Module 9: Interprofessional Collaborative teamwork

How can you turn conflict into collaboration through recognizing and confronting poor behavior?

- Discuss problem with involved parties - Active listening - Propose resolutions - Summarize and document

Define effective communication

- It is timely, accurate, complete, unambiguous, and understood by the recipient. - It is essential for high-quality care - Instills trust and respect

What are the 2 ways you can turn conflict into collaboration?

- No tolerance policies on disruptive behavior - Regular feedback - Clarity of role responsibilities

What are the components of conflict resolution?

1. Assume responsibility 2. Identify your goal 3. Obtain factual data 4. Intervene early 5. Avoid negative comments that can affect the self-esteem of the receiver 6. Consider the others viewpoint

What are the elements of relational continuity?

1. Client centeredness 2. Collaboration 3. Coordination

What is relational continuity?

1. Consistent trusting relationship 2. New roles 3. Medical home 4. Team-based care

What are the elements of creating a collaborative culture?

1. Having a common goal in which all team members keep the delivery of safe, high-quality care a priority 2. Open and safe communication that creates a communication-rich environment that allows all team members to value open communication 3. Mutual respect 4. Shared decision making 5. Role clarity 6. Message clarity

How can you be actively participate in team meetings?

1. Listen before you speak 2. Be informed 3. Use knowledge appropriately 4. Be open to the ideas of others 5. Ask for feedback 6. Work within the system

How has the role of the nurse expanded?

1. More collaborative and team-based approach 2. Increase in health screening promotion 3. Increase in risk reduction and disease prevention strategies 4. Improved quality of life for patients and families 5. Expanded to many positions outside of the hospital

Leadership skill sets

1. Networking roles 2. Mentoring roles 3. Advocacy roles

Professional role development

1. New practice roles 2. Interprofessional education 3. Interprofessional practice

What are the stages from Novice to expert?

1. Novice 2. Advanced beginner 3. Competent 4. Proficient 5. Expert

3 key elements of supportive work environments

1. Nurses as full partners in the health care team 2. Adequate staffing 3. Autonomy and accountability in practice

ANA Bill of Rights for Registered Nurses

1. Nurses have the right to practice in a manner that fulfills their obligations to society and to those who receive nursing care 2. Nurses have the right to practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice 3. Nurses have the right to a work environment that supports and facilitates ethical practice, in accordance with the code of ethics for nurses and its interpretive statements 4. Nurses have the right to freely and openly advocate for themselves and their patients without fear of retribution 5. Nurses have the right to fair compensation for their work, consistent with their knowledge, experience, and professional responsibilities 6. Nurses have the right to a work environment that is safe for themselves and their patients 7. Nurses have the right to negotiate the conditions of their employment, either as individuals or collectively, in all practice settings

What are aspects of a healthy work environment?

1. Nurses must be as effiecient in communication skills as they are in clinical skills 2. Nurses must be relentless in pursuing and fostering true collaboration 3. Nurses must be valued and committed partners in making policy, directing and evaluating clinical care, and leading organizational operations 4. Staffing must ensure the effective match between patient needs and nurse competencies 5. Nurses must be recognized and must recognize others for the value each brings to the work of the organization 6. Nurse leaders must fully embrace the imperative of a healthy work environment, authentically live it, and engage others in its achievements

What are the 4 elements of the future of nursing?

1. Nurses should practice to the full extent of their education and training 2. Nurses should achieve higher levels of education and training through an improved education that promotes seamless academic progression 3. Nurses should be full partners with physicians and other health professionals in redesigning health care in the US 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure

What are some behaviors associated with incivility in healthcare?

1. Passive-aggressive communication 2. Belittling 3. Sneering 4. Innuendos 5. Ostracism 6. Setting up to fail 7. Withholding info 8. Condescending communication 9. Physical abuse 10. Threats of repercussions for speaking out

7 components that create a safe and supportive work environment

1. Physical space 2. Climate 3. Open communication 4. Team collaboration 5. Manageable workload 6. Magnet hospitals 7. Networking roles

What are the elements of a healthy workplace?

1. Respectful collaboration culture 2. Communication-rich environment 3. Clear role expectations with accountability 4. Adequate workforce 5. Competent leadership 6. Shared decision making 7. Employee development 8. Recognition of employee contributions

How has the profession of nursing evolved?

