COLLABORATION & PARTNERSHIP
IN HEALTHCARE
Collaboration
- Is working with others in a collegial and mutually
respectful manner
- Collaborating with healthcare members in other
disciplines when providing client education and
care is significant to achieve maximum outcomes
Nurse’s Skills to be an Effective and Credible
Collaborator
1. Interpersonal and communication skills
2. Respect for others
3. Ability to establish and maintain trust
4. Critical thinking skills, problem-solving skills
5. Decision-making skills
6. Ability to understand and be able to identify the
contributions of others that can improve the quality
of the patient’s care
Some Members of the Health Care Team who
Collaborates for Client Care and Education
NURSING ASSISTANTS, PATIENT CARE TECHNICIAN
AND OTHER TITLES
- These members of the nursing team are unlicensed
assistive personnel
- Assist nurses in the provision of direct and indirect
care under the direct supervision of the nurse
- They perform nonsterile functions:
✓ Provision of and assistance with the patient’s
activities of daily living
✓ Measuring and recording urinary output and oral
intake
✓ Helping the patient with exercises such as range of
motion (ROM) exercises
✓ Taking and documenting vital signs
✓ Measuring patient’s height and weight
✓ Collecting some specimens
✓ Provision of comfort measures like a back rub
✓ Patient transport
✓ Clerical duties (running errands)
- They word under the direct supervision and guidance
of the nurse
LICENSED PRACTICAL / VOCATIONAL NURSES
- These are licensed healthcare providers
- Provide a wide range of nursing services to patients in
all kinds of healthcare settings
- They work under the supervision of a registered nurse
- They perform nonsterile and sterile procedures
- They word in structured settings with patients who
have predictable and relatively noncomplex
healthcare problems
‣ Chronic disorders — heart disease
‣ Chronic obstructive pulmonary disease
REGISTERED NURSES
- These are licensed healthcare providers who, unlike
licensed practical nurses, are independent
practitioners who render nursing care services in a
wide variety of healthcare settings
- They can work in unstructured environments and with
patients who have unpredictable and complex
healthcare problems and concerns
NURSING SUPERVISORS
- They supervise patient care and the quality of care
that is delivered to groups of patients
- Depending on the size and complexity of the
healthcare setting, supervisors can have many titles
and they may or may not also provide direct nursing
care in addition to their supervision of care
- Nurses report to their nursing supervisors accdg. to
the facility’s chain of communication and command
- For example: They report to their “supervising
registered nurse/charge nurse/head nurse”, then their
“nursing supervisor” and then to the “assistant
director of nursing” and then “the director of nursing
or vice president of nursing”
Nurses
Supervising registered nurse/
charge nurse/head nurse
Nursing supervisor
Assistant director of nursing
Director of nursing/vice president of nursing
VICE PRESIDENT FOR NURSING SERVICES/THE
DIRECTOR OF NURSING
- “Director of Nursing”
- “Director for Nursing Services” in some facilities
- The chief nursing officer of the healthcare setting
- Ultimately accountable for:
✓ All aspects of patient care
✓ Adherence to regulations and a wide variety of
other responsibilities
NURSE PRACTITIONERS
- Like nurse clinical specialists
- They are advanced practice registered nurses with
an area of specialty who have successfully passed
and maintained their American Nurses Credentialing
Center’s (ANCC) Certification as a nurse practitioner
in a specialty area of practice
- Some possible specialty areas of practice are:
Pediatrics Psychiatric Mental Health
- They also provide patients with assistive aids like
WALKERS and CANES and EXERCISE REGIMENS
- They practice in all healthcare environments including:
Home Community
- Like occupational therapists, physical therapists are
often found in the rehabilitation and restorative
care area of a large acute care or long-term care
facility

Family Health Community Health OCCUPATIONAL THERAPISTS

- Assess, plan, implement, and evaluate
interventions including those that facilitate the
NURSE MIDWIVES patient’s ability to achieve their highest possible level
- A member of the nursing team and obstetrics team of independence in terms of their activities of daily
- They are advanced practice registered nurses who living such as:
Bathing Grooming
work with non-risk pregnant women during the
pregnancy under the supervision of obstetrician
Eating Dressing

NURSE ANESTHETISTS - They also give patients adaptive devices like:

