Leadership & Management - Module Ch. 14

In an interprofessional team, what do teammates need to understand to have a shared vision? (Select all that apply.) 1. Desired outcomes 2. Potential challenges 3. After-care options 4. Why certain members are included 5. Cost of the implemented services.

1, 2, & 3 Having agreement on the outcome is foundational to the team having a shared vision. There must be agreement on the outcome to gain agreement on potential challenges. Establishing agreement on the outcomes requires the team to take the long view and ensure that they are in alignment for options after the patient is out of their care. While understanding and acceptance of individual members is desirable, it is not an absolute necessity to the attainment of a shared vision. While a consideration, the implemented services should be based on need, not cost.

The case manager is part of the interdisciplinary team who is a nurse leader whose role is to ______. (Select all that apply.) 1. Coordinate patient care 2. Evaluate options for patient care 3. Monitor patient care 4. Provide informed consent for procedures 5. Advocate for the patient

1, 2, 3, & 5 The case manager's role is to assess, plan, facilitate, advocate for the patient; assist in meeting the needs of the individual; provide options for alternative care or placement; assess available resources; and promote cost-effective care.

What are some of the primary focuses of the health care interprofessional team? (Select all that apply.) 1. Collaborative problem solving 2. Reducing mortality rates 3. Improving quality of life for patients 4. Providing patient-centered care 5. Increasing professional experiences for health care workers.

1, 2, 3, 4, & 5 Primary health care teams include, but are not limited to, physicians, nurse practitioners, nurses, therapists, social workers, case managers, and ancillary personnel. Primary care has expanded to meet the current demands of today's health care which focuses on improving the quality of patient care while reducing mortality rates, providing quality work climate, working to problem solve, and are involved in decision making regarding health care roles and responsibilities.

In an interprofessional team, the role of a nurse leader is elevated from caregiver to include which essential responsibilities? (Select all that apply.) 1. Implementing a team approach to care delivery. 2. Integrating all aspects of client care. 3. Minimizing the role of technology in the delivery of care. 4. Assuring client and client family satisfaction. 5. supporting client autonomy related to care decisions. 6. Assuring the effective transition from facility to home care.

1, 2, 4, 5, & 6 In an interprofessional team, the role of the nurse leader is transformed from someone who submissively follows direction (caregiver) to someone who helps conduct the bigger picture as both facilitator and participant (care integrator). The nurse leader is also responsible for implementing a team approach to care while assuring client and client family satisfaction. The nurse leader assures that the client is actively involved, to the degree they are capable, in the planning of their care for as long and wherever the care is delivered. When appropriate, the nurse leader includes technology to enhance and provide effective care.

What factors contribute to the success of interprofessional teams? (Select all that apply.) 1. Having role clarity 2. Enjoying the work experience 3. Acknowledging the shared vision 4. Forming clear and efficient communication 5. Establishing an interpersonal relationship with team members.

1, 3, 4 While enjoying the work one does and establishing interpersonal relationships with team members can reduce stress, they don't necessarily lead to interprofessional team success. For a team to be successful, members must agree on the optimal outcome and the pathway to getting there (shared vision); be clear about who does what (role clarity); and communicate patient information across the team in a way that builds on team member strengths and minimizes duplication of effort (clear and efficient communication).2.

Which of the following is important for ensuring team collaboration efforts will be successful? 1. Shared vision, role clarity, and use of effective communication 2. Effective communication, team leader is the primary care provider, and sound delivery models. 3. Role clarity, primary care provider acts as team leader, and nurse leader is subordinate 4. Shared visions, effective communication, and primary care provider act as team leader.

1. To ensure team collaboration, it is imperative that team members have a shared vision, clarify team member roles, and use effective communication techniques. The primary care provider does not typically act as the team leader because this role typically falls to the registered nurse.

What is one challenge that the interprofessional team faces? 1. Role confusion 2. Decision-making process 3. Evidence-based practice 4. Commitment from team members

1. Role Confusion Role confusion is a challenge that can affect the ability of the team to collaborate effectively. Many times, members do not have a clear definition of what their role is on the team, and this can lead to frustration, disorganization, and decreased productivity.

