Professionalism as an Individual and Part of a Team: Difference between revisions
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== Introduction == | == Introduction == | ||
Interprofessional Collaboration Beyond Boundaries | == Interprofessional Collaboration Beyond Boundaries == | ||
Definitions | ==== Definitions of Different Types of Collaboration ==== | ||
Multiprofessional collaboration | * Multiprofessional collaboration | ||
** different professions working alongside one another | |||
Interprofessional collaboration | * Interprofessional collaboration | ||
** “Consistent demonstration of core values evidenced by professionals working together, aspiring to, and wisely applying principles of altruism and caring, excellence, ethics, respect, communication and accountability to achieve optimal health and wellness in individuals and communities” as defined by the Interprofessional Professionalism Collaboration (IPC).<ref>Frost JS, Hammer DP, Nunez LM, Adams JL, Chesluk B, Grus C, Harvison N, McGuinn K, Mortensen L, Nishimoto JH, Palatta A. The intersection of professionalism and interprofessional care: development and initial testing of the interprofessional professionalism assessment (IPA). Journal of interprofessional care. 2019 Jan 2;33(1):102-15.</ref> | |||
* Transdisciplinary professionalism | |||
** “an approach to creating and carrying out a shared social contract that ensures multiple health disciplines, working in concert, are worthy of the trust of patients and the public in order to improve the health of patients and their communities” <ref>Cuff PA, editor. [https://www.ncbi.nlm.nih.gov/books/NBK216353/ Establishing transdisciplinary professionalism for improving health outcomes: Workshop summary.] National Academies Press; 2014 Apr 7.</ref> | |||
Read more about the attributes and behaviours of professionalism [[Professionalism in Healthcare|here]]. | |||
If you'd like you can refresh your memory about examples and drivers of unprofessional behaviour [[Professionalism in Healthcare#Attributes and Behaviours of Professionalism|here]]. | |||
==== Power Relationships in Collaborative Healthcare ==== | |||
Key Principles to adhere to when working with other professionals | Key Principles to adhere to when working with other professionals | ||
Revision as of 09:39, 10 May 2024
Original Editor - User Name
Top Contributors - Wanda van Niekerk and Jess Bell
Introduction[edit | edit source]
Interprofessional Collaboration Beyond Boundaries[edit | edit source]
Definitions of Different Types of Collaboration[edit | edit source]
- Multiprofessional collaboration
- different professions working alongside one another
- Interprofessional collaboration
- “Consistent demonstration of core values evidenced by professionals working together, aspiring to, and wisely applying principles of altruism and caring, excellence, ethics, respect, communication and accountability to achieve optimal health and wellness in individuals and communities” as defined by the Interprofessional Professionalism Collaboration (IPC).[1]
- Transdisciplinary professionalism
- “an approach to creating and carrying out a shared social contract that ensures multiple health disciplines, working in concert, are worthy of the trust of patients and the public in order to improve the health of patients and their communities” [2]
Read more about the attributes and behaviours of professionalism here.
If you'd like you can refresh your memory about examples and drivers of unprofessional behaviour here.
Power Relationships in Collaborative Healthcare[edit | edit source]
Key Principles to adhere to when working with other professionals
Mutual Respect
Communication
Shared-decision making
The Sunnybrook framework of core competencies for interprofessional team collaboration identifies six core competencies:
Add table to PP page from this https://journals.sagepub.com/doi/full/10.1177/08404704211063584#table1-08404704211063584
Core competency
Communication
Definition:
Strategy/ behaviours of team
Information exchange in specific and timely manner within and across a team – develop processes for this
Know which team members should be involved in information exchange and knowing what information should be exchanged
Use language that is common among the different professions, avoid jargon and acronyms, explain and make sure all members understand
Interprofessional conflict resolution
Definition – “ Interprofessional teams respond to anticipated or occurring conflict situations with appropriate and skilled interventions in a timely manner by collaborating to create a range of solutions”
Team:
Proactively and effective address conflict
Be an openminded listener to different opinions and ideas from diverse professions
Difficult issues should be discusses and mutual ground and solutions found
Shared decision making
Def: Interprofessional teams decide collaboratively on plans. Team members come together to determine appropriate actions. Where necessary, teams decide who will make the final deicions and who holds accountability for which task
Team
Creation of interprofessional care plans in the best interests of patients and families/carers
Collaborative decision making on learning goals across all professions
Accountability should be identified and designated especially where there is a role overlap between professions
Core competency: Reflection
Interprofessional teams learn from their history and experiences. Team reflection is both process and performance oriented. Team members identify what they are doing well and what can be improved. They are attentive to optimising how they interact with one another and the impact that their team function may have on patient care/collective work
Team
Create time for ongoing team reflection
Have process and tools in place for reflection
Celebrate success and strategise to address gaps in their collaborations
Appraise how the team is doing by using concepts susch as team development and team dynamics
Core competency
Role clarrificaion
Interprofessional team ensure that members understand each other’s role. Scopes and expertise. They explore interdependencies between their roles and optimise each member’s scope with consideration of repetition and redundancies
Team
Professionals can describe their role and scope of practice to other team members
Team members actively seek to understand other members’ roles and scope of practice
Professionals acknowledge their limitation and consult with team members
Core competency: Interprofessional values and ethics
Interprofessional teams create a climate of transparency, opennessa and willingness to collaborate. They maintain a inclusive approach to and every team member’s perspective is valued
Team
Professionals speack with positive regard when discussting the roles and professions of other team members
Provides a safe environment for professionals to speak up
Acknowledges and considersthe values and ethics of the organisation, regulatory bodies and team members in team discussions
McLaney E, Morassaei S, Hughes L, Davies R, Campbell M, Di Prospero L. A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. InHealthcare management forum 2022 Mar (Vol. 35, No. 2, pp. 112-117). Sage CA: Los Angeles, CA: SAGE Publications.
