Collaboration

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Collaboration

• NUR 111
• Fall

2
Collaboration Defined

• Purposeful interaction between nurse, clients,
  and other professional and community members
  based on mutual participation and joint effort
• Hunt, Roberta 2009

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ANA Standards

• The registered nurse collaborates with patient,
  family, and others in the conduct of nursing
  practice

4
Key Concepts

• The RN communicates with patient, family, and
  health care providers regarding patient care and
  the nurses role in the provision of care

5
Cont.

• The RN collaborates in creating a documented plan
  focused on outcomes and decisions related to care
  and delivery of services that indicates
  communication with patients, families and others

6
Cont.

• The RN partners with others to effect change and
  generate positive outcomes through knowledge of
  the patient or situation

7
Cont.

• The RN documents referrals, including provisions
  for continuity of care

8
Key Elements of Collaboration

• Starts with the nurse and the client
• Commits two or more individuals or agencies to
  achieve a common goal of promoting and protecting
  the health of another
• Must have open lines of communication between
  disciplines

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Key Elements Cont.

• Respect for all disciplines involved in the care
  of the patient
• Requires developing knowledge of other health
  care providers
• Knowing what services are available
• Referrals

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In Nursing Practice

• It takes a team effort to care for a client well
• Team leader is often the nurse
• Must coordinate effectively with multiple
  disciplines to facilitate continuity of care

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Steps for Successful Collaboration

• Notify all disciplines involved when there is a
  change in the clients health status
• Coordinate visits with the client to avoid
  professionals visiting at the same time and
  tiring the client
• Integrate services to provide maximum benefit to
  the client

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Cont.

• Problem solve jointly with other team members and
  include the client when appropriate
• Through collaboration the nurse taps the best
  resources to individualize nursing interventions
• Must include the client, family, and members of
  the health team

13
Thinking?

• Must use previous knowledge/experiences
• Prioritize nursing interventions
• Which have the best potential for achieving the
  expected outcomes?
• Who do I need to consult to achieve the best
  outcomes?
• Nursing referrals

14
Members of the Healthcare Team

• Social Worker
• OT, ST, PT
• Nutritionist
• Respiratory Therapist
• UAPs, LPNs
• Physicians/Specialists
• Home health services

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Quality of Care

• The RN must know the duties of all disciplines
  involved in the clients care
• What care are they providing?
• When will it be provided?
• Your assessment of their care
• Are we reaching our goals?
• Are are goals realistic for the client?

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Lastly

• The nurse must recognize the importance of prompt
  referrals and timely communication with other
  health professionals