Category: Collaboration

The healthcare system is meant to provide high-quality medical services for society but has some gaps. The National Patient Safety Goals (NPSGs) initiative assists organizations in terms of patient safety and presents several goals that indicate certain problems in healthcare (The Joint Commission, 2022). For instance, the third goal suggests some issues related to using medications, which are crucial in the treatment process and can be quite costly, affecting patients’ well-being (The Joint Commission, 2022). One way to address the medication-related gap is by reviewing the matter from the perspective of the Triple Aim (TA) framework, which is aimed at optimizing health system performance (Bachynsky, 2020). TA serves as the means to assess deficits in the delivery of medical services by concentrating on population health, the experience of care, and cost (Bachynsky, 2020). Together, TA and NPSG can present a systematized approach towards ensuring the safety of patients.

In particular, the framework can guide one of the NPSGs’ goals. For example, the third goal that implies the need to advance the usage of medication can be achieved by implementing TA (The Joint Commission, 2022). Firstly, TA focuses on patients’ health, and the NPSGs recommend labeling all medications and containers and taking measures to reduce patient harm (Bachynsky, 2020; The Joint Commission, 2022). As a result, such actions could lead to fewer errors, and the goal would meet one of the key elements within TA. Secondly, NPSGs can contribute to the experience of care specified by the framework by maintaining and communicating appropriate and accurate medication information (Bachynsky, 2020; The Joint Commission, 2022). Lastly, if healthcare professionals would strive to accomplish the NPSGs’ goal of medication safety, it may minimize misuse of drugs and possibly offer a less costly treatment by prescribing patients the most relevant medicaments (Bachynsky, 2020). Finally, as my major is in healthcare administration, I am interested in improving the delivery of medical services, and the quality of care can be advanced by assuring patient safety through achieving the NPSGs.

As I understand, the gap that you have addressed is related to a lack of coordination when transitioning patients from the hospital to their place of residence, such as homes or rehabilitation centers. I think that your discussion of the issue from the perspectives of the Hospital Readmission Reduction Program (HRRP) and the Triple Aim Framework was quite sufficient and detailed. It seems that the initiative is oriented towards preventing readmissions, so it is difficult to offer other ways for the HRRP to improve healthcare. However, I assume that by implementing the HRRP, medical facilities can potentially achieve goals concerning long-lasting results in securing health. Moreover, the initiative could benefit the healthcare system by saving time and resources that are typically spent on readmissions but would not if patients received more opportunities for successful recoveries.

Furthermore, the HRRP is similar to the National Patient Safety Goals (NPSGs) that I have discussed in my initial post. For example, as the HRRP is used to assess insufficient coordination that leads to mistakes that can endanger patients, the NPSGs indicate the need to improve communication for patient safety (The Joint Commission, 2022). Although the two initiatives have varying approaches, they appear to share one pursuit of ensuring satisfactory patient outcomes. The post seems to have covered all necessary strategies from hospitalization to post-discharge. Nevertheless, I would like to suggest that it may also be helpful to implement additional training for caregivers on instructing people from various backgrounds to ensure that all patients comprehend the necessary information.

References

Bachynsky, N. (2020). Implications for policy: The triple aim, quadruple aim, and interprofessional collaboration. Nursing Forum, 55 (1), 54-64. Web.

The Joint Commission. (2022). National Patient Safety Goals [PowerPoint slides]. Web.

Mechanisms of Modern Interprofessional Collaboration

Interprofessional collaboration always rewards those who participate in it. Collaborators may not achieve the initial goals, but the process itself will provide them with enough new perspectives for further research. Therefore, interprofessional collaboration and the study of it should be encouraged. Recent research has shown that this is already happening in the health sector. Schot et al. (2020) note that “healthcare professionals such as doctors and nurses are increasingly encouraged to work together in delivering care for patients” (p. 332). In their article, the researchers described the patterns of interprofessional collaboration of nurses with other healthcare workers in detail.

