Collaborating Teamwork As A Nurse

Interdisciplinary teams in nursing basically focus on results on the basis that the involved participants share the responsibility for achieving these outcomes. These teams comprise of members from different practices in the healthcare field who gather information to achieve consensus. Based on the required skills at a specific time, the leadership of these teams may be rotated among the associates or team members. In order for the interdisciplinary teams to function effectively in the nursing field, their leaders primarily facilitate instead of directing the collective work. Interdisciplinary teams function effectively through establishing clear goals, evaluating progress, plan ahead, clarify roles, share the leadership, and capitalize on individual talents (Wenckus, 2004).

Interprofessional team collaboration for professional nurses is viewed as a method to improve the care and safety for patients. However, interprofessional team collaboration presents both advantages and challenges for nurses and other team members. One of the advantages is the coordination of care for the patient and the sharing of knowledge to improve the outcomes for the patient. Challenges for interprofessional team collaboration is: poor role-definition, miscommunication, conflict, lack of accountability for assignment of responsibilities and tasks (Reeves, 2012). This paper will discussion the role of a nurse on an interprofessional team and the challenges, why interprofessional teams promote patient safety, and strategies to promote success interprofessional teams.

Reason (2000) opines that the safeguards in the system are likened to slices of Swiss cheese and that the presence of holes in one piece does not invariably lead to a bad outcome but only when the holes in the other slices align to allow a trajectory which results in an unsatisfactory outcome. He further alluded that the breach in the barrier may result from both active and latent failures.

Brandt continues to learn more about department issues during his rounds, meetings and also from patient input. He will need to ensure to collaborate with Charge Nurse consistently to unsure all aspects of operations are covered and reviewed. This important collaboration will improve his assessment on identifying root case of problems and improving options in problem solving.

In health and social care settings, aggression could often be the result of fear, frustration or stress; consequently resulting in barriers to effective communication. Therefore care practitioners should device strategies to overcome this barrier by dealing with aggressive behaviour appropriately. For example:

From an early age we are instilled the importance of teamwork. The lessons may come from a soccer field, a classroom group project, or even a song on Sesame Street. Regardless of our future careers, we are all likely to experience some sort of teamwork requirement, even if it is as simple as getting along with your co-workers.

Like all of the administrative rules, the security rule applies to health plans, health care clearing houses, and to any health care provider who transmits health information in electronic form in connection with a transaction for which the Secretary of HHS has adopted standards under HIPAA. Health plans include health, dental, vision, and prescription drug insurers, health maintenance organizations, Medicare, Medicaid and Medicare supplement insurers, and long-term care insurers. Health plans also include employer-sponsored group health plans, government and church-sponsored health plans, and multi-employer health plans. Every health care provider, regardless of size, who electronically transmits health information in connection with certain transactions, is a covered entity. Using electronic technology, such as email, does not mean a health care provider is a covered entity; the transmission must be in connection with a standard transaction. The Privacy Rule covers a health care provider whether it electronically transmits these transactions directly or uses a billing service or other third party to do so on its behalf. Health care providers include all providers of services and providers of medical or health services as defined by Medicare, and any other person or organization that furnishes, bills, or is paid for health care.

At the same time, workplace incivility happens between colleagues and between manager and subordinates, it is happening almost every day in healthcare settings such as in hospital and clinics where workers are directly uncivil to disrespect each other. For instance, when a nurse is deviant or does not follow the supervisor intensely because of differences in opinion or an act of retaliation when the manager is being rude, treating their staff with rough words, discourtesy, and lack respect to his staff, there are also times when the uncivil behavior is not intentional or

The QSEN competences which are affected are the focus on patient safety and teamwork and collaboration. QSEN defines teamwork and collaboration as the “ability to function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care.” (Pre-Licensure KSA 's). QSEN defines patient safety as “Minimizes risk of harm to patients and providers through both system effectiveness and individual performance” (Pre-Licensure KSA’s). Failure to work with and collaborate with each other can break down morale and communication which in turn can negatively affect the patient. It is important to continue research and studying this topic, because the lasting effects of lateral violence can affect the health of the nurse and the patient long term and affect the revenue and budget of the hospital.

Nursing profession stand strong with team works and coordination of coworker is essential. When there is violence between the coworkers, it will make the victim nurse less effective to work, feel loneliness, unsupportive, more burden and it gradually increase anxiety at work. Adverse events of horizontal violence has inverse relation with relation between staffs and patient care (Purpora, et al, 2013) which means increase horizontal violence will decrease the good relation between peers and decrease the quality care of the

Professional communication as defined by Crisp, Taylor, Douglas & Rebeiro, 2013, p194 includes the spoken and non-verbal forms of communication. When a nurse doesn’t communicate professionally with the patients, patients family and healthcare workers this can have an impact on the patients’ care, the nurses and the health outcomes for the patient (Robinson, F.P, 2010, p206). Unprofessional communication comes in the form of an unfriendly tone of voice, interrupting the patient when they are speaking or asking questions (Kourkouta & Papathanasiou, 2014 p66). Both of these are spoken forms of communication. Nonverbal cues are primarily about facial expressions. Interrupting and speaking

Effectively, interpersonal conflict was found to be one of the major sources of stress for nurses. Fudge (2006) affirmed overt and covert types of horizontal and vertical violence. Overt violence is obvious for everyone to see whereas covert is the complete opposite while still encouraging cruelty to one’s peers (Fudge, 2006). However, partnerships within health care settings may be declining due to the fact that some nurses may feel overworked and stressed. Jacoba Leiper (2005) stated that nurses are under pressure to complete their workload during their shift. Thus the nurse who’s having trouble completing her work on time, may skip breaks or stay late to avoid the ire of those on later shifts. But if she doesn’t take these steps and regularly fails to complete her tasks during her shifts, she may irritate her peers or take her anger out on her peers as well. Thus, the

Horizontal violence is a negative phenomenon that is increasing significantly in the hospital setting. It is defined as bullying, verbal and physical aggression that occurs to employees in the workforce. Horizontal violence has harmful effects on nurses as it lowers their self- esteem, and makes them feel as if they have no power in their career. This phenomenon also negatively impacts patient centered care and safety as nurses are more vulnerable to making medication errors and careless mistakes. Horizontal violence can be decreased in the hospital setting if interventions are implemented by members of the health care team. Education is key to decrease the occurrence of horizontal violence as it enables health care workers to

Leadership by the team leader, who has responsibility for the team, is critical for team

Nursing care delivery is defined as the way task allocation, responsibility, and authority are organized to achieve patient care. Tiedeman and Lookinland (2004) suggested that systems of nursing care delivery are a reflection of social values, management ideology, and economic considerations. (Tiedeman&Lookinland, 2004) According to Fewer (2006), the quality of nursing care delivery systems affects continuity of care, the relationship between nurse and patient, morale, nurse job satisfaction and educational preparation.(Fewer, 2006) Nurses are essential human resources to provide medical services with professional knowledge and skills in the healthcare setting. However, the registered nurse turnover rate has increased in recent years resulting