The Dimension of Inter-Professional Practice

IntroductionThis aim of this assignment is to analyse the unique agency and contribution of nurse practices within inter-professional jobs and consider how inter-professional practices influence the way we manage the people in our caution, using evidence based commentary. Mental illnesses are tangled conditions and therefore cannot be managed by one professional. Holistic treatment of mental wellness endurings requires a cohort of clinical professionals (Barker, 2008).For this assignment I chose Gibbs Reflective exemplar (1988) to enable my personal reflection and to improve my future nursing practice. In accordance with the NMC Code of Practice (2008) names ask been changed to comply with confidentiality regulations Grace depart be my clients name.Inter-Professional Team Working Pollard (2005), defined inter-professional running(a), as the process whereby extremitys of various professions and/or agencies work together to provide merged health and loving care. Leathard (2003) states inter-professional operative implies a group of professionals from different professions engaging in interdependent quislingisms with mutual respect to provide integrated health and social care for the clients benefit., Housley (2003) argues the multidisciplinary team is a group of people of different professions who meet regularly to discuss individual clients. Successful teamwork can have direct consequences for patient care and the inter-collaboration model of healthcare delivery is one of the most important modernisations of the healthcare system in recent years (Humphris and Hean, 2004). rough-and-ready team-working produces positive patient outcomes, while ineffectual team-working contributes to negative incidents in patient care (Grumbach and Bodenheimer, 2004).Client backgroundGrace, a 21 year old female, was officially admitted via community mental health nurse due to non-concordance of medication. Grace suffers severe mental illness and personality disord er with a high level of self-harming, short(p) personal hygiene and inability to perform activities of daily living ADLs. The Roper, Logan and Tierney model (Bellman 1996) states that 12 ADLs produce a picture of the persons life style and these can be used to highlight problems which require nursing intervention.Inter-disciplinary team working and my role in Graces careThe multidisciplinary reexamine confrontation for Graces care comprised a consultant psychiatrist, a psychologist who assessed Graces behaviours and gave counselling sessions social workers who assessed social wellbeing an occupational therapist who assessed ADL a dietician and the care-coordinator who was the key-worker involved in Graces care when she was in the community. The registered mental health nurse assigned to Grace was my mentor, and I was given the designate of shadowing my mentor to assess Graces mental state on the ward and monitor any physical changes. The inter-professional team at the review placed Grace on level 3 observation due to her self-harming.FeelingsI felt challenged and nervous almost shadowing and handling the nursing comprehend during the multidisciplinary team review. However, I realised this is a key role of the nursing professional in an inter-professional team, Davies & Priestly (2006) views nursing handover as vital information about clients under the care of nurses, allowing nurses to improve both the handover process and improve patient care delivery.I felt empathy for Grace, especially her anxiety over the (in her eyes) large yield of people (the care team) caring for and deciding her fate. She shared in her one-to-one sessions that she was nervous of not doing the right things in front of the team and I remember thinking we are both nervous for similar reasons,, as I was also nervous about what the team thought about me and my practice. I reassured Grace that we were here to help her, using my communication skills to listen and ally her fears. Ha milton et al. (2010) stated listening is an essential skill for a mental health nurse.I felt frustrated within the team, olfactory propertying that some members worked toward their own goals rather than collectively aiming to ensure the best holistic care for Grace, which made working within the team challenging. An example of this was the doctors decision to exclude Grace from participating in ward activities without assessment from the occupational therapist. This is at odds with the traditional nursing role, which seeks to include the patient both physically and psychologically. I felt that this decision was not in Graces best interest, and could follow her discharge.Evaluation In evaluating my empathy with Grace and her anxiety, I felt there was an understandable connection as we were both in new situations, while in addition practically empathy can exsert to difficulties in nursing (Mercer and Reynolds 2002), empathy is an important aspect in nursing. Whitehead (2000) sta tes that one angle of team work that is often neglected is the blood surrounded by client and nurse, which she argues is important to ensure positive care outcomes and therefore should not be disregarded within a collaborative framework.After lecture to my peers I found that we all felt some anxiety about working within a multi-disciplinary team. In evaluating my time as an inter-disciplinary team member and my anxiety, I realised this eased when roles were defined and responsibilities