One of the article’s strengths is that it provides the audience with a general overview of how interprofessional collaboration works in health care in general and in nursing in particular. It is also worth noting the simple language of the material. However, the authors pay too much attention to the collaboration of nurses with doctors (Schot et al., 2020). There is not enough focus on dentists and other health care professions. Moreover, the authors seem to avoid delving deeply into their topic; they even confirm this themselves in conclusion.

The superficial nature of an article is dictated not only by the primary goals of the writers of the study but also by the research methods they used. Schot et al. (2020) applied Cooper’s systematic literary analysis to select relevant articles and collect the necessary data. They then conceptualized data from selected papers and formulated interprofessional collaboration patterns and a preliminary basis for future research through inductive coding. The feasibility of the evidence is questionable since it is “limited and fragmented,” as the researchers themselves note (Schot et al., 2020, p. 339). Nevertheless, knowledge of the mechanisms of modern interprofessional collaboration can help me better prepare for interactions with other professionals on my practicum site.

Nursing, Nurse Practitioners and Telehealth

An undeniable positive aspect of the work of Rutledge (2017) et al. is that the information in the article is useful for different groups of nurses. It will be helpful to those who are just getting acquainted with the principles of telemedicine and to experts of nursing who are developing their knowledge in remote patient monitoring. The article covers every critical aspect of telehealth and touches on telemedicine education’s current advantages and shortcomings. The disadvantage of the article is that although the authors provide future directions regarding telemedicine education, their explanation of their unique multimodal approach lacks details.

The statistical analysis method in the article is similar to that used by Schot et al. in their paper. It is a keyword search and then a literature review. Rutledge et al. (2017) note, “a systematic literature search was conducted in MEDLINE, EMBASE, PEDro, Scopus, Cochrane Central Register of Controlled Trials, CINAHL, and PsycINFO to identify current evidence and strategies for preparing providers in the utilization of telehealth…” (p. 400). It is safe to say that the information in the article will be helpful to everyone who is going to turn their practice into educational material. The evidence is compelling and feasible because multiple sources support the needs and problems of telemedicine education described and the multimodal approach presented.

References

Rutledge, C. M., Kott, K., Schweickert, P. A., Poston, R., Fowler, C., & Haney, T. S. (2017). Telehealth and eHealth in nurse practitioner training: Current perspectives. Advances in Medical Education and Practice, 8, 399-408.

Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332-342. Web.

Introduction

Remote care, diagnosis, and collaboration are becoming common practices in the healthcare industry. With the expansion of technology and the internet, nurses are now expected to perform digital consultations. The presented scenario features a pediatric patient admitted to the Valley City Regional Hospital. However, her family lives an hour away in McHenry, North Dakota. Since the respiratory therapist is concerned about how well the patient’s parents will be able to handle day-to-day treatment, the personnel at the hospital arrange online consultations with a pediatrician and social worker in McHenry. A transcript of their conversations reveals how evidence-based models can help remote workers deliver quality, safe, and cost-effective care.

Patient Background

Firstly, it is necessary to provide some background on the patient. Caitlyn Began is a two-year-old patient that came into the emergency room last night for pneumonia. This is her second admission for pneumonia in the last six months, and she was born with a meconium ileus condition. Her other symptoms include decreased breath sounds, rhonchi scattered in the upper lobes, and decreased subcutaneous tissue in her extremities. Caitlyn’s respiration is 32, with a temperature of 101 and 65 milliequivalents per liter on a sweat chloride test. She was diagnosed with cystic fibrosis at the hospital and treated with an intravenous injection of piperacillin, pancreatic enzymes, and dornase alfa. She is recommended to adopt a high-protein, extra-calorie diet and fat-soluble vitamins. Caitlyn is at risk for another pneumonia infection and bowel obstruction, and her health status depends on her day-to-day treatment.

