How Can Inter-Proffesional Working Improve the Quality of Health Care

Using appropriate literature this paper pull up stakes attempt to examine the looks in which inter master consummation foot alter the quality of wellness c be. Concepts of inter captain operative allow be looked at. Examples ob hangd or carried come for defend on assessment shield in the psychic health exert ara will be bony upon to explore the thoughts of inter original functional and quality. Issues relating to interprofessional working will be place and will explored based on experience. Quality is very difficult to define so this will be attempted using certain criteria.The report highschool Quality Cargon for All published by Lord Darzi (DOH 2009) equates higher(prenominal) quality care with improvements to affected role services i. e reducing hold times for meetings and health care interventions. Also, by liberal power to the ordinary practitioner, the report aims to change the way NHS budgets are run. According to the NMC (2008), Nurses must work tog ether with carers, patients, communities, groups and opposite organisations while taking into account their needs and strengths.They must put for shield health and well being while empowering people to befool to retrace choices and decisions to promote their own self-care. Interprofessional working is an essential concept of the care for and Midwifery Council requirement for any qualifying foster to be deemed competent. This belowtake will focus on an assessment ward, in a noetic health unit at a general hospital. Seeing how authoritative interprofessional working is, key make dos affecting interprofessional working will be explored.According to daytime (2006), 3 major factors affect interprofessional working. These are systemic, organisation and interactional factors. general factors are factors outside of the organisation that have an impact, be it positive or negative on this organisation. nonrecreational acculturation, professional language, professional tribes and territories, professional codes of uphold and professions/professionalism are every(prenominal) different sides of this factor. An example of a key issue would be articulating professional identity.If take doesnt know what unique position they play as a nurse, they will be unable to efficaciously work together with other professionals. Another factor is the organisational factor. This relates to factors of setup and good example within the organisation. For example, lack of staff during a shift throne teddy a serious problem cause talk spoildown mingled with management and nursing/healthcare assistants. The last factor that Day (2006) pointed out was the interactional factor.Interactional factors relate to a process of collaboration that excretes between ii individuals. Lack of dialogue, lack of willingness to collaborate and professional stereotypes tot altogethery come under this factor. Now the factors that can affect interprofessional working have been covered, looking at what works put upively within the chosen admissions ward under the mental health unit is the next step. When looking at those systemic factors its apparent that professional language is very important and used through-out the ward among professionals to communicate.For example the nurse asked the student to do go do a UDS screening and some vital obs on patient B. The student nurse is familiar with this professional jargon and carries out what has been asked where as if this was asked of someone on the ward for the first time they would not know what to do. A way to solve this would be to keep professional jargon strictly among professionals and to make communication between a patient and a professional as clear and easy-to-understand as possible.The NMC professional codes of conduct are referred to a piling on the ward when dealing with students and the hospital depone policy is as well as referred to in an attempt to make all students aware of expectation to breat he out their respective placements. How does this relate to interprofessional working? Professional codes of conduct invariably promote good interprofessional working, for social workers the GSCC (2002) states recognising and respecting the roles and expertise of others from other agencies and working in confederacy with them, for doctors the GMC (2001) states Respect the skills and contri justions of your colleagues.Communicate effectively with colleagues within and outside of the team. On the ward, professional socialisation problems were not very apparent because the health care professionals perplex during meetings were always willing the take on board the different philosophies and theoretical bases present during the meeting and try to reach a common goal for the patient. plainspoken discussions on different perspectives can help other professional catch up with this problem.When looking at organisational factors on the ward, the ward appears very well incorporated as ev eryone knows what to do any point during the day. The use a of a white board to write down the duties and responsibilities of the professionals based on the ward made it clear who was doing what and limited any confusion. The ward design and billet aid interprofessional working by bring all the professionals together regularly and by allowing them to use the same meeting rooms.The regular team meetings withal greatly improves interprofessional working on the ward and ward rounds always lie in of health care assistants and nurses who effectively pass on information1n from the precedent shift to the staff taking the new shift. The doctors round is similar because nurses doctors, ward managers and some other health care professional may be present to discuss patient on a case by case basis. The use of Rio (the intranet patient database) is invaluable as an effective interprofessional tool.Patients are accessible by all health care professionals and progress notes are regularly rec orded for patient by a variety of professional so reading through on the ward can bust a clear picture of whats the patients catamenia progress. A good team leader is also important in term of interprofessional working. On the ward, the team leader is an essential component. She/he can make or break a ward structure. In this case the ward manager was excellent, friendly, professional and willing to solve any problems that occur between members of staff.The interactional factors also affect the interprofessional working on the ward. Professional stereotyping doesnt occur much on the ward because most all of the staff come from a wide variety of countries and religions so in that location is a good deal of mutual respect. Professional stereotyping of patients wasnt a customary thing but did occasional happen i. e a nurse expecting a patient to behave a certain way because of their racial background. worldwidely negative stereotyping should be frowned upon but positive stereotypi ng of patient which would improve their outcome should be capitalised on.Way to reduce this would be interprofessional education courses. Issues with lack of communication on the ward were not frequent but did occur. Staff forgetting to put forward or document key occurrences or incidents during the day, lead to a some problems with interprofessional working as the doctors could not act on information they did not have. Having had time to look at different issues on the ward and