Interprofessional teams are a crucial aspect of patient outcomes in the Medical Intensive Care Unit. Each patient is complex with different needs, from their health history to their social history. In the MICU, the interprofessional team can consist of any combination of the following: physicians, nurses, social workers, case managers, dieticians, pharmacists, physical therapists, respiratory therapists, and palliative care. Together, we work to achieve the best possible outcome for the patient. One aspect that can be improved on is communication between team members. Using the components of the iCARE model, we can improve our communication thus improving patient outcomes. Compassion is an essential trait for nurses, especially those working …show more content…
The ICU can be a physically, mentally, and emotionally taxing environment for all and it is important for us to show empathy and grace towards our colleagues as well as our patients and their families. “A component of working with compassion is our ability to empathize and understand the emotional states of our patients and visitors; however, in order to perform our duties, our own emotions need to be placed ‘on hold’.” (Highfield, J., 2019) One way that we can show compassion for others is to take time to acknowledge each other’s feelings as well as our own. When we bottle up emotions they have a way of festering into depression, resentment, and anger. Taking the time to talk things out with our colleagues and listening to our patients and peers allows us to form bonds built on trust and compassion. Advocacy is one of the core elements of the nursing practice. Using active listening to listen to patients and their families' concerns to advocate on their behalf is one of our primary functions. Active listening also enhances interprofessional communication. One example of this is the use of closed-loop communication during …show more content…
Evidence-based practice is one of the cornerstones of nursing practice. EBP allows healthcare providers to deliver appropriate, effective, and most importantly, safe care. In the ICU setting, the nurse leader can form a team of nurses to present the latest EBP on various topics concerning the ICU. Once a month, this team can present its findings to the rest of the nurses, applicable administrators, and the interdisciplinary team. To better foster interdisciplinary relationships, the EBP team can collaborate with a different discipline each quarter during the year. This practice will benefit the patient in that their care will be influenced by the most up-to-date practices and theories. Compassion, advocacy, resilience, and evidence-based practice are each a pillar of nursing care. When these pillars are applied to interprofessional teams, patient outcomes are improved. By using active listening, we can provide compassion toward others and advocate for our patient’s needs. By acknowledging the feelings and needs of our colleagues and patients we can bolster resiliency. And by using EBP we can ensure safe and effective care for our patients as a
Communication in the operating room is very important. If surgeons and nurses are not communicating effectively it can directly affect the quality of patient care and safety. In 1999, the Institute of Medicine (IOM) issued a report, To Err is Human: Building a Safer Health System, which estimated the fifth leading cause of death in hospitals in the United States was due to health care errors (Mason, Gardner, Outlaw, Freida, 2016). To help reduce these errors, effective communication needs to be exercised throughout health care.
An example of the importance of interprofessional training is that when a physical therapist works with a patient in the hospital. If the patient is in too much pain or is sleepy from the medication the physical therapist will not be able to accomplish much. However, if the physical therapist contacts the nurses beforehand and informs them of the time he will arrive to work with a patient, the nurse could make accommodations. This would allow the patient to accomplish the physical therapist’s intended tasks for the day and the patient’s recovery time could decrease exponentially. Many patient’s care relies on their health care team effectively cooperating and acting as a cohesive unit for the patient to experience optimal
Crabtree et al. (2016) state that EBP can positively impact the cost of care while still maintaining high-quality services. For example, implementing evidence-based interventions such as early discharge planning or reducing unnecessary diagnostic tests can reduce costs without compromising the quality of care. The success of EBP in reducing costs is demonstrated in a study on the EBP Nurse Scholars course, which increased nurses' confidence in critically reviewing literature and improved their EBP skills, resulting in increased use of EBP resources in clinical practice (Crabtree et al., 2016). By utilizing EBP to implement cost-effective interventions, healthcare organizations can reduce the overall cost of care while still providing high-quality services, supporting the Quadruple Aim in
Collaboration among health care professionals is defined as assuming complementary roles and cooperatively working together, sharing responsibility for problem solving and making decisions to formulate and carry out plans for patient care. (Fagin, 2008). In any field of health care where physicians and nurses interact with one another for the purpose of quality patient care, it is vital for them to work together as one and understand the needs of their patients as well as each other’s roles and responsibilities. In short, teamwork should prevail for excellent patient service. Therefore, being in full partnership as a nurse with the physician and other healthcare professional is another recommendation that is applied by the RWJ-IOM report.
