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Patients are represented by healthcare practitioners not as sole providers, but as multidisciplinary teams. Nurses, primary care doctors, and experts are involved in these teams. Ideally, every worker on the team works together for the shared purpose of improving the health of the patient and delivering the best quality of treatment possible. As Wayne Robson, the Barnsley Hospital Foundation Trust patient protection and efficiency lead, reveals in a piece for Nursing Times, health care coordination significantly affects the happiness and outcome of the patient. (Salmond and Echevarria, 2017).
They will provide a more personalized quality of treatment as nurses interact frequently with the doctors and therapists of the patient. Organized coordination strategies allow nurses aware of their existing care activities, so that they can reliably track the success of their patients.
They can assess patients more objectively as multidisciplinary teams collaborate regularly. Nurses are also conscious of minute information that busy doctors might forget in their rushed rounds, due to their constant regular contact with patients. Nurses will ask thoughtful questions and offer constructive observations on the right way to handle patient treatment as teams have chances to collaborate regularly (Kalisch B.J. et.al, 2018).
From long working hours to elevated conditions, nursing professions can raise potential challenges. To escape future burnout, practitioners in this sector need to retain a high degree of work satisfaction. A survey that found that nurses that are more pleased with their work offer better treatment was published by the International Journal of Studies in Medical Sciences. A study report by the Society for Human Resource Management showed that greater career satisfaction is directly correlated with teamwork.
Employees became more pleased with their employment at hospitals where registered nurses, certified clinical nurses, nursing assistants, and unit secretaries served together. Research by AM Rafferty, CBE, FRCN, of more than 10,000 nurses in England, reported in an NCBI survey, showed that those who scored high in their interdisciplinary teamwork were more likely to have high job satisfaction and lower burnout. They can be satisfied with their everyday work duties when nurses have access to coordinated teams with organized lines of communication. It has been shown that creating good teams in the workplace leads to a more fulfilled workforce that impacts favourably on both co-workers and patients (Salmond and Echevarria, 2017).
In medicine, teamwork leads directly to transparency. Regular huddles reinforce this by having nurses in the know and enhancing protocol and process updates. According to the Nurse Journal, transparency suffers in hospitals and other healthcare settings where team huddles are conducted less commonly. In a smaller scale, nursing responsibility will also benefit from coordination. Usually, nurses that have diligent managers in their staff or partners who check and review their job have more obligation. Among these departments, structured contact chains help efficiently convey patient concerns or events to those in a position to make substantive improvements.In the healthcare sector, where failures can have a drastic effect on patient conditions, this is important.
Collaborative working: Challenges and Strengths
People, units, organizations and departments can work in collaboration. Collaboration is not permanent and is subjected to change depending on the surrounding circumstances. Collaborations are usually a result of people or organizations with special skills which others don't have. People in collaboration share a similar goal. It also acts as a motivating factor. In order to increase productivity in the existing competitive world, it is important to encourage creativeness. Working in collaboration helps in increasing the productivity of the task. Based on researches and studies it is evident that medical care is rather a complex body with limitations on the performance of humans(Salmond and Echevarria, 2017). It is crucial for clinicians to have communicative tools in order to produce an setting in which insdividuals are able to express their concerns. In order to work productively and effectively, collaboration among people and units are required. Working in collaboration should encourage people to ask questions and share ideas among them as well as concerns. They should also be able to discuss a solution to the problems faced by them. Every member of a collaborative team should be given a chance to explore his or her strengths and potential. This helps in optimal patient care and providing satisfaction to the patient. The members of a collaborative team should be well acquainted with their tasks and their roles and should have complete knowledge regarding the care process (Kalisch, B.J. et.al, 2019). This knowledge helps in taking advantage of every team member's skill by setting an essential framework which guides them. Working in collaboration rises the clinical climate, improves workplace satisfaction and also staffing retention soars. One essential want of every member of the collaborative team is the requirement of their ideas being valued. Increasing workplace satisfaction also results in positive patient care experiences.
Collaboration takes place when two or more people or in fact a group work hand-in-hand to achieve a common goal here the goal being, patient care.