shared. Ovretveit et al. (1997) asserted that understanding and clarification of roles from the onset is necessary for good team-working and failure to define roles correctly can lead to confusion.My frustrations within the team were in part due to my anxiety of performing poorly in front of my mentor, and my inexperience of working within an interdisciplinary-team. I had short understanding of how the different roles and philosophies of other professionals would need to be compromised to ensure bo th safety of and good care for Grace and perhaps I placed too much importance on the nursing role without understanding what other professionals brought to the team.Analysis While my empathy can be a positive aspect to my nursing, on reflection, it may have clouded my judgement and my ability to follow the right course of action, given that Grace was known to self-harm. The decisions made by the doctor complied with topical anesthetic Trust Policy (2010) on self-harming. Furthermore, NICE guidelines (2004) states that staff develop preventative strategies to ensure patient safety in cases of self-harming, by reducing opportunities to self-harm. The inter-disciplinary team persistent Grace should not be allowed to participate in ward activities due to risk of self-harm.Through analysis of the team-work shown within this case, I believe that the team showed legal communication, as each professional had a good knowledge of the role they were expected to play in supporting Graces car e and in effect(p) communication is vital in team-working (Ovretveit et al. 1997). My frustrations within the team can be explained by Whitehead (2001) who identified that collaboration work, while beneficial, did have a florilegium of barriers that could hinder development of close collaborative relationships within the different service providers professions, one being that the different professions may have different ideas on patient treatments that are at odds with other professionals within the multi-disciplinary team.While at first I did not understand the challenges that inter-professional working brings and thusly did not feel that every member had Graces care foremost, after analysing my time within the team, I feel that every member was encouraging of each others efforts to facilitate Graces recovery. Many opportunities were available to discuss concerns over the care-plan such(prenominal) as debriefing, one to one interactions, and supervision, highlighted by Freeth ( 2007) as vital to ensure good inter-professional development. Barriers to good inter-professional collaborations include poor communication, lack of understanding of other team members roles, work priorities and professional hierarchy (Whitehead, 2000), where such issues are apparent, it can be helpful to identify shared goals and voice concerns. Inter-professionals should use clinical judgment that encompasses the best of all team members professions in care provision to improve client wellbeing, aid them to cope with health problems and achieve the best quality of life with their illness (RCN 2003 DoH, 2008). ConclusionIn retrospect, I feel the strength of the team was its ability to develop and manage excellent patient-focussed care, resulting from the variety of disciplines, personalities and expertises. I have gained an in-depth insight into the roles and responsibilities nurses have in the development of client-centred care and a better understanding for the other team members professions, which I feel now that I was lacking. This meditative process has helped me gain an understanding of the importance of inter-professional team collaboration in managing clients with self-harm issues using positive practice guidance as stated in the NHS guidelines.Action planThis experience has taught me that inter-professional practices involve effective communication between team members and respect for other professionals knowledge of client needs. I will seek to gain greater understanding of other clinical roles and what they represent and bring to the inter-disciplinary team. I will undertake personal development and learning by keeping up-to-date with changes in practice, embracing and promoting interpersonal working.This reflective commentary has enhanced my knowledge of inter-professional working, the challenges involved and the importance of communication and compromise, which will contribute to my personal development as a mental health nurse. In respect to my patient centred empathy, I believe this is an important trait in nursing however, in the future I will temper my empathy with professionalism that focuses on patient safety first.I plan to improve my knowledge and expertise of the roles of other professionals. I will begin by focussing on the respect and quantify I have of other professionals expertise. With respect to my lack of confidence, I shall endeavour to develop confidence in sharing my knowledge in group forums. The fix amplified the importance of identifying and understanding patients needs and sharing this understanding with the inter-professional team members in order to facilitate effective healthcare interventions.ReferencesBarker. P., (2009). Psychiatric and Mental Health breast feeding The Craft of Caring. 2nd ed. London. Hodder Arnold.Bellman, LM. (1996) Changing nursing practice through reflection on the Roper, Logan and Tierney model the enhancement approach to action research. 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