NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice

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I have not experienced resistance of team members not wanting to collaborate due to variations in educational preparation. I have been lucky to work with a very open-minded group of colleagues. However, if I were to encounter resistance from someone I supervised to collaborate, I would educate that person on the ultimate goal of working as a team; which is optimal outcomes. As a future doctorally prepared nurse, I will be equipped with leadership skills. A major component of being a leader is educating others. A person who is reluctant to collaborate with others simply may need, increased education to correct their flawed thinking.

RE: Discussion – Week 3

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Thank you for such a comprehensive post! It was both interesting and engaging.

According to Balkundi (2005), there are four leading principles in social construction that create commitment, including the importance of relationships, the principle of embeddedness, the social utility of network connections, and the emphasis on structural patterning. Individuals are comfortable with their current jobs and situations when they feel connected with those with whom they work, that the connections with these co-workers provide the interaction that they need and that the social network is consistent (Balkundi, 2005).

Do you often find individuals you work with who are not interested in collaboration? How do you handle that?

Thank you for sharing.

References

Balkundi, P. (2005). The ties that lead: A social network approach to leadership. Journal of Psychology.

RE: Discussion – Week 3

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I enjoyed reading your post. It is well analyzed. You are correct that as doctoral-prepared nurses, we are to provide more excellent skills and expert knowledge to build up a stronger community. As doctorate personnel, you must come together as a team with other essential workers to provide better patient -center cared efficiency. As a prepared doctorate nurse, I would like to mentor in mentorship programs. These programs positively impact the new nurse educators by providing retention, work-life balance, and productivity.

Being a mentor is very fruitful for teaching, researching, and educating future educative leaders that allow you to give back to your society (Zaccagnini & Pechacek, 2021). As a healthcare doctorate-prepared nurse, one of the common themes is to provide a thriving experience among the interprofessional team by showing the student educators to understand their own identity while understanding other professional roles with the interdisciplinary team (Humbles et al., 2017).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Humbles, P. L., McNeal, G. J., & Paul-Richiez, D. (2017). Interprofessional collaborative practice in nursing education. Journal of Cultural Diversity, 24(2), 54–59. https://web-a-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=10&sid=1dfdcfd5-0154-40f8-82c0-7c045e3fa5c0%40sessionmgr4007

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4^th ed.).  Jones & Bartlett.

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Thank you, Courtney, for your insightful discussion post. I agree that doctor prepared nurses as terminal nursing degree holders should nurture collaboration within and across the profession and their specialties. Intra-professional collaborative practices involve incorporation of healthcare professionals and providers from various specialties to work coordinately with a common goal of bettering patient care delivery (Bice et al., 2019). As doctoral students and nurse leaders pursuing terminal qualifications, collaboration allows us to collect different perspectives on healthcare issues, advocate for professional development and implementation of evidence-based practice interventions in different patient situations with the aim of enhancing overall care delivery.

Collaboration among DNP and PhD-prepared nurses provides the practitioners with an opportunity to drive positive change in different areas of the profession. Studies demonstrate that collaboration, both intra and inter-professional, in terminal degree prepared nurses facilitates effective translation of research into practice and enhances educational opportunities as well as improves overall patient outcomes (Carlson et al., 2018). The rapid growth in interest and demand for these terminal degrees among advanced practice registered nurses (APRNs) is an indication that with increased opportunities, nurses can collaborate to facilitate implementation of scientific nursing evidence into practice environment and the development of nursing education curriculum.

As you posit, DNP prepared nurses must pursue both intra and inter-professional collaboration as they are essential in personal career growth and allows them to understand their roles in an effective way. A core component of inter-professional collaboration is the need to enhance leadership skills and abilities in care delivery as the healthcare environment transforms and the demand for primary care increases (Staffileno et al., 2017). The emergence of infectious diseases and pandemics like the current Coronavirus disease (COVID-19) implores nurses to increase their collaborative efforts in care delivery as primary care providers in different areas of the healthcare environment.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Bice, A., Griggs, K., & Arms, T. (2019). Narratives of doctorally prepared nursing faculty on

tenure track: A pilot study. Journal of Professional Nursing, 35(4), 293-299.

doi: 10.1016/j.profnurs.2019.01.004.

Carlson, E. A., Staffileno, B. A., & Murphy, M. P. (2018). Promoting DNP-PhD collaboration in

doctoral education: Forming a DNP project team. Journal of Professional Nursing, 34(6), 433-436. doi: 10.1016/j.profnurs.2017.12.011.

Staffileno, B. A., Murphy, M. P., & Carlson, E. (2017). Determinants for effective collaboration

among DNP-and PhD-prepared faculty. Nursing outlook, 65(1), 94-102.

doi: 10.1016/j.outlook.2016.08.003.

RE: Discussion – Week 3

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Week 3

Second Post

Nursing 8000

Courtney, I enjoyed reading your post it was very informative. The shared mental model in healthcare and team huddle language, which originated in the Teams steps initiative, allows for alignment of goals and tasks related to patient care, which consideration of the perspective from each participant, including healthcare team members, the patient and family; it also helps to ensure understanding of roles of team members and interplay among the roles that can enable better prediction and anticipation of team and patient needs(Stokes, et al).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference:

Kim Stokes, Christine Lysaght, Young Kim, Chia-Cheng Lin, Lynne Murphy, Jennifer C. Radloff , C. Kim Stokes (MHS, Christine Lysaght, Young Kim, Chia-Cheng Lin, Lynne Murphy, Jennifer C. Radloff (2016).Influence of interprofessional communication on discharge decisions in prelicensure healthcare

Retrieved from 7e86d41bc3c2&sid=f3803b18196c9145b399b69357cb082e4dfegxrqa&type=client

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I agree with you on many levels that collaboration is essential in health care. Especially, the ability to see other’s perspectives and viewpoints. Over the years, this has been an area in my life and career that has given me an opportunity for growth and expansion. As I learned more about myself and the ways in which I felt triggered, I began to see how others can experience the same situations as someone in a totally different manner.

Developing those intra and interdisciplinary relationships is critical to cultivating change (Institute of Medicine, 2010). I love your examples of ways which you collaborate with other departments like the therapists and psychologists when formulating your treatment plan. This is a great example of collaborative practice and showcases how this practice benefits the patient and the practitioner. Thanks for your insightful post, I really enjoyed reading it!

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health {Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

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RE: Discussion – Week 3

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Class,

Thank you for such a comprehensive post! It was both interesting and engaging.

Through a conscious awareness of the networks that connect people, the leader influences the consequences for organizational survival and organizational commitment (Balkundi, 2005). According to Balkundi (2005), there are four leading principles in social construction that create commitment, including the importance of relationships, the principle of embeddedness, the social utility of network connections, and the emphasis on structural patterning. Individuals are comfortable with their current jobs and situations when they feel connected with those with whom they work, that the connections with these co-workers provide the interaction that they need and that the social network is consistent (Balkundi, 2005).

Do you often find individuals you work with who are not interested in collaboration? How do you handle that?

Thank you for sharing.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Balkundi, P. (2005). The ties that lead: A social network approach to leadership. Journal of Psychology.

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RE: Discussion – Week 3

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The Value of Intra- and Interprofessional Collaborative Practice

Collaboration in nursing plays an integral role in ensuring the enhancement of quality services in nursing. The doctoral degree stresses the importance of the same as emphasized by the Institute of Nursing IOM report. The report reveals that partnerships between nurses and other healthcare professionals and with nurses themselves will play an integral role in enhancing the quality of services offered to patients. The presence of both intra- and interprofessional collaboration amongst nurses is fundamental as it will give the nurses the ability to handle complex medication issues (Fleming & Willgerodt, 2017).

The above value is associated with the assertion that the modern-day healthcare environment is complex from the patient perspective and as such, more than one discipline is required during intervention. During the interprofessional and intraprofessional collaboration, the DNP or PhD nurse will enjoy shared knowledge and perspectives to improve the healthcare outcome regarding a patient and even issues affecting healthcare nationally. Indeed, collaboration will strengthen the ability of the nurse to perceive topics variedly and appreciate disparate outlook, which is important in their leadership roles in organizations or even nationally (Laureate Education, 2011d).

The presence of collaboration across the healthcare spectrum is consequential to the role of a DNP or PhD prepared nurses in a number of ways. Fundamentally, the practice becomes efficient as shared decision-making makes it easier for the nursing profession to contribute immensely to the wellbeing of a patient (Jenkins et al., 2020. Moreover, the presence of such both collaborations improves communication between the nurses and members of other disciplines and amongst themselves. Also, the interprofessional collaboration may widen the scope of practice of nurses as they will be required to participate in making decisions in areas that may be traditionally a preserve of other specialties.

Examples

A perfect example of an interprofessional collaboration entails the reduction of catheter associated infections UTIs at a facility. Both nurses and physicians play an important role in such a program. Both the nursing and the physician teams will work towards the commonality of reducing the infections. The nurses played a role in providing patient education and taking care of the needs of the patients. On the other hand, physicians participated in the formulation of the necessary interventions including antibiotic injections, which was done in collaboration with the nurses. Indeed, each morning, the teams met to assess the individual needs of each patient and revise or create a new intervention. As such, such a collaboration would lead to the achievement of the intended objective.

Moreover, an intraprofessional collaboration may occur when a nurse leader introduces morning huddle routine for the nurse leaders of various teams and even the staff. During such meetings, the nurses will meet to discuss various issues affecting the various units in the previous day. Indeed, matters such as staffing issues, patient grievances, and ED wait time will feature. During the huddles, the nurses will be tasked to provide solutions or how they can address the issues by making recommendations to their leaders. Also, an action plan will be established as a consequence of the meeting and the same conveyed to various nursing units by their respective leaders. By doing that, the nurses will have acted intraprofessionally to solve common issues that affect their units.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Fleming, R., & Willgerodt, M. A. (2017). Interprofessional collaborative practice and school nursing: A model for improved health outcomes. OJIN: The Online Journal of Issues in Nursing, 22(3), 2. DOI: 10.3912/OJIN.Vol22No03Man02

Jenkins, P., Jones, J., Koutlas, A., Courtwright, S., Davis, J., & Liggett, L. (2020). Constructing Doctoral Leadership Scholarly Role Boundaries Through Intraprofessional Nursing Education. Advances in Nursing Science, 43(4), 360-374. https://doi.org/10.1097/ANS.0000000000000309

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

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RE: Discussion – Week 3

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Thank you for such an informative post. I enjoyed reading how you collaborate.

I have hit several bumps in the road pertaining to trying to collaborate with those of differing opinions, and it is not easy. I have noticed a difference in the willingness to collaborate based on education levels. I believe that this is due to several different factors. Associate degree nurses often work at the bedside. Likewise, advanced degree nurses tend to hold administrative position. Furthermore, others may hold a bias regarding associate degree nurses. They may believe the have little career aspiration of limited knowledge.

It is important to provide opportunities for all nurses regardless of education level. Hospitals often have professional levels independent of education. Pursuing advancements, such as conferences, can promote knowledge outside of the formal class structure. Likewise, committees within a hospital should encourage nurses at all education levels to participate. These committees can include individuals from other disciplines as well.

