Discussion: Intra- and Interdisciplinary Practice

Discussion: Intra- and Interdisciplinary Practice

RE: Discussion – Week 3

Collaboration with others is essential in health care without discrimination of title or job compacity. Nurses prepared at the doctoral level must be able to work and consider the opinions of other healthcare team members. Vega and Bernard (2016) assert interprofessional collaboration (IPC) is defined by multiple healthcare workers from various professional backgrounds working together to achieve the optimal level of patient care. Doctorally prepared nurses strive to increase knowledge and work towards the better good of society. IPC encourages greater communication between a diverse group of professional leading to fewer health care errors and sentinel events (Vega & Benard, 2016). The Institute of Medicine (2010b) suggests as leaders nurses must create a partnership with other health disciplines through collaboration to cultivate change.  As a psychiatric mental health nurse practitioner (PMHNP), I work very closely with psychologists and therapists. As a PMHNP, I often collaborate with psychologists for disease-specific testing to help guide my treatment planning. Likewise, it is also essential for me to collaborate with therapists to monitor the progress of a patient’s ability to use adaptive coping skills. As a nurse pursuing a Doctor of Nursing Practice (DNP), I will continue to work closely with psychologists and therapists to help my specific patient population achieve their optimal outcome. I believe upon completion of the DNP program I will have a greater appreciation of the input of other disciplines.

DNP-prepared nurses must also be able to collaborate within their own discipline.  Intraprofessional collaboration not only helps with promoting optimal outcomes but it encourages personal growth, Intraprofessional collaboration is achieved when nursing hierarchies are addressed, nurses have a clear understanding of their role, and are allowed to practice to their full scope (as cited in Lanshear, 2019). Nurses who have a clear understanding of their role and work to their full scope of practice promote intraprofessional collaboration and higher team functioning leading to an enhanced health care system ( as cited in Lanshear, 2019). Personally, I work with nurses educated at the undergraduate level as well as nursing support professionals. As a nurse pursuing a doctoral degree, I plan to ensure each nursing discipline has a clear understanding of their role as well as a clear understanding of my role, so high team functioning is achieved. For example, the certified medical assistance will understand he or she is the first person the patient encounters and that their role of collecting vitals is equally as important as the registered nurse’s job duty of collecting pertinent history. As a nurse seeking a DNP degree, I will encourage clarity and communication within my discipline to improve healthcare outcomes.

Courtney

References

Bernard, A. and Vega, C.P. (2016). Interprofessional collaboration to Improve health care: An Introduction. Retrieved from https://www.medscape.org/viewarticle/857823#:~:text=Interprofessional%20collaboration%20is%20defined%20as,providers%20consider%20each%20other%27s%20perspective%2C

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health {Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Lanshear, S. ( 2019). Intraprofessional collaboration: timing is everything. Retrieved from https://canadian-nurse.com/en/articles/issues/2019/may-2019/intra-professional-collaboration-timing-is-everything

Intra- and Interdisciplinary Collaborative Practice

The Institute of Medicine (IOM) report The Future of Nursing: Leading Change, Advancing Health in this week’s Learning Resources indicates there are 3 million members of the nursing profession in the United States, composing the largest segment of health care workers. As the health care field continues to evolve, nurses with advanced degrees are likely to fulfill leadership roles and work collaboratively with other health care professionals to improve access to care and promote quality. The AACN and the IOM stress the importance of intra- and interprofessional collaboration.

In this week’s media presentation, “The Professional Role of the DNP Prepared Nurse,” Dr. Stanley, Dr. Stefan, and Dr. Beechinor discuss the value of intra- and interprofessional collaboration across the spectrum of health care delivery. Dr. Beechinor also speaks about the benefits of engaging in collaboration during a doctoral program, and how this can aid students as they prepare for new professional roles. The experts also discuss why collaboration is essential for nursing research.

To prepare:

With information from the Learning Resources in mind, consider the value of intra- and interprofessional collaborative practice in professional practice and as you engage in your doctoral studies. What opportunities do you see for engaging in intra- and interprofessional collaborative practice?
By Wednesday 6/14/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1) Evaluate the value of intra- and interprofessional collaborative practice as a DNP prepared nurse and how it may impact your role.

