Collaborative working within the area of adult nursing

Collaborative works inwardly the bea of adult treatFor the revolve about of this essay I will be discussing the concept of cooperative works in spite of appearance the professional atomic number 18a of adult nursing. This essay will attend the definition and rationale of collaborative working, a sm every last(predicate) introduction to nursing and how coaction is applied in this area of deal out. It will conclude by examining the influencing factors and outcomes of collaborative working in nursing practice.McCray,( 2007) defined collaboration as a respect for opposite professionals, divine service users and their skills and from this starting point, an agreed share-out of authority, responsibility and resources for specific outcomes or actions gained through cooperation and consensus (Hornby, Atkins, 2000). Collaboration may also be seen as a procedure by which associates of different disciplines go their skills and expertise to declare bingleself a better quality service to unhurrieds, clients and the service user. (Hughes, Hemingway Smith, 2005).As stated in the Nursing and Midwifery Council take ins must pass on the people in your contend must be able to organized religion you with their wellness and welfare NMC (2008). The role of a nurse is ever evolving, capacious and highly complex. To implement the position of a nurse in a infirmary environment you must also retain a self-propelling contact between your working environments and accompanying health charge professionals. A nurse is not merely an onlooker but an activist who believes their active betrothal is required to generate an cleansed delivery of healthcare to each persevering, whilst operate as part of a team up (Baillie et al, 1989).The Nurse- forbearing relationship has been referred to as the midsection of all healthcare, as well a critical link between patients and opposite healthcare professionals (Berger Brinkman-Williams, 1999) A nurse do works an signifi cant part in patient care, and is oft the primary care giver and accountable for the admission, care contrivening and assessment of the patient. Their role is vital, and their discourse is practically a rudimentary link amongst other members of the multidisciplinary team.Working collaboratively in nursing involves interaction of sundry(a) group or organisations to achieve a common goal, which normally in the health care setting is the well being of the patient. As a consequence of problem solving, open, flexible approach to the roles and tasks of individual team members provide a more patient localizeed healthcare. Mutual respect and blaspheme is crucial in relationship building (Kenny, 2002).In nursing it is infixed to remember that the delivery of holistic care ofttimes involves the collaboration of other health care professionals, therefore this concept should be encouraged in order to facilitate the delivery of positive patient care. The G everywherenment recognises thi s and In 2001 The part of Health (GB brawl) published a strategic framework for womb-to-tomb skill for the NHS, Working together, Learning Together Learning and development are key to delivering the Governments vision of patient centred care in the NHS. The plan of womb-to-tomb learning is ensuring that the workforce, and organisations they relay to, and work in, can attain more companionship and skills, equally to appreciate their potential and to assist changing things for the better. Lifelong learning is ultimately related to supporting the NHS workforce for the future and collaboration could play a major part in making this framework supremacyful. DOH ( 2001)Collaborative working in health care is often referred to as interprofessional working (IPW). Rationale identified for collaborative working is the ability to supervise with the problems that often exceed the capacity of any one profession (Hughes, Hemingway Smith, 2005). Barr (2000) suggests the success of interpr ofessional working rests upon each professional developing their individual identity and skills, hence auctioning them. Positive collaborative practice, sharing valuable experience and expertise could im assure takes of job satisfaction (Kenny 2002)It is not probable for each person to be successful at everything, however if professionals can distribute their knowledge, experience and expertise in the subject that they are most excellent in, this will in turn convey a multiple of skills combined together whilst assisting in confidence building and problem solving. Ultimately the consequence should allow the patient to contribute in producing a comprehensive and broad care plan that will meet their every need. Laidler (1991) addressed this issue by recognising a professional will need to feel confident in their induce specific role in order to share their knowledge and expertise amongst a multiprofessional team.Standards have been set by the NMC to safeguard the welfare of twain the patient and the nurse. These standards recognise that the nurse must work with others to protect and sanction the health and wellbeing of those in your care, their families and carers, and the wider community (NMC 2008).It has been said that to fully look the place of the nurse in the multi professional team you must starting time understand the role of the nurse (McCray 2009). As the health care trunk expands and changes rapidly, the role of the nurse also changes, however the well being of the patient must at all times remain the main focus. A dedicated nurse will strive to develop effective relationships with other professionals, e special(a)ly when the care of a patient is the core focus. Collaborating effectively is often vital in the achieving a holistic healing process, this involves nurturing the patients biological mental and social needs.Patient centred care (PCC) is a widely used prototype in the modern health care system it places the patient at the centre of all care. PCC improves continuity of care and integration of health care professionals collaborating on behalf of their patient. (Pence, 1997)To be able to give a patient the stovepipe possible care it is imperative to work along place other health care professionals, always respect skills, expertise and contributes of your