...Interprofessional collaboration is a great asset to ensure patient satisfaction through excellent delivery of quality patient care. It serves as an approach to changing traditional, silo-type patient care because it helps to create an environment that obligates each team member to stay active within their roles. As each member fulfills their role, the work load is divided, relieving frustration and overworked feelings that one would feel within a silo type patient care environment. “Interprofessional teams include physicians, nurses at different levels, certified medical assistants, dietitians, nutritionists, pharmacists, physician assistants, social workers, mental health workers, health navigators, health coaches, community health workers,...
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...Interprofessional cooperation is establishment and cultivation of interprofessional working associations amongst healthcare providers, learners, specialists, patients, customers, families and other groups intently to empower ideal wellbeing outcomes for clients. IPC is a collective operation which takes place when various medicinal services providers work with individuals from inside their own calling, with individuals outside their calling and with patients and their families jointly to achieve good health outcomes collaboratively. This complex relationship, occurs over a period of time. The objective of this paper is to demonstrate how interprofessional cooperation creates a relationship of appreciation and respect for other disciplines...
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...Describe the factors that help or hinder person-centred care and interprofessional working in relation to a chosen incident. (Word Count 2,993) In this essay a consultation observed during a Primary Care placement will be described, with the aim of defining person centred care in relation to it. To protect confidentiality and in accordance with the Nursing and Midwifery Council’s code of conduct (NMC, 2008), the names of persons or places are not referred to. The roles and responsibilities of the professions involved, the importance and difficulties of interprofessional collaboration and the effects of this on person centred care will also be explored. A conclusion will be drawn as to whether the event provided a person centred approach. The observed consultation (Appendix 1) took place in an elderly care clinic held in a hospital outpatient department. Outpatients Clinics are provided by the local NHS Primary Care trust on a regular basis as part of ongoing care for clients. A consultant, a nurse, the client and her carer were present. The client had an appointment to review her ongoing treatment of Parkinson’s disease. A publication to support the National Framework for older people (Department of Health, 2001) regarding the implementation of medicines endorses the monitoring of treatment to ensure the medication remains appropriate and to raise awareness of any adverse effects. The lady was in her eighties, frail and hard of hearing. A carer accompanied her from...
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...Personal Philosophy of Nursing Auburn University School of Nursing Abstract: This paper explores the personal nursing philosophy I plan to convey in my nursing career. I believe the nature of nursing is rooted in commitment to public service and the undeniable desire to help those in need. Nursing is more than treating an illness; rather it is focused on delivering quality patient care that is individualized to the needs of each patient. My philosophy of nursing incorporates the knowledge of medicine while combining it with relational, compassionate caring that respects the dignity of each patient. I believe nursing care should be holistic while honoring patient values. A crucial aspect of nursing is interprofessional relationships, and collaborative efforts among healthcare professionals promote quality patient care. My philosophy of nursing extends to my community in which health promotion is something I will continually strive for. Personal Philosophy of Nursing For as long as I can remember I have been overwhelmed with a longing desire to care for those in need, and I feel this ultimately led me to the career choice of nursing. I feel most fulfilled when I am serving and caring for others, and my personal nursing attitude is one that is centered on compassion and service. According to Merriam-Webster’s online dictionary (2012), a philosophy is “an analysis of the grounds of and concepts expressing fundamental beliefs,” and before entering to the profession of nursing...
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...splitting of staff, decreased communication and collaboration, lack of teamwork, low morale, and increased staff absenteeism and turnover (Yoder-Wise, 2015, p. 465). These disruptive factors lead to decreased efficiency, meaning more energy has to be expended to achieve the same productivity; subsequently, increasing the probability of mistakes/errors and putting the patient population at risk. Remarkably, Yoder-Wise...