2) Provide at least two detailed examples to support your response.

Required Readings

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

Chapter 9, “Emerging Roles for the DNP”

Multiple advanced nursing practice roles are discussed in this chapter, including nurse administrator, nurse entrepreneur, public and community health practitioner, and integrative health practitioner.

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health[Consensus report]. Washington, DC: National Academies Press. Retrieved from https://web.archive.org/web/20150211165201/http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

This link provides access to the complete IOM report (672 pages). You may read the report online or download a free PDF version.

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

This IOM report highlights key messages regarding the future success of the nursing profession, with recommendations for practice, education and training, partnerships with other health care professionals, and workforce planning and policy making.

Discussion: Intra- and Interdisciplinary Practice

Currey, J., Considine, J., & Khaw, D. (2011). Clinical nurse research consultant: A clinical and academic role to advance practice and the discipline of nursing. Journal of Advanced Nursing, 67(10), 2275–2283.

Note: You will access this article from the Walden Library databases.

Waxman, K. T., & Maxworthy, J. (2010). The doctorate of nursing practice degree and the nurse executive: The perfect combination. Nurse Leader, 8(2), 31–33.

Note: You will access this article from the Walden Library databases.

This article provides a clear comparison of the DNP degree with PhD/DNS/DScN degrees and articulates the value of the DNP degree to nurse executives.

Required Media

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 4 minutes.

RE: Discussion – Week 3

Thank you, Courtney, for your insightful discussion post. I agree that doctor prepared nurses as terminal nursing degree holders should nurture collaboration within and across the profession and their specialties. Intra-professional collaborative practices involve incorporation of healthcare professionals and providers from various specialties to work coordinately with a common goal of bettering patient care delivery (Bice et al., 2019). As doctoral students and nurse leaders pursuing terminal qualifications, collaboration allows us to collect different perspectives on healthcare issues, advocate for professional development and implementation of evidence-based practice interventions in different patient situations with the aim of enhancing overall care delivery.

Collaboration among DNP and PhD-prepared nurses provides the practitioners with an opportunity to drive positive change in different areas of the profession. Studies demonstrate that collaboration, both intra and inter-professional, in terminal degree prepared nurses facilitates effective translation of research into practice and enhances educational opportunities as well as improves overall patient outcomes (Carlson et al., 2018). The rapid growth in interest and demand for these terminal degrees among advanced practice registered nurses (APRNs) is an indication that with increased opportunities, nurses can collaborate to facilitate implementation of scientific nursing evidence into practice environment and the development of nursing education curriculum.

As you posit, DNP prepared nurses must pursue both intra and inter-professional collaboration as they are essential in personal career growth and allows them to understand their roles in an effective way. A core component of inter-professional collaboration is the need to enhance leadership skills and abilities in care delivery as the healthcare environment transforms and the demand for primary care increases (Staffileno et al., 2017). The emergence of infectious diseases and pandemics like the current Coronavirus disease (COVID-19) implores nurses to increase their collaborative efforts in care delivery as primary care providers in different areas of the healthcare environment.

 

References

Bice, A., Griggs, K., & Arms, T. (2019). Narratives of doctorally prepared nursing faculty on

tenure track: A pilot study. Journal of Professional Nursing, 35(4), 293-299.

doi: 10.1016/j.profnurs.2019.01.004.

Carlson, E. A., Staffileno, B. A., & Murphy, M. P. (2018). Promoting DNP-PhD collaboration in

doctoral education: Forming a DNP project team. Journal of Professional Nursing, 34(6), 433-436. doi: 10.1016/j.profnurs.2017.12.011.

Staffileno, B. A., Murphy, M. P., & Carlson, E. (2017). Determinants for effective collaboration

among DNP-and PhD-prepared faculty. Nursing outlook, 65(1), 94-102.

doi: 10.1016/j.outlook.2016.08.003.

In this media program, Dr. Joan Stanley, Dr. Linda Beechinor, and Dr. Susan Stefan discuss the professional roles available to DNP-prepared nurses and the importance of intra- and interprofessional collaboration in those roles.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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