Evidence-based Plan

Secondly, the evidence-based plan used to improve Caitlyn’s safety and outcomes is the IOWA Model of EBP. This model focuses on how the healthcare system implements decisions based on available research and evidence (Christenbery, 2017). Its essential steps include identifying a need for change, forming a team, finding credible and reliable evidence, and piloting the practice change (Christenbery, 2017). If the pilot change is successful, widespread implementation with continual monitoring at the organizational level follows (Gawlinksi & Rutledge, 2008). Based on this model, an interdisciplinary team composed of two pediatricians, a pediatric nurse, a respiratory therapist, and a social worker was assembled to evaluate Caitlyn’s state. The team developed an effective, patient-centered treatment plan through inter-professional questioning and collaboration.

Relevant Evidence

The medical interventions in Caitlyn’s case were based on relevant and credible evidence. Firstly, she was diagnosed with pneumonia due to cystic fibrosis, for which piperacillin is the first-line antibiotic in cases of respiratory infections (Mathews et al., 2018). Secondly, dornase alfa is a widely used mucolytic that reduces mucus viscosity in the lungs in the same cases (Yang & Montgomery, 2021). Thirdly, Caitlyn weighed 20.7 pounds at the age of two years, and there was subcutaneous tissue in her extremities, which pointed to the malabsorption of nutrients. Eighty to ninety percent of cystic fibrosis patients need pancreatic enzyme replacement therapy to overcome malnutrition (Somaraju & Solis-Moya, 2020). Piperacillin, dornase alfa and pancreatic enzymes are evidence-based interventions for respiratory infections and malnutrition in cystic fibrosis.

Benefits and Challenges of Remote Collaboration

An effective evidence-based plan was implemented for Caitlyn through remote collaboration. This approach’s benefits include coordinating treatment regardless of geographical barriers and ensuring care continuity. Furthermore, communications technology facilitates seamless inter-professional collaboration, improving the quality of care and reducing medical errors. However, the remote collaboration also presents a few challenges that may be detrimental to patients. Firstly, scattered communication channels mean professionals might be confused about whether to text, call, Skype, or utilize telemedicine equipment in order to contact a colleague. Secondly, it is more difficult to perform check-ins and updates since there is no face-to-face contact and remote communication has to be planned in advance. Thirdly, an unclear hierarchy of inter-professional teams may lead to role confusion. Scattered channels, irregular check-ins, and role confusion are the drawbacks of remote collaboration in healthcare.

Strategies to Mitigate Collaboration Challenges

Several strategies can be implemented to mitigate these challenges. Firstly, the healthcare industry needs to create a single digital workplace platform or application for a more efficient working environment and unified communication system. There can be a drop-down menu that professionals press to signal that they want to talk to a specific colleague. Secondly, this same platform should have a management plan with a consistent schedule of check-ups. Employees can be trained to upload updates on this platform regularly using the same format. Thirdly, the team should assign roles and responsibilities during the discussion and document them if possible. Creating a digital workplace platform and clear role delineation will mitigate the challenges of remote collaboration.

Conclusion

In conclusion, evidence-based practices are essential for improving health outcomes. Caitlyn’s case was resolved according to the IOWA model, which focuses on providing patient-centered care through interdisciplinary collaboration. A team composed of two pediatricians, a pediatric nurse, a respiratory therapist, and a social worker was assembled remotely to propose a treatment plan for Caitlyn based on credible and relevant evidence. While remote collaboration has many benefits, it is still in its infancy. It presents many challenges, a few of which can be mitigated by creating a digital workplace platform.

References

Christenbery, T. L. (2017). Evidence-based practice in nursing: Foundations, skills, and roles. Springer.

Gawlinski, A., & Rutledge, D. (2009). Selecting a model for evidence-based practice changes: A practical approach. AACN Advanced Critical Care, 19(3), 291-300. Web.

Mathews, N., Zayed, S., Winters, N., Lands, L. C., Shapiro, A. J., Côté, J., & Quach, C. (2018). Evaluation of the safety of piperacillin/tazobactam use in admitted pediatric patients with cystic fibrosis. Official Journal of the Association of Medical Microbiology and Infectious Disease Canada, 3(2), 93-99.