Formal education is valued in nursing. But, this is not an option for every nurse. Nonetheless, opportunities should be provided for all nurses for collaborative practice. More input from many different nurses only strengthens this practice. Limiting collaborative practice solely on education limits potential.

Although this is evident to some, others may not see the value in collaborative practice. If I supervised a person that did not want to collaborate with others, I would first assess why they felt this way. Many times, misunderstandings or miscommunications are the core of these situations. I would address these issues. If the person still did not want to collaborate, I would educate them on the value of this practice.

What would you do if they still did not want to collaborate, yet their participation was necessary in order for them to reach the goal?

Hope this is helpful!

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1 year ago

Letitia Hunt

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Thread week 3

Hello, here is my post for week 3.

Evaluate the value of intra- and interprofessional collaborative practice as a DNP or PhD prepared nurse and how it may impact your role.

Collaboration between disciplines can be documented back to the days of Florence Nightingale who took her knowledge and experience from her days on the front lines of the Crimean war back to British hospitals to help develop the first nursing school programs. Florence would be so proud as we have taken the fight from the “front lines to the boardrooms.” (the future of nursing: Leading change, advancing health, pg. 3 2010b).” As nurses are finally able to take our seat at the table with non-clinicians, we must be able to demonstrate our skills in communication, leadership, informatics, and analytics and have a knowledge base that can demonstrate and that we can be agents of change.

Who better than nurses to help advance our profession than other nurses who speak the same language? (Laureate Education, 2011d.) The word collaborate reminds me of the idiom” it takes a village….” True, that idiom goes on to talk of raising a child, but the crux of the idiom is that is takes many people coming together to successfully obtain a goal. It does take intra-and interpersonal relationships formed within and outside of an organization to advance health care past the 21st century.

Provide at least two detailed examples to support your response.

As a manager over a highly recognized lead program for the state of Missouri it is essential that collaboration is a daily must. I must collaborate with my nursing staff to ensure the referral was received and all the information is there for the nurse to them make contact. I collaborate with Department of Health and Senior Services (DHSS) and their lead advocates to ensure we have the most recent parent information as well as the most recent elevated lead level (ELL). There are many times when we must work together develop a plan for the member. Collaboration is done with the lead assessors who make home visits to evaluate the member’s home to determine where the elevated levels of lead might be coming from. Providers are contacted to inform them of the levels and to educate them on their responsibilities. So as one might see from this example, a DNP prepared nurse must possess numerous skills to ensure the members receives the best care.
As a manager I must also collaborate with provider relations as well as the networking department. When my team of nurses identify an issue with a provider such as billing, complaints of being out of network, they inform me, and I must them collaborate with provider relations to have them speak with the provider to clear up and issues or with networking to assist with becoming a in par network provider. Without the collaboration with these departments, the members as well as the providers may not get the assistance they need.

Thanks,

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

(2021). In Merriam-Webster. www.mirriam-webster.com/collaboration

The future of nursing: Leading change, advancing health. (2010b).https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-ofNursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://classwaldenu.edu

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RE: Discussion – Week 3

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Tish,

I often think about Florence and what she would have thought about how nursing has progressed professionally. I agree that she would certainly be proud.

Certainly intra- and inter-professional collaboration is an integral component of patient care at all levels of educational preparedness in nursing. As clinicians at the bedside, collaboration occurs with other healthcare disciplines in order to deliver appropriate and timely care. Collaboration with laboratory personnel, radiology personnel, security, physicians, respiratory therapists, and physical therapists are some examples of inter-disciplinary collaboration. Intra-professional collaboration occurs at the bedside with case management and teamwork with other nurses. Other intra-professional collaboration also occurs behind the scenes with risk management, quality, and infection control, which have a more indirect influence on patient care.

The American Association of Colleges of Nursing (AACN) as an organization has done more for the profession of nursing, especially in establishing guidelines and expectations regarding nursing education. The AACN has developed eight essentials for doctoral education (2006). Of particular relevance to the topic of collaboration is the essential for inter-professional collaboration for improving patient care and population health (Waxman & Maxworthy, 2010).

However, other essentials for doctoral education help support inter-professional collaboration such as clinical scholarship as well as organizational and system leadership (Waxman & Maxworthy, 2010). Both of which require collaboration with nursing and other disciplines. Clinical scholarship assists with the ability to critically evaluate, implement, and or participate in research to improve patient care. System and organizational leadership assists with the ability to lead projects to improve patient care.

I appreciate the examples you gave of collaboration on a professional level. I believe nurses, in general, can see how effective collaboration is. Still, I am old enough to remember when we were not consulted and were to just carry out a doctor’s orders without question. We have come a long way:-)

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC. Retrieved from: http://www.aacnnursing.org/DNP/DNP-Essentials

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RE: Discussion – Week 3

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I too wonder what Florence might think about nursing today.

I remember in nursing school when nurses would get up and give a Dr. their seat.

We have come a long way.

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RE: Discussion – Week 3

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Both intra and inter-professional collaborative practices are vital to success as a DNP or PhD prepared nurse because establishing as well as maintaining professional relationships will benefit patient health and improve a patient’s outcome. Doctorally- prepared nurses learn how to collaborate with physicians, administration, physical therapists, educators, and so on (Laureate Education, 2011). They have a wider scope of practice and take into consideration “the bigger picture” rather than just focusing on the nursing aspect of patient care or narrow aspects of nursing research. This enables and empowers them to be leaders in patient care settings.

In terms of patient care, a DNP prepared nurse working with patients who have experienced car accidents, for example, will be prepared to help stabilize patients upon arrival to the hospital. Once they are stabilized, collaboration will take place with physicians and other nurses to determine a course of actions for each patient. Once this has been determined, the DNP nurse will move forward to collaborate with PT, OT or any other form of therapy that the patient will need. Of course, much of their practice can be driven by the findings of the research generated by PhD nurses. Again, collaboration is everything!

A different example is administratively. Doctorally prepared nurses aiming to make changes within communities or states should work with congressmen, social worker, lawyers, and community members to ensure that all things done benefit the people of the state or community (Laureate Education, 2011). In both circumstances, these terminally prepared nurses are able to work along the practice spectrum from one-on-one relationships with patients to national relations, all for the benefit of their populations.

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Orchard, C., Bainbridge, L., Bassendowski, S., Stevenson, K., Wagner, S. J., Weinberg, L., … & Sawatsky-Girling, B. (2010). A national interprofessional competency framework.

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RE: Discussion – Week 3

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Initial Reply

Week 3

Nurs-8000

Letitia I enjoyed reading your post. I agree with you in stating that the goal of interdisciplinary communication is to identify the problem, brainstorm for workable solutions, institute a solution and then evaluate the effectiveness. Doctoral education assists in preparing the nurse entrepreneur to assume leadership positions and understand the basic principles of strategic planning, organization management, systems thinking, and interprofessional collaboration (Zaccagnini and Pechacek, 2020).

Before covid we were doing interdisciplinary meetings and team rounding. Thus, during the pandemic there has been a lot of miscommunication and poorer outcomes in regard to patient discharge home and recurring admissions. I’ve all ways had an interest to advocate at a national level however it’s been very intimidating. In overcoming this fear, it would open up many avenues for patient access and affordability. In the health policy arena, nurses should participate in, and sometimes lead, decision making and engage in health care reform related implementation efforts (IOM, 2010).

Institute of Medicine (IOM), (2010b). The future of nursing, leading change, advancing health Report brief Retrieved form https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Zaccagnini, M.& Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice e nursing (4^th ed.). Jones & Bartlett.

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Thank you for your discussion post. I agree that as a nurse manager, one needs to collaborate with others in practice to realize their roles and fulfill the responsibilities of their position. Collaboration is an essential aspect of nursing profession and for nurse practitioners taking terminal degrees like DNP and PhD., it allows them to understand their roles better, especially when in leadership positions and areas. In their study, Staffileno et al. (2017) assert that different factors that include interpersonal relationships, organizational structures and systemic impacts influence successful collaboration among DNP and PhD-prepared nurses and faculty. The positive influences from this collaboration are essential in advancing the nursing profession and bettering care outcomes for patients in different areas of their healthcare journeys.

As observed through the learning resources, collaboration, both intra and inter-professional, is important in advancing effective application of leadership skills and learning new skills for better role identification and treatment interventions for patients. collaborative interactions demonstrate a combination of professional cultures and are attained through sharing of skills and knowledge to enhance the quality of patient care (Carlson et al., 2018). The implication is that as a terminal degree prepared nurse, having a collaborative approach is essential in ensuring that there is a transition and facilitation of evidence from research to nursing practice environment for better patient outcomes.

Through intra and inter-professional collaborations, nurses in terminal degree programs like DNP and PhD establish core competencies in education based on core principles like having shared values and respect, promotion of population health and healthcare need using professional knowledge and effective nursing communication with both colleagues and patients in practice environment (Ignatavicius et al., 2017). As you observe, collaboration plays a vital role in nursing practice as nurses must not only collaborate with their colleagues within their specialty but also other providers and professionals from a host of specialties in the healthcare environment.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Carlson, E. A., Staffileno, B. A., & Murphy, M. P. (2018). Promoting DNP-PhD collaboration in

doctoral education: Forming a DNP project team. Journal of Professional Nursing, 34(6), 433-436. doi: 10.1016/j.profnurs.2017.12.011.

Ignatavicius, D. D., Workman, M. L., & Rebar, C. (2017). Medical-Surgical Nursing-E-Book:

Concepts for Interprofessional Collaborative Care. Elsevier Health Sciences.

Staffileno, B. A., Murphy, M. P., & Carlson, E. (2017). Determinants for effective collaboration

among DNP-and PhD-prepared faculty. Nursing Outlook, 65(1), 94-102.

doi: 10.1016/j.outlook.2016.08.003.

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RE: Discussion – Week 3

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Week Three Second Response.

Good afternoon Tish, I like that you identify interprofessional collaboration as working with other departments such as finance, payroll, networking, and many others. For the advanced practice nurse, the need to advocate for patients and staff members in other departments that are not healthcare-based is a critical skill (Laureate Education, 2011d). As a manager, I have to collaborate with the city transit providers because we have dialysis patients who use these specialized services to get to and from dialysis. Other situations include collaborating with plant services and contractors for renovations or other major capital projects. I have also collaborated with child protective services and the police as a member of the child protection programs committee as a pediatrics manager.

Josi et al., (2020) note that for interprofessional teams to function, role clarification, team functioning, collaboration, and interprofessional conflict resolution must be present. There are over “3 million members” in the nursing profession, so we must utilize advanced practiced nurses to their scope by leading the way in collaboration (Institute of Medicine [IOM], 2010b, p. 1).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health [Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Josi, R., Bianchi, M., & Brandt, S.C. (2020). Advanced practice nurses in primary care in Switzerland: an analysis of interprofessional collaboration. BMC Nursing, 19(1). https://doi.org/10.1186/s12912-019-0393-4

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

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1 year ago

Cayla Beane

RE: Discussion – Week 3

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Tish,

I really enjoyed reading your post. Especially the idea of collaborating communication like in a brainstorm session. This is a great example of intra and interdisciplinary collaboration. I am reminded of working on an ortho/spine surgical floor where collaborative communication amongst nursing and other departments was essential to promoting effective outcomes. I agree that a thorough approach to health care reform includes many facets like collaborative communication, strategic initiatives, informatics and leadership (Laureate Education, 2011). I hope we all continue to support our fellow nurses and inspire an environment of positive change.