Cultural Competence and Sensitivity
Healthcare professionals have similar levels of unconscious bias than others and it is important to be aware of this.
Read: Implicit Bias in Healthcare https://www.physio-pedia.com/Implicit_Bias_in_Healthcare
Cultural competence – definition
“It is an encompassing open-mindedness and respect for people, families and societies of various cultural backgrounds.” Lin CJ, Lee CK, Huang MC. Cultural competence of healthcare providers: A systematic review of assessment instruments. Journal of Nursing Research. 2017 Jun 1;25(3):174-86.
Cultural competence in healthcare refers to the ability of healthcare providers to deliver high-quality care to patients from diverse cultural backgrounds. It involves understanding and respecting the cultural differences, values, beliefs, and practices of patients and their families, and adapting healthcare services to meet their unique needs. Cultural competence requires healthcare providers to be aware of their own cultural biases and assumptions, as well as those of their patients, and to communicate effectively across cultural boundaries. It involves providing care that is sensitive to the cultural nuances of patients, including their language, customs, and values. Cultural competence is essential in healthcare because it can improve health outcomes, increase patient satisfaction, and reduce health disparities.
Principles
Self-awareness
Cultural knowledge
Respectful communication
Collaborative care
Strategies
Cultural competence training
Diverse workforce and inclusive practices
Language services and communication tools
Navigating Regulations, Licensing and Ethical Standards
Importance of
Patient safety and quality of care Pozgar GD. Legal and ethical issues for health professionals. Jones & Bartlett Learning; 2023 Mar 31.
Professional integrity and trust Pozgar GD. Legal and ethical issues for health professionals. Jones & Bartlett Learning; 2023 Mar 31.
Navigating Regulatory Framework
Understand regulatory bodies
Licencing requirements
Ethical Standards
Read more
Code of ethics
Informed consent and confidentialityClinical Ethics and Professionalism PDF not available through ClinicalKey
Patrick D. Herron
Textbook of Physical Diagnosis: History and Examination, 30, 644-654.e1
Conflict of interest management
Professionalism and Accountability
Read more
Continuous professional development
Professional respect
Social Responsibility
Social responsibility in healthcare is the professional duty of healthcare professionals to impact and improve the health of their society. This includes: Janeway M, Wilson S, Sanchez SE, Arora TK, Dechert T. Citizenship and social responsibility in surgery: a review. JAMA surgery. 2022 Jun 1;157(6):532-9.
Diagnosing the social causes of disparities in health outcomes
Providing local and systemic interventions
Social determinants of health are defined as the circumstances in which humans are born, develop, live, earn and age. The distribution of money, power and resources influences these circumstances.
These circumstances include: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9899154/
Education access and quality
Social and community context
Food security
Economic stability
Healthcare access and quality
Neighbourhood and built environment
Read more about social determinants of health
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References[edit | edit source]
- ↑ Frost JS, Hammer DP, Nunez LM, Adams JL, Chesluk B, Grus C, Harvison N, McGuinn K, Mortensen L, Nishimoto JH, Palatta A. The intersection of professionalism and interprofessional care: development and initial testing of the interprofessional professionalism assessment (IPA). Journal of interprofessional care. 2019 Jan 2;33(1):102-15.
- ↑ Cuff PA, editor. Establishing transdisciplinary professionalism for improving health outcomes: Workshop summary. National Academies Press; 2014 Apr 7.