1. 1. Review the Scope and Standards of Nursing Practice. Which Standards relate to the role of the nurse as colleague and collaborator?
  2. 2. What is the American Nurses Association’s operational definition of collaboration?
    Collaboration means a collegial workiing relationship with another health care provider of patient care.
  3. 3. What are the eight objectives of collaborative practice?
    • • Provide client-directed and client-centered care using a multidisciplinary, integrated, participative framework.
    • • Enhance continuity across the continuum of care, from wellness and prevention, prehospitalization through an acute episode of illness, to transfer or discharge and recovery or rehabilitation.
    • • Improve clients and family satisfaction with care.
    • • Provide quality, cost effective, research-based care that is outcome driven.
    • • Promote mutual respect, communication, and understanding between clients and members of the health care team.
    • • Create a synergy among clients and providers, in which the sum of their efforts is greater than the parts.
    • • Provide opportunities to address and solve system-related issues and problems.
    • • Develop interdependent relationships and understanding among providers and clients.
  4. 4. Describe six characteristics and beliefs basic to collaborative health care.
  5. • Clients have a right to self-determination: that is, the right to choose to participate or not to participate in health care decision making.
    • • Clients and health care professionals interact in a reciprocal relationship. Instead of making decisions about the client’s health care, health care professionals foster joint decisions making. Client dependance and professionals foster joint decision making. Client dependence and professionals dominance are minimized; client participation in the health care process is maximized.
    • • Equality among human beings is desired in health care relationships. The ideas of both clients and health care professionals receive an equal hearing.
    • • Responsibility for health falls on the client rather than on health care professionals
    • • Each individual’s concept of health is important and legitimate for that individual. Although clients lack expert knowledge, they have their own ideas about health and illness. Health care professionals need to understand these ideas to be able to effectively help the client.
    • • Collaboration involves negotiation and consensus seeking rather than questioning and ordering.
  6. 5. Who do nurses collaborate with in the provision of care? How does the nurse manifest collaboration with each of these individuals/groups?
  7. • With clients
    • Acknowledges, supports, and encourages clients’ actie involvement in health care decisions.
    • Enoucourages a sense of client autonomy and an equal position with other members of the health care team.
    • Helps clients set mutually agreed-upon goals and objectives for health care.
    • Provides client consultation in a collaborative fashion.
    • • With Peers
    • Shares personal expertise with other nurses and elicits the expertise of others to ensure quality client care.
    • Develos a sense of trust and mutual respect with peers that recognizes their unique contributions.
    • • With other Health care professionjals
    • Recognizes the contribution that each member of the interdisciplinary team can make by virtue of his or her expertise and view of the situation.
    • Listens to each individual’s views.
    • Shares health care responsibilities in exploring option, setting gols, and making decisions with clients and families.
    • Participates in collaborative interdisciplinary research to increase knowledge of a clinical problem or situation.
    • • With Professional Nursing Organizations
    • Seeks out opportunities to collaborate with and within professional organizations.
    • Serves on committees in state national, and international nursing orgnizations or specialty groups.
    • Supports professional organizations in political action to create solutions for professional and health care concerns.
    • • With legislators
    • Offers expert opinions on legislative intiatives related to health care.
    • Collaborates with other health care providers and consumers on health care legislation to best serve the needs of the public.
  8. 6. Describe six characteristics of effective collaboration.
    • • Common purpose and goals identified at the outset
    • • Clinical competence of each provider
    • • Interpersonal competence
    • • Humor
    • • Trust
    • • Valuing and respecting diverse, complementary knowledge.
  9. 7. Discuss five competencies that are essential for effective collaboration.
    • Effective communication skills, mutual respect, trust, giving and receiving feedback, decision making, and conflict management.
  10. 8. Discuss the five factors that have led to the need for increased collegiality and collaboration.
    • • Unmet healthcare needs of the older adult
    • • Increased number of people who have chronic illnesses
    • • Poverty
    • • homelessness
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