This intention will naturally give way to an easier approach rooted in intra and interdisciplinary collaborative practice. I love the saying it takes a village, mainly because its implication that we all have a stake or responsibility in being a change agent. We all do our little part and as a whole big change can happen. I cannot wait to see what the future holds in collaborating and sharing in research and practice. Thanks for your post!

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://classwaldenu.edu

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Shonda Young

RE: Discussion – Week 3

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Week 3

Initial Post

Nurs-8000

Evaluate the value of intra and interprofessional collaborative practice as a DNP or PhD prepared nurse and how it may impact your role.

As leaders’ nurses must act as full partners in redesign efforts to be accountable for their own contributions to deliver high quality care and work collaboratively with leaders from other health professions (IOM, 2010). The value in interprofessional collaboration as a DNP comes in the form of patient outcomes. Working independent serves as no true value to the patient thus allows for fragmented care and poor patient outcomes. When the DNP works with an interdisciplinary team more is accomplished because you have different professionals i.e., the physician, bedside nurse, social worker working for one common goal, which is to yield optimum patient outcomes.

According to Laureate education (2011), As a DNP you have the role of:

Coordinating patient care
Opportunity to be at the same level as other professionals
Your opinion and skills are more recognized
Able to collaborate with other nurses and disciplines
Lead other nurses and healthcare providers

Two detailed examples that support Response

In interviewing the Chief nursing executive at my hospital, she stated that the biggest advice that she could give which has also been her flaw; was that of not Listening before responding and taking feedback into consideration. She went on to say that she always came up with solutions but it was not right, because she failed to explore other individuals on her team ideas.

My future role as a DNP, will allow me to coordinate with other professionals and make way for innovation as well as strategic planning, in efforts to maximize patient center care. In its simplest form collaboration implies collective action toward a common goal in a spirit of trust and harmony (D’amour, Ferrada-Videla, San Martin Rodriquez, and Beaulieu, 2005;Zaccagnini & Pechacek, 2021).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference:

Laureate Education (Producer), (2010d). The professional role of the DNP prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M.& Pechacek, J.M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4^th ed.). Jones & Bartlett

1 year ago

RE: Discussion – Week 3

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Hi Shonda,

I like how you mentioned that DNP nurses lead other nurses and healthcare providers and this corelates with what Dr. Joan Stanley said in the video the professional role of the DNP-prepared nurse when she said that “we speak the same language” (Laureate Education, 2011d 2:06) and how essential we are all on the same page to ensure effective member outcomes. Also, since I work in a slightly different arena when it comes to being a nurse the fact that there are so many places where a nurse can make a difference. Whether it be in a corporate environment, managed care or project management, we can all make a difference.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References:

Laureate Education (Producer), (2011d). The professional role of the DNP prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

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Top of Form,

I think your chief nursing executive gave you some really honest, good advice on how to be a good leader and collaborator. Understanding your weaknesses is the first step in solving problem and coming up with solutions.

I thought you and your peers would enjoy the following Ten Principles of good interdisciplinary teamwork as cited by Nancarrow, Booth, Ariss, Smtih, Enderby and Roots (2013).

Positve leadership and management attritbutes
Communication Strategies and structures
Personal Rewards
Training and Development
Appropriate Resources and Procedures
Appropriate skill mix
Supportive team climate
Individual Characteristics that support interdisciplinary team work
Clarity of vision, quality and outcomes of patient care
Respectful and understanding of Role

Certainly this is not inclusive, but I thought it was interesting. Thank your for a great post!

Nancarrow, S.A, Booth, A., Ariss, S., Smith, T., Enderby, P., and Roots, A. (2013) Ten Principles of Good Interdisciplinary Team Work Retrieved from https://www.ncbi.nih.gov/pmc/articles/PMC3662612/

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Thank you for sharing the informational list on team work. It is amazing how much further we have to go (at least in my current setting) with teamwork.

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1 year ago

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Everyone,

There are so many benefits of collaboration we really do not think about. Basically, collaborating with each other allows us to achieve more together than we are able to achieve individually. We can serve larger groups of people, grow professionally as we learn from each other, and become more engaged on an organizational level.

The fields of research, education, and clinical practice are all interrelated when you stop and think about it. Research informs education, which then influences clinical practice, which directly impacts patient care. Researchers, practitioners, educational systems all work collaboratively to inform, teach, and do.

I think that if we fail to collaborate, we fail to really succeed in improving outcomes. What do you think? Agree? Disagre

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To increase the likelihood of desired outcomes in health care, working with others of different backgrounds is often needed. Interprofessional collaboration is often utilized by doctor in nursing practice (DNP) professionals to evaluate the expertise of others to make a well-rounded decision related to a particular dilemma. Young (2021, April) commented when healthcare professionals make decisions without collaboration with other team members leads to healthcare fragmentation and poor patient outcomes. DNP-prepared nurses are considered the ultimate leader.

Great leaders know when to seek help from others. DNP who strives for interprofessional collaboration understands the buy-in that is needed from all healthcare stakeholders. Van Dijk-de Vries et al. (2017) suggest for interprofessional collaboration to be successful a wider view of this concept must be accepted by other health stakeholders, such as third-party payers.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Young, S. (2021, April). Discussion 1 Week-3 [Online forum content]. Retrieved from https://class.waldenu.edu.

van Dijk-de Vries, A., van Dongen, J. J. J., & van Bokhoven, M. A. (2017). Sustainable interprofessional teamwork needs a team-friendly healthcare system: Experiences from a collaborative Dutch programme. Journal of Interprofessional Care, 31(2), 167–169. https://doi-org.ezp.waldenulibrary.org/10.1080/13561820.2016.1237481

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I agree with you on the importance of intra-and interpersonal collaboration. Based on the article The future of nursing: leading change, advancing health (IOM 2010) the days of when nurses relinquished their chair in the nursing station to a provider have long past and nurses are now partnering with other health care disciplines to enhance positive member health outcomes. Logically, this makes sense because “we all speak the same language” as so powerfully said by Dr. Joan Stanley (Laureate Education, 2011d 2:06). Terminal degree prepared nurses can bring so much insight to an interdisciplinary team to include leadership, knowledge, ability to decipher and present analytic outcomes. I was recently speaking to Dr. Harvey and how we both felt that Florence Nightingale would be proud to see what nursing has become and where we are heading in the future.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References:

Laureate Education (Producer), (2011d). The professional role of the DNP prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

The future of nursing: Leading change, advancing health. (2010b).https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-ofNursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

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Florentina Culiac

RE: Discussion – Week 3 Response from Florentina Culiac

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I was very impressed to read about a leader sharing with you one of her flaws. Communication is not an easy task. In today’s fast paced healthcare environment, organizational communication is lately done through digital technology: emails, instant messaging. Nickitas (2019) suggested that use of technology to communicate might impact “leadership communication effectiveness” and face-to-face interactions support a “positive professional connection.” (p.65-66).

I found these statements to be very accurate. During Covid, meetings became virtual via Teams, and communication via emails became the norm. The lack of interactions brought in misinterpretations, misunderstandings while trust and productivity started to decrease. In my current position, I have not met my supervisor or my leader peers in person for over a year. I believe this affected our working relationship. While I had a stronger professional relationship with my fellow peers, the connection with our leader I would say disappeared. During Covid, multiple processes needed to change and intra and interprofessional collaboration was necessary, yet it was almost non-existent.

In order to promote intra and interprofessional collaboration, nurses would need to be “full partners in redesign efforts” (…) “and work collaboratively with leaders from other health professions.” (IOM, 2010b, p.3) While digital communication might be easier to use, it could not replace the actual connections we gain from face-to-face interactions. According to Nickitas (2019), “we cannot replicate high-level leadership effectiveness in a virtual environment alone.” (p.66) As highly educated nurses, we need to encourage leadership to accept our participation in decision making, especially when it would affect patient care and outcomes. I am hopeful that soon we would be able to get back to having in person meetings to enhance our communication and productivity.

Nickitas, D. M. (2019). First-Face Communication: Is Digital Technology Impacting Leadership Communication Effectiveness? Nursing Economic$, 37(2), 65–66.

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Week 3 Initial Post

Professional collaboration can open many doors to new opportunities in treatment many of aspects of clinical practice. Often, diagnosis and treatment modalities are formulated by a team of professionals who contribute different but equal value to the term. I cannot help but think about when research is done, many of your peers will review your data and findings and give the perfectives. The purpose of this is to formulate possibly different interpretations of the data or possible other conclusions to the findings. Often, seeing a situation through another pair of eyes that have been trained in a slightly or different way can make a huge difference in the interpretation and implementation of data. The value of shared knowledge cannot be underestimated.

I currently work in the senior care industry, were collaboration between physicians, nurse practitioners, pharmacists and families and therapist are expected to ensure the patients gain positive outcome. The collaborations are similar, and their outcomes are often similar. According to (Green, B. et al 2015), by implementing inter professional collaboration and learning to work together and respecting one another’s perspectives in healthcare, multiple disciplines can work more effectively as a team to help improve patient outcomes.

One of the best examples of inter-collaboration takes place is the administration of hospice and palliative care services. If a patient is receiving these services in their home, they are evaluated by a team of professionals that focus on the different care needs of the patient and family. The patient is seen by visiting nurses, nurse’s aide, social workers and grief counselors and something they also provide spiritual services. They can also on real occasions provide physical therapists, occupational therapists. Patients and their families are given access to many resources to assist them and make them as comfortable as possible.

Sometimes collaborative care can become repetitive and cumbersome, especially if team members do not work communicate to each other or to the patient. Patients are interviewed over and over and are asked the same questions again and again. Family member can become conflicted when patient do not get the care they need, and they cannot get answers from any one person on the team. It gives the impression that the team seems to be working in different directions and not collaborating with each other. According to (Stefan, Laureate Education, 2011), DNP prepared nurses can assist in breaking down these barriers. One of the most important goals of the DNP program is to prepare nurses to collaborate with members across other disciplines to work together and have positive health care outcomes.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference:

Green, B. N., & Johnson, C. D. (2015). Interprofessional collaboration in research, education,

and clinical practice: working together for a better future. Journal of Chiropractic

Education, 29(1), 1–10. https://doi.org/10.7899/jce-14-36

Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for

interprofessional collaborative practice: Report of an expert panel. Washington, D. C:

Laureate Education (Producer). (2011). The Professional role of the DNP-prepared nurse

[Video file]. Retrieved from https://class.walden.edu.

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I found your post especially interesting, especially the part where you cited all of the services that a patient in palliative care receives. That was a great example of collaborate care amongst professionals.