- A member of the nursing team and the anesthesia ‣ Long shoehorns — patient can put their shoes on
team ‣ Sock pulls — patient can independently don socks
- They are advanced practice registered nurses who ‣ Special adaptive cutlery — to facilitate
work under the supervision of an anesthetist in the independent eating
provision of all types of anesthesia ‣ Grabbers — patient can pick items up from the
floor
MEDICAL DOCTORS ‣ Special mouth care tools
- Licensed professionals who provide medical care
‣ Special devices to manipulate buttoning — patient
- Many doctors serve as primary care doctors
can dress and button their clothing independently
- But there is a wide variety of medical doctors who
perform diff. roles and who have a specialty area of
SPEECH THERAPISTS
practice:
- “Speech Pathologists or Therapists”
Cardiology Endocrinology Pulmonary Med Gastrology - Assess, diagnose, and treat primarily communication
disorders such as: 1) Aphasia, 2) Swallowing
Neurology Dermatology Pediatrics Gerontology Disorders (e.g. dysphagia)
- For example: speech therapists may help patients
Ophthalmology Nephrology Psychiatry
with the formation of words and speaking when they
have an impaired ability to communicate with others
DIETICIANS
using words — this deficit is known as EXPRESSIVE
- They assess, plan, implement and evaluate
APHASIA
interventions including those relating to dietary
- They also assist the patient with word boards and
needs of those patients who need regular or
other electronic devices to facilitate communication
therapeutic diets
- Dysphagia and other swallowing disorders are also
- They also provide dietary education and work with assessed, diagnoses, and treated in collab with other
other members of healthcare need when a client has a members of the healthcare team like nurses,
dietary needs secondary to physical disorders such as dietitians, and medical doctors
dysphagia
RESPIRATORY THERAPISTS
PHYSICAL THERAPISTS
- Like other members of the healthcare team,
- Licensed healthcare professionals who assess, plan,
collaborate with other disciplines in solving respiratory
implement and evaluate interventions including
related healthcare probs
those related to the patient’s functional abilities in
✓ They draw arterial blood gases
terms of their:
✓ Maintain patient with mechanical ventilation
Strength Mobility Balance ✓ Provide CPAP
✓ BI PAP
Gait Coordination Joint ROM ✓ Incentive spirometry and intermittent respiratory
treatments like IPPB
 ✓ Administer respiratory medications
✓ Intubate patients
✓ Assist with bronchoscopy and other respiratory related diagnostic tests
✓ Perform pulmonary hygiene measures like chest physiotherapy
✓ Serve an integral role during cardiac and respiratory arrests

SOCIAL WORKERS
- They have several different roles in the healthcare environment
- They counsel patients and provide psychological support
- They liaison with the community in terms of patient’s financial needs
- They serve as part of the team that ensures care along the continuum of care after the person is discharged
- They sometime serve as case managers

PSYCHOLOGISTS & PSYCHIATRISTS

- Both two provide mental health and psychiatric services to those with psychiatric mental health disorders both long term
and acute
- They also provide psychological support family members and significant others as indicated
- PSYCHIATRIST — Medical doctors who diagnose and treat mental, emotional, and behavioral disorders
- PSYCHOLOGISTS — Deal with mental processes, especially during times of stress

The Registered Serving as a Resource Person to

Other Staff
- Nurses are the center of care that is provided
- Registered nurse has the professional
responsibility to serve as a resource person within
their areas of expertise to other staff including
those in other disciplines = increase their
understanding of:
✓ Nursing
✓ Nursing care
✓ Needs of the clients
✓ How the nursing staff interact and collaborate
with them

Partnership in Nursing Care

- Is the relationship based on COLLABORATION
among individuals, who place trust and
confidence in accountability, and who have the
capability, and empathy

Characteristics of Effective Partnership

1) Confidentiality
2) Trust
3) Self-reflection
4) Social conversation
5) Creating a therapeutic environment
6) Encouraging autonomy and independence
Serving as a Resource
Person to Other Staff
- Nurses are the center of care that is provided
- Registered nurse has the
professional responsibility to
serve as a resource person
within their areas of
expertise to other staff
including those in other
disciplines = increase their
understanding of:
✓ Nursing
✓ Nursing care
✓ Needs of the clients
✓ How the nursing staff
interact and collaborate
with them

Partnership in Nursing Care

- Is the relationship based
on COLLABORATION
among individuals, who
place trust and
confidence in
accountability, and who
have the capability, and
empathy

Characteristics of Effective Partnership

a. Confidentiality
b. Trust
c. Self-reflection
d. Social conversation