What is considered to be the greatest challenge to implementation of an interprofessional primary health care team? 1. The cost of implementation of such a varied team 2. Overcoming the traditional provider-dominated role of determining patient care 3. Assuring patient acceptance of the care model 4. Getting nurses to actively participate in the planning of patient care using this model.

2 The challenges to implementing primary health care on the PHCT mirror many of the challenges seen in more traditional primary care, including hurdles in their formation; overcoming the traditional provider-dominated hierarchy in determining who should lead the team; role confusion; and determination of structure and function of the team. None of the remaining options have been identified as challenges to the implementation of the interprofessional primary health care team model.

A client who experienced a traumatic musculoskeletal injury to the right arm was transported to the local hospital's emergency department. The initial care was delivered by an interprofessional team. What specialized, patient-focused care should this form of care delivery provide this patient? 1. A physician will assume the management of care role. 2. Effective communication between individual team members and with the patient will be a priority. 3. All physical care will be delivered by a registered nurse. 4. The patient will be assigned a primary nurse at the time of admission to the emergency department.

2 This interprofessional team benefitted the patient by communicating with each other and the patient to avoid potential medical errors and to ensure effective care. The physician will not assume the management role; that is the responsibility of the team's nurse leader. Care is provided by the most appropriate team member. The role of a primary nurse is not one typically supported by the interprofessional team care model.

What is the best focused response when asked, "What does clear & efficient communication mean"? (Select all that apply.) 1. Giving as much information as possible about everything related to the patient on hand-off. 2. A thorough handoff of the situation, including background, your assessment, and any recommendations. 3. Checking for the receiver's understanding before moving on. 4. Always presenting information in a concrete manner. 5. Information is presented in language the receiver can understand.

2, 3, & 5 While you may think that transferring information about everything related to the patient on handoff is effective, it is not efficient. Focusing on the situation, relevant background, nursing assessment of the current situation, and any recommendations is much more efficient because it is organized. Make sure to check for understanding before moving on because it closes the transmitter-receiver communication loop. Be aware that there are situations when details are necessary. It is vital that language including terminology and jargon be used only when the parties share understanding.

What factors are considered when determining the appropriateness of implementing care via the interprofessional team? (Select all that apply.) 1. Physical design of the care facility 2. Skill of the attending staff 3. The acuity level of the patient population 4. The physical location of the facility 5. The facilities yearly budget. 6. The complexity of the required patient care.

2,3,5, & 6 The most appropriate organizational model to deliver patient care for each unit or organization depends on the skill and expertise of the staff, the availability of registered professional nurses, the economic resources of the organization, the acuity of the patients, and the complexity of the tasks to be completed. The physical location and design of the unit or facility is not usually a consideration since these factors have limited impact on the patient care delivery system best suited for patient care.

What does an interprofessional team member need to understand about role clarity for the team to be successful? 1. Individual role and responsibilities 2. The role and responsibilities of all teammates 3. Roles and responsibilities of those outside the team 4. Why the roles and responsibilities exist.

2. Successful interprofessional teammates have an understanding of their own role and the role of the others on the team but not necessarily why those roles and responsibilities exist. It is not necessary to understand the roles and responsibilities of everyone in the hospital in order for the team to be successful.

T or F: Implementation problems are not common in multidisciplinary teams because all health care workers typically like being part of a team.

FALSE Implementation problems are common in multidisciplinary teams such as those that occur in health care facilities; mutual respect is needed, and collaboration is not always easy to achieve because not all health care workers like working in teams.

T or F: The bachelor's degree prepared nurse is tasked with the need to understand interprofessional communication & collaboration in order to be prepared to improve patient health care outcomes.

TRUE Interprofessional communication and collaboration for improving patient health outcomes is BSN Essential VI. The registered nurse must understand this essential of nursing practice in order to be prepared to promote and improve patient outcomes