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NURS 4520: IPC > Class 1 > Flashcards

Class 1 Flashcards

1
Q

According to Giddens, collaboration is defined as…

A
  • the development of partnerships to achieve the best possible outcomes that reflect the particular needs of the pt, family, or community, requiring an understanding of what others have to offer
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2
Q

the scope of collaboration includes (4)

A
  • nurse-pt
  • nurse-nurse
  • interprofessional
  • interorganizational
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3
Q

according to Giddens, collaboration requires

A
  • a joint responsibility for pt outcomes
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4
Q

the scope of collaboration includes (4)

A
  • nurse-pt (how is the pt/client/community viewed in a particular context)
  • nurse-nurse (intraprofessional, ADPIE)
  • interprofessional
  • interorganizational
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5
Q

according to Giddens, attributes necessary for IPC include (4)

A
  • values/ethics
  • roles/responsibilities
  • communication
  • teams/teamwork
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6
Q

according to Giddens, the goal of IPC is to…

A
  • form partnership between a team of HCP and a pt in a participatory, collaborative, coordinated approach to share in decision making of health and social issues
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7
Q

according to Giddens, what are some challenges associated w IPC (3)

A
  • imbalance of power and authority
  • confusion of roles and responsibilities
  • tension w boundaries
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8
Q

according to Giddens, values/ethics r/t collabortaion includes (2)

A
  • ethical principles
  • interprofessional values held by HCP
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9
Q

according to Giddens, what 4 competencies r/t values/ethics in collaboration are important?

A
  • embracing cultural diversity and individual differences
  • respecting the expertise of other HCP
  • working in cooperation w pts/caregivers/community
  • demonstrating high standards of ethical conduct
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10
Q

according to Giddens, roles/responsibilities r/t collabortaion includes (3)

A
  • understanding the scope of other professions
  • being able to clearly articulate your scope
  • recognizing legal and professional limits
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11
Q

according to Giddens, what 3 competencies r/t roles & responsibilities in collaboration are important?

A
  • engaging diverse HCP to compliment your own expertise
  • using full scope of practice
  • clarifying responsibilities of IPC team members
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12
Q

according to Giddens, communication r/t collabortaion includes (5)

A
  • avoid professional jargon
  • dismantle hierarchies
  • empower people equally
  • consider health literacy
  • effectively use communication competencies
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13
Q

according to Giddens, what 3 competencies r/t communication in collaboration are important?

A
  • organize and communicate info in a way which is understanding & avoid discipline specific terminology
  • listen actively and encourage the opnion of team members
  • recognize how one can uniquely contribute to the team
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14
Q

according to Giddens, teams & teamwork r/t collaboration includes (5)

A
  • collaboration
  • pt centered care
  • care coordination
  • sharing accountability
  • problem solving
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15
Q

according to Giddens, what 3 competencies r/t teamwork in collaboration are important?

A
  • describing the process of dream development & roles and practices of effective teams
  • engaging other HCP in problem solving
  • applying leadership practices to support collaborative practice
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16
Q

according to the WRHA, collaborative care occurs when…

A
  • HCP work with an IPC team, pts, and families
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17
Q

according to the WRHA, collaborative care includes.. (3)

A
  • respect for differing perspectives
  • acknowledgment that each HCP has an important element to contribute to improving health & outcomes
  • requires a climate of trust and value, where HCP can comfortably turn to each other to ask questions
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18
Q

according to the WRHA, what is person centered care?

A
  • recognizing that each person is the expert of their own health experience
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19
Q

according to the WRHA, team function starts with…

A
  • the belief that there is an opportunity for HCP/students to work together in a way that ultimately benefits the pt
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20
Q

according to the WRHA, person centered care is facilitated by (5)

A
  • respectfully sharing info w the people they care for & their families
  • encourage discussion
  • listen respectfully and consider the expressed needs of the person
  • make sure the info they communicate is understood
  • ensure pts receive approp education and support throughout the course of planning, treatment, and treatment evaluation
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21
Q

according to the WRHA, team function is facilitated by (7)