1. There is more dictation of what is necessary for health reform, which began with the affordable care act 2. Advanced practice roles helped to direct healthcare reform in the right direction 3. Nurses and physicians now work towards playing on an even playing field which is crucial to healthcare reform 4. Focus on providing more effective and high-quality patient-centered care 5. More collaborative and team based approach

Delegation and Supervision

1. Transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome 2. Delegate to unlicensed personnel 3. Guided by nurse practice act

Components of Magnet model

1. Transformational leadership 2. Structural empowerment 3. Exemplary professional practice 4. New knowledge, innovation, and improvements 5. Empirical quality outcomes

Define Role

A multidimensional concept that is a traditional pattern of behavior and self-expression and it is expected and performed within a given society or healthcare culture

What does CRIB stand for?

Commit to seeking a mutual purpose to move toward resolving the conflict Recognize the purpose/use a mentor to help Invent a mutual purpose/agree to a win-win purpose Brainstorm new strategies and agree to work together differently to move forward

What are the steps in Continuity of Care?

Coordination Respect for client values and needs Information, communication and education Physical comfort Emotional support Involvement of friends and family Transition continuity

What does DESC stand for?

Describe the behavior or problem Express your concern Specify a course of action Consensus is obtained

Reducing communication barriers

Model: respectful behaviors Criticize: criticize constructively Be: proactive Clarify: Communication Establish: An atmosphere of respect Use: Conflict resolution strategies Mentor: New nurses Develop: A support system

What does CUS stand for?

I am Concerned I am Uncomfortable This is a Safety issue

Expert stage

In this stage, you have a high level of clinical skill, and you start to respond to situations much more intuitively. Better able to recognize the unexpected and work creatively in complex situations

Advanced beginner stage

In this stage, you start to be able to organize and prioritize the clinical tasks better, preceptors still play a role in guiding you

Structural empowerment

Is a concept that described the organizational commitments and configurations that give informational and supportive power to health care workers to accomplish their work effectively in significant ways

What is role clarity?

Is an essential quality for working with healthcare teams. If you are not clear about your role, this makes it difficult to communicate your values as a health care provider to other professionals. Also really knowing who you are and what you are capable of so that you can influence change and be able to participate in difficult decisions

What is the definition of Disruptive Behavior?

Is defined as a lack of civility or respect within a professional relationship as frequently as weekly, and the behavior is repeated over time

Define Bullying

Is defined as acts perpetrated by one in a higher level of authority and occurs over time

Incidence of disruptive behavior

Is fairly common in large organizations. Half to three-quarters of all nurses report being subjected to disruptive behavior at some time, which was reported as compromising patient safety

Characteristics of a transformational leader

Is self-actualized, stays focused on group process, influences others in a warm, trusting climate, inspires trust, challenges the status quo, and empowers others

What is the purpose of healthcare reform?

It aims to take on a more collaborative and team base care delivery, which calls for the old hierarchy system between physicians to be broken down

What is the purpose of TeamSTEPPS?

It creates a transformed healthcare model where tools and strategies are provided which can be used to develop better system-wide communication knowledge, skills, and attitudes

What is a practice based education?

Not memorizing facts, researching, analyzing, and synthesizing in order to conduct critical thinking. Seeking your credentials and achieving core competencies in order to be able to participate effectively in a team and enables collaboration

What is Transformational leadership?

Plays a crucial role in setting expectations regarding scope of practice, collaboration, optimal interdisciplinary teamwork, and empowered knowledge partnerships in professional nursing practice.

What is lateral violence?

Refers to acts that occur between colleagues

What does TeamSTEPPS stand for?

Team Strategies Tools Enhance Performance and Patient Safety

Novice stage

The first stage to becoming an expert where one relies heavily on textbooks and the textbook way of doing things. Understanding theories and content from the textbook. In the clinical setting, you compare what you see to the textbook. You can stay in this stage throughout your career

What is an important goal in TeamSTEPPS?

The use of checklists, standardized communication tools such as SBAR, CUS, the two-challenge rule, check-backs, briefs, debriefs, and huddles

Competent stage

This stage takes place 1-2 years into the nursing practice. Starting to be able to manage many contingencies of the clinical nursing practice and starting to see things from a broader perspective

Proficient stage

This stage takes place about 3-5 years into the nursing practice. You start to see the clinical situation as a whole and have well developed psycho-motor skills and psycho-social skills