AJCC Patient Care Page The AJCC Patient Care Page is a service of the American Journal of Critical Care and the American Association of Critical-Care Nurses. Designed to elaborate AACN practice guidelines based on content in select articles, this page may be photocopied noncommercially for use by readers in their workplace, in continuing education programs, or for distribution to colleagues, patients, or patients’ families. To purchase bulk reprints, call (800) 899-1712.
COLLABORATIVE PRACTICE AND PATIENT SAFETY By Linda Bell, RN, MSN
I
nterprofessional collaborative practice is defined by the World Health Organization as a situation that occurs “when multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care.”1 The articles in this issue by Roberts, et al2 and Paradis, et al3 demonstrate that although we are working in the same environment and systems with our colleagues there are some major barriers to delivering high quality care. The inability to overcome the barriers to interprofessional collaborative practice puts patients at risk for unsafe care and negative outcomes.
Here’s what you can do: • Access the Interprofessional Collaborative Practice competencies to determine expectations of team members to achieve this type of practice. • Evaluate the structure and communication of your unit during interprofessional rounds. • Identify gaps between the competencies and current practice on your unit. • As part of your quality improvement process, plan opportunities to discuss how lack of interprofessional collaboration may have affected patient care. • Consider using the articles by Roberts, et al,2 and Paradis, et al3 in a journal club discussion to identify similar barriers in your unit • Evaluate trends of patient and family satisfaction with their ability to participate in care. • Initiate action to improve team competency in interprofessional collaboration.
Illustration by Steve Oh
Other helpful resources: • AACN Healthy Work Environment Assessment. http://www.aacn.org/hwehome.aspx?pageid=331&menu=hwe • Interprofessional Education Collaborative Expert Panel. Core Competencies for Interprofessional Collaborative Practice: Report of an expert panel. Washington, DC: Interprofessional Education Collaborative. 2011. REFERENCES 1. World Health Organization. Framework for action on interprofessional education and collaborative practice. http://www.who.int/hrh/resources /framework_action/en. Updated 2010. Accessed March 4, 2014. 2. Roberts KE, Bonafide, Paine CW, et al. Barriers to calling for urgent assistance despite a comprehensive pediatric rapid response system. Am J Crit Care. 2014;23:223-229. 3. Paradis E, Leslie M, Puntillo K, et al. Delivering interprofessional care in intensive care: a scoping review of ethnographic studies. Am J Crit Care. 2014;23:230-238.
©2014 American Association of Critical-Care Nurses doi: http://dx.doi.org/10.4037/ajcc2014919
Based on material from and published as a supplement to the articles by Roberts, et al, “Barriers to Calling for Urgent Assistance Despite a Comprehensive Pediatric Rapid Response System” (American Journal of Critical Care. 2014;23:223-229) and Paradis, et al, “Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies” (American Journal of Critical Care. 2014;23:230-238).
www.ajcconline.org
AJCC AMERICAN JOURNAL OF CRITICAL CARE, May 2014, Volume 23, No. 3
Downloaded from ajcc.aacnjournals.org at UNIV OF VT DANA MED LIB PRDCLS on January 16, 2015
239
Collaborative Practice and Patient Safety Linda Bell Am J Crit Care 2014;23:239 doi: 10.4037/ajcc2014919 © 2014 American Association of Critical-Care Nurses Published online http://www.ajcconline.org Personal use only. For copyright permission information: http://ajcc.aacnjournals.org/cgi/external_ref?link_type=PERMISSIONDIRECT
Subscription Information http://ajcc.aacnjournals.org/subscriptions/ Information for authors http://ajcc.aacnjournals.org/misc/ifora.xhtml Submit a manuscript http://www.editorialmanager.com/ajcc Email alerts http://ajcc.aacnjournals.org/subscriptions/etoc.xhtml
AJCC, the American Journal of Critical Care, is the official peer-reviewed research journal of the American Association of Critical-Care Nurses (AACN), published bimonthly by The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Telephone: (800) 899-1712, (949) 362-2050, ext. 532. Fax: (949) 362-2049. Copyright © 2014 by AACN. All rights reserved.
