NCM 119-A INTRADISCIPLINARY VS.
MULTIDISCIPLINARY
BSN 121571
Nursing Leadership & Management
Prof. Leila D. Benito
September 17, 2021 (Friday)
INTRA-DISCIPLINARY AND MULTI-DISCIPLINARY
TEAMWORK AND COLLABORATION
 WHO acknowledge that “effective teamwork in
health care delivery can have an immediate and
positive impact on patient safety.” Nothing that
patients in modern-day health care rarely see just
one medical professional, WHO adds that
teamwork and coordination help minimize the
occurrence of aderse events caused by errors in
both communication and an understanding of
defined professional roles.
ORGANIZING PRINCIPLES/UNDERLYING CONCEPT
A. Concept of Team Collaboration
1) Hospital Setting
2) Community Setting
Definition of TEAM COLLABORATION
 Team collaboration is a communication and project
management approach that emphasizes to achieve
objectivess.
 While the word collaboration refers to the act of
working with someone to produce something,
teamcollaboration in the workplace also
incorporates corporate culture and technology.
BASIC GOALS OF TEAM COLLABORATION:
A. Completing objectives quickly and efficiently
B. Collectively brainstorming solutions
C. Giving all team membersa sens of accomplishment
HEALTHCARE TEAMS AND COLLABORATION
 In the contemporary nursing practice,
interdisciplinary and intradisciplinary teams can
improve the delivery of healthcare.
 The use of collaborative healthcare teams can be
effective when team members understand their
roles, responsibilities, competencies, and have
respect for other healthcare members; allowing for
an athmosphere that promotes assessing, planning,
and providing optimal care.
 Healthcare teams, whether interdisciplinary or
intradisciplinary need effective communication,
coordination, and shared responsibility to be
effective.
 Failure in these core principles could result in
adverse patient outcomes,medical errors, and
ineffective use of resources (Kuziemsky & Varprio,
2010)
(INTERDISCIPLINARY COLLABORATION)
 Intradisciplinary teams provide a link between
healthcare workers in the same field of practice,
while interdisciplinary (multidisciplinary) teams
provide a link between professionals in different
fields.
 They emphasize the concept of shared governance.
 Shared governance enables nurses to have
autonomy, and accountability in their practice. This
empowers nurses to participate in decision-making
process within an organization, especially decisions
that affect nursing practice.
SEVEN (7) ELEMENTS OF SUCCESSFUL TEAM
COLLABORATION
1. Communications
 This can range across providing clear instructions,
asking for clarifications when necessary and
listening to all members of the team.
2. Transparency
 Along with open lines of communications, dialogue
needs to be transparent.This includes setting clear
goals, defining roles and responsibilities upfront
and informing members when problems arise.
3. Employee enangement
 Keeping employees on the team engaged and
interested in collaborating will make the project
more efficient overall. This can be achieved by
identifying and maximizing each team member’s
strengths as each person will bring something
valuable to the project.
4. Compromise
 If disagreement arise, team members need to be
prepared to compromise for the best interest of the
group. Choosing team members with a positive
attitude that arewilling to meet in the middle
ensures that the entire team as a whole will be
more successful.
5. Conflict Management
 Effective team collaboration may result in minimal
conflicts, but amanagement strategy needs to be
put in place if those issues arise. Conflict
management could be handled individually with the
team leader or as a group conversation.
6. Reliability
 Once the goals and duties are identified for each
teammember, it is the job of the netire teamto hold
accountability.
7. Diversity
 Having a team with a diverse set of skills, expertise
and perspectives will foster a more holistic
approach to team collaboration.
1
 STRATEGIES TO IMPROVE TEAM EFFECTIVENESS AND
COLLABORATION: HOSPITAL SETTING
Four Main Categories are distinguished:
1) TRAINING:
 is divided in training that is based on specifc
principles and a combination of methods (I.e. Team
Strategies and Tools to Enhance Performance and
Patient Safety), a specific training method (i.e.
training with stimulation as a core element), or
general team training, which refers to broad team
training in which a clear underlying principle or
specific method is not specified.
2) TOOLS:
 Are instrument that are introduced to improve
teamwork by structuring (I.e. SBAR Situation,
Background, Assessment, and Recommendation),
(de)briefing checklists, and rounds), facilitating
(through communication technology), or triggering
(through monitoring and feedback) team
interaction.
 Structuing tools partly standardize the process of
teaminteraction.
 Facilitating tools provide better opportunities for
team interaction. Triggering tools provide
information to incentivize team interaction.
3) ORGANIZATIONAL (RE)DESIGN:
 Refers to (re)designing structures (through
implementing pathways, redesigning schedules,
introducing or redesigning roles and responsibilities)
that will lead to improved team processes
functioning.
4) PROGRAMME:
 Refers to a combination of the previous types of
interventions (I.e. training, tools, and/or redesign)
as evidenced by team meetings or joint
training.
4) INTERDEPENDENCE
 Team functioning in an interdependent
manner: Absence of interdependence or lack
of autonomy. Asevidenced by team
discussions and consultation between role
groups.
5) SYNERGY
 The combined efforts of the team and the
shared decision making result in
agreaterbenefit to the patient than the effects
of the individual disciplines alone.
DEVELOPMENT OF TEAM AND COLLABORATION
Determinants of Collaboration
A. Structural Determinants (Opportunity)
 The physical and organizational environment in
which an interdisciplinary team operates can
impact the degree and nature of collaboration
 ENVIRONMENT: physical spaces, temporal
arrangements, schedules, process, organized
activities, and communication tools.
 ORGANIZATIONAL STRUCTURE: can include the
architectural considerations (physical structure)

STRATEGIES TO IMPROVE TEAM EFFECTIVENESS AND

COLLABORATION: COMMUNITY SETTING

1) SHARED UNDERSTANDING
 Shared understandingof roles, norms, values,
and goals of the team: Evidence of clearly
defined goals for project interventions, team
members. For this review,the word “shared
understanding” will be used to refer to this
assumption.
2) EGALITARIANISM
 Team functioning in an egalitarian manner.
Patients and families are part of the
healthcare team as evidenced by respect for
their input into preferences, decision making,
or goal setting.
3) COOPERATION
 Team functioning in a cooperative manner:
working together that recognizes and respects
involvement and contributions of all members