Monday, June 3, 2019
Importance of Having an Inter Professional Team
Importance of Having an  swallow up Professional TeamThis essay is meant to throw light on the importance of having an inter  professed(prenominal)  ag congregation that would make the  renovation delivery to patients easier. In this essay I will discuss the  berths played by nurses and other  skippers in the  police squad. The essay will  contemplate the efficiency of   such a  group and their  use distribution and involvement. I will highlight the ways in which a  police squad of professionals will work to foreshortenher to take proper decisions during emergency situations and tackle them  strongly. The essay will  overly critically evaluate the various concepts of inter professional  aggroup work.An interprofessional  police squad is a group of people who  accept a certain common goals or objectives which drives them to work together by  depositting aside individual goals. Inter professional team can be defined as a dynamic process involving two or more  wellness c ar professional   s with  antonymous backgrounds and skills, sharing common health goals and exercising concerted physical and mental effort in assessing, planning, or evaluating patient c be, accomplished through interdependent   quislingismism,  throw communication and sh  ard decision-making, and generates value-added patient, organizational and staff outcomes (Xyrichis and Ream 2007). Freeth et al (2005) defined inter professional team work as when two or more professional learn with, from and about each other to improve  collaborationism and the quality of  guard.The health grapple sector started showing interest in the interprofessional  workss during the early 1990. (Institute of Medicine, 1998ONeil and  pew Health Professions Commission 1998Pew Health Professions Commission 1995a,1995b,1998).The Association of American Medical Colleges, the Accreditation Council for Graduate Medical Education, the American Association of Colleges of Nursing suggested that the graduates must  consume enough k    right offledge in interprofessional collaboration (Varkey, Reller, Smith, Ponet,  Osborn, 2006). Varkey et.al (2006) also pointed out that there should be enough cooperation  among the various professionals in healthc atomic number 18 field for the winner of this profession. But unfortunately this fact is not included in the curriculum of the different medical schools in USA. Inter professional teams  ar more effective in rehabilitating the patients than individual health  pity professionals. The number of patients having positive impact by the inter professional service is larger than those by individual service providers.A very strategic role played by nurses is highlighted now. The nursing tutors face the dual challenge of preparing their students enter into nursing profession as  wholesome as equip them to cooperate effectively with other health practitioners (Lattuca, 200lNewell, 1998).An interprofessional team is working to provide service in a properly planned and  organized    manner. In the health care sector inter professional teams are meant to develop groups that works towards efficiently rendering care to the patients. These teams include nurses, doctors, and other health care professionals. For a team to be efficient role clarity to inevitable and this will help them define their own duties and responsibilities avoiding conflicts (West and Markiowicz, 2004). A team fundamentally will have a team  prefaceer who will lead the team and motivate them to render good service working together (Martin and Rogers 2004). A health care team will work effectively if there is stability in the team, this will make the team member in the group work with shared trust and understanding (West and Slater (1996) Gair and Hartery, (2001)).Interprofessional teams are of various types, they include multidisciplinary, interdisciplinary etc. In case of multidisciplinary teams the members are from various teams. These members set their own discipline specific goals and work    towards achieving it. But ultimately the result is calculated as the total of all the disciplines (Dean and Geiringer 1990). The position of team members in the team hierarchy will affect the way in which the team functions and how it will render the service (Cotts, 1998). In case of a multidisciplinary team there  dwell subgroups of doctors, social workers, therapists and also subgroups which had nurses and other  lowly staff. Her study also unveiled the idea that the different subgroups had different perceptions about the inter professional teams.Inter professional team work is highly essential in operation theatres and intensive and trauma care units. Since these are the emergency units of a hospital the situation of such units cannot be predicted and thus highly challenging. The interprofessional team may have to work highly efficiently and together. There exists a high rate of tension and  speech pattern in the team members in such emergency situations.According to McWilliam et    al (2003), interprofessional working is a very difficult task for health care professionals. The patients didnt get the full benefit of interprofessional working due to the misunderstanding between the health care professionals regarding the policies and procedures in it.Mistreatment of elders