Evidence based practice (EBP) is a process of integrating high quality evidence into practice or care provided by health professionals and decision makers in health care. This discussion will explore the meaning of the term Evidence Based Practice further and discuss its origins. EBP requires finding the best available evidence to inform practice, its greatest benefit being the best possible care for a client. Other benefits and limitations will be further discussed below. EBP demands the client be seen as an individual and their unique circumstances be considered in the application of evidence
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
As a nurse I am viewed as my patient’s spokesperson and I advocate for them. This is a role I take very seriously as in critical care a lot of my patients were unable to communicate. Kieft, et al. (2014) stated to be a successful
I strive to maintain open and transparent communication channels with all members of the healthcare team. This involves active listening, sharing relevant information, and providing timely updates regarding the patient's condition and progress. By fostering a culture of collaboration and information sharing, we can make informed decisions, prevent misunderstandings, and provide the best possible care to individuals. Additionally, I actively seek opportunities for professional development and continuous learning.
Proper communication skills can decrease stress related to the miscommunication of ideas. It has been shown that “communication plays a key role in the diagnosis, care and treatment of patients” (Khademi et al., 2021). Continuing with the angry family member scenario, the nurse should encourage the family members to express their feelings and the nurse should acknowledge what has been discussed. This shows that the nurse is displaying positive, interpersonal communication by providing compassion and active listening.
High quality, accessible, and patient care which is considered to be patient-centered is crucial for quick and quality recovery (Wilkinson, 2012). Plans require visions that involve the creation of interprofessional competencies by students who are planning to take up nursing as their profession. Providing such skills to students will ensure that they get into the workforce ready to engage in the effective creation of teamwork and even team-based care (Eastman, 2010). My current station of work is an example where continuing competence is to build on each professional nurse. They are expected to engage in interdisciplinary collaboration so as to ensure best practices are adhered to.
Barrier recognition is the first step to overcome the barrier to deliver evidence based practice. Group discussions can be organized to overcome organizational barriers and insights and opinions of emergency nurses can be taken into consideration to develop strategies. Nurses must be educated regarding the positive patient outcomes when evidence based practice is implemented (Bernadette, 2002). Encouraging case scenarios and initiating logical questioning to assist emergency nurses to understand the benefits of EBP.Basic skills to access Evidence based research and the process of EBP must be taught to all nurses. Organisational culture change needs to be initiated.
The range of different knowledge, skills, and experiences can enrich the team toward better outcome (Cherry & Jacob, 2015, p. 301). Collaboration has become very important in health care system to manage complex and chronically ill patients. Even though, interprofessional teamwork has shown positive outcome to maintain a quality of care, such as decreasing error occurrence, length of stay, and mortality rate; however, the positive outcome depends on the effectiveness of the team. Agency for Healthcare Research and Quality (AHRQ) and the U.S. Department of Defense has developed a program TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) to improve the communication and skills to increase the effectiveness of a team (Cherry & Jacob, 2015, p.
This situation presented an unresolved conflict between myself and the vice principal in my clinical placement. This conflict can be linked with the nursing concepts of interprofessional collaboration and communication, role clarification, and power. Therefore, it is understandable that nursing students working within an interprofessional team that does not demonstrate respect and understanding will result to ineffective care, health promotion delivery, and impede professional development. Interprofessional collaboration amongst health and non-health professionals is integral in optimizing health outcomes and promoting health.
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
The overall goal of a nurse is to be able to provide high quality patient care. As a student nurse, I need to be able to develop the skill of active listening to improve my patient interaction and overall patient experience. Through Driscoll's (2007) reflective framework, I have actively identified an area of communication that I wish to develop, which is active listening, and the impact it will have on my role as a student nurse. The what?