Collaborative Working Essay

There be m either different ways to define cooperative working. tally to The National Center for Biotechnology Information bookshelf (NCIB) coaction in wellness awe is defined as health tutelage professionals assuming complementary office staffs and co-operatively seduceing unitedly, sharing responsibility for problem-solving and making decisions to ponder and carry disclose casts for unhurried tuition. Collaboration mingled with physicians, nurses, and early(a) health c ar professionals increases a squad members awareness of separately others type of knowledge and skills, leading to continued on guard motion in decision-making.To urinate collaboratively it is also important for all team members to be pull up stakesing to take break in and verify other health professionals to get hold of a collective event, which is the health and well being of the unhurried. doubting Thomas et al (2005) mentions that striveingness is superstar step of developing ov erwhelmpersonal collaboration and trust has been seen as a vital part to swear out the development of rough-and-ready team works. each professionals need to trust each other and learn new competencies and be able to take on new lineaments without resentment, as this requires a allow foring and trusting approach.Therefore, to give the patient the best thinkable occupy, it is imperative towork in conjunction with other health wangle professionals to tack the involve of the patient. each(prenominal) professional has to show mutual respect for one a nonher in order to be able to work together or else thither forget be troth in the team and the outcome of the patient will suffer. Thomas et al (2005) continues to imagine that confidence has been pointed out as an important feature in collaborative working(a) as professionals who are confident in their own roles stick out the ability to work flexibly into other boundaries without feeling jealous or threatened. Confidence s hows leadership and allows others to trust the work of that individual, therefore creating a trusting environment for them all to work together.The terms interprofessional, multiprofessional and interdisciplinary are all related to collaborative working, Thomas et al. (2005) defines the prefix multi as the participation of staff from different professions, and the prefix inter means collaboration in the areas of decision making thus indicating that health assistance professionals, be it consultant, nurses, social doers or fellowship staff work together to cater alone a high quality care and to achieve the best outcome for the patient.With skills and knowledge coming from these colleagues that major in different backgrounds, general the team can provide an excellent divine service and duty to patients meanable to having specialists from different areas working together in the same team. collaborative working involves interaction of various groups or professions to accomplish a general goal, which usually in the health care setting is the care of the patient. As a result of problem solving, an open and flexible approach to the roles and tasks of individual team members provide a to a greater extent patient foc employ healthcare.Read moreSharing Responsibility Role of Local and State BodiesThe aim of this try out is to establish what skills and knowledge are infallible to work collaboratively successfully. I will describe a care pathway, which will look at the care a patient recoverd from different work in which I participated.In the health care service, working with people is a part of the working daytime. According to Goodman & Clemow (2010), working with other people is a event of everyday life, whether you will be working the in community or in a hospital environment you will be ceaselessly interacting with people to assess, plan implement and evaluate care provided. Goodman and Clemow (2010) go on to say treat work is primarily people work, be it matched patient care or team care.The principle of a care pathway is to recommend the most appropriate care required to make for the patients necessitate. According to Middleton & Roberts (2000) care pathways are evidence establish care which is de springyred to the patient by the correct individual at the particular time and the suitable environment. Middleton & Roberts (2000) continue to say that integrated care pathways are used to determine multidisciplinary practice based on guidelines for particular patients. According to the Royal College of nursing (RCN) 2014, care pathways are also known as integrated care pathways, anticipated convalescence maps, critical pathways or care maps.Communication is very important in the healthcare service to stop that the patient will receive the correct care plan to meet their necessitate. According to the Royal College of Nursing (RCN) 2014, communication is at the heart of everything we do in our society. Its central to our lea rning, our work and our leisure interests. It is vital in health care, where patients/clients can feel vulnerable, isolated and anxious, therefore teams need to depone on good communication to process them deliver safe, coordinated and effective healthcare. Without communication between certain individuals in the team, it can scram conflict or friction between some colleagues therefore delaying the goal of undefiled patient care.Communication shared amongst teams can achieve a holistic goal that is work and in which the outcomes are met amongst the team (RCN) 2014. Communication is not only verbal, it is also non-verbal and listening also plays a part. If health professionals are not working together then there is a misadventure of communication and errors will occur and the wellbeing of the patient will suffer. This may also happen when health professions used different terminologies in spite of appearance their profession, which others may not understand. This demonstrate s the need for communication to be shared in a manner which all members can understand to avoid confusion and undertake the risk of mistakeshappening, i.e. language line, examples and other professionals