4. complancency

5. defensiveness

6. conflict

strategies to remove barriers. - 7

1. convey respect

2. mentor new nurses

3. clarify communication

4. clarify roles

5. self reflection

6. stress reduction measures

7. commit to a collaboraitive resultion process

team reflecivity

a way to frame individual actions and behaviours with reference to the effects of actions and. behaviours of others

outcomes of reflectivity - 3

1. consice and structured dessemination of information during shift report

2. nurse engagement during clinical discussions

3. collective clinical confidence

Patient Advocate Role: Main Goal

empower cleints to help the attain the services they need

nurse behaviours - 3

1. protect, defend and support a patients rights

2. faciliate access to essential health care services for patients

3. act as a liaison between patientd and the health care system

disruptive behavuiours

lack of civility or respect

outcomes of disruptive behaviour on patient - 2

1. comprimises patient safety

2. decreases satification

outcomes on nurse - 8

1. furstration

2. job stress

3. poor morale

4. job abandonment

5. lost productivity

6. loss of confidence

7. absenteeism

8. task avodience

outcome on organization - 5

1. costs related to absenteeism

2. increased turnover

3. losses in productivity

4. increase in care errors

5. legal action

consequences of workplace incivility - 4

1. med errors

2. finaical contraints

3. PTSD

4. increased turnover

incivility interventions - 2

1. education

2. training

4 factors that effect nurse behaviours

1. gender

2. heirarchu

3. silos

4. generational diversity

Conflict Resulation Solutions - 7

1. reframe a clinical situation

2. assume responisbility

3. identify goal

4. obtain factual state

5. intervene early

6. avoid nehavtive comments

7. consider viewpoints