Strengths of Collaborative Team Working
Brainstorming- working in collaboration helps an individual to come in contact with other members of his / her field with a common agenda or goal. The members of the group work towards their common goal by brainstorming ideas, thinking through and providing different perspectives. The mixture of ideas and perspectives from different people help in the achievement of a goal (Salmond and Echevarria, 2017).
Providing Value- a sense of purpose is acquired by the team members while working towards their common goal. A common goal or agenda gives the team members a sense of belongingness and even the reason and strength to work together hand in hand. This also gives health care providers mutual benefits and even provide assistance to them.
Equal Partaking- working in collaboration provides every member with equal opportunity to participate and communicate their concerns and ideas with other members. It also helps them value their ideas and also ideas of other people in the group. Working in collaboration also increases the efficiency of the individuals (Kalisch, B.J. and Lee, K.H., 2010)
Promotes Self-Analysis- working in collaboration makes an individual clear about their competencies. It also helped them explore themselves and realise their strengths and weaknesses. Working collaboration basically serves as a mirror which shows the plus as well as minus points of an individual to himself or herself. Since two heads are better than one working in collaboration helps in filling the gaps.
Problem Solving - when a number of people work in collaboration they come up with different solutions to a particular problem which is faced by each one of them. This helps in efficient problem solving and hence productive working. When a problem is faced by nurses working in collaboration, everyone indulges in finding the solution for the problem. When different perspectives, knowledge and skills are mixed together it creates a pool of talents which produce amazing solutions to the problems (Salmond and Echevarria, 2017).
Bigger Picture - working in collaboration enables people from different backgrounds to work together. Working together helps them resolve their differences and worked in a complimenting way which benefits everyone in the group (Kalisch, B.J., 2007). Since collaboration helps in learning it is an indirect way of growth and development for nurses. It enhances the capacity of a person to go beyond his or her comfort zone and reach new heights.
The pooling of Talent and Strengths- working in collaboration narration the skills and knowledge of every person in the group. For example, suppose oneness struggles with giving injections, she can be assisted by another in this task and carry out this task efficiently. a collaboration that is effective will help its members to share their talents and find the most optimal solutions for every problem. It will also help in providing the best care to the patients to their utmost satisfaction (Salmond and Echevarria, 2017).
Development of Skills-working in collaboration is beneficial for nurses as well as the patients. Interaction between the collaborative team members promotes the sharing of ideas, brainstorming, negotiation as well as operation. It even helps in carrying out the tasks efficiently. Working in collaboration increases the productive capacity of the members. Collaboration gives chance to members to recognize their strengths and weaknesses and work on themselves for improvement and enhancements.
Speed up Solutions- working in collaboration also helps in increasing the brainstorming power of people and hence coming up with favourable solutions for the situations faced by nurses. For instance, if a problem takes 2 hours to solve, working in collaboration might reduce the problem-solving time of less than half. Solutions from different perspectives help open doors to multiple ideas which can be highly productive ( Al Sayah, F et.al.,2017).
Increased Efficiency- working in collaboration also increases the efficiency of the group members. It helps them complete the tasks assigned to them efficiently. When a number of individuals work on a single task the results can be highly productive.
Job Satisfaction- working in collaboration also provides job satisfaction to all the members. Collaboration adds values to a way a person perceives his or her job. Collaboration also promotes team spirit. Healthcare employees will be encouraged to work for a longer time when they have strong ties with the people around them. Collaboration also promotes a feeling of belongingness in the staff (Chen et al., 2020).
Increased creativity and out-of-the-box thinking- great innovation is one of the most celebrated strengths of collaborative working. It brings together people from different backgrounds and contrasting skills by engaging them in the same task. This helps in getting creative solutions as well as out of the box thinking. It helps in getting different perspectives from people belonging to different backgrounds. Working in collaboration helps a person explore their creativeness and put it to write use. If any problem is faced by anyone there will be several solutions for that one problem and hence obstacles can be overcome easily (Kalisch, B.J. et.al, 2013)
More flexibility- working in collaboration also provides the members with flexibility. Being aware of skills and opinions one can adopt two different situations easily without any e hesitation or problem. This is the result of collaborative working which is formed by mutual support and respect for each other. Everyone in the group should have a positive attitude which is counted as a positive point for a productive task. Increased learning possibilities: working in collaboration open doors to learning. Being exposed to skills and knowledge one person is able to experience all of these things and adapt to their daily lives. Working in collaboration also enhances the skills and knowledge of an individual (Chen et al., 2020).