After reading your post and those of your peers, I thought of another way collaboration is taking place in many health care facilities and in educational settings. Simulation is an outstanding way to collaborate. Nursing and medical educational facilities are also now using this to train future nurses and physicians. You bring up several good points in your post about collaboration in health care by the DNP-prepared nurse. Strong collaboration among the health care team leads to strong positive outcomes for our clients. This is necessitated by the complex, specialized nature of society and especially health care. In building a culture of “harmony and trust”, as doctorally-prepared nurses, we can bolster professional morale and community well-being.

Hutchinson (2018) argues that a barrier to trust in nursing and health care is a breakdown in the public trust in institutions, experts, and leaders. Do you agree?Advanced practice nurses understand that trust, vulnerability, and strong leadership help promote patient satisfaction and builds trust among colleagues and patients. Still, it is useful to keep in mind that preconceptions people have regarding their respective health care system or political system can carry over and negatively impact interactions with nurses.

Thanks for an enlightening post!

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

Hutchinson, M. (2018). The crisis of public trust in governments and institutions: Implications for nursing leadership. Journal of Nursing Management, 26(2), 83-85.

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Excellent post. You are very right that collaborative care can be complex and monotonous, so DNP prepared nurses must work as a team to make the communication flow appropriately between the patients, family members, and interdisciplinary team. As Dr. Stanley said in the video, “communication is essential to understand each other background and perspective” (Laureate Education (Producer), 2011d). Working in a clinic setting where we have different interdisciplinary personnel, it is crucial to have effective communication to provide better health care services to our patients and community. This helps minimize medical errors among patients and improve healthcare productivity.

As DNP prepared nurses, leadership position is vital in communication because we are being asked to lead the organization through our efficient skills that we have gained from being experienced healthcare professionals. Nurses experience their leadership style during decision-making and administrative power to lead the community through effective dialogue in the workplace to improve patients’ outcomes and satisfaction (Zaccagnini & Pechacek, 2021).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4^th ed.).  Jones & Bartlett.

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Students,

All health care professionals given their level of expertise and education, should communicate effectively with team members and leadership to promote care coordination to be successful. In healthcare and nursing practice, the concept of relational leadership is also very important. Relational leadership facilitates the interrelation amongst the expertise of others, synergizing to a greater solution. Through a conscious awareness of the networks that connect people, the leader influences the consequences for organizational survival and organizational commitment (Balkundi, 2005). According to Balkundi (2005), there are four leading principles in social construction that create commitment, including the importance of relationships, the principle of embeddedness, the social utility of network connections, and the emphasis on structural patterning. Individuals are comfortable with their current jobs and situations when they feel connected with those with whom they work, that the connections with these co-workers provide the interaction that they need and that the social network is consistent (Balkundi, 2005).

Do you often find individuals you work with who are not interested in collaboration? How do you handle that?

Thank you for sharing.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Balkundi, P. (2005). The ties that lead: A social network approach to leadership. Journal of Psychology.

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Intra- and Interdisciplinary Collaborative Practice

In the healthcare sector, many healthcare professionals collaborate and work together in different cases to save lives. Many patient cases require that the patient traverses through different healthcare professionals for quality care to be administered. Interprofessional collaboration (IPC) is how nurses interact and work closely with other healthcare providers such as doctors, laboratory technologists, pharmacists, and surgeons to achieve effective care delivery. Interprofessional collaboration is valuable because of the following elements. It primarily ensures that adequate care is provided to the patient. When healthcare professionals collaborate, they improve service delivery and promote patient comfort (Harper et al., 2017). IPC enables data sharing that improves decision-making among healthcare professionals.

When nurses collaborate with others, they can share ideas on developing the best interventions for a patient. Such practices ensure effective care delivery by not only assuring patient comfort but also reduce medical errors. The impact that such collaboration has on DNP students is enormous. DNP students are trained to be leaders, and this encompasses policy formulation and implementation. In the workplace, DNP students or APNs will have to consider other internal stakeholders in the institution when developing policies to govern a healthcare institution (Schot et al., 2020). IPC also leads to the development of a positive work environment. It fosters the growth and development of employee values such as teamwork and decision-making.

Engaging in IPC has different benefits and presents numerous Advanced Practice Nurses’ opportunities to utilize for their career growth. To start with, IPC offers an opportunity for promoting ethical practices within an institution. Interprofessional collaboration is essential because when data and decision-making processes involve different professionals, the interventions developed will be highly effective (Zaccagnini & Pechacek, 2021). It is because the interventions are analyzed from different perspectives.

Engaging in IPC reduces medical errors, which offers nurses and other healthcare professionals an opportunity to be ethical. Besides reducing medical errors, IPC considers different departments’ opinions and needs before essential policies that cut across the departments’ formulation. Therefore, an opportunity to develop a conducive work environment by factoring in the needs of various departments. IPC also offers DNP students an opportunity to critically analyze different workplace problems and solve them using noble approaches. These approaches may include fostering collaboration and promoting effective communication.

Healthcare institutions have managed to solve complex problems presented in different patient cases by utilizing the latest technology. Such technology applied in the institution is used by various healthcare professionals such as nurses, physicians, and laboratory technologists to record vital patient information. The implementation of electronic health records and their application in decision-making is an example of how IPC has been applied in the workplace (Leathers et al., 2018). When nurses consider developing their departments, they need to be aware that their policies will also affect other departments. Procedures such as sample collection and delivery or tests requested and administered by nurses need to be conducted in the laboratory. If there is no effective collaboration between nurses and the laboratory technologist, it may increase lag time in sample processing and testing. IPC is, therefore, the way forward for effective care delivery in healthcare institutions.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Harper, D. C., McGuinness, T. M., & Johnson, J. (2017). Clinical residency training: Is it essential to the Doctor of Nursing Practice for nurse practitioner preparation?. Nursing Outlook, 65(1), 50-57. https://pubmed-ncbi-nlm-nih-gov.ezp.waldenulibrary.org/27742077/

Leathers, J. S., Davidson, H., & Desai, N. (2018). Interprofessional education between medical students and nurse practitioner students in a Global Health course. BMC Medical Education, 18(1), 200. https://doi-org.ezp.waldenulibrary.org/10.1186/s12909-018-1307-y

Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care, 34(3), 332–342. https://www-tandfonlinecom.ezp.waldenulibrary.org/doi/epub/10.1080/13561820.2019.1636007?needAccess=true

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4^th ed.).  Jones & Bartlett.

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Great post! Effective interprofessional collaboration also known as interdisciplinary collaboration is an essential component in the delivery of comprehensive services, safe, and good patient care outcomes. In current healthcare marketplace, stressors such as heavy patient loads, increasing demands on nurses and other direct care providers and system-wide strain that can results to a variety of miscommunications and tensions among members of the healthcare team. A great focus should be on enhancing interprofessional collaboration as much as possible to help minimize undesirable adverse events, and improve teamwork, communication, and most importantly improve patient experiences in the healthcare system and positive patient outcomes.

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse

[Video file]. Retrieved from https://class.waldenu.edu

Green, B. N., & Johnson, C. D. (2015). Interprofessional collaboration in research, education,

clinical practice: working together for a better future. The Journal of chiropractic education,

29(1), 1–10. https://doi.org/10.7899/JCE-14-36

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According to a report from the Institute of Medicine (IOM), the nursing profession is the largest segment of the nation’s healthcare force and consists of 3 million members. Being on the front lines of patient care, nurses play a vital role in revitalizing the profession. There are a number of barriers that prevent nurses from responding effectively to the rapidly changing health care settings and an evolving health care system. The report by IOM which was sponsored by the Robert Wood Johnson Foundation (RWJF) calls on nurses to take a greater role in America’s increasingly complex health care system.

Do you feel this is currently being done? Certainly, the healthcare evolution provides nurses with advanced degrees the opportunity to collaborate with other healthcare professionals to improve access and quality patient care (IOM, 2010). Do you know of any other ways that nurses can enhance collaboration with other healthcare professionals?

I enjoyed reading your discussion response. Your background certainly lends itself to having learned how to collaborate!

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak, J. ((2011). Interprofessional Collaboration: three best models of interprofessional Education. Medical Education Online, 16. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081249/

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett.

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Thank you for putting more knowledge into my discussion. Nurses can collaborate with other health care professionals by getting everyone to work with them on setting the same goals or expectations, effective communication, and holding efficient team meetings. Communication was one of the biggest things that I had to face in my career; I had many challenges, but setting my goals and expectations helped me accomplish all my achievable health care goals. Thus, collaboration is an active process requiring meaningful contact between health care professionals and highlighting key concepts in interprofessional collaboration like partnership, sharing, power, and interdependency (Behruzi et al.,2017).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

Behruzi, R., Klam, S., Dehertog, M., Jimenez, V., & Hatem, M. (2017). Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study. BMC Pregnancy & Childbirth, 17, 1–14. https://doi-org.ezp.waldenulibrary.org/10.1186/s12884-017-1381-x

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Dorothy,

I do think that DNP educated nurses are uniquely educated to collaborate with others when practicing nursing. We also need to remember the importance of the PhD in nursing who really drives the research that impacts practice. Have you ever asked yourself what the ramifications would be of not working collaboratively? How would this impact reseach? Our patients? Our profession of nursing? Our healthcare delivery system?

Sometimes I sense that, while we all believe in working interprofessionally, few of us really take action to ensure this is done. Are we, as nurses, really committed to making this happen, or do we tend to sit on the sidelines until an opportunity presents itself to work together in this manner?

I am really not sure what the answer is, however I would be interested in your and your peers thoughts

Week 3 Discussion

Collaboration in the nursing world is integral to the function of a medical center and for the achievement of high-quality patient care. Dr. Joan Stanley spoke of the collaboration that would continue, even when nurses were working independently at the top of their licenses, because that is how we continue to grow and learn as well as care for our patients (Laureate, 2011d). It has been my experience that we often see much better collaboration at the bedside than we do in the boardrooms in medical and academic centers. Professional collaboration is vital to the growth of learning and can be highly effective in growing the knowledge base of nursing and other disciplines (Zaccagnini, 2021).

In my role as a Clinical Informaticist, I interact daily with Providers, Nursing staff, Executive Leadership, CMAs, and Front office staff in our clinics. It is part of my responsibility to train all of them on our EHR and how it functions for their role and to review how they are integrated and intertwined with one another in a patient record. One person is not able to complete the steps necessary for their job if the person prior to them did not do theirs. If the desk ops did not check in the appointment, then the CMA or Nurse is not able to do the medication history. If the medication history is not complete, the provider is not able to escribe a prescription for the patient. I have found it very helpful to all levels to be able to connect how we rely on one anot her to best care for our pat ients in person and in our EHR.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References:

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing  (4 th ed.).  Jones & Bartlett.

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You gave a wonderful example of collaboration and how each person’s job can depend on another person doing their job.

I really believe that health care professionals need to foster a culture of respect for other’s roles and expertise. In today’s society, patients have complex health needs and typically require more than one discipline to address issues regarding their health.

In 2001, the Institute of Medicine Committee on Quality of Health Care in America suggested that healthcare professionals working in interprofessional teams can best communicate and address these complex and challenging needs. Do you agree with this assessment?