A
  • being mindful of the impact of their role & actions on fellow team members
  • continuously reflecting on how to improve their roles and actions within the team
  • participating in the decision-making process and being inclusive in that process
  • knowing & respecting one another’s expertise & working together
  • honoring team ethics such as confidentiality, resource allocation, and professionalism
  • encouraging the pt they’re caring for to participate
  • adjusting healthcare plans as needed based on clear and freq communication
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22
Q

according to the CNA, which principles facilitate IPC? (7) **

A
  • client centered care
  • evidence informed decision making for quality care
  • access
  • epidemiology
  • social justice and equity
  • ethics
  • communication (nursing specific principle)
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23
Q

according to the CNA, what is included in the principle of client centered care

A
  • clients are actively engaged in prevention, promotion, and mngmt of their health
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24
Q

according to the CNA, what is included in the principle of evidence informed decision making for quality care

A
  • disciplines working together to assess research evidence and evaluate health outcomes
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25
Q

according to the CNA, what is included in the principle of access

A
  • working together to ensure pts can access the approp care provider, supporting continuity of care
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26
Q

according to the CNA, what is included in the principle of epidemiology

A
  • assessing trends in healthcare demographics to ensure health services are relevant and appropriate
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27
Q

according to the CNA, what is included in the principle of social justice & equity

A
  • advocating for health promotion
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28
Q

according to the CNA, what is included in the principle of ethics

A
  • learning from the ethics of other HCP
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29
Q

according to the CNA, what is included in the principle of communication

A
  • active listening
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30
Q

according to the CNA, what structural elements must be present in order to facilitate IPC (7) **

A
  • adequate planning, recruitment, and IPC education
  • long term funding for IPC initiatives
  • liability insurance for interprofessional teams which in independent of employers liability insurance
  • regulatory framework to support IPC
  • standards that guarantee IPC access to electronic health records
  • gvmt: promote systems to foster IPC
  • measuring performance of IPC practices, ongoing research
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31
Q

WHO defines collab practice as…

A
  • when multiple health workers from different professional background provide comprehensive services by working w pts, their families, carers, and communities to delivery the highest quality of care across settings
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32
Q

WHO defines interprofessional education as…

A
  • when 2 or more professions learn about, from, and with each other to enable effective collaboration & improve health outcomes
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33
Q

according to the CIHC, what are the 6 competency domains of the National Interprofessional Competency Framework **

A
  • interprofessional communication
  • pt/client/family/community-centered care
  • role clarification
  • team functioning
  • collaborative leadership
  • interprofessional conflict resolution
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34
Q

out of the 6 competency domains of the CIHC framework, which two are supporting domains? what does this mean? **

A
  • interprofessional communication
  • pt/family/community-centered care
  • always influence the other four
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35
Q

what are background considerations of the CIHC framework (3) **

A
  • complexity
  • contextual issues
  • quality improvement
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36
Q

what is the goal of the CIHC framework **

A
  • IPC
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37
Q

the CIHC defines IPC as…**

A
  • a partnership between a team of HCP and a client in a participatory, collaborative, and coordinated approach to a shared decision-making around health and social issues
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38
Q

in the CIHC, what is the competency statement for the domain of role clarification **

A
  • learners/practitioners understand their own role and the roles of those in other professions & use this knowledge appropriately to establish and achieve pt/client/family and community goals
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39
Q

in the CIHC, HCP demonstrate role clarification by (descriptors): (7) **

A
  • describing their own role and that of others
  • recognizing and respecting the diversity of other health and social care roles, responsibilities, and competencies
  • performing their own roles in a culturally respectful way
  • communicating roles, knowledge, skills, and attitudes using approp language
  • accessing others’ skills and knowledge appropriately thru consultation
  • considering the roles of others in determining their own professional and interprofessional roles
  • integrating competencies/roles seamlessly into models of service delivery
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40
Q

the elements of role clarification promotes… (2)

A
  • providing timely and quality care
  • avoid duplication and gaps in service
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41
Q

in the CIHC, what is the competency statement for the domain of pt/client/family/community-centered care

