Using collaboration to promote an
interdisciplinary approach working towards a common goal has been shown to
improve the overall patient experience. The Joint Commission’s National Patient
Safety Goals reflect the importance of collaboration in promoting and
maintaining patient safety. Collaboration and interdisciplinary relationships
do not come naturally to patient care providers. However these relationships can
be improved upon with practice, and an improved understanding of the
interdisciplinary roles, and their contributions to the patient care goals.
According to Dillon, Noble, and Kaplan (2009),
the cause of most patient related errors occur due to interdisciplinary communication
failures. Recognizing that most health care disciplines were responding to
patient needs as “silos”
as opposed to a recommended model of an interdisciplinary “synergy”, The Joint
Commission, the IOM, The World Health Organization, and the AACN have recommended
an interdisciplinary educational model. The QSEN
Institute has a faculty resource module that advocates patient safety by promoting
an interprofessional education (IPE), and providing examples of IPE activities for
faculty. Technology opportunities such as High Fidelity Patient Simulation
(HFPS) and virtual world, or other serious play experiences can be easily
adapted for IPE.
I have been blessed in my career to have
had exemplary interdisciplinary relationships advocating for common patient care
goals. Our interdisciplinary team consists of a core group of representatives
from medicine, nursing, social work, OT/PT, speech and swallow therapy, nutrition,
child life, community health nursing, and chaplain services, that meets weekly.
This interdisciplinary group addresses short term and long term patient and
family needs; including immediate and long-term health care needs; determining
discharge planning criteria; family support; addressing financial and social
supports; tutoring needs; as well as, potential home care needs. Unfortunately,
as an interprofessional group we recognize that this relationship has taken
almost 10 years to be established. We all agree that this relationship would
have flourished many years ago, if IPE had been incorporated into each of our
educational programs, as each of us graduated from or respective educational
programs as “silos” and have had to grow into an interprofessional group advocating
for our common goal-patient safety and the administration of quality care.
Activities such as HFPS that include student-professionals from
multiple patient care disciplines, offer excellent communication building,
and team work opportunities. There are many examples of simulated
interdisciplinary patient code examples available on the intranet, however many
do not demonstrate the imperative post-debriefing of the simulation exercise. As
the IOM, AACN, WHO, and The Joint Commission have recognized, the time to
include IPE into our professional curricula has come.
Reference
Dillon, P. M., Noble, K. A., & Kaplan, L. (2009). Simulation as a means to foster collaborative interdisciplinary education. Nursing Education Perspectives, 30, (2), 87-90.
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