NR451 RN Capstone Course i Care Paper Week 5, Exams of Nursing

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Chamberlain College of Nursing

NR451 RN Capstone Course March 2019

Interprofessional Teamwork In the Intensive Care Unit (ICU) interprofessional teams are present, alive, and well. case managers are available to assist patients with discharge needs, social workers assist the case managers by searching out community resources and assisting in arrangements for durable medical equipment and servies. Physical Therapy, Occupational Therapy, and Speech Therapy are involved in the care of ICU patients, especially after prolonged ventilator use, in order to assess patient’s physical strengths, fine motor strengths, and swallowing capabilities. Physicians and nurses also work side by side as an integral part of the interprofessional care team. The communication between physicians and nurses is the one area where the most improvement needs to transpire. While teamwork is an absolute necessity for providing excellent patient care, communication is imperative for providing safe patient care (Amudha, Hamidah, Annanma,

Ananth, 2018). Compassion Nursing epitomizes the very idea of compassion. A nurse provides intimate care to complete strangers in their weakest, most vulnerable moments. The ability to practice compassionate communication is not necessarily intuitive, but with practice can be learned. Tone of voice, smiling, touch, active listening, and communicating difficult information with sensitivity are all ways of practicing compassionate communication in nursing (Sinclair, et. al., 2016). As a nurse grows in the profession and becomes more intuitive, this compassionate communication extends to coworkers and the interprofessional team as well. Advocacy Patient advocacy can take on many forms within the hospital setting including small things like ensuring patients get the meals they desire based upon their food preferences, to instituting a caregiver change when something has gone awry. In the ICU patients are often

change and fearful as well. This coupled with poor implementation efforts, lack of knowledge of the evidence, and heavy workloads can make adopting evidence-based practice cumbersome at best (Camargo, et. al., 2016). A nursing action that can alleviate the push-back when introducing evidence-based practice would be training and educating small groups from each units, then utilizing these small groups to educate and roll out the idea to the other staff members on the unit and on the care team. This approach creates a “cheerleader” section – a portion of the staff that is on board with the idea and can accentuate the positives of the change. Enveloping a change with positive attitudes can allow for easier adoption of the practice for the entire interprofessional care team.

Summary By instituting iCARE within the organization each member of the interprofessional team can be educated on the need to communicate, advocate, promote resilience, and practice evidence-based care. Implementing the iCARE model can support interprofessional teams and improve patient outcomes as all team members will be striving toward a common goal eliminating the appearance of a disjointed effort evident when each department operates as an island unto itself. This joint effort lends credence to each discipline as the patient is hearing similar instructions and information thereby building patient trust and confidence which improves overall patient satisfaction and ensures exemplary care.

References Amudha P, Hamidah H, Annamma K, Ananth N (2018) Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses. J Nurs Care 7: 455. DOI: 10.4172/2167-1168.

Camargo, F. C., Hemiko Iwamoto, H., Galvão, C. M., de Araújo Pereira, G., Benzi Andrade, R., & Crispim Masso, G. (2018). Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review. Revista Brasileira de Enfermagem , 71 (4), 2030–2038. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1590/0034- 7167 - 2016 - 0617

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