who understands the language. payable to the importance of patient confidentiality I will be keeping the identity of my patient as unnamed and a pseudonym will be used for the purpose of the look for to protect the patient. This complies with the NHS Code of Practice on Confidentially (2003). Throughout this canvas my patient will be referred to as Mr A.The Tuberculosis (TB) Services mustiness be rise to powerible to all health care professions in the community or hospital. An important part of the role of the TB service is to assist awareness of TB and ensuring that all suspected cases of TB are straight off referred for investigations, diagnosis, treatment, support to keep back the spread of TB. The most common pathway by which patients can access the TB service includes referrals from GP surgeries, accident and emergency, laboratory microbiology, hospital wards and other hospital specialties a lot(prenominal) as HIV (Gum clinic), rheumatology and paediatrics. TB services have one designated referral issuing, fax, email address and contact address. The care pathway for patients who show signs and symptoms of TB will require a number of investigations, which will include a Mantoux Skin hear, when a small get along of Purified Protein Derivative (PPD) is injected into the arm and the results will be read 48/72 hours later, a chest x-ray, phlegm samples or a bronchoscopy.Once these investigations have been finished and if the results are positive for active TB, the patient will be commenced on TB treatment. This treatment will be for a token(prenominal) six months to two years depending on the type of TB diagnosed. My role as the nominate worker for the TB team is to assist patients, to help them understand and come to terms with their diagn osis. In addition to this I will ensure that they receive the correct medication as distributed by the nurses, admonisher any human face effects and bring them to the attention of the specialist nurses who will give further advice or discuss with the senior consultant who will be able to decide on an appropriate care plan if needed. I also support patients with any welfare and social matters such as housing, immigration and social benefits. My role involves acting as the advocacy for patients and links them with the required services. In orderfor this to work, I have to cause a very good rapport with my patients, and I feel that this enables them to suit open and honest with me, which results in us achieving our desired goal.Patient ScenarioMr A was admitted via accident and emergency complaining of chest pains, lethargy, loss of weight, cough and dark sweats, the typical symptoms of TB. His chest x-ray showed left sided pleural effusion and sputum sample results were smear po sitive, indicating that he was infectious, His Mantoux result was 18mm and was diagnosed with smear positive pulmonary tuberculosis.Mr A was born in Romania and entered the UK originally in 2009. He was family sharing with other Romanians for three months until they were evicted by the police as they were possibly squatting and he became roofless. He was of no fixed abode with no clear connections in the UK. He has been living on the streets ever since being evicted. He has no means of contact, no money and has very restrain understanding of English.Mr A was referred to the TB Service by the consultant on the respiratory ward. Due to his lack of English language, a Romanian phonation needed to be booked to allow sufficient communication between staff and Mr A. I made a send for call to the hospital interpreting service to book a Romanian interpreter to assist with the assessment. The TB assessment was carried out in the ward with the Romanian interpreter present. The TB asses sment form was completed using Roper et al (2000) Activities of Daily Living. This assessment good example looks at the patients needs as well as any possible problems connected with the patient i.e. social, physical, psychological and medical. According to Roper et al (2000) this model will give a holistic view of the individual instead of just the illness. This model recognises the impact of cultural, environment, and economic factors that affect both health and well-being (Barrett et al, 2012). introductory to our assessment on the ward I received a telephony call from the Infection control nurses to inform us of his sputum results. The results of his test were smear positive and this indicated that the patient wasinfectious therefore he was place in to a ostracize pressure side room. A negative pressure room is used to prevent the spread of TB. The National TB Centre describe a negative pressure room as a room where more air is drained than is supplied, so infectious partic les are contained indoors the room by continuous air sure being pulled into the room under the door. Therefore, when the negative pressure room is used airborne particles generated in the room cannot escape to the corridor.During this assessment it was brought to my attention that Mr A had no income and was homeless. My role as the Support doer is to help patients with any welfare and housing issues. I was able to make a telephone call to the hospital social services for advice on Mr A and had a long conversation with the advisor. We concur that I needed to contact Greenwich sociable Services for further advice. I was inform by Greenwich Social services that Mr A was not entitled to any public funds because of his no recourse to public funds on entry to the UK.Due to Mr As situation, I spoke to my colleagues in Find and Treat who informed me that Mr A might be eligible for accommodation, and a referral form was faxed to me for closedown with my patient. Find and Treat is a Dep artment of wellness Organisation within Public Health England that works alongside TB services to provide holistic, preventative and stabilising support to homeless people who are on TB treatment and have no recourse to public funds. The completed referral form was faxed back to Find and Treat.I received a telephone call from Find and Treat to inform me that the referral had been accepted