Challenges of Collaborative Team Working
Working-style disputes- Every individual is different from each other. While some like to work in groups, some do their best job on their own. Others may not need support to finish a job, while others need professional support every step of the way. Conflicts occur as various philosophies, methods, and priorities clash 33 per cent of initiatives fail due to a lack of commitment by the full team, according to a statistical analysis by the Project Management Institute. Success is an unlikely result if teams are unsure about how to work together or whether they need to cooperate. However, teamwork can improve efficiency through productive delegation and thoughtful dispute resolution in the workplace.Team members must collaborate to understand what anyone can do in their job, so they are all on the same page as the deadlines approach. ( Wilhelmsson, M. et.al, 2011).
Physical juxtaposition- For the social atmosphere of a business to flourish, it is important to connect with colleagues. It does not come as a surprise that the way the working workforce communicates is shifting technology. The opportunities to maximize efficiency by creative technologies are increasing every day, empowering us to work on any computer from virtually anywhere to change the way we interact and collaborate.(Chen et al., 2020).
Extra trust-Confidence is essential to teamwork. Although it needs to be established over time, the challenge of workplace trust is that it paves the way for constructive, forward-thinking discussions. In the majority of situations, establishing trust is better said than achieved. Employees often commit mistakes, as, like all other choices, it may be tough for you or other staff members to believe them. It is desirable to have a workplace marked by emotional confidence and mutual respect, where people feel relaxed being themselves. Developing good ties with those around you, in the office and beyond, is important. If you emphasize consistent limits and goals, transparency, and regularity, trust is easily created. (Winsett et al., 2016).
In recent times, as a way of communicating and interacting with workers around the world, many organisations have switched to virtual workers. There are many, often special, obstacles to leading teams of this type. The collaborative effort is now combined with technology, so every day many people keep in touch across multiple networks. Managers today devote up to 85 per cent of their time on interactive software, e-mail, seminars, and on the telephone, according to the Harvard Business Review, a rise of 50 per cent in ten years. Collaborative teams, along with their organisation as a whole, need to learn the art of collaboration to succeed in today's complex, networked environment.By encouraging a philosophy of open contact through daily feedback and having check-ins with your colleagues, you can do this (Kalisch, B.J., et.al 2013)
Responsibility and engagement
A new story is evolving, considering the change from an individualistic mentality to a collective one, where interdependencies play a role in the sustainability and growth of a company. A lack of well-defined roles leads to reluctance and pessimistic opinions on the project to work with individual team members. Team members need to consider the responsibilities of each other to exchange ideas to create a community of cooperation. With each member of the team making particular contributions to a shared goal, they should get fair credit for the result. Gratifying cooperation is done where the tasks are straightforward and members of the team are united.Being prepared for the new work Coordination can sound easy enough, but successful teamwork is challenging in practice. It is important to work together in today's corporate community to achieve the ever-increasing expectations of organizational success and priorities (Winsett et al., 2016).
Continuity of Care-In the span of time, continuity of treatment is concerned with the standard of care. Two major viewpoints are available on this. Conventionally, in the therapeutic relationship in a 'continuous nursing relationship' with an established health care provider, quality of care is idealized. The contrasting vision for providers in vertically integrated care networks is the implementation of a 'seamless service' through collaboration, coordination and knowledge exchange between various providers. When the health care needs of patients can now seldom be fulfilled by a single practitioner, multidimensional consistency structures have had to be established to meet the prospect of fulfilling these ideals concurrently(Mar?, et al., 2019).