Somaraju, U. R. R., & Solis-Moya, A. (2020). Pancreatic enzyme replacement therapy for people with cystic fibrosis. Cochrane Database of Systematic Reviews.

Yang, C., & Montgomery, M. (2021). Dornase alfa for cystic fibrosis. Cochrane Database of Systematic Reviews.

Case Information

A 50-year-old male is admitted to the trauma ICU from surgery to stabilize a spinal cord injury to C5-6 from an MVA. He is on mechanical ventilation and is expected to be weaned off within 24 hours. It was reported he has no movement in his extremities. He has no next of kin.

Medication

• Metformin (Glucophage) 500 mg po bid
• Carvedilol (Coreg) 40 mg po a day
• Paroxetine (Paxil) 40 mg po q day
• Meloxicam (Mobic) 15 ma po a day
• Sildenafil (Viagra) 100 mg po as needed

Clinical Practice Guidelines

The patient should be rehabilitated after surgery to stabilize his spinal cord injury to C5-6 from a Manual Vacuum Aspiration (MVA). The Cardiometabolic Risk after Spinal Cord Injury is a clinical practice guideline for healthcare providers to improve the care offered to patients with spinal cord injuries (Nash et al., 2018). It is recommended to address cardiometabolic disease (CMD) using the American Heart Association (AHA) definitions and evaluate the patient’s condition before discharge. Diabetes is another diagnosis to screen the patient for, and the American Diabetes Association (ADA) guidelines must be applied. Lifestyle interventions should be considered to promote caloric assessment and dietary habits, physical exercises (150 minutes per week), and education on medication and nutrition (Nash et al., 2018). The patient’s temporary immobility, diabetic risks, and heart failure should be admitted to the chosen clinical practice guideline.

Medical Orders

Regarding the fact that the patient has diabetes, metformin remains one of the immediate and actual medical orders. This order is necessary to stabilize the body’s response to insulin (Sabharwal, 2019). Nonsteroidal anti-inflammatory drugs or NSAIDs are usually not recommended by experts as they elevate blood pressure, but antihypertensive medications like thiazide are effective for managing fluid retention (Nash et al., 2018). Finally, a lack of calibration in patients on mechanical ventilation after a spinal cord injury is observed, and statin monotherapy is recommended to control blood cholesterol levels and prevent the growth of heart failure symptoms (Nash et al., 2018; Sabharwal, 2019). If medical intolerance is observed, the assessment is required to identify the current problems and define a new treatment plan.

Collaborative Orders

Considering the current problems and treatment expectations, the patient should be informed about several collaborative anticipated orders. First, a neurologist’s consultation is required to monitor the treatment progress and the spinal cord’s condition after surgery. The work of peripheral nerves and muscles may be damaged by stroke or diabetes. The patient also needs a cardiology follow-up meeting to develop a new heart care program and assess if the recent operative intervention affects the heart (Nash et al., 2018). Finally, stopping mechanical ventilation presupposes a follow-up consultation with a respiratory therapist. This expert will examine the patient, exclude complications after surgery, and assess mechanical ventilation outcomes.

References

Nash, M. S., Groah, S. L., Gater Jr, D. R., Dyson-Hudson, T. A., Lieberman, J. A., Myers, J., Sabharwal, S., & Taylor, A. J. (2018). Identification and management of cardiometabolic risk after spinal cord injury: clinical practice guideline for health care providers.Topics in Spinal Cord Injury Rehabilitation, 24(4), 379-423. Web.

Sabharwal, S. (2019). Addressing cardiometabolic risk in adults with spinal cord injury: Acting now despite knowledge gaps.Spinal Cord Series and Cases, 5(1). Web.

One of the main ways my facility promotes interdisciplinary collaboration is by creating dedicated teams to strengthen links between professionals. In this way, not only are valuable connections formed that help the patient move from one setting to another, but work experience is also transferred. Transferring practical knowledge is supported by evidence-based practice obtained from reputable academic sources. Thus, these associations work on the principle of nursing journal clubs, which help learn about the latest trends in clinical research and develop the skills to analyze such literature (Palaka et al., 2011). Thus, collaboration during patient transitions is carried out and promoted on the basis of established interprofessional groups.

