Collaboration 1

Question 1

Bridges and Bariers to Effective Communication

Answer 1

Bridges

• Caring
• Trust
• Empathy
• Manner message is delivered
• Rapport/Language

Barriers

• Anxiety
• Stereotyping
• Space Violation
• Shouting

Question 2

Ensuring Quality Nurse-Client Communication/Collaboration

How do you get your patient to work with you?!

Answer 2

• Provide adequate time to form rapport/trust
• Exhibit a readiness to understand/ct concerns
• Convey empathy and respect
• Affirm commitment of pt’s best interests/needs
• Ensuring Quality Nurse-Client
• Encourage active participation-shared decision making including options in care
• Negotiate differences in perspectives
• Make shared decisions that are palpable to cts, nurse, families and the interdisciplinary team

Question 3

THREE ingredients are needed for collaboration:

Answer 3

1- Active and assertive contributions from each person/party – everybody has to have input and passivity is just compromising

2- Receptivity and respect for each person’s contribution

3- Negotiations that build on the contribution of each person to form a new way of conceptualizing the problem

Question 4

Collaboration Lessons

Answer 4

1: Know yourself. Many realities exist simultaneously. Each person’s reality is based on self-developed perceptions. Requisite to trusting self and others is in knowing your own mental models – ie. biases, values, and goals.

2: Learn to value and manage diversity. Differences are essential assets for effective collaborative processes and outcomes.

3: Develop constructive conflict resolution skills. In the collaborative paradigm, conflict is viewed as natural and as an opportunity to deepen understanding and agreement.

_4: Use your power to create _win-win situations___ The sharing of power and the recognition of one’s own power base is part of effective collaboration.

5: Master interpersonal and process skills. Clinical competence, cooperation, and flexibility are the most frequently identified attributes important to effective collaborative practice.

6: Recognize that collaboration is a journey. The skill and knowledge needed for effective collaboration take time and practice. Conflict resolution, clinical excellence, appreciative inquiry, and knowledge of group process are all life-long learning skills.

7: Leverage all multidisciplinary forums. Being present both physically and mentally in team forums can provide an opportunity to assess how and when to offer collaborative communications for partnership building.

8: Appreciate that collaboration can occur spontaneously. Collaboration is a mutually established condition that can happen spontaneously if the right factors are in place.

9: Balance autonomy and unity in collaborative relationships. Learn from your collaborative successes and failures. Becoming part of an exclusive team can be as bad as working in isolation. Be willing to seek feedback and admit mistakes. Be reflective for dynamic balance.

10: Remember that collaboration is not required for all decisions. Collaboration is not a remedy, nor is it needed in all situations

Question 5

Characteristics effective/ineffective groups

Answer 5

Effective Ineffective

Goals clear Goals are vague

Open direct communication Communication guarded

Power equally shared Power is not shared

Decision making is flexible No Consultation-decisions

Controversy is viewed as healthy Open conflict not tolerated

Healthy balance – task/role functioning Only focus on one

Individual contributions respected Conformity is rewarded

Diversity respected Diversity not respected

Problem solving evident Problem solving undervalued

Interpersonal effectiveness is valued Interpersonal effectiveness not

valued