solutions as to how to solve them, the barriers of interprofessional working otherwise not highlighted previously will be looked at.Lack of knowledge about other professionals can cause a break down in interprofessional working. Knowing the different roles people play will aid you when needing to refer a patient or when a patient is concerned with a particular issues you cannot handle yourself professionally. For example a patients caparison issues should be handle by his/her social worker. Another issues is the different levels of part most systems in healthcare have. This can create a lot of interprofessional working barriers.For example, nurses might find it difficult to communicate with a precedential manager because of concerns about their position. Sharing information can also father a barrier when professional do not share all the information they have received regarding a care in their care. This can put other professionals at risk by then giving patients care, without taking into account what the last outcome was. For example, a patient congress a social worker that he cant have ibuprofen tablets because they make him sick.This information not being passed on to the Mental health team could result in ibuprofen being prescribed for him and he subsequently becoming very ill. Conflict can occur regarding the descent with the patient. If a professional is over familiar with the patient it could lead to an damage judgement and therefore conflict with the mental health tea m. Team surface on the ward also affects the way in which professionals can exercise their duties and interact with the other professionals. Conflict can arise if the team is understaffed.Resentment towards management, a lack of willingness to co-operate, undermined patient care can all emerge if these issues are allowed to continue. According to Goodman and Clemow (2010), several strategies can be used to improve interprofessional working which in turn will improve the overall care wedded to the patient and by definition, the quality of care will improve. Clinical charge and engaging in reflection. The use of managerial support The development of practical expectations Reinforcement of professional identityEvaluating current roles and practices Training and education for interprofessional working These are very effective strategies to minimise barriers in effective communication. Clinical charge is very important in ironing out minor issues and the communication lines open an d transparent. The use of reflection as a tool to improve interprofessional is very good. Reflection can help a professional canvas and review the way in which they have been communicating. Was it effective enough? Was all the information passed on? Was it all understood?Was the information relevant? How was my olfaction of voice? Was i being fair? These are some of the perplexity a professional can ask themselves to improve their communication with other professionals. Managers are their to support the professional on the ground. The proper use of manager to support any issues or problem you may be having with other professional is essential. People are very diverse and working in a large team of different personalisedities and philosophies will lead to conflict so its important to use the managerial support available to all on the team.Expecting realistic outcomes can really improve the interprofessional working because when professional work together they sometimes rely on a fleck of steps to be completed before, they can start their aspect of patient care. Having an understanding of the workload, stresses and time management issues another professional faces thwart barriers in communication from occurring. The use of badges, uniforms and i. d cards help backup professional identity and improve interprofessional working. If its clear what roles a professionals serve the moment they approach any professional on the ward.It grants immediate trust in their role and improves their communication. Reflecting on the formative assessment. It was a very complete accomplishment experience and proved how difficult it is to work in a team when people have serious difference in opinion. At one point the people were excluded from the group and things got very uncomfortable but in the end, we were able to push through our differences and work out an hear which we all agreed to present. Our topic was learning and disabilities and the group scenario was based on my experience in a learning and disabilities placement.So I wrote the scenario which was used during the essay. It was a very good experience from me to reflect on placement and satisfy how my experience on placement was represented in terms of an interprofessional working presentation. To summarise, the topic was introduced and attempts to identify the concepts of interprofessional working and quality care were made. A practice setting was identified and was subsequently used to shed examples. Following the gate factors that contribute to interprofessional working were explored. Advantage and disadvantages of interprofessional working were highlighted.Key issues of interprofessional working were identified. These barriers were explained using examples and personal experience in the practice setting. These barriers were explored in depth and examples were given. Lastly, several strategies were identified that would improve interprofessional working and would prevent barriers fr om occurring. These were explored and examples were also given. Now that interprofessional working has been explored, the effect is has on professionals, the practice area, the structure of the hospital, the interactions between professional and ultimately the patients.The concept of Quality care explain by Lord Darzi states a number of ways to improve services, patient waiting times, GP involvement in budgets but most importantly it is implied that making improvements between service and their professional i. e interprofessional working will directly improve the quality of care. This essay has tried to show the effects of interprofessional working on professional will always translate to the patient, be it negatively r positively. It is up to the professional of the current of future generations to make sure that our interprofessional working improves the care we give our patientsREFRENCE LIST Barrett, S. T. (2005). Interprofessional working(a) in Health and Social Care. China Pal grave Macmillian Codes of practice. online (2010). General Social Care Council. Available from http//www. gscc. org. uk/cmsFiles/Registration/Codes%20of%20Practice/CodesofPracticeforSocialCareWorkers. pdf Accessed on April 5 2012 Day. (2006). Inter-professional Working an essential guide for health and social care professionals. Cheltenham Nelson Thornes Department of Health. online. (2009). naughty Quality Care for All Our journey so far. Available from http//www. h. gov. uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_101670 Accessed on April 5 2012 Ellis, G. K. (2006). Interpersonal Communication in Nursing scheme and practice. (2nd ed). London Elsevier Goodman, R. C. (2010). Nursing and collaborative practice A guide to inter-professional learning and working. (2nd ed). Cornwall Learning Matters Healthcare Policy. online. (2005). British Medical Association. Available from http//www. bma. org. uk/healthcare_policy/healthcarerural. jsp? page=12 Acc essed on April 5 2012