is a serious issue and its growing day by day. It is the responsibility of nurses to identify and prevent such occurrences (Baker  Heitkemper, 2005). The nurses have a variety of roles to play in an Inter-professional elder mistreatment team. At present the roles involve screening and assessment,  requisite reporting, direct care, and complaint investigation. Elder mistreatment (EM) is a very complicated issue and can be effectively solved through inter-professional association.Critics  uniform Bion (1961) say that the interprofessional teams  die to focus on the real task they should be doing. The primary tasks for which they have come together is forgotten most of the by the interprofession   al teams. Whenever there is an issue the teams to  become to reach at a consensus and they do not take proper decisions on the issue (Strokes 1994). The meetings conducted in order to take decision on the  social occasion are just a waste of time. These assumptions are based on the work group mentality theory. Critics of interprofessional team have questioned the values of the team. It is said that the teams are not well managed and they do not work properly and responsibily.Negotiation theory puts forward the perspective of negotiating the personal and professional goals. (Strauss, 1978) The negotiations by professionals in the health care field have played a critical role in molding the characteristics of an interprofessional team. Loss and change theory reiterates that the health care professionals like doctors and nurses lose their professional identity as they are working in a team, this will lead to developing an improper relationship and improper  appearance in the team (Atki   ns, 1998). Thus it critically points to the inter professional teams in that it wouldnt serve the purpose of forming a team the unhappiness of the team members can lead to inefficient functioning. The increase of cost in hospitals will also result if there is lack of proper communication between the professionals like doctors, nurses and staff and also if they are not coordinated well (Gavett, Drucker, McCrum and Dickinson, 1985).The roles played by nurses in the interprofessional teams are fast evolving. The importance of specialist skills for nurses is now recognized and new role have come up. The Macmillan nurse is an example of such new roles and they possess skills in palliative care and are expected to look after patients with  destination illness. Another group called night practitioners literally run the hospitals at night. They are skilled to assist any department and are sometimes considered better than junior doctors too (Martin  Rogers, 2004)While working in an interprof   essional team, there is an increased chance of conflict between the team members regarding the superiority in the team. The truth is everyone is equal  trance working in a team and nobody should themselves subordinate to anyone. But sometimes the nurses and their opinions are ignored in an interprofessional team. Such events makes them reluctant to be a part of such teams (Martin  Rogers, 2004).Task shifting is a common practice among the professionals now days (Reeves et.al, 2010). This would help the traditional professionals to relieve of their heavy workload. The nursing practitioners and  atomic number 101 assistants are such roles (Hooker  McCaig, 2001).The multiplicative effects  set of interprofessional working views it more than the sum of its parts. Here the synergy obtained from such work is described (Leathard, 1994). According to this model, interprofessional working improves the contributions of individual team members and thus will help in the overall development of t   eam. finis making is an essential in ingradient of all teams it measures the efficiency of the group. Decision making in case of an interprofessional team also play key role deciding its service delivery process. The usual situation that happens in such teams is the unavailability of proper team leader and also reaching at a common consensus. The decision taken in team has the idea  foreplay all the members that needs to driven well in one direction for increasing effectiveness of the work the team does. Most of the important decisions concerning the activities of the team are taken mostly by the Doctors, or the medical staff in an inter professional team in hospitals. Solving important problems and resolving conflicts are the aims of masking decisions (Neil, 1978).There are a few hindrances for nurses to be part of interprofessional teams. The health care sector has shortages or less number of nurses, and those nurses who are  lendable have increased amount of work. As a result of    which there is a limitation in case of inter professional support and collaboration (Mckay  Crippen, 2008). Another barrier that can be highlighted is the disinterest on the part of other departments to participate and actively involve in the team and work together. The  gloss and hierarchy of the organization also plays a role in the formation of teams in the organization.According to Henneman.et.al (1995) Collaboration involves a partnership characterized by mutual goals and commitments in which participants willingly become involved in planning and decision making. Henneman.et.al (1995) also proposed that collaboration is a process by which members of