colleagues. (NMC 2008) To employ this it is believed that nurses should have a mutual respect for all team members and that their significance is deemed equal, when contributing in team practice. Professional relationships can be classified as special created on arrogance and interdependency (Atwal, 1999) However, this may at times prove difficult as research has suggested that one of the barriers in collaborative working is unlikenesss in status, hierarchy a common term used. Surgeons and doctors have been describe in certain circumstances as being unapproachable which a great deal inhibits other professions expressing their opinions (Atwal, 1999).An exampl e of effective collaborative working may be a patient who is to be discharged following an admission to hospital having suffered a horrific stroke. The stroke affected his right side, leaving him with severe expressive and perceptive dysphasia. The Nurse in charge of the care and wellbeing of the patient would collaborate with other health care professionals, such as doctors, occupational therapists, physiotherapists and speech therapists In order to fully assess the level of care he may require on discharge, and provide a gradual return home. This would prove beneficial, since the patient has mobility and discourse problems, so antecedent to discharge the patient will require physiotherapy, speech therapy and possible adaptations to the family home. Maintaining good professional relationships is imperative amongst not only other health care professionals, but also the patient and family members. (Molyneux 2001)In this example effective collaborating ultimately had a positive imp act on the successful outcome, offering a good service to the patient involved.However, the ideal concept of effective collaboration is not always recognised. There is a vast array of literature which suggests that collaboration may not always have positive effects, and often Interpersonal conflict can just abouttimes occur, for a number of diverse reasons, around being old team members replaced by new team members, ply issues, time management, funding and brusk communication skills. Effective communication is a crucial ingredient in working collaboratively, and evidence suggests that poor patient care is often the result of lack of communication, and often results in the failure of high-quality services offered to patients (Stickley freshwater, 2006). To be able to demonstrate collaborative working, it is at times essential to be open minded and co-operate with changes in policies. So often the process of change is viewed as something which is negative and fearful. In practi ce, some changes are very welcomed, some are unavoidable, some must be endured and still others are used to propel the individual towards something better. (Newson 2007)A difference of opinion might occur for example in the case of lung crabby person patient, doctors may perhaps wish to treat a lung cancer patient, heedless of the handling being a success, and the course of action producing debilitating side effects whilst, nurses on the other hand may perhaps, consider the results of treatment to be so unbearable they far outweigh any improvement this may perhaps result in situations becoming complicated. West and slater (1996) expressed that a difference in priorities, between healthcare professionals could once in a while cause barriers in effective collaboration. It is believed that a nurse adopts a holistic approach to patient care, whereas a doctors approach towards a patient may be predominately medically (West and Slater, 1996).Over the year many strategies devised to o vercome the problems presented in collaborative working have been suggested, yet they still have not obtained a solution to the continuing difficulties identified by the members experiencing them (Molyneux, 2001). In some cases the simple lack of clarifying responsibility, role expectations, accountability and poor communication can have a detrimental effect on patient care (Taylor, 1996).In order to construct a successful collaborative relationship it will require excellent communications skills. This allows the development of trust which in turn may benefit the patient in the holistic care they receive. As previously discussed there will always be factors which influence the outcome of working collaboratively in nursing, whether they are positive or adverse as long as the patients health remains the focus then(prenominal) in nursing we will progress. If however, communication is blurred then collaborative working may not be performed and this may weigh on the care the patient ma y receive. (Goodman Clemow, 2008).In conclusion condescension the increased focus and determination of professional organisations and Governments the persistent difficulties in collaborative working is still extremely apparent and continuing DOH (2003). It is suggested that power inequalities, ideological differences and the recognition of the value of each team member are identified obstacles the qualities required are apparent and widely discussed yet over the years collaboration still remains extremely problematic passim the healthcare sector (Kenny 2005).The claim that collaboration is crucial to success is one that is echoed in the proverb that two heads are better than one conversely it is also said that three is a crowd, however, in the instance of collaborative working, many professionals working collectively can generate new abilities, extensive knowledge and understanding. (Hughes, Hemmingway Smith, 2005).While collaboration is a popular method, and is being increasin gly used in professional education, it seemingly uncontroversial concept it often is difficult to implement. How does one successfully collaborate with individuals in other departments within the same organisation? Why it may be examined after all these years are the professionals not getting it right, it has been recognised by Department of Health that collaboration plays a critical part for individuals working within an organisation and government policies are increasingly aiming at improving present-day(prenominal) practices to the advantage of the patient (DOH, 2003).Alone we can do so niggling together we can do so much.(Helen Keller in Jason Harvey 2010)