According to the Medical Education Online journal, (2011), the interprofessional approach allows sharing of expertise and perspectives to form a common goal of restoring or maintaining an individual’s health and improving outcomes while combining resources. Educating future healthcare providers to work in interprofessional teams can also help facilitate this model resulting in improved healthcare outcomes for individuals.

How are nursing schools doing this as they prepare our students to become collaborators? What changes have been made to current curriculums to accommodate this thinking, do you think?

Thoughts?

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References:

Bridges, D.R., Davidson, R.A., Odegard, P.S., Maki, I.V., & Tomkowiak, J. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Medical Education Online. 16. doi:10.3402/meo.v16i0.6035.

Institute of Medicine. (2001). Committee on Quality of Health Care in America, editor. Crossing the Quality Chasm: a new health system for the 21st century. Washington, DC: National Academy Press.

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Trying to make all roles understand how EMR would function and interact could be challenging. We recently introduced a new workflow, E-Check in, where our patients would complete online reason(s) for their visit, and a questionnaire pertinent to their visit. Due to virtual training and implementation, I would not call the roll out successful. Providers would not participate as they did not find a table with information to be helpful, on the contrary, it would just make their note longer without any value to them or the patient reading the note after the visit. Intra and interprofessional collaboration is essential in healthcare.

Zaccagnini & Pechacek (2021) recognized the role of the DNP prepared informaticist would be a role that would develop even more in the future. The need to have accurate data gathering, meeting quality measures such as care gaps, health maintenance are just a few examples where our expertise would be needed. All those would need clinical understanding from a nursing and medical point of view to be able to use technology to collect accurate information. In the current healthcare environment, providers initiated roles such as Chief of informatics and informatics champions. Having a doctorate prepared nurse in a DNP informaticist role would only enhance our credibility and promote interprofessional collaboration with all the other disciplines. Only together, we would be able to redesign tomorrow’s healthcare system.

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing  (4 ^th ed.).  Jones & Bartlett.

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Intra-professional collaborative practice is when a multitude of members of the same profession work together to provide quality care within as well as across different settings. Inter-professional collaborative practice, on the other hand requires people in multiple disciplines working alongside patients, families and communities to promote ideal health outcomes (Orchard et. Al., 2010). Both intra and inter-professional collaborative practices are vital to success as a DNP or PhD prepared nurse because establishing as well as maintaining professional relationships will benefit patient health and improve a patient’s outcome.

Doctorally- prepared nurses learn how to collaborate with physicians, administration, physical therapists, educators, and so on (Laureate Education, 2011). They have a wider scope of practice and take into consideration “the bigger picture” rather than just focusing on the nursing aspect of patient care or narrow aspects of nursing research. This enables and empowers them to be leaders in patient care settings.

Very interesting post! Thanks so much!

Dr. Harvey

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Orchard, C., Bainbridge, L., Bassendowski, S., Stevenson, K., Wagner, S. J., Weinberg, L., … & Sawatsky-Girling, B. (2010). A national interprofessional competency framework.

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As you mentioned, in your post, collaboration is vital in the healthcare sector. When healthcare professionals collaborate, there is a greater likelihood that desired outcomes are achieved. Moreover, interprofessional collaboration decreases healthcare disparities by improving communications, clarifying roles, and increasing respect for job duties among health care professionals (Goulding et al., 2020). Given the great benefit of interprofessional collaboration, health care professionals should be introduced to the concept very early on in educational preparation. Goulding et al. (2020) conducted a mixed-method study of undergraduate nursing students using pre-post survey and the Readiness for Interprofessional Learning Scale to evaluate students’ attitude towards interprofessional learning. The study conducted that undergraduate nursing students appreciated interprofessional communication which allowed the opportunity to refresh important professional skills. Doctoral programs should continue to encourage interprofessional communication of scholars which creates a well rounded leader.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

GOULDING, M. H., GRAHAM, L., CHORNEY, D., & RAJENDRAM, R. (2020). The Use of Interprofessional Simulation to Improve Collaboration and Problem Solving Among Undergraduate BHSc Medical Laboratory Science and BScN Nursing Students. Canadian Journal of Medical Laboratory Science, 82(2), 25–33.

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Good Evening Marie (soon to be Dr. Hageman),

I enjoyed reading your post, and like the way you integrated patient care from beginning to end as it relates to the electronic health record. As stated by the institute of medicine (2010b), licensing and practice rules vary by state. In New York, as of April of this year, every traction in the EHR is now available to patients within 24-48 hours. As such, we must be able to close our notes in a timely manner, which requires the competition of tasks from medical providers who may have entered the chart prior to seeing us. That can include the front desk, medical assistance, or even other practitioners/MDs.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference:

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health [Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/ media/Files/Report%20Files/2010/The-Future-of- Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

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The transformation of health professions education is something other professions are taking note of. Engaging in interactive patient care with those outside the nursing profession prepares all health professions for decisively working together with the common goal better patient-centered care. Yet the concept of working with other disciplines for the betterment of patients is really not a new concept. At the first IOM Conference’s related report “Educating for the Health Team” (IOM, 1972), 120 leaders from allied health, dentistry, medicine, nursing, and pharmacy considered key questions about interprofessional education.

So, why do you think it has taken so long for it to catch on? It has been nearly 45 years since that first IOM conference and we are still talking about interdisciplinary healthcare as though it is a new concept. What barriers have persisted to prevent its widespread growth? Do you feel as though now is the time it will be embraced? Why?

Thoughts?

Institute of Medicine. (1972). Educating for the heath team. Washington, D.C.: National Academy of Sciences, pg 12.

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Intra- and Interprofessional Collaboration

Collaboration is important in healthcare. Nurses are holistic providers who want the best for those whom they serve and see the patient as a whole person. Doctors often specialize and can easily loose sight of the holistic. As a Doctor of Nursing Practice (DNP), nurses must remain holistic as they specialize to ensure patients receive the best care possible.

Intra-professional collaboration is how nurses work with others within their profession of nursing (Millstein et al., 2020). Widely this can be applied to nurses across different educational and licensure levels. Currently as I am the most (formally) educated nurse within my facility. In the long-term care setting it is uncommon to see a master’s prepared nurse. Occasionally we have a regional level associate (an RN with a master’s in nursing) in our building, but this is rare. In the long-term care setting nurse aides (certified and not certified), licensed practical nurses (LPN) and registered nurses (RN) make up the nursing care team.

As a doctoral student, my practice is impacted as my boss looks up to me as I have more formal education than she. Another way my pursuit of my DNP has impacted my career, is in how other practitioners (nurse practitioners, physician assistants, and doctors) speak to and with me, when my credentials are discussed. While often a master’s in nursing is something that is respected it can also be feared. In my current job, a member of the nursing team thought my disagreement with her was because I am an RN when she is an LPN. While this was untrue it was easy to blame. Collaboration is essential as our goal is the same—to care for our patient/resident. We eventually had an open discussion and have since learned about each other and can have collegial disagreements while keeping our residents at the center of our work. On the other hand, the nurse practitioner is more respectful now that she knows I have more formal education than most.

Interprofessional collaboration is nurses working with professionals outside of nursing. Often interprofessional collaboration is with other healthcare professionals, however this is not always the case. Teams in healthcare, especially in informatics often include non-healthcare-based employees. Engineers, information technology (IT) associates, and lawyers are just a few of the non-healthcare-based professionals informatics nurses interact with daily (Zaccagnini & Pechacek, 2021). Similarly, nursing executives at many levels interact with these non-healthcare-based professionals. Interprofessional collaboration is especially important as nurses advance their careers as the future is unpredictable (Waxman & Maxworthy, 2010). It is better to leave all bridges intact as you never know when you may have to go over it again. Nursing executives are often the first area to be downsized, blamed, or cut when the going gets tough. Interprofessional collaboration is security.

Reflecting on intra- and interprofessional collaboration, nurses are wise to ensure good communication is maintained. Often misunderstandings can negatively impact a day, a patient, and/or a career. Collaboration is not achievable without communication thus nurses must also continue to sharpen communication skills. As I think of my life as a DNP, I am currently exploring how my DNP will impact my patients as I am not a nurse practitioner (NP).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Millstein, L. S., Allen, J., Bellin, M. H., Eveland, S. R., Baek, D., Agarwal, A., Hill, T., Mutchie, H., & Cagle, J. G. (2020). An interprofessional training to improve advance care planning skills among medicine, nursing, and social work students. Journal of Interprofessional Education & Practice, 21, 100382. https://doi.org/10.1016/j.xjep.2020.100382

Waxman, K., & Maxworthy, J. (2010). The Doctorate of Nursing Practice Degree and the Nurse Executive: The Perfect Combination. Nurse Leader, 8(2), 31–33. https://doi.org/10.1016/j.mnl.2010.01.011

Zaccagnini, M., & Pechacek, J. M. (2021). The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing: A New Model for Advanced Practice Nursing.

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You are right about a MSN being rare in long-term facilities. My mother was in one for three months and there was no any MSN in the building, and it was a large one. Is your goal to continue in the LT facility once your graduate? If so, in what role? Thank you for the great response!

Overall I believe that a doctorally prepared nurse’s intra and interdisciplinary collaborative practice stems from thier previous experiences and work ethics in advocacy and striving for positive patient outcomes as well as a better health system. According to Dr. Stanley, inter professional communication is critical. It is not only about communicating but understanding the perspective of the other professional and explaining the nursing perspective as well. (Laureate Education, 2011d). Still in this day and age nurses whether they are BSN, MSN or PhD or DNP prepared, are often not understood and valued, but through further education and communication as well as collaboration are voices are being valued. I believe people expect more of a highly educated nurse insofar as problem solving and collaboration is concerned. Do you feel this is fair?

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Currey, J., Considine, J., & Khaw, D. (2011). Clinical nurse research consultant: A clinical and academic role to advance practice and the discipline of nursing. Journal of Advanced Nursing, 67(10), 2275–2283

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett.

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Thank you for reading my post. I am not sure what my future holds as far as where I will apply my skills once I become Dr. DeKilder. While I enjoy the long-term care (LTC) setting it is new to me as took an abrupt turn in my career six months ago. My lifelong goal has been to be a nurse and a teacher thus I might continue to work in LTC and train in that setting. One thing I have found is nursing is flexible and remaining flexible myself ensures I do not miss opportunities.

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When you stop and think about it, the DNP or PhD degree prepares nurses for leadership roles, and that strong leadership is a requirement to redesign and implement changes. A shift in terminal degrees held by nursing administrators and faculty is occurring as the number of PhD and DNP graduates continues to rise, increasing the need for collaboration between doctoral prepared nurse leaders to improve care and outcome for the population (Staffileno, Murphy & Carlson, 2016).

As important as inter-professional collaboration is among professionals, communication is right there along side with collaboration. Effective communication is the number one things that all leaders must master. The ability to communicate to other professionals and ensure they understand what you are communicating is great skill to have. The uniqueness of DNP and PhD counterparts should be honored because no academician stands alone because the work is intra and interdisciplinary by virtue of teams of researchers, educators, and clinicians (Staffileno, Murphy, & Carlson, 2016).