various disciplines (or agencies) share their expertise. Accomplishing this requires these individuals understand and  assess what it is that they contribute to the whole.Many authors have suggested ways to make the intercollaboration more effective. According to Fullan (1993), effective collaborations operate in the world of ideas,    examining existing practices critically, seeking better alternatives and working hard together at bringing about improvements and assessing their worth. The National Network for Collaboration (NNC) put forward a frame work for effective collaboration and advocated that it should possess a common vision, problem, a desired outcome etc. NNC also pointed out that the members of the collaboration must share this vision and contribute equally. The NNC sees collaboration as an inclusionary process which should be constantly engaged and must strengthen the commitment and must identify that relationship  makeing and maintaining is the key factor for the  victor of collaborations and they must try to sustain a win-win relationship. According to Garner (1995) and Hoeman (1996), it should be by means of collaborative communication rather than shared communication that the interprofessional team approach evolves.Efforts were made from the part of many authors for increasing the literature on i   nterprofessional education for health professional students. But Cooper, Carlisle, Gibbs, and Watkins (2001) pointed out this literature to be  divers(prenominal) including a relatively small amount of research data and much larger amounts of evaluation literature. There were almost thirty works done on interprofessional education and all of them aimed to increase the level of co-operation and understanding between the members in interprofessional teams as well as to encourage a high quality care for the patients.There are a number of social science theories that explain the concept of interprofessional team work. Merton (1968) put forward theory in three modules. They are the micro, mid range and macro theories. The social sciences approaches that come under these three groups includeMicro psychodynamic perspective by Bion, Menzies, Marris,social psychological perspective by Tejfel and Turner, BrownInteractionism by Goffman and straussAll the above approaches that come under the mi   cro group are of the rational type that consolidates the team functions, identities and interactions.Midrange  Activity theory by EngestromInstitutional influence by DiMaggio and PowellProfessionalization by FreidsonThese three approaches or theories are processual, organizational and contextual. Their task is to understand team activities, relation and performance, the relations between professions respectively.Macro Discourse theory and surveillance theory by FoucaultThey are of the contextual type that deals with the impact of society and social interaction of with respect to the interprofessional team work.There are a set of models supporter by theories that help provide the inter professional education well in the health care sector that enables the health care professionals perform well and deliver quality service. These models are whilst behaviorism, cognitivism and constructivism (Schunk D 2003).I will working for the betterment of the service provided to a patient using the    things I learned. Working in an interprofessional team is has made me get involved with the Doctors and other professional in the field and has helped to build a strategy that elevates the level of service rendering process. As a nurse am able to act in the  salutary way a right direction in case of any emergency and otherwise. From now I will be able to put into practise the concept I learned.The model that I would use is the Kolbs model of reflection. It is a process whereby, individuals, teams and organizations attend to and understanding their experiences and consequently modify their behaviour.The model mainly has 4 important aspectsExperiencing  means  very doing the task and experiencing the whole process.Reflecting- in this step the work is reviewed in terms of experience and the real process.Conceptualisation- here the various important occurrences and tasks are analysed and their connections among the events are noted.Planning- the events that have been understood will be    analysed well in order to envisage the occurrences in future. This will help to prevent any improper events happening and build a proper strategy to do the next task.The Kolbs reflection model if one of the best models for teams. In case of a team there are aspects likeDoing- same as experience, where the team does the task or the action.Reflection- after the action, the team members openly discuss the whole process and share their views and experience.Interpretation- the members of the team now work with common identity and culture and as a team by leaning behind individual interests.Planning- in the final step team works according to the joint decisions and plan out ways to committing the action.Finally I would say that in any sector especially the health care there is an elementary requirement of having an inter professional team. The team in all ways will help in providing superior service since the decisions are taken as a team and under common grounds.  
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