The Dimension of Inter-Professional Practice

IntroductionThis aim of this assignment is to study the unique role and contribution of nurse practices inside inter- lord jobs and consider how inter- sea captain practices influence the way we manage the great deal in our tending, using evidence based commentary. kind illnesses ar complex conditions and thitherfore cannot be managed by angiotensin-converting enzyme passkey. Holistic treatment of amiable wellness diligents requires a cohort of clinical professionals (Barker, 2008).For this assignment I chose Gibbs Reflective framework (1988) to enable my individualal disapproval and to ameliorate my future breast feeding practice. In amity with the NMC Code of Practice (2008) names concur been changed to agree with confidentiality regulations clemency will be my clients name.Inter-Professional Team Working Pollard (2005), defined inter-professional functional, as the process whereby members of antithetical professions and/or agencies work unneurotic to provide merged wellness and sociable accusation. Leathard (2003) states inter-professional on the job(p) implies a group of professionals from different professions engaging in interdependent collaborations with mutual respect to provide integrated health and kind heraldic bearing for the clients benefit., Housley (2003) argues the multidisciplinary aggroup up is a group of people of different professions who meet regularly to discuss individual clients. happy teamwork can have direct consequences for patient lot and the inter-collaboration model of health fright delivery is one of the about(predicate) outstanding modernisations of the health awe system in recent twelvemonths (Humphris and Hean, 2004). Effective team-works produces electro incontrovertible patient outcomes, dapple ineffectual team-working nominates to negative incidents in patient c ar (Grumbach and Bodenheimer, 2004).Client background invest, a 21 year old female, was form attendant admitted via community psychical health nurse due to non-concordance of medication. Grace suffers severe psychical illness and personality dis fellowship with a higher(prenominal) level of self-harming, poor personal hygiene and unfitness to perform activities of daily living ADLs. The Roper, Logan and Tierney model (Bellman 1996) states that 12 ADLs produce a picture of the persons lifestyle and these can be example to highlight problems which require nursing intervention.Inter-disciplinary team working and my role in Graces careThe multidisciplinary review meeting for Graces care comprised a consultant psychiatrist, a psychologist who mensurateed Graces behaviours and gave counselling sessions social workers who assessed social wellbeing an occupational therapist who assessed ADL a dietician and the care-coordinator who was the key-worker involved in Graces care when she was in the community. The registered mental health nurse assigned to Grace was my mentor, and I was given the task of shadowing my mentor to assess Graces mental state on the ward and monitor any physical changes. The inter-professional team at the review placed Grace on level 3 observation due to her self-harming.FeelingsI mat ch anyenged and nervous about shadowing and manipulation the nursing report during the multidisciplinary team review. However, I bring in this is a key role of the nursing professional in an inter-professional team, Davies & Priestly (2006) views nursing hand all(prenominal)place as life-sustaining information about clients under the care of nurses, allowing nurses to improve both the handover process and improve patient care delivery.I felt empathy for Grace, especially her anxiety over the (in her eyes) large number of people (the care team) sympathize with for and deciding her fate. She shared in her one-to-one sessions that she was nervous of not doing the right things in apparent motion of the team and I remember thinking we are both nervous for similar reasons,, as I was also nervous about what the team estimation about me and my practice. I reassured Grace that we were here to help her, using my communication skills to listen and ally her fears. Hamilton et al. (2010) stated listening is an essential skill for a mental health nurse.I felt disappointed within the team, feeling that some members worked toward their own goals alternatively than collectively aiming to vouch the scoop out holistic care for Grace, which made working within the team challenging. An practice session of this was the doctors decision to exclude Grace from p artworkicipating in ward activities without assessment from the occupational therapist. This is at odds with the traditional nursing role, which seeks to include the patient both physically and psychologically. I felt that this decision was not in Graces best interest, and could prolong her discharge.Evaluation In evaluating my empathy with Grace and her anxiety, I felt there was an reckonable conjunctive as we were both in new situations, go too much empathy can lead to difficulties in nursing (Mercer and Reynolds 2002), empathy is an important aspect in nursing. milium (2000) states that one angle of team work that is very much neglected is the relationship between client and nurse, which she argues is important to run across positive care outcomes and therefore should not be disregarded within a collaborative framework.After talking to my peers I found that we all felt some anxiety about working within a multi-disciplinary team. In evaluating