In the context of the patient transition, one of the nurse’s main tasks is to draw up a transitioning plan, following which all subsequent procedures are carried out. According to the American Nurses Association (2021), this plan should be patient-specific, based on evidence-based information, and effectively emphasize existing barriers. In addition, the nurse must provide the patient with the necessary instructions, whether it be a schedule for taking medications or other recommendations. Finally, it is essential to ensure the most effective communication between departments during the translation process to satisfy all the patient’s existing demands. Thus, the nurse’s leading role in this process is its theoretical development, identification of weaknesses, and using their capabilities to influence the patient and caregivers to fulfill all the patient’s needs.

In the context of the practice I know, I can identify several weaknesses and gaps that significantly reduce the quality of assistance provided. First of all, despite the creation of special collaboration groups, the facility’s administration does not make sufficient efforts to ensure the active participation of their members. As a result, the influence of the created organization is much less than it could be since team-building practice is practically absent. Second, nursing shifts are a significant barrier to effective patient transfer. Due to the considerable workload of the facility, many nurses have to work overtime to provide all the necessary assistance. As the study by Ma and Stimpfel (2018) shows, such conditions can lead to a significant decrease in the level of collaboration, which is observed in practice known to me. Thus, there is a gap in the form of the need for a more thorough approach to collaboration groups and a revision of work schedules to reduce the workload.

References

American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). Author.

Ma, C., & Stimpfel, A. W. (2018). The association between nurse shift patterns and nurse-nurse and nurse-physician collaboration in acute care hospital units. The Journal of Nursing Administration, 48(6), 335-341.

Patel, P.C., Panzera, A., DeNigris, J., Dunn, R., Chabot, J., &Conners, S. (2011). Evidence-based practice and a nursing journal club: An equation for positive patient outcomes and nursing empowerment. Journal for Nurses in Professional Development, 27(5), 227-230.

Collaboration within a team and an organization are one of the critical aspects of any healthcare facility, since this approach helps to involve different specialists and perspectives in solving problems. In the scenario, the conflict arose because the team members did not initially receive sufficient support from the leader, management, and other teams. Consequently, the problem is caused by the emotional detachment of the team from the organization, and the solution to the problem must also be achieved with the help of emotional competence.

One strategy is to use shared leadership, which means that all team members are involved in decision-making and have equal access to the leader and information (Marshall & Broome, 2017). Since the team has learned to self-manage, this approach will help them perceive change as cooperation rather than submission. However, the leader should also employ strategies that require emotional competence, such as encouraging feedback and open discussion, and practicing empathy. These strategies will help the leader restore the team’s trust and show that they can again ask for help and build cooperation. The key performance indicator of the second strategy will be the desire to cooperate within the organization. The third strategy can be measured by the level of trust in the leader, and the result of the first strategy will be evaluated by the overall efficiency and productivity of the team.

Currently, there is a negative relationship in the hospital where I work between nurses, physicians, and the administration. They arise because nurses and physicians recommend extending the hospitalization of patients by several days to improve their condition and be confident in their physical health. However, the administration insists on earlier discharge to admit other patients. This situation, in some cases, causes readmission of patients or less satisfaction with services. The hospital’s organizational culture contributes to this problem as the facility is focused on making a profit, although health and patient care are also key priorities. However, in cases where the solution brings economic benefits but does not pose high risks to patients’ health, the administration chooses it.

One of my strengths is communication skills. According to Chism (2019), two competencies that are key to the nurse practitioner are the use of clinical investigative skills to evaluate health outcomes and provide leadership in the translation of knowledge into practice. I share and believe in these competencies and try to manifest them. Communication skills help me bring innovative and evidence-based practices to the organization that improves the quality of care. At the same time, my efforts are directed not only to educate the nursing team but also deliver information to the administration and senior managers. Other staff members also often highlight my communication skills and ask me to apply them to negotiations with patients, providers, or administrators. In addition, the senior staff emphasized my situational awareness skill, which helps me resolve conflicts or prevent adverse outcomes.

