Chapter 13 Nursing Role and Scope Paper.

Chapter 13 Teamwork and Collaboration in Professional Nursing Practice Healthcare Delivery System • Population shifts • Cultural diversity • Patterns of diseases • Advances in technology • Economic changes Models of Care • Healthcare system models: – Chain of command – Complex adaptive systems (CASs) • Nursing models of patient care: – Team nursing – Total patient care – Case management Roles of the Professional Nurse • Caregiver • Manager • Advocate • Collaborator • Educator • Researcher • Leader Teamwork and Collaboration • Refers to functioning effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care (QSEN, 2007) Collaborative Practice Goals • Improve client satisfaction with care • Enhance continuity across continuum of care • Provide research-based, high-quality, costeffective care that is driven by expected outcomes • Promote mutual respect and communication between clients and healthcare team members • Provide opportunities to resolve issues and solve problems Levels on the Continuum of Collaboration Information exchange Consultation Referral Lowest Level _______________________________________________________Highest Level Communication Coordination of care Co-management between patient and each professional Interprofessional Collaborative Practice Domains • Values/ethics for interprofessional practice • Roles and responsibilities for collaborative practice • Interprofessional communication practices • Interprofessional teamwork and team-based practice Interprofessional Team Communication • TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) • SBAR (Situation, Background, Assessment, and Recommendation) • Cross-monitoring • CUS (Concerned, Uncomfortable, Safety) • Call out, check back, and 2-challenge rule Team Performance • Groupthink • Excessive authority gradients • Excessive courtesy • Performance-shaping behaviors Barriers to Interprofessional Communication and Collaboration • Cultural differences, gender differences, generational differences, personality differences • Hierarchy, organizational culture, differences in schedules and routines, differences in jargon, professional rivalry, disruptive behavior • Differing values and expectations, varying qualifications and status, and complexity of care requiring rapid decision making UQ Interprofessional Practice: Harness the Power of Healthcare Teams Video https://youtu.be/iLwFrMYttz4