NUR 300 Unit 1: Interprofessional collaboration
characteristics of an assertive nurse
-gives the same message verbally and nonverbally. -speaks genuinely without sarcasm. -appears self-confident & composed. -maintains eye contact. -uses clear speech. -speaks firmly & positively. -is non-apologetic. -takes initiative to guide situations.
managing difficult conversation
1. Get the person's attention 2. Express concern 3. state the problem 4. propose action 5. reach decision
4 core competencies of interprofessionalism
•A mutual respect of values and ethics •An understanding of everyone's roles and responsibilities •Frequent communication between patients, families, communities, and professionals in health and other fields •Application of relationship-building values to perform and collaborate effectively in different team roles
nonverbal communication
•Appearance •Body positioning •Appearance
effective teams and good communication go hand in hand
•Components of successful teams include: •Open communication •Non-punitive environments •Clear direction •Clear and known roles and tasks for team members •Consideration of all ideas
dealing with difficult healthcare team members
•Connecting on a human level can be a powerful catalyst. •Do not be afraid to express what you think and believe about this patient. •Have a memorized response to fall back on so you can respond when caught off guard by an inappropriate comment or behavior.
the function of the team
•Feedback: By discussing your actions, you can learn from each other and plan to improve in the future. •Fun: Of course, you want to enjoy working with your teammates •Humility: Remember, you don't know what you don't know
interprofessional collaboration
•Interprofessional collaboration is when "multiple health workers from different professional backgrounds work together with patients, families, carers (caregivers), and communities to deliver the highest quality of care." (World Health Organization) Through this type of communication and teamwork, individuals can better understand the importance of each health professional's unique skill set and provide patients vastly improved healthcare experience.
verbal communication
•Language •Pace •Tone •Delivery
interprofessional communication tools
•Patient handoff •SBAR communication •CUS language •Difficult conversations
barriers
•Personal values and expectations •Personality differences •Hierarchies •Disruptive behaviors •Culture and ethnicity •Generational differences •Gender •Rivalries •Language and jargon •Professional routines and schedules •Varied levels of preparation/ education •Professional norms •Differences in accountability, payment, and rewards •Complexity of care •Emphasis on rapid decision making
why is communication important?
•Positive communication and teamwork improves: • Clinical effectiveness and job satisfaction •Poor communication contributes to: • Occurrences of sexual harassment, confrontations and impacts quality of care and patient outcomes.
active listening
•Silence •Accepting •Restating •Reflecting •Focusing •Seeking clarification •Summarizing
SBAR communication
•Situation •Background •Assessment •Recommendation
purpose of inter professional collaboration
•There must be an element of intentional and cross-functional collaboration: a discussion concerning how each professional's role and strengths can be integrated to provide better care as a whole. •The healthcare community investigated their practices and found they could potentially decrease medical errors by sharing information and responsibilities between teams and by encouraging collaboration. •Through this dedication to sharing knowledge and duties, the medical community found that interprofessionalismimproves patient outcomes and their rate of satisfaction, saves costs, and even raises the job satisfaction of medical caregivers.
communication failure
•Top three causes in 60% of unexpected death or permanent loss of function. •80% of serious preventable adverse events -Outcomes: •Medical errors •Delays in treatment •Surgical complications