Therefore, continuity of care should be viewed from the point of view of both the patient and the practitioner. Conceptually, consistency of medical experience refers to the happiness of patients with both the behavioral provision of treatment and the delivery of the care. Experienced consistency in its own right should be respected. Continuity in the delivery of treatment, on the other hand, should not be measured purely by the interactions of patients and is tied to essential facets of programs such as 'crisis intervention' and 'multiple disciplines teamwork skills.' From the viewpoint of the provider, the emphasis is on innovative business delivery methods and better patient results.Therefore, a complete analysis of quality of treatment should cover all of these diverse viewpoints, discussing how they work together to maximize patient-centred care (Kalisch, B.J., et.al 2015)
In the span of time, continuity of care deals with the standard of service. The patient and his/her physician-led team of healthcare practitioners are collaboratively engaged in continuous healthcare management under continuity of treatment against the common objective of high-quality, cost-effective medical care. Continuity of treatment entails coordination of care procedures in which the return of a patient to daily life during hospital stays/nursing home stays is made seamless by collaboration by sharing & transition of patient knowledge between doctors and other medical professionals.A prompt transmission of medical records, contact with the patient's families, and other such care management activities may constitute quality of care. Continuity of treatment would result in a higher quality of care if taken seriously by both patients and medical practitioners. Clinicians are seeing countless patients every day today. A number of them are new patients. It is expected that the said clinicians will easily familiarize themselves with the patient's past, establish connections, and go on to resolve his present woes. Likewise, patients are often required to believe the doctor based purely on his ethical authority(Mar?, et al., 2019).
This is a very clear example of how sensible it would be for a single doctor to be able to provide long-term treatment for a family. Different research have been carried out, mainly in the area of general care, and offer data to prove the argument that quality of care is highly necessary. Key research in Norway found that continuous treatment not only enhanced patient quality, but also helped the doctor to gain information that saved time, changed the use of diagnostic tests and influenced the use of medicine by the patient.(Fallon, et al., 2020).
There are not two different things about patient happiness & positive patient results. It is understood that patients under the same doctor's extended treatment trust their relationship with their doctor more and feel that they have more control of their health. Continuity of treatment results in a time reduction and more judicious use by medical examiners of investigations such as diagnostic testing.The quality of treatment gains greatly from appointments for children, the aged, people with psychosocial difficulties, and others with chronic illnesses. The level of care and favorable patient effects are significantly increased by reliable, consistent clinical systems.(Kalisch, B.J. and Lee, K.H., 2013).The principle appears clear. Continuity of treatment, though, impacts more stakeholders than one would think. As the medical sector becomes more complicated, continuation of reliable facilities or quality of treatment increases in complexity, especially for seniors who need the skills of many specialists.
How Patients Influence Continuity of Care
Why do patients want to see the same doctor, according to the PubMed Report? "Typically, most people try to patronize the same sources of care. Consumers, though, often demand that particular problems be handled by multiple treatment providers. For example, a female user may want treatment for problems relating to women's health by a gynaecological specialist. Other patients may opt to see a doctor who has a reputation for a good bedside manner or protecting privacy(Salmond and Echevarria, 2017).
Continuity of Care Improves Treatments across Disciplines
Continuity of treatment among various health disciplines produces differing positive results. For example, quality of treatment results in increased appointment follow-through, hypertension results, bacterial meningitis detection, and medication enforcement among preventive medicine and general health practitioners. With maternity midwife practitioners, one prime instance of promising findings within health-varying disciplines can be noted. During breastfeeding, fewer customers experience elevated blood pressure, a dangerous disease called preeclampsia, and fewer maternity patients need to lobby for painkillers during delivery.Consumers have enhanced faith, communication and trust with behavioural health professionals, and patients feel better emotional and mental health among asthma specialists ( Aase, I. et.al, 2014)
Psychodynamic therapy is adapted from psychoanalysis, a lengthy approach to the management of mental health. One should speak about something affecting his or her mind in psychoanalysis to uncover trends in thinking or actions that lead to anxiety. It is also normal in this therapy that one discusses his or her memories and past events, visions that recur or fantasies that he or she may have. You'll consult with a psychiatrist in psychodynamic therapy to discuss the relationship between your subconsciousness and your decisions.This means the study of emotions, experiences, and thinking patterns. Compared to cognitive behavioural therapy (CBT) and other forms of therapy, psychodynamic therapy may be a longer-term solution to mental health care. Classic psychoanalysis is an intense type of therapy that can be used for years by individuals.West, P., et.al, 2012).
