Walden University Intra and Interdisciplinary Collaborative Practice Discussion
The Institute of Medicine (IOM) report The Future of Nursing: Leading Change, Advancing Health in this week’s Learning Resources indicates there are 3 million members of the nursing profession in the United States, composing the largest segment of health care workers. As the health care field continues to evolve, nurses with advanced degrees are likely to fulfill leadership roles and work collaboratively with other health care professionals to improve access to care and promote quality. The AACN and the IOM stress the importance of intra- and interprofessional collaboration. Walden University Intra and Interdisciplinary Collaborative Practice Discussion
In this week’s media presentation, “The Professional Role of the DNP Prepared Nurse,” Dr. Stanley, Dr. Stefan, and Dr. Beechinor discuss the value of intra- and interprofessional collaboration across the spectrum of health care delivery. Dr. Beechinor also speaks about the benefits of engaging in collaboration during a doctoral program, and how this can aid students as they prepare for new professional roles. The experts also discuss why collaboration is essential for nursing research.
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To prepare:
- With information from the Learning Resources in mind, consider the value of intra- and interprofessional collaborative practice in professional practice and as you engage in your doctoral studies. What opportunities do you see for engaging in intra- and interprofessional collaborative practice?
INSTRUCTIONS THIS PORTION DUE IN 6 HOURS
Post a cohesive response that addresses the following:
- Evaluate the value of intra- and interprofessional collaborative practice as a DNP or PhD prepared nurse and how it may impact your role as an Educator in nursing.
- Provide at least two detailed examples to support your response.
Resources
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett.
- Chapter 2, “The Research Process and Ways of Knowing”
- Chapter 4, “Finding Problems and Writing Questions”
Article
THE RESPONSES ARE DUE IN TWO DAYS.
Read a selection of TWO of your colleagues’ postings and respond accordingly.
Discussion Response 1
Evaluate the value of intra- and interprofessional collaborative practice as a DNP or PhD prepared nurse and how it may impact your role.
According to (The Future of Nursing, 2011) in order to provider great quality of care we must first work on ensure that nurses can practice to the full extent of their education and training, improving nursing education, provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts and improve data collection for workforce planning and policy making.
According to (Bridges,Davidson, Odegard, Maki, & Tomkowiak, 2011) an Interprofessional collaborative practice consists of communication and decision-making, enabling a shared combination of different discipline and social expert knowledge and skills to derive at a process or goal to resolve or close gaps in care. Interprofessional collaboration is needed in health care due to the different complex conditions patients are presenting. This team approach ensures all areas of patient care was discussed by all discipline and expert recommendations are being utilized.
According to (Janssen, Sagasser, Laro, E., de Graaf, & Scherpbier-de Haan, 2017) intraprofessional collaboration is expert decisions being made by the same discipline. These decisions are not based on other disciplines, just the expert outcomes of one discipline; it is a review of the core competencies for that discipline and the patient is always incorporated. .
According to Laureate Education (Producer). (2011d), obtaining a Doctorate in Nursing (DNP) will provide Advance Practice Nurses with the education, tools, resources and expertise to lead the profession, collaborate with other disciplines to improve patient care and also teach them about the profession and also embarrass other professions.
References
Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak, J. (2011).
Interprofessional collaboration: three best practice models of interprofessional education. Medical education online, 16, 10.3402/meo.v16i0.6035. https://doi.org/10.3402/meo.v16i0.6035
The Future of Nursing: Leading Change, Advancing Health, 2011 . Washington, DC: The
National Academies Press
Janssen, M., Sagasser, M. H., Laro, E., de Graaf, J., & Scherpbier-de Haan, N. D. (2017).
Learning intraprofessional collaboration by participating in a consultation programme: what and how did primary and secondary care trainees learn?. BMC medical education, 17(1), 125. https://doi.org/10.1186/s12909-017-0961-9
Laureate Education (Producer). (2011d). The professional role of the DNP-prepared
nurse [Video file]. Retrieved from https://class.waldenu.edu
Discussion Response 2
I am currently working in an environment where I have to collaborate with other healthcare professionals including the patient, family or significant others in order to help my patients achieve their goals for coming to the rehabilitation hospital. This is what we do inside the Inpatient Rehabilitation Facility ( IRF ). Our patients must be able to tolerate and benefit from 15 hours of therapy weekly. The type of conditions we currently treat are stroke , spinal cord injury , congenital deformity , amputation , MVA , brain injury , Parkinson’s disease, arthritis and patients that recently undergone hip and joint surgery. In order for these patients to succeed in their rehabilitation program they need a good team of healthcare workers. “ Rehabilitation , as a specialty , has one of the longest histories of using teamwork to help meet client goals , but working as a member of a team is not always easy ” ( Vaughn , 2019 , p.29 ).
Dr. Joan Stanley explained why by saying “ And interprofessional communication is critical, and in order to lead teams, to work within systems, to make change, advanced practice nurses need to be able to communicate and understand, and it’s not just communicating, but it’s also understanding the other professionals’ perspective, knowing where they come from, understanding the background, and also being able to explain to others the nursing perspective “ .
“Success or failure of the team is dependent on the effectiveness of the communication process” (Zaccaginini & Pechacek, 2021, p.179).
As a DNP prepared nurse my responsibility towards my patients is broader. Dr Susan Stefan says “ As a nurse with a doctorate, we have the opportunity to be at the same level as other professionals. As a staff nurse, even though we probably know more about the care that patients need on some levels and certainly we’re in a role of coordinating patient care, we’re just not at that same level, and the DNP helps bring nurses to that level where our opinions and our skills are more recognized “.
I think the multidisciplinary team where I work welcomes my ideas and opinions with an open arms as i already established a good working relationship with them. My place of work is the perfect environment to put my learning into practice. In our hospital we are required by The Centers for Medicare & Medicaid Services ( CMS ) to have team meeting three times in a week to discuss about our patients condition , their progress and barriers for discharge. As a member of the team I have to make sure that the leadership on the team based upon patient needs.
The other way I can share my knowledge I gained as a DNP prepared nurse is through our daily nursing huddle or during our Town Hall meeting with the CEO.
At the moment I am not in the position of leading this meeting but I can set myself as a good example by participating in the nursing huddle using an SBAR.
Many successful teams utilize the SBAR process as a common language means to convey critical information to be shared. It provides clear expectations as for what and how information is to be communicated among the team members and by its use promotes patient safety ( Leonard et al., 2004 ; RWJF , 2015 ).
During the town hall ,meeting one of the most important agenda that our CEO would discuss to us are the patient outcome and patient experience. The DNP prepared nurse can play a role by joining with the team in sharing their concerns, offering ideas in solving a problem and be part of the discussion. To improve quality, maximize resources, and coordinate care , patents with complex health needs are best served by an interdisciplinary approach to care. To foster collaborative behaviours between professionals, reduce biases of other disciplines, and ultimately improve patient outcomes, nursing education needs to expand to include competencies in interprofessional teamwork and collaboration in clinical environment (IOM,2001).
References
Institute of Medicine(IOM).(2001). Crossing the quality of chasm : A new health system for the 21st century. Washington, DC: National Academic Press.
Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu
Vaughn , S. ( 2019 ). The specialty practice of rehabilitation nursing. Chicago , IL : Association of Rehabilitation Nurses.
Zaccaginini , M. & Pechacek, J.M. ( 2020 ). The doctor of nursing practice essentials: A new model for advanced practice nursing. Burlington ,
MA : Jones & Bartlett Learning.