NURS 8002 BLOG: PRACTICING INTRA- AND INTERDISCIPLINARY COLLABORATION IN PRACTICE
My experience with intradisciplinary collaboration in my practice involves participating in the hospital’s nursing shared governance. Nursing shared governance emphasizes shared decision-making between bedside nurses and nurse leaders, covering various aspects such as resource allocation, nursing research, evidence-based practice projects, equipment purchases, and staffing. This collaborative approach fosters active engagement across the healthcare team, promoting positive patient outcomes and creating a culture of inclusivity and positivity, ultimately enhancing job satisfaction (McKnight, 2022). Within the nursing shared governance structure, I collaborate with nurses from various specialties.
Working With Vulnerable Populations as a Nurse Practitioner
An example of our collaborative efforts was addressing the issue of inadequate shift change reports, which had been leading to delays in patient care. We conducted a survey to identify essential information to be included in shift change reports, and this data informed the development of a standardized report template for all nurses. In the three months following the implementation of this project, we observed a decrease in complaints and an improvement in nurses’ knowledge of their patients.
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In contrast, my experience with interdisciplinary collaboration in practice involves participating in daily team rounds. Interdisciplinary rounding is a structured approach that integrates the contributions of the staff nurse, hospitalist/attending physician, care manager, and patient/family, facilitating more streamlined communication and care planning (Reduce Hospital days and Dollars with Interdisciplinary Rounds, 2018). Effective communication is central to these rounds, ensuring that all parties involved in a patient’s care are aligned. As highlighted by Busari et al. (2017), effective communication between nurses and physicians is a critical element in interprofessional collaboration and, consequently, in ensuring the quality of care.
Participating in shared governance, where we share similar experiences and are deeply involved in patient care, makes it easier for us to implement changes in hospital policies and processes that lead to improved patient outcomes. It also fosters engagement due to the positive results that emerge from these changes. However, it can be challenging to involve nurses in activities outside their regular working hours. In contrast, interdisciplinary rounds enhance communication among all stakeholders for quality patient care. Issues are addressed promptly, but it can be time-consuming as it necessitates frequent meetings.
Similar to the case study design approach discussed by Henry et al. (2018), interdisciplinary team rounds enable each team member to view problems from another’s perspective. Before interdisciplinary rounds became the standard in my facility, communication gaps were frequent. Reviewing physicians’ notes often left me bewildered by the decisions being made concerning patient care. After participating in interdisciplinary rounds, these decisions were thoroughly discussed in the context of each team member’s expertise, leading to better communication not only within the team but also with the patient.
Reference
McKnight, H. (2022, September 19). Nursing Shared Governance. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK549862/#:~:text=Definition%2FIntroduction,new%20equipment%20purchases%2C%20and%20staffingLinks to an external site..
Reduce Hospital Days and Dollars with Interdisciplinary Rounds. (2018, December 19). Premier. https://premierinc.com/newsroom/blog/reduce-hospital-days-and-dollars-with-interdisciplinary-rounds#:~:text=Interdisciplinary%20rounding%20(IDR)%20is%20a,more%20streamlined%20communication%20and%20planningLinks to an external site..
Busari, J., Moll, F., & Duits, A. (2017). Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment. Journal of Multidisciplinary Healthcare, Volume 10(1), 227–234. NCBI. https://doi.org/10.2147/JMDH.S140042Links to an external site.
Henry, B., Male, B., Garner, C., & Guernon, A. (2018). Teaching and learning about interprofessional collaboration through student-designed case study and analysisLinks to an external site.Links to an external site.. International Journal of Teaching and Learning in Higher Education, 30(3), 560–570.
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