Downloaded from ajcc.aacnjournals.org at UNIV OF VT DANA MED LIB PRDCLS on January 16, 2015
COLLABORATIVE PRACTICE AND PATIENT SAFETY By Linda Bell, RN, MSN
I
nterprofessional collaborative practice is defined by the World Health Organization as a situation that occurs “when multiple health workers from different professional backgrounds work together with patients, families, carers, and communities to deliver the highest quality of care.”1 The articles in this issue by Roberts, et al2 and Paradis, et al3 demonstrate that although we are working in the same environment and systems with our colleagues there are some major barriers to delivering high quality care. The inability to overcome the barriers to interprofessional collaborative practice puts patients at risk for unsafe care and negative outcomes.
Here’s what you can do: • Access the Interprofessional Collaborative Practice competencies to determine expectations of team members to achieve this type of practice. • Evaluate the structure and communication of your unit during interprofessional rounds. • Identify gaps between the competencies and current practice on your unit. • As part of your quality improvement process, plan opportunities to discuss how lack of interprofessional collaboration may have affected patient care. • Consider using the articles by Roberts, et al,2 and Paradis, et al3 in a journal club discussion to identify similar barriers in your unit • Evaluate trends of patient and family satisfaction with their ability to participate in care. • Initiate action to improve team competency in interprofessional collaboration.
Illustration by Steve Oh
Other helpful resources: • AACN Healthy Work Environment Assessment. http://www.aacn.org/hwehome.aspx?pageid=331&menu=hwe • Interprofessional Education Collaborative Expert Panel. Core Competencies for Interprofessional Collaborative Practice: Report of an expert panel. Washington, DC: Interprofessional Education Collaborative. 2011. REFERENCES 1. World Health Organization. Framework for action on interprofessional education and collaborative practice. http://www.who.int/hrh/resources /framework_action/en. Updated 2010. Accessed March 4, 2014. 2. Roberts KE, Bonafide, Paine CW, et al. Barriers to calling for urgent assistance despite a comprehensive pediatric rapid response system. Am J Crit Care. 2014;23:223-229. 3. Paradis E, Leslie M, Puntillo K, et al. Delivering interprofessional care in intensive care: a scoping review of ethnographic studies. Am J Crit Care. 2014;23:230-238.
©2014 American Association of Critical-Care Nurses doi: http://dx.doi.org/10.4037/ajcc2014919
Based on material from and published as a supplement to the articles by Roberts, et al, “Barriers to Calling for Urgent Assistance Despite a Comprehensive Pediatric Rapid Response System” (American Journal of Critical Care. 2014;23:223-229) and Paradis, et al, “Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies” (American Journal of Critical Care. 2014;23:230-238).
www.ajcconline.org
AJCC AMERICAN JOURNAL OF CRITICAL CARE, May 2014, Volume 23, No. 3
Downloaded from ajcc.aacnjournals.org at UNIV OF VT DANA MED LIB PRDCLS on January 16, 2015
239
Collaborative Practice and Patient Safety Linda Bell Am J Crit Care 2014;23:239 doi: 10.4037/ajcc2014919 © 2014 American Association of Critical-Care Nurses Published online http://www.ajcconline.org Personal use only. For copyright permission information: http://ajcc.aacnjournals.org/cgi/external_ref?link_type=PERMISSIONDIRECT
Subscription Information http://ajcc.aacnjournals.org/subscriptions/ Information for authors http://ajcc.aacnjournals.org/misc/ifora.xhtml Submit a manuscript http://www.editorialmanager.com/ajcc Email alerts http://ajcc.aacnjournals.org/subscriptions/etoc.xhtml
AJCC, the American Journal of Critical Care, is the official peer-reviewed research journal of the American Association of Critical-Care Nurses (AACN), published bimonthly by The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Telephone: (800) 899-1712, (949) 362-2050, ext. 532. Fax: (949) 362-2049. Copyright © 2014 by AACN. All rights reserved.
Downloaded from ajcc.aacnjournals.org at UNIV OF VT DANA MED LIB PRDCLS on January 16, 2015
