Collaboration Flashcards
What is the definition of collaboration?
- a joint communication and decision-making process with the expressed goal of working together toward identified health outcomes while respecting the unique qualities of each member of the group or team. (CRNBC)
- may enable professionals to achieve cost-effective, client-focused care, regardless of where the care is delivered (Nursing leadership and management)
- cornerstone of effective teamwork and is essential for the delivery of high-quality patient care
What are the four concepts of collaboration?
1) Sharing/collective ownership
2) Partnership
3) Inter-dependency
4) Responsibility
Describe the concept of sharing and collective ownership in collaboration:
- Responsibilities
- Decision-making (shared)
- Health care philosophy/values
- Data planning and intervention (shared)
- Various professional perspectives (as well as the patient)
What aspects make up partnership in collaboration?
- Authentic relationships
- Constructive
- Honest
- Communication
- Trust
- Respect
- Pursuing common outcomes
Describe the concept of inter-dependency in collaboration:
- Mutual dependence rather than being autonomous
- Results in a synergy effect: output of the whole becomes larger than the sum of each part
Describe the concept of responsibility and power-sharing in collaboration:
- Information and responsibility is shared among team members
- Based on knowledge/experience of each processional that is respected by all
What are attributes of collaboration?
- Joint venture
- Shared planning and decision-making
- Client-centered
- Evidence Informed
- Epidemiology
- Access (to care)
- Social Justice and Equity (team members having biases)
- Ethics (professional standards, scope of practice)
What are requirements of collaboration?
- Individual readiness
- Understanding and acceptance of one’s own role and expertise
- Confidence in one’s ability (and others)
- Recognition of the boundaries of one’s discipline
- Effective group dynamics
- Team oriented environment
- Visionary leaders supportive of autonomy
How do nurses collaborate?
- Nurse collaborates with patients/family and other HCP’s in providing patient care, by:
- Communicating in setting goals and formulating care plans
- Consulting with other HCP’s
- Making referrals to ensure continuity of patient care (ex. discharge planning, transfers)
What collaboration skills are necessary?
- Communication
- Leadership skills->Awareness of personal feelings i.e. Emotional intelligence
- Problem solving
- Conflict management/Negotiation
- Assessment (how do we assess and evaluate information and use for client centered care?)
What is the difference between a team and a group?
- A team is a small number of consistent people committed to a relevant SHARED PURPOSE, common performance GOALS, complementary and overlapping skills and common approach to their work… hold selves mutually accountable for team’s results or outcomes
- A group can be a collection of people, but less organized and structured (ex. social groups, our class)
What are the five types of teams?
1) Uni-disciplinary
2) Multidisciplinary
3) Interdisciplinary
4) Intradisciplinary
5) Interprofessional
What is uni-disciplinary?
providers from a single background (eg. a group of public health nurses)
What is multi-disciplinary?
Members from more than one discipline. Team members work independently and interact formally.
What is inter-disciplinary collaboration?
various disciplines who have specialized knowledge, skills and abilities working interdependently in the same setting.
What is intra-disciplinary collaboration?
professionals from one discipline but include members from different levels of training and skill within discipline (ex. RN/LPN)
What is interprofessional collaboration?
different disciplines working together towards common goals to meet the needs of a patient population.
What are the three levels of collaboration?
1) Micro-level
2) Meso-level
3) Macro-level
What is micro (interactional) collaboration?
- Decision-making among health care providers, other providers (e.g. family) and patients
- Individual team members – understanding & attitudes can influence actualization of collaborative philosophy/practice
What is meso (organizational) collaboration?
- Decision-making within particular organizations
- Ex. Administration/Hospital Board shares and supports vision/values behind collaborative policies/programs
- This type of decision making involves the facility and the community levels.
- Ex. UFV collaborates with Fraser Health during flu season by giving flu vaccines
What is macro (systemic) collaboration?
- Federal, Provincial, Regional, Community Government levels
- Creating a shared vision for health care delivery
- Developing care programs and policies that link health and social services
- Supporting collaborative patient-centered practice
- Ensuring planning and targeted funding are complementary
What is intersectoral collaboration?
- Projects involving various levels of decision making (collaborating between all three levels to make decisions)
- Central and local gov’t agencies (macro)
- Community organizations and private sector (meso)
- Individual and desired care population (micro)
What are the benefits of collaboration?
- Care Recipient (client focused care)
- Organizations
- Collaborative team
- Health Care Professions (decreased burnout, improved self-esteem)
- Individual health care providers
- Synergistic effect
What are the barriers to collaboration?
- Leadership
- Care Recipient participation
- Organizational issues
- Time and Cost (what might be best for the pt may not be cost effective; growing population needs; nursing/specialist shortage)
- Education (can be positive, but can also be set in the knowledge of our own discipline and be unwilling to open ourselves to other disciplines)
- Group dynamics