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...Sheffield Hallam University Faculty of Health and Wellbeing Advanced Diploma in Adult Nursing. Summative Assessment Submission. Collaboration in Professional Practice – January ’08 Intake Date of Submission: 20th April 2009 Assignment Title: "Effective Inter-professional Collaboration is key to providing good quality *patient/client/service user centred care"...Discuss. Student details: Name Student Number Word Count: 2,976 Module Tutor: The aim of this assignment is to discuss the importance of working inter-professionally within a multidisciplinary team to achieve the best patient-centred care. It will demonstrate developments achieved, and the knowledge gained around this area throughout my training and practice to date. The assignment will focus on the inter-professional care for adults within a hospital environment, as ‘Advanced Diploma in Adult Nursing’ is my course area. Interprofessional collaboration looks at teamwork, communication, professionalism and modern issues which influence practice at present. Various health care professionals have a range of expertise and skills different to others, their experiences and insights into situations capture dissimilar care needs, therefore enabling the patient to receive the best care. Through working in a multidisciplinary team, different professionals can collaborate with each other in order to benefit the patient and deliver person-centred care. The Royal College of Nursing (RCN 2007) describes...
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...coordinators were responsible for preparing and coordinating the ethical review applications and letters of support. The team decided to use the existing practices of community service providers. To facilitate referrals of participating patients, the team first identified the existing service pathways. The hospital medical director distributed an overview document to inform emergency department physicians of the project, and the clinical nurse specialist reviewed the referral process, protocols and documentation with nursing staff. ore than ever, health-care providers need to communicate with each other to stay informed about the services clients receive. Working in collaboration is essential to the delivery of effective, efficient and timely care (D'Amour, Ferrada-Videla, San Martin Rodriguez, & Beaulieu, 2005; Interprofessional Care Steering Committee, 2007). We all had roles on the Geriatric Emergency ManagementFalls Intervention Team (GEM-FIT) project, which was aimed at evaluating an alternative service-delivery pathway to reduce the number and consequences of falls in adults aged 65 and older who presented to an inner-city hospital emergency department. The project was based on the Falls Intervention Team (FIT) study, which had evaluated a best practice, multifactorial fall-prevention program for community-dwelling older adults (Baycrest Centre for...
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...REFLECTIVE COMMENTRY. The document Essence of Care (2010) published by the Department of Health addresses twelve fundamentals, which are important guide lines in providing holistic care for the patient admitted in this ward.. Food and drink is one such area, which is the focus of my service improvement initiative. The change I propose was to introduce different colour lids for the water jugs to indicate fresh water is being provided twice a day in the ward where I was under going my recent placement. This ward caters “step down” patients who are initially admitted to cardiac care unite, thus involvement of multidisciplinary team and interprofessional working is essential. The paper ‘Making a Difference’ Department of Health (1999) suggests that ‘effective care is the product of interprofessional working. Professionals working in collaboration provide care which is designed to meet the needs of the patient’ I shall use a model of reflection in order to describe the proposed change I have suggested. Reid (1993) suggests ‘that reflective practice is potentially is both, a way of learning and a mode of survival and development once formal education ceases’. I have chosen Gibbs model (1988) of reflection as it incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan thus Gibbs’ reflective cycle encourages me to think systematically about the phases of an experience and therefore I shall use all the headings to structure my reflection...
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...Collegiality has proven to be a key aspect of nursing as well. I experienced this through the mega simulation that I was able to participate in this semester which focused on interprofessional education. This simulation combined nursing students with students in areas such as occupational therapy, athletic training, social work, and health administration. By working together as a team throughout this simulation, we were able to implement interventions related to the case of a young, pre-diabetic college student in order to provide her with optimal healthcare. A few of the key interventions that took place were assessments performed by the nursing students within our scope of practice, creation of a care plan and healthcare goals, involvement from social work students to assist the patient in obtaining a...
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...BRIEF COMMUNICATION Clinical Telehealth Across the Disciplines: Lessons Learned Sandra Jarvis-Selinger, Ph.D.,1,2 Elmira Chan, M.Ed.,2 Ryan Payne, B.A.,2 Kerenza Plohman, LLM,2 and Kendall Ho, M.D., FRCPSC2,3 cost and remuneration issues, development of organizational protocols for system use, and strategies to promote interprofessional collaboration). 1 Department of Surgery, 2Division of Continuing Professional Development and Knowledge Translation, 3Division of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada. Key words: clinical telehealth, videoconferencing, literature review, quality of service Introduction Abstract Videoconferencing technologies can vastly expand the reach of healthcare practitioners by providing patients (particularly those in rural/remote areas) with unprecedented access to services. While this represents a fundamental shift in the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields...