A
  • learners/practitioners seeks out, integrate, and value, as a partner, the input & engagement of the pt/client/family/community in designing and implementing care/services
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42
Q

in the CIHC, HCP demonstrate pt centered care by… (6)

A
  • supporting the participation of pts/family/community as integral partners
  • each person is the expert in their own “health experience”
  • share info w pts/communities/family in a respectful, understandable, encouraging manner
  • ensure approp education and support is provided
  • listen respectfully to the expressed needs of all parties
  • respect the pt/family/community
43
Q

in the CIHC, what is the competency statement for the domain of team functioning

A
  • learners/practitioners understand the principles of team work dynamics and team processes to enable effective IPC
44
Q

in the CIHC, HCP demonstrate team functioning by… (8)

A
  • understanding the process of team development
  • develop a set of principles for working together that respects the ethical values of members
  • effectively facilitate discussions and interactions among team members
  • participate and be respectful of all members’ participation in collaborative decision making
  • regularly reflect on team functioning
  • establish and maintain effective and healthy working relationships with learners/ practitioners, patients/clients, and families, whether or not a formalized team exists
  • respect & reflect on team ethics, including confidentiality, resource allocation, and professionalism
  • be respectful of all member’s participation (dont forget the pt)
45
Q

the elements of team functioning promotes?

A
  • ensures our pts received maximum benefits from the team’s expertise
46
Q

in the CIHC, what is the competency statement for collaborative leadership

A
  • Learners/ practitioners understand and can apply leadership principles that support a collaborative practice model
47
Q

in the CIHC, HCP can demonstrate collab leadership by… (9)

A
  • work with others to enable effective patient/ client outcomes
  • advancement of interdependent working relationships among all participants
  • work w others to facilitate effective team processes/communication
  • facilitation of effective decision making
  • establishment of a climate for collaborative practice among all participants
  • co-creation of a climate for shared leadership and collaborative practice
  • application of collaborative decision-making principles
  • Integration of the principles of continuous quality improvement to work processes and outcomes
  • each team member shares a responsibility of their role on the team
48
Q

collaborative leadership & shared responsibility is a positive collaborative environment that leads to…

A
  • improved quality of care and better health outcomes
49
Q

in the CIHC, what is the competency statement for interprofessional communication

A
  • learners/practitioners from diff professions communicate w each other in a collaborative, responsive, and responsible manner
50
Q

in the CIHC, HCP can demonstrate interprofessional communication by… (5)

A
  • establishing team work communication principles
  • actively listening to other team members include pts/families
  • respectful IP communication hinges on transparent, honest interactions
  • communicate to ensure common understanding of care decisions
  • develop trusting relationships w pts and other team members
  • effectively use info and communication technology to improve interprofessional pt/community centered care
51
Q

the elements of interprofessional communication assists in…

A
  • building trusting relationships w pts and their families as well as fellow IP team members
52
Q

in the CIHC, demonstrating interprofessional communication by effectively using info & communication technology to improve interpressional pt-centered care can assist team members in… (5)

A
  • setting shared goals
  • collaboratively setting shared plans of care
  • supporting shared decision making
  • sharing responsibilities for care across team members
  • demonstrating respect for all team members, including pt/families
53
Q

in the CIHC, the competency statement for the domain Interprofessional conflict resolution is..

A
  • learners/practitioners actively engage self and others, including the pt/family, in positively and constructively addressing disagreements as they arise
54
Q

in the CIHC, HCP can demonstrate interprofessional conflict resolution by.. (9)

A
  • valuing the potential positive nature of conflict
  • recognizing the potential fro conflict to occur & taking constructive steps to address it
  • identifying common situations that are likely to lead to disagreements or conflicts
  • knowing and understanding strategies to deal w conflict
  • setting guidelines for addressing disagreements
  • effectively working to address and resolve disagreements
  • establishing a safe enviro in which to express diverse opinion
  • developing a lvl of consensus among those w different views, allowing all members to feel their viewpoints have been heard no matter the outcomes
  • validate and acknowledge differing perspectives (“WTF”)
55
Q

what are some common situations that are likely to lead to disagreements (3)