Hence, my strengths can be used to reduce the adversarial relationship. Situational awareness helps me to assess the problem and interests of each of the parties correctly. For example, since the administration is profit-oriented, I can use the fact that low patient satisfaction and readmission due to early discharge affect patients’ willingness to use hospital services. Consequently, this problem reduces profits of the hospital as healthcare organization. At the same time, my communication skills and ability to analyze and reason critically will help me convince the administration to change policy and reduce pressure on staff, which reduces early discharge. Thus, the adversarial relationship problem will be solved if the administration sees the benefits of nurses’ and physicians’ recommendations.

References

Chism, L. A. (2019). The Doctor of Nursing Practice: A guidebook for role development and professional issues (4th ed.). Jones & Bartlett Publishers.

Marshall, E. S. & Broome, M.E. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

Introduction

To a great extent, an interprofessional team is how multiple healthcare professionals, including pharmacists with different capabilities, talents, and work knowledge, such as doctors, pharmacists, nurses, and occupational therapists, work together to attain a common goal. Due to the coordinated efforts, the concept enables the accomplishment and offers many benefits, including reducing PNA clients’ readmission rate, detailed patient care, improved communication, and interpersonal growth and empowerment. Notably, iCARE is a developed instrument to assist clinical nurses in achieving their set objectives and philosophies. The methodology is a reminder of how nurses must work and behave within the limits of the group.

The type of work setting is performing healthcare duties at AdventHealth Carrollwood, a special treatment center mainly for people suffering from ventilator-associated PNA. The nursing medical facility has deployed the iCARE approach elements, including compassion, advocacy, and resilience within its interprofessional team. At the same time, the medical center aims to offer specialized pneumonia healthcare treatment to make a pragmatic impact on children by improving their family-focused scope and evidence-based psychological healthcare. Interprofessional teams at AdventHealth Carrollwood are present, including pulmonologists, pharmacists, nurses, doctors, and therapists. They work together to manage pneumonia clients, produce effective patient results, and provide sufficient healthcare delivery (Khanjani et al., 2021). However, even though the interprofessional team aims to attain a common goal, one of the group functions that could be improved is mentoring. Most staff members, including some nurses, indicate that they are not mentored, especially during challenging moments while in practice.

Compassion

In an interprofessional team, one key nursing action that could espouse nurses’ compassion is safety nursing intervention. In AdventHealth Carrollwood, the interventions are courses of action implemented by the nurses to facilitate compassion by sustaining client safety. The interprofessional teams at AdventHealth Carrollwood must adhere to the organizational policy of educating patients on how to seek nurses’ help when they cannot move independently (Khanjani et al., 2021). The patient safety intervention positively impacts AdventHealth Carrollwood’s corporate culture by making all workers extensively caring. Therefore, the possible nursing action’s impact on the client outcome includes offering emotional support to patients suffering from pneumonia for improved health.

Advocacy

Notably, the mobility therapy intervention is a nursing action that contributes substantially to the advocacy via interprofessional team support. At AdventHealth Carrollwood, patients suffering from pneumonia encounter movement challenges after the illness. The interprofessional team contributes to client advocacy by ensuring patients receive occupational justice and acquire all the resources, such as new ventilators and equipment, to improve their mobility (Khanjani et al., 2021). The nursing action influences the organizational culture by ensuring that workers are responsible for advocating for the patient’s well-being and health. The projected client outcome is reducing the readmission rate, particularly for those suffering from PNA, by ensuring they are fit.

Resilience

In the workplace, counseling is one of the core nursing actions to enhance the resilience of interprofessional teams. At AdventHealth Carrollwood hospital, counseling enables healthcare practitioners to maintain their concentration after experiencing multiple depressive episodes within their nursing practice (Khanjani et al., 2021). To a great extent, counseling impacts AdventHealth Carrollwood’s culture by ensuring that the employees have an increased sensitivity to work supplely without burnout from the pressure related to the nursing practice. Since resilience enables nurses to overcome stressful situations, they assist patients suffering from pneumonia by maintaining clean ventilators, reducing PNA rates.