Why do you think communication can be such a challenge? How do we overcome that

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

Staffileno, B. A., Murphy, M. P., & Carlson, E. (20116). Overcoming the tension: Building effective DNP- PhD faculty teams. Journal of Professional Nursing, 32(5), 342-348.

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Inter-professional collaboration is the collective involvement professional healthcare providers from different clinical background working together to provide care for patients, families and caregivers. When health care provider communicates with each other in the delivery of services and care they will provide highest quality of care. According to the Interprofessional Education Collaborative (IPEC, 2011) expert paned produced care competencies for Interprofessional collaborative practice to promote patient-centered healthcare that improves safety, quality, accessibility, and efficiency. As community-based healthcare providers continues to grow, Interprofessional and intra-professional collaborations are becoming increasingly important to the provision of efficient case management. These types of interdisciplinary collaboration enable the management of chronic disease in the community.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for

interprofessional collaborative practice: Report of an expert panel. Washington, D. C:

Interprofessional Education Collaborative.

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Thank you for sharing. I want to elaborate on your points on communication. Strong interpersonal collaboration enhances team work as communication skills are practiced effectively. The roles of team work help enhance positive patient outcome as important information about patients are effectively communicated. Communication promotes respect across all disciplines. When nurses are self-aware of their own perception about others cultures, it removes any form of bias. The respect of cultural differences has enabled the health care system to provide care that acknowledges this influence (Loftin, Hartin, Branson & Reyes, 2013). The acceptance of cultural differences promotes respect in communication as it channels an awareness and insight into needs of the diverse populations.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

Loftin, C., Hartin, V., Branson, M., & Reyes, H. (2013). Measures of cultural competence in nurses: An integrative review. Scientific World Journal. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=29f50251-270e-4758-bc94-

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There are various interdisciplinary professionals that work with defined unique roles within a health care system. These interdisciplinary professionals come together through interaction within the system for a shared purpose of achieving a set goal. Also, these inter-disciplinary professionals are also known as inter-professionals. In view of this, inter-professional collaboration occurs when two or more professionals work together towards achieving a common goal (Green, & Johnson, 2015). Collaboration among the inter-professional teams are centered in solving different complex issues in the healthcare system.

The intra-professionals are individuals of same profession who collaborate together. In other words, intra-professional collaboration refers to a relational and respectful process among the nurses that promote the effective use of knowledge, skills, and talents of all nursing calibers to achieve maximum patient and healthcare outcomes (Butcher, MacKinnon, Bruce, Gordon, & Koning, 2017). Fostering intra-professional collaboration among nurses promote mutual respect and bridge the gap of professional boundaries. Intra-collaboration of nursing professionals promote healthy working relationships inspired by the professional’s ability to understand the uniqueness in different perspectives and ideas of nurses from different professional levels.

The end result of intra and inter-professionals are a connected body of professionals that work seamlessly to achieve organizational or patient care goals. When an organizational goal are achieved through the intra-disciplinary team’s strength, it improves patient safety and staff satisfaction (Zaccagnini & Pechacek, 2019). In both collaborations, there is increased productivity working collaboratively than when one individual chooses to work independently. Collaboration in the healthcare system is vital. All healthcare providers should collaborate to achieve a positive outcome. Therefore, collaboration contribute significantly to deliver high-quality patient and family-centered care. It is recognized that leadership is a crucial requirement to establish expectations regarding collaboration and illuminate the complex social interactions in collaboration (Moore & Salfi, 2017). Doctor of Nursing Practice prepared nurses are well equipped with knowledge and skills to empower the intra- and inter-professional collaborative teams to surmount the social interaction challenges and offer leadership for efficient practice.

There are multiple opportunities for DNP-prepared nurses to engage in the inter-professional practice. An example of inter-professional collaborative practice would include: a doctor, physical therapist, nurse, and a pharmacist working together to implement an individualized care plan to improve a patient’s health status. In this context, this team of healthcare professionals will recognize their individual practice scope and skills to utilize them in delivering care to the patient to achieve optimum health outcomes. In addition, interprofessional collaboration helps coordinate care among healthcare professionals to eliminate inefficiencies such as redundancies in care, delays, or inappropriate use of services.

There is recognition that effective intra-professional nursing practice must be fostered through education and leadership (Butcher et al., 2017). The DNP nurse with vast knowledge is looked upon as a leader in the healthcare setting. Encouraging education and educating other nurses on effective patient-centered care plans through evidence-based educational materials for culturally relevant and sensitive patients are opportunities that can be explored. This move would enable nurses to practice to the full extent of their training and education.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References.

Butcher, D. L., MacKinnon, K., Bruce, A., Gordon, C., & Koning, C. (2017). Experiences of pre-licensure or pre-registration health professional students and their educators in working with intra-professional teams: A qualitative systematic review. JBI Evidence Synthesis, 15(4), 1011-1056. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=6729336f-061a-4025-ab08-a7a530dcc3c7%40pdc-v-

Green, B. N., & Johnson, C. D. (2015). Interprofessional collaboration in research, education, and clinical practice: working together for a better future. The Journal of Chiropractic Education, 29(1), 1–10. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/search/advanced?vid=0&sid=6729336f-061a-4025-ab08-

Moore, J., Prentice, D., & Salfi, J. (2017). A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care. Clinical Nursing Studies, 5(4), 1-11. Retrieved from https://www.researchgate.net/publication/318501949

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new model for advanced practice nursing. 4^th Ed. Jones & Bartlett Learning.

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Do you feel as though nurses are “full partners” at your facility? Do you find that it depends upon what floor or department they work in? In other words, I have noted in very high acuity settings like ICU, it seems to me that nurses are certainly treated as full partners. In comparison, I have also experienced working on other floors that are less acute such as a Med-Surg floor, and find there is more of a hierarchy that still exists. Is this just my experience from the past, or do you feel as though it continues today.

Sharing ideas really implies that you share a common goal related to improving quality and safety of patient care. Partnerships, however, are not always easy, as I am sure you can attest to. Nurse leaders have to be able to have relationships that are grounded in honest communication and mutual trust, respect, and a vision of wanting to pursue common goals. I believe this is especially important between nurses and physicians.

The nursing profession is cloaked in a history of having a paternalistic relationship with physicians. Many of us can remember the days when nurses were truly seen as the handmaiden’s of doctors, and stood at their side taking orders and not questioning them. Those days are gone (thankfully!). Today it is really necessary for us to collaborate to even implement a plan of care and discharge plan for our patients. Yes, this improves care, but what else does it improve? For example, it should reduce costs, especially related to hospitalization. Can you think of other ways collaboration can benefit the patient or the facility?

Thank you for an interesting post!!

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In my present work place collaboration and team work exist to some extent. However, team work is more pronounced with nurses that have formed a bond/or are friends. They tend to work together and help each other complete the task. This collaboration was more observed when I worked in med surg floor and detention facility. As stated by “Partnerships, are not always easy”. It takes good communication skill to encourage partnership.

Positive communication is a product of positive patient outcome. Effective communication is a skill and tool that must be utilize between inter-professionals to promote quality patient care (Propp, Apker, Ford, Wallace, Serbenski & Hofmeister, 2010). Strong interpersonal collaboration enhances team work as communication skills are practiced effectively. The roles of team work help enhance patient positive outcome as important information about patients are effectively communicated. When nurses and all inter-professional team work together it helps ensures that tasks are performed in a timely manner.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

Propp, M., Apker, J., Ford, Z., Wallace, N., Serbenski, M., & Hofmeister, N. (2010). Meeting the complex needs of the health care team: Identification of nurse–team communication practices perceived to enhance patient outcomes. Qualitative Health Research 20(1) 15. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=7c314646-4b52-4584-a1c9-

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Overall I believe that a DNP’s intra and interdisciplinary collaborative practice stems from there previous experiences and work ethics in advocacy and striving for positive patient outcomes as well as a better health system. According to Dr. Stanley, inter professional communication is critical. It is not only about communicating but understanding the perspective of the other professional and explaining the nursing perspective as well. (Laureate Education, 2011d). Still in this day and age nurses whether they are BSN, MSN or DNP prepared are not understood and valued, but through further education and communication as well as collaboration are voices are being valued.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett.

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As we step into leaders and leadership roles, it is imperative to understand the role of and incorporate the act of collaboration into practice. Zaccagnini & Pechacek (2021) believe that collaboration is an essential skill of a DNP-prepared professional. As nurses, we often utilize intra-professional collaboration to improve patient outcomes.

However, it is also important to recognize there can also be barriers to a collaborative relationship in the profession of nursing, which can include competitiveness (Zaccagnini & Pechacek, 2021). As leaders in our field, we must actively work to break down these barriers. As professionals, we must seek out the value of our colleagues to achieve optimal intra-professional practice (Canadian Nursing Association, 2020).

As we master the skill of intra-professional collaboration, it also allows us to be optimal team members on multi-disciplinary teams. The largest health care workforce is nursing (IOM, 2010b); as such, we are in a unique position to contribute to health care policy and organizational outcomes.

To achieve this, we must be able to function in the full scope of our license, be full partners with the physicians we often work with and be active participants in designing healthcare policies (IOM, 2010b). IOM (2010b) stated that nurses are consistently being called upon to fulfill ever-expanding roles, which requires collaboration and coordination across teams and health professions. To improve patient safety and patient outcomes, we must effectively collaborate with physicians and social workers, psychiatrists, physical therapists, radiologists, and other nursing professionals.

As a practicing practitioner, it is often necessary for me to seek other colleagues’ expertise to treat a patient effectively.

It is also essential to be able to gain knowledge from others around me. IOM (2010b) posits that nurses should learn with physicians and other healthcare professions. In some ways, I do agree with this. Although the nursing model of education is different from the model of medical doctors’ education, our patients often expect us to function at the highest level of our practice and be an extension of the physician we collaborate with, with no changes in the level of care.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References:

Canadian Nursing Association (2020). Intra-Professional Collaboration. [Position Statement). Retrieved from: https://cna-aiic.ca/-/media/cna/page-content/pdf-en/cna-position-statement_intra-professional-collaboration.pdf?la=en&hash=1158AB98CC407AB4C815A79F9CC3DDEA1960B9A6
Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing(4th ed.). Jones & Bartlett.
Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health [Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/ media/Files/Report%20Files/2010/The-Future-of- Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

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Dr. Margaret Fitzgerald is one shining example of all a nurse can accomplish with higher education. She believes that those with doctoral education’s purpose is to provide rigorous education to prepare clinicians the ability to translate science into improved population health through expert leadership providing innovation in healthcare (Zaccagnini and White, 2014). I actually had the pleasure of meeting Dr. Fitzgerald at one of her educational conferences years ago.

She provides a perfect example of how education empowers us She is a true nurse’s nurse. She advocates for her profession and her patients. She empowered herself to have a voice on par with the physicians for this reason- a bedside nurse can speak up and address concerns and hopefully will be heard. A doctoral prepared nurse leader can carry that concern further to a place where real change can be made both locally and beyond.

You are right about the number of barriers prevent the nurse’s voice from being heard and therefore from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well positioned to lead change and advance health (IOM, 2010). The question of how to be heard and how to have our voices recognized is directly answered with the process which nurses need to communicate effectively. A doctoral degree provides nurses with a title which acknowledges them as equals versus subordinates by the medical community.