A
  • role ambiguity
  • power gradients
  • differences in goals
56
Q

what are examples of ways to effectively address and resolve disagreements (2)

A
  • analyze causes of conflict
  • working to reach an acceptable solution
57
Q

in the CIHC, what 3 systems are considered r/t the background consideration of complexity

A
  • simple systems
  • complicated systems
  • complex systems
58
Q

describe simple systems r/t the CIHC

A
  • following an algorithm which will guarantee success, predictable, and replicable outcomes
59
Q

describe complicated systems r/t CIHC

A
  • contain a subset of simple systems which require coordination and specialized expertise to apply
60
Q

describe complex systems r/t the CIHC

A
  • contain complicated and simply systems
  • consider contextual factors, carry ambiguity and uncertainty
61
Q

in the CIHC, what is considered r/t the background consideration of context (4)

A
  • difference care settings (ex. elder care vs ICU)
  • number of staff
  • community context (need to incorporate members outside of healthcare team ex. families, teachers)
  • more uncomfortable/new you are to a situation, the more basic the collaboration will be
62
Q

in the CIHC, what needs to be considered r/t the background consideration of Quality Improvement (2)

A
  • natural outcome of a pt safety issue is quality improvement
  • goal is to improve health outcomes
63
Q

according to Hrynchak & Batty, team based learning is…

A
  • learner centered w the teacher acting as an expert facilitator and also provides students with opportunities to expose inconsistencies between their current understandings and new experiences thus stimulating development of new personal mental frameworks built upon previous knowledge
64
Q

how are teamwork skills strengthened in team-based learning

A
  • strengthened by focused reflection on new experiences during the group sessions and on teamwork success by providing feedback to group members
65
Q

describe learning in team-based learning (TBL)

A
  • learning is active using relevant problems and group interactions
66
Q

according Hrynchak & Batty, TBL involves… is split into…

A
  • involves splitting students into groups
  • is split into three phases
67
Q

describe phase 1 of TBL

A
  • prep work is released to ensure students have prior learning
68
Q

describe phase 2 of TBL

A
  • students take an individual readiness assurance test (IRAT) which assess how well they absorbed the pre-learning
  • they then repeat the test as a group (GRAT) and work on the questions until they get it right
  • they can then discuss/challenge questions w prof
69
Q

describe phase 3 of TBL

A
  • groups are given application exercises based on the content they learned, which they complete together
70
Q

what is the final aspect of TBL

A
  • groups evaluate their team members on team performance
  • they get a group grade = discourages social loafing
71
Q

TBL promotes…

A
  • a common goal
72
Q

TBL is only effective if…

A
  • there is buy in from staff, students, and admin
73
Q

according to Hrynchake & Batty, the main elements of a constructivist theory of learning is.. (4)

A
  • teacher is a guide to facilitate learning
  • learning should be active using relevant problems & group interactions
  • time is needed for reflection on new experiences
  • teaching involves providing opportunities to expose inconsistencies between learner’s current understandings & new experiences therefore providing the opportunity to develop new schemes –> focus on problem solving & enhancing the learner’s awareness of their learning process
74
Q

in the constructivist theory of learning, the teacher should… (2)

A
  • focus on learner’s ideas and questions, instead of the teacher
  • teacher should challenge previously held opinions and understandings
75
Q

what types of reflections can be done w the constructivisit theory of learning (2)

A
  • reflection in action (happens in the moment)
  • reflection on action (reflects on the past)
76
Q

what are the benefits of team charters (6)

A
  • serve to reinforce health team norms & avoid frustration
  • may enhance team building efficacy
  • explicity state the expectations for team members
  • help clarify communication methods, strategies, and deadlines
  • require team members to consider their roles & responsibilities before any teamwork begins
  • teamwork in experiential = makes the learning implicit
77
Q

what is the goal of IPC

A
  • to achieve the best possible outcome for the pt & family
78
Q

IPC includes.. (3)

A
  • individual areas of expertise are represented along w the perspectives and experience of that profession
  • learn with, from, and about others in a collaborative manner
  • work across professional roles and coundaries
79
Q

IPC includes.. (4)