Evidence-Based Practice

Family nursing intervention is one component of clinical action that facilitates evidence-based practice via interprofessional group reinforcement at AdventHealth Carrollwood. The nursing action indicates that team members must execute their intended undertakings based on clinical evidence per their approval. Healthcare professionals minimize interceptive practice errors by implementing the family nursing approach (Khanjani et al., 2021). The nursing action impacts AdventHealth Carrollwood’s culture by ensuring the interprofessional members provide evidence-based interventions to ensure the organization promotes patient care by providing them with effective medical solutions. The possible client outcome is reducing hospital-acquired infections by offering PNA patients the best medications.

Summary

The elements of iCARE, including resilience, compassion, and advocacy, impact and reinforce the interprofessional teams’ efficiency and improve the client health outcomes. The components offer fundamental frameworks that modify the nursing effectiveness at AdventHealth Carrollwood and enable interprofessional teams to manage workplace stress, assist the client when in need, and promote the patient’s occupational justice. All the iCARE concepts and the utilization of evidence-based practice enable the healthcare professional with diverse skills, expertise, and talents to provide clients with the best form of clinical action interventions, such as mobility, counseling, safety, and family therapies.

Family-centered therapy improves patient outcomes by minimizing hospital-acquired ventilator infections and providing PNA patients with the best medications. Counseling allows nurses to work stress-free and offer extensive care to patients. At the same time, the mobility approach escalates patient outcomes by minimizing the readmission rate of pneumonia clients rates at the hospital and ensuring they are fit. Patient nursing intervention offers emotional assistance to PNA patients and improves their overall well-being and health. In my organization, AdventHealth Carrollwood, I can influence the process of support for interprofessional support by offering psychological and mentorship support to ensure that healthcare professionals offer enhanced care services to patients.

Conclusion

In conclusion, an interprofessional team is how diverse healthcare professionals with different work knowledge, talents, and skills work together to achieve a mutual goal. At AdventHealth Carrollwood, the present interprofessional group comprises nurses, pharmacists, pulmonologists, and therapists. However, the group function that could be improved is mentoring, as most subordinates argue that they are not mentored, mainly during difficult times while executing their nursing practices.

Reference

Khanjani, S., Bardezard, Y. A., Foroughi, A., & Yousefi, F. (2021). Burnout, compassion for others and fear of compassion: A quantitative study in Iranian nurses. Trends in Psychiatry & Psychotherapy, 43(3), 193–199. Web.

Introduction

The patient’s participation and involvement present vital principles in modern health care. In addition to informed consent, patient participation implies the integration of the patient’s opinion in the decision-making process in choosing the potential treatment methods and care. However, collaboration with clients during screening and assessment processes is often overlooked even though it allows for identifying clients’ concerns and provides a foundation for clients’ trustful relationships with healthcare organization professionals.

Discussion

Firstly, the collaboration with the client during screening creates a foundation for clients’ trustful relationships with professionals. According to Bray (2021), teaming with the client is important for identifying the treatment goals, significantly contributing to the potential treatment outcomes. Furthermore, collaboration with the client can identify additional details about the client’s health during screening and assessment processes. While screening focuses on identifying the client’s immediate needs, collaboration during assessment allows healthcare professionals to gain in-depth knowledge of the client’s condition and its causes.

Different healthcare conditions depend on the client’s lifestyle, diet, physical activity, and genetic predispositions. Collaboration with the patient allows for a more accurate image of the patient’s health status and potential risks. Furthermore, collaboration with the client during screening and assessment prevents potential medication errors and increases the chances of better patient outcomes. Thus, more accurate information about a patient’s health status improves the quality of health services, minimizes the chances of mistakes, and improves professionals’ confidence in the treatment choice.