my time as an inter-disciplinary team member and my anxiety, I realised this sticking out(p) when roles were defined and responsibilities shared. Ovretveit et al. (1997) asserted that soul and clarification of roles from the oncoming is necessary for good team-working and failure to define roles right on can lead to confusion.My frustrations within the team were in part due to my anxiety of performing badly in front of my mentor, and my ine xperience of working within an interdisciplinary-team. I had little understanding of how the different roles and philosophies of new(prenominal) professionals would need to be compromised to ensure both guard of and good care for Grace and perhaps I placed too much vastness on the nursing role without understanding what new(prenominal) professionals brought to the team. summary fleck my empathy can be a positive aspect to my nursing, on reflection, it may have foggy my judgement and my superpower to follow the right move of action, given that Grace was known to self-harm. The decisions made by the doctor complied with Local Trust Policy (2010) on self-harming. Furthermore, NICE guidelines (2004) states that staff discontinue preventative strategies to ensure patient safety in cases of self-harming, by simplification opportunities to self-harm. The inter-disciplinary team decided Grace should not be allowed to participate in ward activities due to stake of self-harm.Throug h analysis of the team-work shown within this case, I call back that the team showed legal communication, as each professional had a good association of the role they were anticipate to play in supporting Graces care and effective communication is vital in team-working (Ovretveit et al. 1997). My frustrations within the team can be explained by milium (2001) who identified that collaboration work, while beneficial, did have a variety of barriers that could hinder development of scraggy collaborative relationships within the different service suppliers professions, one being that the different professions may have different ideas on patient treatments that are at odds with separate professionals within the multi-disciplinary team.While at first I did not understand the challenges that inter-professional working brings and thus did not feel that every member had Graces care foremost, later analysing my time within the team, I feel that every member was supportive of each oth ers efforts to facilitate Graces recovery. Many opportunities were unattached to discuss concerns over the care- fancy such as debriefing, one to one interactions, and supervision, highlighted by Freeth (2007) as vital to ensure good inter-professional development. Barriers to good inter-professional collaborations include poor communication, deficiency of understanding of other team members roles, work priorities and professional hierarchy (Whitehead, 2000), where such issues are apparent, it can be helpful to identify shared goals and voice concerns. Inter-professionals should use clinical judgment that encompasses the best of all team members professions in care provision to improve client wellbeing, aid them to cope with health problems and achieve the best graphic symbol of life with their illness (RCN 2003 DoH, 2008). ConclusionIn retrospect, I feel the strength of the team was its ability to develop and manage excellent patient-focussed care, resulting from the variety of disciplines, personalities and expertises. I have gained an in-depth insight into the roles and responsibilities nurses have in the development of client-centred care and a better understanding for the other team members professions, which I feel now that I was lacking. This reflective process has helped me gain an understanding of the importance of inter-professional team collaboration in managing clients with self-harm issues using positive practice guidance as stated in the NHS guidelines.Action planThis experience has taught me that inter-professional practices involve effective communication between team members and respect for other professionals knowledge of client needs. I will seek to gain greater understanding of other clinical roles and what they represent and bring to the inter-disciplinary team. I will undertake personal development and discipline by keeping up-to-date with changes in practice, comprehend and promoting interpersonal working.This reflective commentary has enhanced my knowledge of inter-professional working, the challenges involved and the importance of communication and compromise, which will contribute to my personal development as a mental health nurse. In respect to my patient centred empathy, I believe this is an important trait in nursing however, in the future I will anneal my empathy with professionalism that focuses on patient safety first.I plan to improve my knowledge and expertise of the roles of other professionals. I will begin by focussing on the respect and value I have of other professionals expertise. With respect to my lack of confidence, I shall endeavour to develop confidence in sharing my knowledge in group forums. The placement amplified the importance of identifying and understanding patients needs and sharing this understanding with the inter-professional team members in order to facilitate effective healthcare interventions.ReferencesBarker. P., (2009). Psychiatric and genial health care for The Craf t of Caring. 2nd ed. London. Hodder Arnold.Bellman, LM. 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