Just my thoughts,

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Institute of Medicine (IOM) The future of nursing: Leading change, advancing health [Report brief]. Retrieved fromhttps://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett.

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Good Evening Dr. Harvery,

Thank you for responding to my post. First and foremost, I must say I have a secrete nurse/girl crush with Dr. Fitzgerald. She is everything I strive to be, and is the epitome of nursing at its best. I agree with your statement, that nurses need to learn how to communicate effectively. Chichirez & Purcarea (2018) state, communication is a fundamental skill. As nurses, it is with communication we are able to convey not only information, but empathy, and trust. A patient learns to trust their practitioner, if they feel comfortable the information they are being given is accurate, up-to-date, and based in evidence. It is also important to note, communication in the medical field, often takes place in complex and ever changing situations (Chichirez & Purcarea, 2018). As such, it is imperative, we as up and coming leaders in our field, embrace the skill of effective communication and an essential part of our practice.

References:

Chichirez C, Purcărea VL. Interpersonal communication in healthcare. J Med Life 2018; 11: 119–22. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101690/

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Collaborative experiences provide a greater appreciation among multiple professions. The practice of coming together for a common goal or to achieve one common purpose is a collaborative effort and successful leaders cannot overlook that team effort (Murphy et al., 2011). Collaborative intra-professional practice unifies healthcare delivery and it leads teams to analyze complex practices and organizational issues. The training of a DNP nurse must always fall in line with the AACN’s position statement “graduate with a DNP must be prepared to play a central role by forming inter-professional teams and not only create but also be part of the team that will ensure patient-centered practices are adopted to improve the health care system” (AACN, 2006). I believe that collaboration among highly skilled and knowledgeable health care professionals can facilitate healthcare delivery and improve patient outcomes.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Interprofessional Education Collaborative (2011). Core competencies for interprofessional collaborative practice. Retrieved from http://www.aacn.nche.edu/education-resources/ipecreport.pdf (2011)

Murphy, M. P.,Staffileno, B. A. & Carlson, E.(2011).Collaboration Among DNP- and PhD-Prepared Nurses: Opportunity to Drive Positive Change Journal of Professional Nursing, Volume 31, Issue 5, 2015, pp. 388-394

Walden School of Nursing. (2011).Doctor of nursing practice program manual. Minneapolis, MN: Author.

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett.

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Great point made in the area of team collaboration that can lead to competition among members. Collaboration in the healthcare system is inevitable. In health care it is generally believed that collaborative efforts yield better health services and outcomes for the populations that are served (Green & Johnson, 2015). In order to collaborate, effective communication must be effected. Communicating to members of a team or group assures dissemination of information, which helps accomplish goals and eliminate underlying competition among members. Having good communication skills, mutual respect, good listening skills among all interpersonal and intrapersonal professionals are some factors that enhance good communication.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference

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Thanks so much for responding to my post. I agree with your statement about communication. According to Chichirez & Purcarea (2018), communication can be a therapeutic means of trust between colleagues, and between patient/practitioner. It is important to be aware of not only what your are communicating, but how you are communicating. An empathetic and knowledgeable practitioner who is communication with a colleague or a patient, is received well.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice Reference:

Chichirez C, Purcărea VL. Interpersonal communication in healthcare. J Med Life 2018; 11: 119–22. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6101690/

In today’s dynamic healthcare, interprofessional collaboration is essential to enhance our patients’ care and experience as well as improve patient outcomes. To create a healthcare environment where we all work towards minimizing health disparities, there is a need for higher educated nurses to meet the increasing demands of our diverse communities.(IOM, 2010b). Doctoral prepared nurses can add value to nursing as they learn and enhance competencies that will help improve patient outcomes while delivering safe and high quality care.

A Doctor of Nursing Practice (DNP) prepared nurse can hold different roles within an organization: a leader, an educator, an informaticist, a consultant, to name a few of them and each one of these roles will be important to participate in interprofessional collaboration when needed. The AACN’s Essential VI states that a DNP might need to not only participate in team work, but take on a leadership role when necessary. (AACN, 2006). In addition, Dr Stefan identified that Doctor of Nursing Practice (DNP) prepared nurses would promote nursing to a higher level, where their opinions will matter and their expertise will be recognized (Laureate Education, 2011d).

One of the reasons I am pursuing DNP is exactly this: I want to promote our nursing profession and highlight the benefits we bring to patient care, safety and patient outcomes. I really want to become a stronger voice to promote nursing.

In 2020, Gallup rated nurses as the highest profession in honesty and ethics, yet our participation in healthcare, interprofessional collaboration is not always requested. As doctorate educated nurses, we need to be at the table to help design and implement the healthcare of the future, focusing on health prevention and population health. Our expertise and opinions especially when working at the top of our license, can enhance any collaboration and practice as well as patient safety and outcomes.

Working in primary care, after an unexpected occurrence event (UOR) in a young patient who ended up with a stroke due to poor anticoagulation management, I was asked to design, develop and implement a new RN based anticoagulation program to monitor our patient population. The purpose was to reduce risk and harm to the patient by having nurses see patients in the clinic and monitor/manage their Warfarin. Through interprofessional collaboration with outpatient and inpatient pharmacy, Internal Medicine and Family Practice providers, IT, leadership, billing, coding, Epic support, we worked to create a brand new program to meet the needs of our community.

After I hired the nurses, we began the intraprofessional collaboration to be able to actually start the program. As a leader, it was important to ensure the new nurses hired had all the training and tools needed for this to be a successful experience with excellent patient outcomes. We had technical and clinical rehearsals prior to going live as we had to ensure interprofessional collaboration between nursing, pharmacy and primary care will continue. Having a higher degree, really helped me to engage in the process all the stakeholders needed for this program to be successful. And the program is still going strong to this day (since 2013).

My previous successful experience with the anti-coagulation program, helped me promote the need for Ob Gyn nurses to work at the top of their license. Together, we designed and implemented a new program in collaboration with Pediatrics (Peds), Obstetrics and Gynecology (Ob Gyn), and Audiology. Our interprofessional team also had IT, billing, call center, front desk staff to be able to create an excellent patient experience. Our nursing team has a variety of entry level education (BSN minimum) and various certifications, IBCLC, CDE.

Interprofessional collaboration with such an elite team of nurses and other disciplines made our program very successful. Ob Gyn nurses are now the ones seeing the birth parent and the baby 3-5 days post-delivery. At that visit, nurses assess the baby, the birth parent, assess breastfeeding and perform a hearing screening. Through persuasion and knowledge of the scope of practice for nurses in our State, I was able to advance the role of the nurse in ambulatory care in Obstetrics and Gynecology. Our nurses are highly appreciated by all multi-disciplinary teams as well as by our patients. I plan to continue to foster nurses to work at the top of their license for job satisfaction and staff retention.

Having a DNP will only enhance my abilities to pursue more clinical projects, bring awareness of nurse’s scope of practice and advance our nursing practice while enhancing patient safety, satisfaction and outcomes.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from http://www.aacnnursing.org/DNP/DNP-Essentials

Gallup (2020) U.S. Ethics Ratings Rise for Medical Workers and Teachers from https://news.gallup.com/poll/328136/ethics-ratings-rise-medical-workers-teachers.aspx

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

RE: Discussion – Week 3 Initial Post Florentina Culiac

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Good afternoon Florentina, I enjoyed our post and the examples you provided for intra and interprofessional collaboration. I was a manager for the obstetrics, neonatal intensive care, and pediatrics unit in Northern British Columbia. I was able to lead and contribute to many strong examples of interprofessional collaboration. As you have stated, all staff’s need to work to their full scope is crucial, including nurses. Nurses of varying levels of practice experience working as a strong functioning team can prevent high staff turnover rates (Institute of Medicine [IOM], 2010b). It is apparent in the maternity/obstetrics world that these units cannot function without strong interprofessional collaboration.

Advanced practice nurses can relate to the other professions involved and be an articulate communicator of the nurse’s perspective within the healthcare system (Laureate Education, 2011d). From the readings, I have noticed a gap between creating research and implementing it, and it would be nice if there were the ability to create and implement research in one role within our organizations (Waxman & Maxworthy, 2010).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Waxman, K.T., & Maxworthy, J. (2010). The doctorate of nursing practice degree and the nurse executive: The perfect combination. Nurse Leader, 8(2), 31-33. https://doi-org.ezp.waldenulibrary.org/10.1016/j.mnl.2010.01.011

Thank you for your post. I enjoyed reading it and sense the interest and passion you have for professional collaboration. I do think that often in healthcare we find providers of other disciplines and departments working in silos. It can seem that they are expert in their particular field and achieve excellent outcomes, however interdisciplinary communication and collaboration is missing or only minimally developed. Have you noticed this at your place of employment at all?

This remains a healthcare challenge and a nursing leader must recognize that working across department and disciplinary lines is not a threat but rather an opportunity to improve patient outcomes, provide care more efficiently and improve patient safety.

I also feel as though there are missing in curriculums in many other disciplines that provide care, the collaboration and interdisciplinary partnership that is so needed. I think, however, that once healthcare providers have experienced the benefits of interdisciplinary collaboration such as interdisciplinary rounding, they will become more open to the concept and may even advocate for it in other area. Urisman, Garcia, & Harris (2018) found that interdisciplinary rounds demonstrate an attractive model for improving interprofessional collaboration in the intensive care unit. Their results support the growing evidence that interdisciplinary rounds improve collaboration and have a positive impact on the quality of patient care delivery.

Thoughts?

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References:

Urisman, T., Garcia, A., & Harris, H. W. (2018). Research article: Impact of surgical intensive care unit interdisciplinary rounds on interprofessional collaboration and quality of care: Mixed qualitative–quantitative study. Intensive & Critical Care Nursing, 44, 18–23. https://doi-org.ezp.waldenulibrary.org/10.1016/j.iccn.2017.07.001

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1 year ago

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Thank you for the mind provoking questions. In my current workplace, two years ago, the organization was restructured and leadership decided to create a service line approach instead of silos/hubs driven patient care. Since the change, we have been very lucky to have better communication and interprofessional collaboration. Providers, nurses, medical assistants, front desk staff, coding, project managers started working together to document and standardize processes, for a more consistent patient experience and better outcomes across the service line. We created new processes where multiple departments were engaged in the design, development of those processes.

However, in ambulatory care, there was a known gap in documentation of nursing processes, outpatient procedures and protocols for nurses were nonexistent. As I became the manager of only one department (I had three before the restructure), the charge nurses and myself created an orientation plan and we ensured each new nurse had a preceptor from week one. Our new hires were in orientation for 6-8 weeks working full time no matter their FTE, as we cross trained them in all the skills we practice in the department. The expectations were set from the interview and they all agreed to it.

The team had only four nurses when I started managing the department. Now, we are up to 15 nurses and those nurses absolutely love their jobs. Investing time and resources in the beginning for all the new hires really paid off. We now have nurses waiting for positions to open up in our Ob Gyn department. Aparicio & Nicholson (2020) recognized that preceptorship and orientation improved skills, increased competency, prevented nurse burnout and promoted nurse retention. Our nurses hired would be proof that having a preceptor and a plan for orientation truly would work.