Conclusion

In conclusion, this essay explains why working collaboratively with the client during the screening and assessment processes is important. Collaboration with the patient allows for forming trustful relationships with clients and more accurate treatment goals. Furthermore, collaboration with the client during assessment can provide more accurate information about the patient’s health status and behavior. Thus, collaborative work with clients presents an essential component for achieving better patient health outcomes.

Reference

Bray, B. (2021). Assessment, diagnosis and treatment planning: A map for the journey ahead. Counseling Today. Web.

Introduction

Collaboration between Nurse Practitioners (NPs) and physicians is essential for providing quality care. This partnership can vary in its approach, ranging from casual chats to formalized arrangements. Effective teamwork between NPs and physicians has been demonstrated to improve access to care, patient outcomes, and health system savings (Interior Health and University of British Columbia, 2015). It is important for them to understand their respective roles and how to join efforts for the provision of the best patient care.

Discussion

Moreover, integrating NPs into the healthcare team has allowed for the development of new care delivery models. These models are designed to provide comprehensive care to meet the needs of patients. One such model is the primary care medical home which focuses on preventive care, patient education, and early intervention (Interior Health and University of British Columbia, 2015. It also emphasizes collaboration between providers and the use of evidence-based practice.

Communication is essential for the implementation of effective collaboration in healthcare settings. NPs and physicians must coordinate to understand the patient’s condition, develop a treatment plan, and design follow-up care (Interior Health and University of British Columbia, 2015). Another key component of effective collaboration between NPs and physicians is the ability to refer and consult patients. This allows medical personnel to utilize extra resources and knowledge, if necessary, to guarantee the best results for the patient. Referrals can also help reduce patient appointment wait times, improving care access.

In my experience, there are positive impacts of NP and physician collaboration. I have been capable of working with many other clinicians to provide my patients with quality healthcare. There have been positive outcomes of referrals and consults between NPs and other healthcare providers. This cooperation has improved the quality of care my patients have received. For instance, I recently had a patient dealing with chronic pain who needed physical therapy.

Conclusion

After discussing the situation with a physical therapist, I referred the patient to him, and the victim subsequently received treatment. To sum up, the collaboration between NPs and doctors has benefited my practice, and I think it is crucial to give patients holistic solutions.

Reference

Interior Health and the University of British Columbia. (2015). How Are Nurse

Practitioners Integrated in the Healthcare Team? [Video]. Youtube. Web.

Medication administration errors are preventable events that can have serious implications for patient safety. Active management and effective reporting systems can promote error detection and improve patient outcomes (Elden & Ismail, 2016). Collaborative team-based work is an important tool to improve relationships between healthcare professionals and reduce the number of medication errors that occur due to poor communication. An interprofessional team that needs to be assembled to prevent future recurrence of medication administration errors will consist of clinical pharmacists, physicians, and members of the nursing staff.

The team’s goal will be to develop a plan for medication use with consideration of responsibilities and professional competencies of members. As experts in medications, pharmacists will have to prepare special guidelines for physicians on managing particular conditions, examine prescribing activities, and communicate patient-specific recommendations to the team. As professionals who manage patients’ daily schedule, nurses will develop an individualized care plan before counseling with a pharmacist.

As experts in patient care, physicians will discuss the medication management plan for patients with pharmacists. All members will participate in the examination of case reports of medication errors to identify corrective actions.

Accountability should be shared between the team members to enable the successful implementation of team-based care. Ways to distribute and monitor tasks among interprofessional team members include oral communication and non-verbal communication, such as communication logs, protocols, and guidelines. Strategies that will be used to facilitate effective communication and collaboration include the promotion of joint decision-making and education of members about how cultural, managerial, and environmental factors affect medication errors. It is crucial to focus on nurses’ and physicians’ interpersonal relationships with pharmacists and simplify communication channels through a collaborative examination of medication administration errors.

Reference

Elden, N. M., & Ismail, A. (2016). The importance of medication errors reporting in improving the quality of clinical care services. Global Journal of Health Science, 8(8), 243-251. Web.