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...been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic care (Hamric, Hanson, Tracy, & O’Grady, 2014). NPs empower their patients by allowing them involvement in their health care decision making process, thereby promoting health and well-being in quality, ethically driven, cost effective evidenced based practice models. Their core competency for independent practice distinguishes them from other...
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...The Impact of Nursing – 21st Century Changes This paper will review the 2010 Institute of Medicine (IOM) report on the future of nursing and highlight the need of lifelong education for nurses as changes occur in the American health care system. The leadership role of the 21st century nurse is changing in and outside of traditional healthcare settings. The paper will include possibilities of the nurse’s functions in the changing administrative and policy making capacity in the health care profession. In addition to providing information about educational needs and leadership roles the paper includes an opinion of personal practice as it relates to the goals of the IOM report’s Focus on Scope of Practice. Learning should be a lifelong venture for many professions that have changes occurring during their careers. Nursing is one of the professions that will benefit if the majority of practitioners take up the challenge of continual education during their careers. Society will be the beneficiary of the nurse’s increased knowledge and skill. The IOM report states “All health care organizations and schools of nursing should foster a culture of lifelong learning and provide resources for interprofessional continuing competency programs” (Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine [IOM], 2010, p. 6). The report continues with recommendations of “funding for grants and scholarships for nurses” to accommodate the lifelong learning...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals...
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...Revolutionizing the Profession of Nursing Monica Soto Grand Canyon University October 17, 2013 The IOM’s recommendation on improving the delivery of care begins with the transformation of the nursing profession. The Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine (IOM) established a two year Initiative on the Future of Nursing (Institute of Medicine [IOM], 2011, p. 2). In an unprecedented partnership to explore challenges central to the future of the nursing profession. The IOM and RWJF stated that accessible, high quality care cannot be achieved without exceptional nursing care and leadership (IOM, 2011, p. 2). This paper will discuss and explore how the IOM report impacts nursing education, nursing practice, and the nurse’s leadership role. The IOM recommends entering the field of Nursing prepared with a baccalaureate degree can provide a consistent foundation. Due to the complexities of managing patient care with chronic illnesses qualified nurses will need to possess the knowledge and training of a higher level of education. The IOM recommends that hospitals have a workforce of at least 80 percent of registered nurses with a minimum of a BSN degree by the year 2020 (IOM, 2011, p. 173). Although, there still exists various modalities to entering the nursing profession without having a BSN. The goal for nurses with a diploma and associate degree are encouraged to further their education by entering a baccalaureate nursing...
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...Reducing Rehospitalizations in Skilled Nursing Facilities Increases the Quality of Care Residents Receive and Decreases Unnecessary Health Care Cost Nurses have the power to increase positive patient outcomes by implementing changes in their practice based on the evidence found in the nursing literature. Utilizing evidence-based practice (EBP) increases nurses job satisfaction, increases communication across the interdisciplinary team, enables nurses to provide their patients with high-quality care and decreases health care cost. The purpose of this paper is to describe why readmissions from nursing homes (NHs) is a nurse practice problem, nurse practice changes to reduce hospitalizations in NHs, evidence found in the nursing literature that supports the change in nursing practice and how to evaluate the change in practice after implementation of interventions. The Problem Residents in NHs continue to experience potentially avoidable 30-day readmissions to hospitals. Rahman, Foster, Grabowski, Zinn, & Mor (2013) define 30-day readmissions as when the resident is readmitted to the hospital within 30 days of being discharged from the hospital to NHs and avoidable readmissions as conditions that can be managed safely and efficiently in NHs instead of the resident being transferred to the hospital (p. 1901) There are more than 1.6 million Americans living in NHs in the United States and 23.5% of these Americans experience readmission to the hospital within 30 days of discharges...
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