Since the introduction of the Affordable Care Act (ACA), there has been an extensive change in the United States' healthcare sector. Most individuals are seeking health checkups, unlike the pre-ACA era. As such, diversification of interprofessional teams in hospital settings is rapidly being implemented to necessitate well synchronized and coordinated healthcare delivery. One such essential personnel in the hospital is the acute clinician nurses. The primary role of the team is to make sure patients receive dialysis treatments efficiently. The unit applies the 'primary team' care model, which allows it to deliver the best health care services serenely and autonomously. Besides, the team works in partnership with other units such as bed physicians, nephrologists, and primary care nurses, to deliver optimal care. However, the collaboration between acute to outpatient chronic care settings concerning the changing of dialysis treatment and care continuity is dismal. As such, nursing actions delivering patient care based on iCARE components Compassion, Advocacy, Resilience, as well as Evidence-Based Practice is essential in improving cooperation amongst the teams.
Compassion
Nursing practice requires one to be compassionate as well as collaborative. Empathy entails active listening, rapport building, therapeutic support, as well as educating patients on how to improve, alleviate suffering, and improve care results (Aagard & Biles, 2018). As such, nurses show compassion to patients in many ways, such as actively listening, addressing their issues, and providing emotional support during the treatment process. Additionally, they use positive body language as well as voice to imbue confidence in their patients. However, compassionate care is not limited to ensuring patients’ satisfaction only. It is essential also to interprofessional teams’ collaborations. It guarantees safer work settings as well as synchronization among teams. Therefore, to employ a compassionate culture, nurses practice virtues such as active listening, respect, proper communication, as well as kindness towards fellow teammates. Subsequently, through applying self- and engaging- compassion, interprofessional teams experience active engagement, which positively impacts both the caregivers and the patients ( Burridge et al., 2015) .
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Advocacy
It is traditionally believed that nurses’ most sacred role is to provide high-quality medical care only. However, they have another responsibility of acting as the patients’ advocates. The obligation requires them to help patients make a learned resolution concerning their health. Additionally, nurses assist patients to understand multifaceted medicinal systems as well as interpret complex therapeutic terms. Nurses become patients’ advocates because of the long-time they spend with the patients as compared to other health practitioners. The duration allows them to build trust as well as a strong bond with the patients. Subsequently, they ensure that patients' wishes are addressed with the relevant medical interdisciplinary teams. Other than assisting the patient, patient advocate also helps in improving compliance as well as care outcomes among multidisciplinary teams. Additionally, it enhances the team members' as well as nurses' knowledge and awareness of patients' traditions (Levy, 2018).
Resilience
The nursing profession is an occupations characterized by both adversity and constant worry. Therefore, it requires someone to become flexible as well as eager to learn to solve stressful and adverse situations. Some of the ways include expanding knowledge on conflict resolution techniques and stress-reducing skills. Additionally, it is important to practice effective communication and readiness to adapt to situations as they unfold. According to McAllister & McKinnon (2009), specialized expertise is a necessary tool for someone to become resilient to stress-filled tasks. For instance, in dialysis care settings, handling ESRD patients is quite a stressful task. Unfortunately, the situation is rapidly worsening because the number of ESRD patients is increasing steadily. As such, nurses’ resilience will play a critical role in the patients' clinical outcome mainly through encouraging and assuring positive connection to the patients.
Evidence-Based Practice
Currently, evidence-based practice is the foundation of both nursing as well as healthcare provision. As such, incorporating it in our care settings is critical in supporting interprofessional collaboration. Evidence-based practice can change the entire exercise and promote high-quality care provision. Additionally, it will improve effective risk management as well as the safety of the patients. As a result, interdisciplinary cooperation and effective communication can lead to the improvement of patient safety. According to Thomas et al. (2016), applying the hemodialysis safety checklist improves the care quality, thus making the patients feel safe.
Summary
Overall, cooperation between interprofessional teams is essential for achieving excellence in care quality, the safety of patients, as well as improved clinical outcomes. Compassion, Advocacy, Resilience, and Evidence-Based Practice is also critical in improving the transition process between acute and chronic setups. Additionally, the components are essential in promoting collaboration among interprofessional teams as well as clinical outcome enhancement. Therefore, nurses in an acute setting can enhance cooperation between the interdisciplinary teams due to the close contact they have with physicians, patients, and their relations. In light of improving collaboration among interprofessional teams, nurses will positively influence the patients’ outcomes, transitions, as well as disease management.
References
Aagard, M., Papadopoulos, I., & Biles, J. (2018). Exploring compassion in US nurses: results from an international research study. Online Journal of Issues in Nursing , 23 (1), 5.
Burridge, L. H., Winch, S., Kay, M., & Henderson, A. (2017). Building compassion literacy: Enabling care in primary health care nursing. Collegian , 24 (1), 85-91.
Levy, N. B. L. (2018). Legal Issues...Patient Advocacy and the Nursing Role. CINAHL Nursing Guide . Retrieved from http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=nup&AN=T707493
McAllister, M., & McKinnon, J. (2009). The importance of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse education today , 29 (4), 371-379.
Thomas, A., Silver, S. A., Rathe, A., Robinson, P., Wald, R., Bell, C. M., & Harel, Z. (2016). Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study. Clinical kidney journal , 9 (3), 335-342.
