Interprofessional Practice.

PLEASE RESPOND A PARAGRAPH EACH FOR A READING AND THIS WILL MAKE ONE PAGE Week 5 Discussion Interprofessional Practice For at least two decades, healthcare leaders have described collaboration between providers as essential for efficient and effective care delivery (Bankston & Glazer, 2013). Interprofessional collaborative practice has been defined as a process which includes communication and decision-making skills that enable the influence of grouped knowledge. Elements of collaborative practice should include responsibility, accountability, coordination, communication, autonomy, and respect. Interprofessional education (IPE) occurs when members of more than health or social care profession learn interactively together, for the purpose of improving interprofessional collaboration or the well-being of the patient (Reeves, Perrier, Goldman, Freeth, & Zwarenstein, 2013). Nursing Organization The American Nurses Association article said that the institute of medicine has provided considerable evidence of the positive impact of interdisciplinary collaboration and teamwork, but the ability to collaborate consistently continues to be a problem. In Kansas there are multiple universities that have begun CHP IPE programs that were developed in response to the recommendation of the Institute of Medicine. The programs are intended to meet the national guidelines and standards for interprofessional healthcare. As a NP student I have seen this definition is the setting I am in. There does need to be collaboration between the NP and the physician. So far I have noticed only respected conversations and collaborations between the health care providers, but I know that this will not always be the case in situations. There is a shortage of physicians in this rural area, so most of the providers are very thankful to have the help and collaboration with the NP. There has been a huge increase in demand of NPs in this area. Case Study In this case study is shows on of the issues of not follow interprofessional practice. There was failure to communicate between the providers for this patient. It does not seem for either provider that they showed mutual respect in this case. The nurse practitioner should have followed the treatment plan, unless there was an issue of safety for the patient. Communication with the physician when he returned could have enabled them to discuss the issues that the patient was having at the time. I also feel that the physician should not have told the patient about how he did not like the care that the patient got from the NP. This definitely shows a lack of respect on his part. Both providers needed to communicate and realize they are on a team to provide the best care to the patient. References: Bankston, K., Glazer, G., & J. (2013). Legislative: interprofessional collaboration: what’s taking so long? The Online Journal of Issues in Nursing, 19(1). Retrieved from DOI: 10.3912/ojin.vol18No01LegCol01 Buppert, C. (2015). Legal scope of nurse practitioner practice. In C. Buppert, Nurse practitioner’s business practice and legal guide (pp. 37-78). Burlington, MA: Jones & Bartlett. Reeves, S., Perrier, L., Goldman, J., Freeth, D., & Zwarenstein, M. (2013). Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Library, (3), 1-45. Retrieved from DOI: 10.1002/14651858.CD002213.pub3 nterprofessional Practice Case Study: Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patients meds and discontinues medical cannabis. She orders the patient to follow up in two weeks. The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis. This weeks case study illustrates the difficulties and weaknesses of an interprofessional collaboration. Most states require a collaborative or supervisory process between the nurse practitioner and the physician, 19 states do not (Buppert, 2015). The nurse practitioner must follow the recommendations by the state code. Collaboration is defined as the process between a physician and nurse practitioner in which the nurse practitioner delivers healthcare services according to the scope of practice as defined by the codes of that state (Buppert, 2015). Another more definite definition (promoted by the American Nurses Association) is a dynamic, transforming process of creating a power sharing partnership for pervasive application in healthcare practice, education, research, and organizational settings for the purposeful attention to needs and problems in order to achieve likely successful outcomes (Bankston & Glazer, 2013). Issues that may have a negative effect on the collaborative process are that of gender (physician being male dominated, and nursing being female dominated) and hierarchy (physician vs, nurse) (Bankston & Glazer, 2013). Another issue which is a barrier is the lack of understanding of the NPs scope of practice on the part of the physician (Hain & Fleck, 2014). The training is not the same, but we can work together to ensure all aspects of healthcare are addressed and positive outcomes for the patients are achieved (Hain & Fleck, 2014). For effective and positive collaboration there must be mutual trust, respect and the freedom to perform within scope of practice (Bankston & Glazer, 2013). In the case study,mistakes were made by both the NP and the physician where their actions did not illustratemutual respect or trust. The NP should not have changed the physicians treatment plan unless there was a safety issue which she should have discussed with the physician, and the physician should not have relayed to the patient his dissatisfaction with the NPs care. In order for the patient to trust and value the care that they receive, the patient must feel that the health care team is, in fact, a team. References Bankston, K., & Glazer, G. (2013). Legislative:Interprofessional collaboration: what’s taking so long? The online journal of issues in nursing, 1-4. Buppert, C. (2015). Legal scope of nurse practitioner practice. In C. Buppert, Nurse practitioner’s business practice and legal guide (pp. 37-78). Burlington, MA: Jones & Bartlett. Hain, D., & Fleck, L. (2014). Barriers to NP practice that impact healthcare redeisgn. The online journal of issues in nursing, 19(2).

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