In the last 15 years, I have been in ambulatory care and I have rarely encountered interdisciplinary roundings in any of the organizations I have worked for all these years. I find that providers consulted 1:1 about a specific patient’s care and they did not engage our nursing team or any other disciplines to have roundings. Our nurses are great at coordinating patient care after the providers interact with each other.

In one of the organizations I used to work, we developed a care management program where providers, nurses, medical assistants and pharmacists were supposed to have these weekly interdisciplinary roundings, however I was part of the design, development and implementation only. I believe that in that organization, the care management model was the only one that had hospital-like interdisciplinary roundings.

The only roundings we currently have in ambulatory care would be leadership roundings, where executive leaders would come to ask questions about quality measures (closing care gaps, discussing patient satisfaction scores – Press Ganey) and metrics such as access, barriers to access. Ambulatory care would have a long way until interdisciplinary roundings would be an expectation and until nurses would be valued for all the great work they bring to patient care in those settings. As doctorate prepared nurses, we have the obligation to start documenting the value of our nurses in ambulatory care settings and promote the need for nursing to be at the decision table for better patient care and outcomes.

Aparício, C., & Nicholson, J. (2020). Do preceptorship and clinical supervision programmes support the retention of nurses? British Journal of Nursing, 29(20), 1192–1197.

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1 year ago

RE: Discussion – Week 3

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Week Three Initial Post

The healthcare system provides care to “diverse populations across the lifespan,” and nurses are at the forefront of this work, from a new graduate to an advanced practice nurse (Institute of Medicine [IOM], 2010a, p. 4). There are over “3 million members” of the nursing profession, which constitutes a large professional percentage of the healthcare workforce (IOM, 2010b). The nursing profession should be practicing to the full extent of their role, and higher levels of education should be supported and obtained in a seamless manner (IOM, 2010a). The purpose of this discussion is to explore advanced practice nursing roles, in this case, the Ph.D., and relate them to intra and interprofessional collaboration. Along with this topic, two examples will be shared to support the notion of collaboration from both the intra and inter-professional perspectives.

Intra-Professional Collaboration

The Canadian Nurses Association [CNA] determines that intra-professional collaboration is defined as a “respectful process, among nursing colleagues that allow for effective use of the knowledge, skills, and talents of all nursing designations…. to achieve optimal health system outcomes”. The ability to support intra- professional collaboration requires that there must be policies in place at the organizational level, a framework for decision-making that is evidence-based, and the addition of education strategies in nursing schools to foster these behaviors (CNA, 2020). There are various places that nurses are employed with varying levels of experience and education, such as nurse educators, administrators, public health, entrepreneurism, and many more (Zacagnini & Pechacek, 2021).

The PhD-educated nurse is a research-based role that can interact with practicing nurses’ various levels and education. Lacking in some roles is the need for clinical research and leadership hybrid (Currey et al., 2011). Currey et al. (2011) state that many nurses do not use the evidence available to make quality patient care decisions. The clinical research nurse consultant (CRNC) can assist in collaborating intra-professionally with all nursing roles to promote change management and encourage the use of current evidence.

Interprofessional Collaboration

Inter-Professional collaboration is defined as health workers from multiple backgrounds provide seamless services to offer the “highest quality of care across settings” (CNA, n.d.). The key goals for collaborating professions are providing patient-centered care, evidence-informed decisions, improving access, and contributing to epidemiology (CNA, n.d.). At the interpersonal collaboration, table advanced practice nursing at the DNP or Ph.D. level brings credibility to the table to collaborate effectively across professions (Laureate Education, 2011d). The key to collaborating is understanding other professions’ perspectives and articulating the nursing perspective (Laureate Education, 2011d). The IOM states that nursing should be partners with physicians, allowing the nursing profession to advance health care efforts to be more efficient (2010b). Nursing education programs need to include education concepts related to working with interprofessional teams and a culture within organizations that promotes collaboration (2010b).

Nursing informatics roles provide a clear example of the necessity of interprofessional collaboration. When exploring meaningful use for a technology system, all professionals’ perspectives using the electronic medical record (EMR) are crucial. The nurse informaticist “integrates nursing science to manage and communicate data knowledge and wisdom in nursing practice” (Zaccagnini & Pechacek, 2010, p. 342). The nurse informatics chief’s role can be effective as systems are utilized for meaningful use within health care organizations (Zaccagnini & Pechacek, 2010). The advanced practice nurse would be required to have the skills to collaborate interprofessionally to meet these common goals related to the EMR.

Conclusion

The aim of the discussion this week was to explore the role of advanced practice nursing in the Ph.D. role in terms of Intra and interprofessional collaboration. Examples were provided for each role to illustrate the value of each form of collaboration.

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

Canadian Nurses Association (CNA). (2020). [Position Statement]. Intra-Professional Collaboration. Retrieved from https://www.cna-aiic.ca/en

Canadian Nurses Association (CNA). (n.d.) Interprofessional Collaboration. Retrieved from https://www.cna-aiic.ca/en

Currey, J., Considine, J., & Khaw, D. (2011). Clinical nurse research consultant: A clinical and academic role to advance practice and the discipline of nursing. Journal of Advanced Nursing, 67(10), 2275-2283. doi:10.1111/j.1365-2648.2011.05687.x

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health[Consensus report]. Washington, DC: National Academies Press. Retrieved from https://web.archive.org/web/20150211165201/http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health

[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Zaccagnini, M. & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4th ed.). Jones & Bartlett.

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1 year ago

RE: Discussion – Week 3 Response

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Thank you for your thoughtful post. It is important that all staff work at the top of their licensure and education. Nurses need to be actively engaged and respected to ensure the nursing perspective is available in inter-professional interactions (Zaccagnini & Pechacek, 2021). As a DNP I aim to ensure that all staff work at the top of their education and licensure.

Reference

Zaccagnini, M., & Pechacek, J. M. (2021). The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing: A New Model for Advanced Practice Nursing.

I must say that I really like the Canadian definition of nursing collaboration. It very direct and to the point.

DNP or PhD prepared nurses lead teams that are nurses and non-nurses. Communication is very important to be able to work with therapists, physicians, and pharmacists or educators that might be members of the interdisciplinary team. Interdisciplinary collaboration involves partnership that exists amongst a team of healthcare providers or educational leaders that adopt a coordinated approach to shared decision-making. Collaboration is highly valued because it breeds responsibility, accountability, cooperation, mutual trust and respect (Lankshear, 2018). Thus, for collaborative relationship to work; skills, knowledge, and education must be shared.

As leaders in healthcare, doctorally-prepared nurses are well placed to build a collaborative team that strives to overcome the challenges presented by our complex healthcare delivery system. Maintaining a good working and collaborative relationship with members of the interdisciplinary team enhance the quality of care delivered to patients (Zaccagnini & White, 2017). The DNP or PhD-prepared nurses should assume the position of a leader who establishes a clear direction and vision for the team, while listening and providing support and supervision to the team members.

The institute of medicine (IOM) emphasized the value of intra-and interdisciplinary collaboration by challenging the nurses to be a part of redesigning the healthcare system. Emphasis was laid on root-cause analysis as a means of identifying contributing factors of a problem, and devising means to solve them (Institute of Medicine, 2010a). Thus, partnering with fellow nurses and other professionals will foster support which helps in finding solutions.

Working in mental health for a couple of decades, one of the examples of collaboration in my practice involving physicians, nurses, pharmacists, and therapists was formed to try and minimize the number of inpatient suicides in a psychiatric unit. By meeting regularly and by challenging nurses to be instrumental in the decision-making process; and utilizing communication tools to facilitate better cooperation between all team members, we did get some positive results. Nurses also encouraged members of the team to engage in continuing education to maintain team-based competencies (Nancarrow et al., 2013).

NURS 8000 Week 3 Discussion Intra- and Interdisciplinary Collaborative Practice References

D’Amour, D., Goulet, L., Labadie, J. F., Martin-Rodriguez, L. S., & Pineault, R. (2008). A model and typology of collaboration between professionals in healthcare organizations. BMJ Health Services Research, 8(188), 1-14.

Fall Prevention Center of Excellence. (2018). Basis of fall prevention. Retrieved from http://www.stopfalls.org/what-is-fall-prevention/fp-basics/

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health [Consensus report]. Washington, DC: Retrieved from https://web.archive.org/web/20150211165201/http:iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Lankshear, S. (2018). Better together- A fresh look at collaboration within nursing. Canadian Nurse, 114(1), 18-20.

Nancarrow, S. A., Booth, A., Ariss, S., Smith, T., Enderby, T., & Roots, A. (2013). Ten principles of a good interdisciplinary team work. Human Resources for Health, 11(19), 11-19.

Zaccagnini, M. E., & White, K. W. (2017). The Doctor of Nursing practice essentials: A new model for advanced practice nursing (3rd ed.). Sudbury, MA: Jo

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1 year ago

Cayla Beane

RE: Discussion – Week 3

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Week 3 Discussion

Intra and Interdisciplinary Collaborative Practice

There is no question that within the health care sector holding the title of registered nurse is the most sought-after position. Now, combine that with the emerging health care trends and you see nurses from all backgrounds pursuing higher practice and research degrees. This is one of the many ways nurses are united. We need more education to advance the higher based practices which we are called to do. Focusing on how our nursing roles overlap aligns with intradisciplinary collaborative practice while finding ways to unite ancillary health care services into a collaborative practice is more of an interdisciplinary approach (Houser, 2018). I think now more than ever collaborating and engaging in both the intra and interdisciplinary collaborative practices are essential.

According to the text, nursing research will always assume the relationship of supporting the professional nursing practice (Houser, 2018). Nursing research and nursing practice collaborate in the world of evidence-based practice. I plan to utilize EBP, intra and interdisciplinary collaborative practice throughout my doctoral nursing career. As I look to the past, I see many fundamental examples of how we strategize and collaborate. Now on a high level, I look ahead on implementing the infrastructure and communication necessary to unite nursing research and practice.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett.

Thank you for your post. I wonder how you feel the need for intra- and interprofessional collaboration will impact you as you pursue your doctoral degree? As an informatics nurse with an operating room background and now as I practice in a long-term care setting I know there are many current ways I am impacted but not sure what the future holds as I move on to the next phase of my career.

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RE: Discussion – Week 3

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Thanks for such an interesting post! Fostering a team collaboration environment can be a challenge because it takes time that we often do not have in the rush to complete things. For some team members, there is a perceived loss of their autonomy–sharing decision-making can feel to them like a loss of control. Then you have to consider how you would feel if you were a part of a team, but there was a member or members who you did not have full confidence in. Would you trust their decisions?

I have seen team members also become territorial and worry that by sharing responsibility they will not be seen as the sole expert. With inter-collaboration there can also be a lack of awareness as to the skills and education a colleague from a different department may have. How would you handle these barriers to collaboration? Have you ever been in a situation where any of these barriers materialized? What happened?

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1 year ago

RE: Discussion – Week 3