A concentrated, execution response to mental health care is behavioural therapy. According to behavioural theory, from lessons you learned in the experience, those behaviours evolve. Some of these behaviours may have a detrimental effect on your life or create anxiety. Behavioural treatment will encourage you to improve your behavioural reactions (Salmond and Echevarria, 2017).
You will not waste any time learning about unconscious motives for your behaviour or going with interpersonal problems in behavioural therapy. Instead, you can work on means of modifying behavioural behaviours and habits that induce anxiety. There are several behavioural treatment subtypes, including:
Systematic desensitization- Systematic desensitization incorporates exercises of calming with an incremental introduction to something that you dread. This will help you steadily get used to replace feelings of fear and anxiety with a reaction to relaxation (Salmond and Echevarria, 2017).
Aversion therapy- You learn to equate the action you wish to alter in aversion therapy with something that is in some sense painful or negative. This relationship will help you avoid your actions.
Flooding- This is close to systemic desensitization, except rather than progressively, it requires confronting the fears immediately from the outset. For example, if you have a phobia of dogs, sitting in a room of nice, playful dogs could be the first exposure phase. In the other hand, with systemic desensitization, the first viewing phase may be looking at dog images.
Humanistic therapy- Humanistic therapy explores how your beliefs impact your decisions, particularly choices that cause anxiety. humanistic therapy It's based on the idea that you should recognize your experiences and desires as the right person. Humanistic therapists strive to help you better understand what you are doing, and give feedback and assistance without reading your emotions for you (Chen et al., 2020).
A psychiatrist makes you strive toward the objective, mainly by helping you to be your real self, of enjoying your rewarding existence. You will spend time finding opportunities to improve self-acceptance and chat about the challenges you have to contend with. In humanistic treatment, another important concept is unconditionally optimistic consideration. That means, even though they disagree with you on certain things, that your therapist would approve. Humanistic care is especially helpful in the treatment of other people's derogatory (perceived or actual) judgment. You are usually the one that leads the session(Winsett et al., 2016).
Humanistic approaches to therapy include:
Existential therapy - You will look at things of accountability for your actions and the right to make decisions in this metaphysical approach to your treatment. You would have to learn about the importance of some aspects of your life and how it might be best for you in your life.
Personal counselling- This approach is based on the conviction that emotional pain will occur when people judge you or disagree with your decisions or behaviour. This will make it difficult to embrace oneself and evolve. Therapists can help, empathize and direct you towards emotional development and positive transformation.
Gestalt counselling - You can discuss unresolved difficulties such as marriages and family issues to decide how they impact your mental well-being. Gestalt therapy concentrates on the current moment and often includes acting or experimenting with action or visualisation situations(Winsett et al., 2016).
Health organisations today are full of trained, multi-generational and ethnic interdisciplinary team members. Though we all have a special emphasis, we share a unified objective: we want a better patient care experience as well as a positive work climate. We must use a team strategy for the provision of treatment to ensure patients feel happy at their healthcare conference. Good leadership skills and management of collective treatment require teamwork. Crew members should be empowered to inquire, express opinions or suggestions and explore possible alternatives (Martin, P. ed., 1987). More happiness in the workplace is related to better treatment outcomes for the customer. For a variety of factors, coordination has been a significant health initiative. Second, health treatment is getting more complex, more advanced and compulsory to try to understand new approaches from medical practitioners. Ageing demographics, the rise in chronic diseases such as diabetes, cancer and cardiac diseases have prompted the health care professionals to follow a multidisciplinary approach. Care teams need to treat people with various health conditions in nations like the United States. Some countries also aim to expand the access of diverse communities to healthcare. The health teams in Brazil educate patients, as well as local populations and cultures to consider deeply the needs of their residents. Secondly, researchers find that teamwork decreases the range of healthcare defects and improves patient protection(Bellert, J.L., 1989)
Teamwork also eliminates burnout-related difficulties. Health is no longer an individual concerned for the health of the patient; a whole team of care professionals is now working together to ensure the well-being of the patient. Health teams help to break down health institutions' hierarchy and centralization of authority, allowing health employees greater control. Thirdly, since the teamwork relies on sound contact, patients and families are often more relaxed and report getting services and are happier with their healthcare. Health employees are much happy about their jobs. Research showed that nurses who have successfully focused on team, bonding are more pleased with their jobs
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