Collaboration
a development of partnerships to achieve the best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.
Derived from the Latin word collaborare, which means to labor together or to work with others in an intellectual endeavor.
collaboration
Interprofessional Collaboration
Working across professional disciplines to optimize patient care is an expectation in health care delivery.Expertise and diverse perspectives, influenced by professional orientation (e.g., nursing, medicine, pharmacy, physical therapy, social work), are valued and contribute to the delivery of care.
Pooling resources and information benefits both patients and communities.
Interorganizational Collaboration
4 attributes necessary for effective interprofessional collaboration
Values and ethicsRoles and responsibilitiesCommunicationTeams and teamwork
Collaboration in Practice
Quality and Safety Education in Nursing (QUSEN) initiative anticipates that collaboration will have a huge impact on positive patient outcomes and improve quality of care.Promotes patient safetyThe Institute of Medicine (IOM) identifies effectively working together as an important professional competency. The Joint Commission has cited the breakdown in communication among team members as the primary factor in sentinel events.
Strong teamwork culture promotes (through collaboration):
Job retentionDecreased resignation ratesImproved perceptions of RN-physician communicationImproved communication skills
Economic Impact of collaboration
A study conducted by Cowan demonstrated that collaboration is linked to:Decreased length of stay for patientsIncreased economic benefits to health care organizations
Interdisciplinary Team
A collaborative care plan involving a multidisciplinary approach to patient care
Done to judge the effectiveness of the interventions or plan and is a collaborative process
Evaluation
Interdisciplinary Team - evaluation
Some pathways or care plans are standardized for particular medical diagnoses and customized for patient at the time of admissionA case manager, usually a registered nurse (RN) is in charge of reviewing the patient's progress
Interdisciplinary Team
All disciplines involved in the care of the patient engage in collaboration to provide input to the planDoctors, Nurses, Case managers, social workers, PT, RT, OT, Speech, Psychiatrist, Dietitian, pharmacy, Lab
Methods used in Communication with the health care team
Nurse's notesCare provider's notesDietitian's notes Respiratory, Physical, Speech, and Occupational Therapy notes Shift report Communication boards
A designed group of healthcare clinicians who can be assembled quickly to deliver critical care expertise in response to grave clinical deterioration of a patient located outside a critical care unit
Rapid Response Teams
Provide early recognition and response to signs of a patients deterioration
Rapid Response Teams