INT101sahs - Interprofessional Collaboration in Health

Diego, Dona Denese S. | BSN3f | A.Y. 2023 – 2024 1st semester preliminaries
st. paul University Philippines

HEALTH SCENARIO

INTERPROFESSIONAL COLLABORATION
⎯ The process of developing working relationships with
learners, practitioners, patients/clients/families, and
communities to enable optimal health outcomes.
⎯ Elements include respect, trust, shared decision-
making, and partnerships. Canadian Interprofessional
Health Collaborative, 2010

INTERPROFESSIONAL EDUCATION
⎯ When students from two or more professions learn
about, from and with each other to enable effective
collaboration and improve health outcomes.
WHO2010

INTERPROFESSIONAL COLLABORATIVE
PRACTICE
⎯ When multiple health workers from different
professional backgrounds work together with patients,
families, carers [sic], and communities to deliver the
highest quality of care. WHO2010 INTERPROFESSIONAL COLLABORATION
⎯ INTERPROFESSIONALITY IS NOT:
o Simply sharing electronic health records.
o Professional teams” (ex: neurosurgeons,
psychiatrists, radiologists, etc…)
o Learners having a talk about another
profession.
a
o “Reporting” out at interdisciplinary team
meetings.
o Co-location without intentional
collaboration.
o Decision-making without client/patient input.

POINTS TO PONDER
FRAMEWORK FOR COLLABPORATIVE PRACTICE
INT101sahs - Interprofessional Collaboration in Health
Diego, Dona Denese S. | BSN3f | A.Y. 2023 – 2024 1st semester preliminaries
st. paul University Philippines

BENEFITS OF INTERPROFESSIONAL ▪ process enables them to share their

COLLABORATIVE PRACTICE best practices and fosters team
⎯ EDUCATIONAL: spirit.
o Students have real world experience and  Health workforce satisfaction and well-being
insights. o Australia and UK – primary care teams have
o Students learn and appreciate the work of reported high levels of well-being.
other practitioners. ▪ They share problems and support
o Staff from a range of professions provide each other.
input into program development. ▪ Resulting cooperation buffers
⎯ HEALTH POLICY: individuals from negative
o Improved workplace practices and workplace interactions.
productivity.
o Improved patient outcomes EVIDENCE ON THE OUTCOMES OF
o High or raised staff morale. INTERPROFESSIONAL TEAMWORK
o Improved patient safety
o Better access to health care.
⎯ ACTUAL (CLINICAL) PRACTICE –
IMPROVEMENT ON:
o Access to and coordination of health services
o Appropriate use of specialist resources
o Health outcomes for people with chronic a a
diseases
o Patient safety
⎯ COMMUNITY MENTAL HEALTH SETTINGS
o Increase patient and care satisfaction.
o Promote greater acceptance of treatment.
o Reduce duration of treatment
o Reduce cost of care
o Reduce the incidence of suicide. BARRIERS TO EFFECTIVE INTERPROFESSIONAL
o Increase treatment for psychiatric disorders. COLLABORATION
o Reduce outpatient visits.
⎯ TERMINALLY AND CHRONICALLY ILL
PATIENTS (AT HOME)
o More satisfaction
o Report fewer clinic visits.
o Present with fewer symptoms
o Report over-all improved health.
⎯ REDUCED COST OF:
o Redundant medical testing
o Setting up and implementing primary health
care teams with chronic illnesses
o Implementing multi-disciplinary strategies
for the management of heart failure patients
o Implementing total parenteral nutrition
teams within the hospital.

EVIDENCE ON THE OUTCOMES OF

INTERPROFESSIONAL COLLABORATIVE
PRACTICE
 Critical reflection
o Denmark – primary health care facilities
maintain records of each health workers’
services to facilitate reflection, discussion,
and improvement.
INT101sahs - Interprofessional Collaboration in Health
Diego, Dona Denese S. | BSN3f | A.Y. 2023 – 2024 1st semester preliminaries
st. paul University Philippines

OVERCOMING BARRIERS
⎯ Agree on a unifying philosophy centered around
primary care of the patient/client and the community.
⎯ Develop a commitment to the common goal of
collaboration.
⎯ Learn about other professions.
⎯ Respect others’ skills and knowledge
⎯ Establish positive attitudes about own profession.
⎯ Develop trust between members.
⎯ Be willing to share responsibility for patient/client
care.
⎯ Establish a mechanism for negotiation and re-
negotiation of goals and roles over time.
⎯ Establish method for resolving conflicts between team
members.
⎯ Be willing to work continuously on overcoming
barriers.

PARTING SHOTS
⎯ It is no longer enough for health workers to be
professional. In the current global climate, health
workers also need to be interprofessional.” WHO2010
⎯ We all have a moral obligation to work together to
improve care for patients. Pronovost & Vohr, 2010