Lecture 2 Class Notes

Lecture 2 - IP Competencies and Communication References ● Academic references you can use for the paper ○ Textbook chapters ○ Articles ○ It is okay to use the WHO website ○ Published best practice guidelines (e.g. RNAO) is okay ○ US center for disease control ○ It is NOT ok to use other random websites Team Communication ● E.g. in the OR, they use surgical checklists to ensure that everyone is on the same page, are communicating effectively, and are doing the correct surgery. ● Effective communication has outcomes for a) patients, b) staff, c) organizations Teamwork & Collaborative Leadership ● Multidisciplinary Team = each professional is doing their own role, but they are doing their role parallel (i.e. Dr and RN are doing their own respective jobs, and are NOT working together). There are multiple professionals, but each are focused on their own jobs. ● Interprofessional Team= Integrated and shared responsibilities, more time to plan for patients. But everyone still has their own scopes of practice. Some of these roles may overlap or are similar to the scopes of practice of other professionals in the team. ● Transdisciplinary Team = you can stand in for each other. Risk of overstepping boundaries. ● NOTE: clear functions are important! It is important to know who to contact for what! E.g. tell pt to call RN or DR if they have questions about medications. Do not call the PT or OT to ask about medications because they are not trained to provide that information. ● Authentic Leadership: Lead with their heart and NOT just their minds. I.e. have empathy for pts and members in the IP team (they may be having a bad day!) ● Team developmental stages are dynamic/change over time. They are NOT static nor linear ○ 1) Forming: Need to be clear of your role in the team when you first begin ○ 2) Storming ○ 3) Norming: Figuring out exactly what the role is. Getting to know everyone on the team. Becoming ready to start working ○ 4) Performing ○ 5) Adjourning ● NOTE: Be careful of team norms/normative behaviors b/c it leads to groupthink (NOT good!) Assignment #3 - Interprofessional Issue Analysis ● Reflect on an “issue” from consolidation ○ Does not have to be a bad “issue”, can be a positive situation ○ E.g. a good experience with a team meeting. Pt was upset, you and team member solved something, worked as a team and addressed pt’s concern ● From scenario, select ONE of the IP competencies ● List Contributing factors ○ Severity of illness ○ how fast they want pt t be discharged ○ Was the unit short staffed unit

○ Maybe staff had disrespectful communication ● Choose something that can be implemented as a nurse to address this issue. ○ I.e. how can the nurse contribute to address this issue ○ Advocacy to get involved in association to help improve something ○ NOT just requesting for more finding = bad ○ Rather, Advocacy at CNA or RNAO to get involved in association to help improve something = good ○ E,g, institute team huddles inn the unit ● Contributing factors AND significance AND recommendations must be evidence based ● Do NOT extend margins left and right ● MUST have 7 references ○ But one article include multiple “x” because it hits multiple criteria ● Sig = significance ● CF = Contributing factors ● Rec = recommendation ● There are NO references! The literature summary table is the reference page!!!! ● For summary table, list the authors and articles based on alphabetical order ● NO in-text citations!!!! ● Significance only needs one citation ● Write “1”, “2”, “3” for the contributing factors and recommendation boxes ○ E..g the PT never answered his phone. Communication was poor ○ Came to unit, was disrespectful, did not listen to report - poor communication ● E.g. Recommendation 1(paper) = SBAR to communicate better ○ Summary table ○ Relevance - implement b/c pt did not get the whole story from me because it wasn’t clear ● Contributing factors 1 (paper)- small anecdote. Put in brackets poor communication, short staffed ○ And then in summary table state the details

Group 10 - Situation 4 ● 1) Select one of the IP competencies identified in the CIHC Framework that links clearly to the clinical situation described. ○ Collaborative leadership ● 2) Describe the impact of the IP issue on the patient, family, health care provider(s), and/or the organization. ○ Family was left confused with unanswered questions - performing the assessment without addressing the newborn’s parents’ questions, leaving them in a state of confusion ○ The nurse felt ignored - “the baby looks fine, I’m not worried” dismissing the RN’s expertise. ○ Put the baby at risk because she did not get proper care ● 3) Based upon your analysis, determine three factors (individual or organizational level) that contribute to the interprofessional issue. ○ Differing in approaches + Lack of clarity ■ Resident was no clear ■ “the baby looks fine, I’m not worried” ○ Difference in attitude ■ Resident ignored nurse’s concerns ■ the resident’s team functioning and post-partum knowledge was not improved ● 4) Propose three evidence-based recommendations to address the interprofessional issue, and which can be readily implemented in the clinical setting. ○ Pt centered care - address the issue, collaborate with the patient’s family to answe their questions, ○ Debrief the situation - come to a solution since the “situation reached partial resolution as the newborn received the proper treatment” ○ ● Clinical Situation #1 - Role clarity ● Clinical Situation #5 - conflict resoltion