Foundations of Learning and Collaborative Working Essay

Discuss the concept of collaborative functional within your professional area To be able to understand the rationale, the different factors influencing the outcome of collaborative functional and how this can be applied to Perioperative practice, it is important to have a sound understanding of the concept Collaborative Working. This concept has many terminological variations, one of the to a greater extent frequently used is Inter-professional running(a). Hornby and Atkins (2000) state that collaborative accomplishmenting is a relationship between two or more people, groups or organisations, functional together to narrow and achieve a common purpose. Barrett et al (2005) declares that inter-professional working is the process whereby members of different professions and/or agencies work together to provide integrated health and/or accessible care for the benefit of service users. Disregarding what is seen as the correct/incorrect terminology, the common denominator here is th at all health care staff/ agencies are working together to provide the best healthcare possible for patients and service users.There have been many debates about the variation in terminology, Leathard (19945) refers to it as terminological slack that has been created due to rapid developments in practice, and in her analysis of terms, Leathard (19946) prefers to use the term multi-professional as it infers a wider group of professionals. In this instance the term Collaborative working will be used. Over the years there have been many drivers behind the rationale for collaborative working dating as far backside as the 1960s in the USA, where Henderson (1966) reports that one hospital has weekly inter-professional ward conferences. The idea of collaborative working is therefore not a relatively sore concept. In recent years increased emphasis has been placed on collaborative working and the need to work together due to changes in technology, obligation and g all overnment reports . Technological advances such as telecommunication is now used by surgical staff to live feed surgical procedures to other move of the world. This has aided remote-area surgeons in their own practices (Shields & Werder 2002)Similarly, the introduction of the National wellness Service (NHS) direct advice line has created a way in which doctors can consult patients over the telephone. However a study by the Economic and Social Research Council (2005) concluded that telemedicine is disappearing compared to NHS direct advice line. The introduction to new machinery which takes blood pressures automatically sooner than manually, this and other technological advances have all required healthcare staff to change the ways in which they work collaboratively. On the other hand, Government reports besides change the way in which healthcare professionals work as they are often mandatory measures. The NHS Knowledge and Skills Framework (KSF) was introduced in 1999 under the Agenda for Change. daytime (2006) claims that the use of KSF will enable team leaders to identify gaps in the knowledge and skills of their inter-professional teams.KSF is an essential requirement carried out every year to fancy carry progressions. Collaborative working is also brought about by accountability. All healthcare professionals are governed by a professional body such as the wellness Professions Council (HPC) in which it is their duty to ensure compliance with the legislation on the use of protected titles (HPC, 2008) Not only are registrants responsible to the HPC they are also accountable to statutory and criminal law which means healthcare professionals must interact with patients and staff on an acceptable level at the risk of being prosecuted for their actions. other driver for collaborative working is seen through the ever scrutinizing media. A recent news report by Hughes (2011) titled Emergency surgery patients lives at risk, dictate surgeons is one of the many examples of nega tive media that is putting more pressure on healthcare professionals to work more collaboratively. On the other hand, many of the public viewing audience do not see the bias in the majority of these news reports and many examples of good collaboration is missed.Resulting from the rationale behind why people work together it is important to understand the ways in which people do work together. Safe Surgery Saves Lives was an initiative that arose in 2006 by the World Health Organization and in 2008 a Surgical Safety Checklist was released globally. Research proved that postoperative complication rates fell by 36% on total and the checklist has also improved communication among the surgical teams. (Haynes, B.A et al, 2009, Pg 496) Many trusts also have a theatre list policy and this ensures that staff are working collaboratively to ensure the lists are correct, accurate and the most important procedures have been prioritised. The idea differentiates among the trusts, but is most com monly referred to as a Group hug. This is carried out each sunrise before any surgical procedures commence and it is a chance for staff to collaborate and share any ideas or concerns over that days list.A big part of collaborative work, especially in peri-operative care, is about recognising each others skills and importance thus the idea of inter-professional learning. Kenward & Kenward (2011, pg 35-39) outlines the importance of mentors, stating that mentors should act as role models for students of all professions. Further promoting this the General Medical Council (2006) document on Good Medical Practice propounds that doctors also act as role models to filter and inspire and motivate others. It is evident that there are many ways in which healthcare staff work together, however major issues are nonoperational identified around the factors that influence the outcomes of collaborative working. Miscommunication has been identified as a reoccurring problem. Certain behavioral pa tterns among peri-operative staff which included ignoring requests they did not understand, failing to seek clarification, failing to speak loudly enough to be heard and communicating information to the wrong person. (Gardezi et al 2009, pg 1390-1399)This can be fatal especially in the geek of Elaine Bromiley who had undergone a routine sinus surgical procedure. Due to a breakdown in communication between surgeons, Elaine unfortunately died. A video titled expert a routine operation, (LaerdalMedical, 2011) released after the death of Elaine Bromiley, identifies the breakdown in communication between the surgeons and the theatre nurses who had actually witnessed the surgeons distress and suggested an alternative rule to intubating the patient which was ignored. This concept has been previously recognised as professional separatism. DAmour et al (2005) argued that because professional groups are educated separately they are and so socialised into discipline-specific thinking.Rese arch concluded that 69% of respondents to a questionnaire they set out reported disagreement between surgeons and nurses. And that 53.4% reported experiencing aggressive behavior from consultant surgeons (Coe and Gould, 2008, Pg 609-618) thereof meaning the outcomes of collaboration will suffer if all professionals do not interact and recognize the importance of other professionals skills. It is evident that collaboration and inter-professional working by and large exists but with the constant changes in peri-operative practice as mentioned previously and the way healthcare is constantly observed, especially by the media, it is evident that collaborative working is a continuous development or a lifelong learning process. As technology changes and government policies are continually released it is inevitable that the ways in which healthcare professionals work together will also change and develop.ReferencesBarret, G, Sellman, D and Thomas. J (2005) Inter-professional working in Hea lth and Social Care Professional Perspectives. Basingstoke Palgrave Macmillan. Coe, R and Gould, D (2008) Disagreement and aggression in the operating theatre. Journal of Advanced breast feeding. Volume 61, Issue 6, Pg 609-618. Day, J (2006) Inter-professional working An essential guide for health-and social-care professionals. Cheltenham Nelson Thornes. DAmour, D, Ferrada-Videla, M, San Martin Rodrigues, L and Beaulieu, M (2005) The conceptual basis for inter-professional Collaboration Core concepts and theoretical frameworks. Journal of Inter-professional Care. Supplement 1, Pg 116-131. Economic and Social Research Council (2005) Telemedicine revolution is disappearing from the NHS. 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