at the homeless shelter and the next step was an interview with the shelter home till and his allocated case worker to meet the patient to ensure that all his needs were met whilst in their care. The case worker and the manager met the patient in the ward in my presence with the interpreter to complete their full assessment for place in view of the referral information and facts we presented.Once the impact was complete, I had to liaison with the discharge coordinator on the ward to inform them that Mr A had been accepted at the shelter home. Prior to his discharge from the ward, the TB nurse c heckedhis TB medication and I booked transport for my patient to get to the arrange accommodation and he was taken on the same day. The following day I made a telephone call to his case worker asking about his (Mr A) progress and how he was settling in. He was report to be settling in well and had no concerns.Mr A had been see a homeless unit for food and shelter prior to this price of admission to the ward. Due to his smear positive sputum results it is a requirement to refer all smear positive index cases to Public Health England (PHE) as TB is a notifiable disease. It is my duty to gather as much information as possible regarding the homeless unit. I completed an casualty reporting form with all the information from the shelter unit and faxed it to PHE. I had a conversation with PHE by telephone to arrange an incident meeting between the shelter home, PHE and the TB nurses. Once a date was hold with all parties we met at the shelter home to identify contacts and organise scr eening. It was agreed that all contacts who needed to be screened for TB were to be referred to the TB Service.Collaborative working sometimes may not always work smoothly as expected. Some team members may feel left out or not appreciated, Elizabeth Lark (2006) says to work collaboratively you need to be pore on a two way related dimension. The task that needs to be achieved, in this case the outcome of the patient, and the relationship with and between the people that need to be engaged in it. Therefore it is clear to say that all team members need to feel appreciated and valued in collaboration to make it work professionally. Another factor that may cause problems in collaboration is personality conflict, a lack of understanding in other professionals sphere and the influence of hierarchy in job roles within the multidisciplinary teams. Elizabeth Lark (2006) continues to say that these types of conflicts can be resolved by gift team members the chance to discuss their concerns in group meetings to identify clear working responsibilities before implementing the care of the patient.As a Support Worker collaborative working is very important to me to ensure that a service work as a team to give patients the required care they needto enable them to be able to return to their normal heavy lifestyle. When caring for patients we need to set standards and be professional regardless of the patients background and belief. The importance of my role as a Support Worker in advocacy and linking patients with other service has lead to the recovery of our patients, as many of our patients do not understand the diagnosis and the sword related to the TB diagnosis. Having access to all these services has made it possible for me to help Mr A on the road to recovery and enable him to live a normal life again where he will be helped and assisted with some form of work and earn a living. Due to his lack of the English language it would have been very difficult for him to acc ess these services by himself as I was the main link for Mr A to receive the correct care.Mr A was very happy with the care he received from all the different services, he said via the interpreter I would not have known where to go to get help, I give thanks you all. The care given to Mr A was delivered over a extent of three months. He remained in hospital for 4 months, during this time I ensured that all of the hospital resources were coordinated to ensure that the highest level of service was delivered and that Mr A could return to living a normal healthy life style. My role as a Support worker in this collaborative working has helped other healthcare professionals such as ward staff, infection control nurses and hospital social services to gain better knowledge of TB and how working together to overcome obstacles to ensure that the patient can receive the correct care needed. We were able to identify the patients needs, which allowed the nurses and other services to coordinate and plan interventions to meet the patients requirements in regards to his recovery.It is evident that collaborative working does have the best outcome for patient. Working collectively has enabled me to expand my knowledge and skills required to work along side other health providers and social services. Communication is the key skill required in collaborative working to ensure and accomplish the best outcome for your patients. All services and organisations need to work well together and leave their differences, misunderstanding and challenges aside for the sake of the patients outcome.Collaborative working takes away any additional stress and worry for patients who just motivation to overcome their illness and this was reflected in Mr As situation.ReferencesBarrett D, Wilson B & Woodlands A, (2012) wish Planning A Guide for Nurses, Second Edition, Essex, Pearson Education limited.Goodman B & Clemow R, (2010) Nursing and Collaborative Practice, Great Britain, MPG Books GroupLar k E, (2006) Collaborative Advantages How Organisation realize by Working Together, Hampshire, Palgrave MacmillanMiddleton S & Roberts A (2000) Integrated Care Pathways a practical approach to implementation Oxford, Reed Education and nonrecreational publishing LtdRoper N, Logan W & Thierney A J, (2000) The Roper Logan Tierney Model of Nursing found on Activities of Living, Edinburgh, Churchill Livingstone.Thomas,J Pollard K C and Sellman D, (2005) Interporessioanl Working in Health and Social Care. 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