A
  • individual areas of expertise are represented along w the perspectives and experience of that profession
  • learn with, from, and about others in a collaborative manner
  • work across professional roles and boundaries
  • expertise & diverse perspectives, influenced by professional orientation are values
80
Q

according to giddens, what are interrelated concepts to IPC (7)

A
  • professionalism
  • ethics
  • communication
  • care coordination
  • teamwork
  • safety
  • health care quality
81
Q

define: professionalism

A
  • application of the ideal qualities of an individual within a specific professional field
82
Q

professionalism encompasses…

A
  • professional identity which refers to the skills, values, and expertise common to individuals in a profession
83
Q

what is included in the Institute for Health Care Improvement (IHI) Triple Aim?

A
  • improved population health
  • improved pt experience
  • lower cost
84
Q

what is included in the IHI Quadruple Aim

A
  • improved population health
  • improved pt experience
  • lower cost
  • improved provider experience ** (decreased burnout)
85
Q

what are the benefits of collaboration in health care (7)

A
  • working together reduces error in pt care
  • reduce the risk of staff burnout, healthier work enviro
  • staff satisfaction
  • breakdown of the traditional hierarchy
  • better coordination of pt care
  • pts & families more satisfied w the care they receive
  • collaboration based on solid communication
86
Q

strong teamwork culture promotes: (4)

A
  • job retention
  • decreased resignation rates
  • improved perceptions of nurse to physician communication
  • improved communication skills
87
Q

TBL was originally developed by…

A
  • Michelson in the 1970s
88
Q

what are the essential components of TBL (3)

A
  • active learning method
  • optimal group size is 5-7 students
  • based on constructivist learning theory
89
Q

describe the active learning method component of TBL (2)

A
  • learner centered but instructor led
  • fosters individual and group accountability
90
Q

the group size in TBL learn by…

A
  • working together on authentic and relevant poblems
91
Q

describe the constructivist learning theory

A
  • learner processes new material and incorporates it w existing knowledge to form new cognitive structures
92
Q

what plays a central role in TBL?

A
  • relevant and contextual problem-solving
93
Q

research on TBL shows what outcomes?? (3)

A
  • improved critical thinking
  • quality of discussions
  • teamwork enhancement
94
Q

what is important in TBL for learners’ self-development and learning mastery

A
  • guidance from instructors and peers
95
Q

what is essential in TBL for learners to learn, make sense of events, and modify own existing knowledge based on new insights gained in the process

A
  • reflection
96
Q

TBL places a strong emphasis on.. (3).

A
  • learning
  • dialogue
  • interaction w other interprofessional learning (think about Whats The Frame)
97
Q

what are the key elements & emphasis of Crew Resource Management (CRM) (7)

A
  • communication
  • workload mngmt
  • decision making
  • leadership
  • team mngmt
  • stress mngmt
  • conflict recognition and resolution
98
Q

what are the principles of effective collaboration (6)

A
  • shared vision
  • developing trust & respect
  • understand each other’s perspectives
  • successful conflict resolution
  • system support
  • effective communication and interpersonal skills
99
Q

according to Giddens, the 4 attributes necessary for effective IPC are…

A
  • values and ethics
  • roles and responsibilities
  • communication
  • teams and teamwork
100
Q

what are the 6 key competency domains of the CIHC

A
  • role clarification
  • team functioning
  • pt/client/community-centered care
  • collaborative leadership
  • interprofessional communication
  • interprofessional conflict resolution
101
Q

which 2 key competencies are foundation to CIHC

A
  • pt/community centered care
  • interprofessional communication
102
Q

the CNA believes that interprofessional collaboration is consistent with the primary values in its Code of Ethics for Registered NUrses, particularly the nurse’s responsibility to… (3)

A
  • knowledge
  • respect
  • and integrate other HCP’s knowledge for the betterment of the pt
103
Q

the CNA believes that interprofessional collaboration is consistent with the primary values in its Code of Ethics for Registered Nurses, particularly the nurse’s responsibility to… (3)

A
  • knowledge
  • respect
  • and integrate other HCP’s knowledge for the betterment of the pt

NURS 4520: IPC (5 decks)

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