working is an opportunity to meet the demands of complex cases but on the other
hand it can be viewed as a potential threat to professional autonomy, (Strype
2014). However professionals should endeavour to forge an effective working
relationship that benefits the patient in this case Frank to reach their potential.
Inter professional collaboration means members of different professions working
together to provide integrated health and social care for the benefit of a patient
(Clemow and Goodman 2010, Bronte et al 2012) it includes the element of shared
mutual trust, power sharing, respecting the roles and responsibilities the
health care professionals possess which impacts on the care given.
Frank’s care involved the nurse, doctor and
the student nurse and Frank’s family. Clemow and Goodman (2010) argued that
collaboration practice is not about professional members working together but
also the involvement of patient and family members as equal partners in care
delivery it also includes decision making and consultation rather than just
being recipients of it. This was the case with Franks care. Although Frank had
no capacity to make decisions, involving people who know him better is taking a
person-centred approach thus enabling families and friends to assist in
obtaining consent. When working with service users of any group, person centred
approach is vital in delivering evidence based care.
student nurse who was under the supervision of her mentor a Nurses were
governed by NMC and had to follow the code of conduct which guide their
practice. Doctors were governed by General Medical Council (GMC) different
regulating body to nursing. However,
they all must adhere to legislation enacted by government.
It is worth to
point out that collaboration working took place in this episode of care was
enabled by effective communication (Shaw et al 2005) through interaction and
the sharing of knowledge. However, if professional roles and responsibilities
lack clarity, collaboration is compromised (Shaw et al, 2005). Lack of
understanding of other professional roles and responsibilities influences team
communication in what can be confusing (Conner et al, 2008; Demiris et al,
2008). Therefore, knowledge of roles, responsibilities, and good communication
skills are crucial for effective interprofessionals collaboration (Robinson and
Cottrell, 2005). This inter professional collaboration and effective
communication led to the unanimous decision made to go ahead and treat Frank in
his best interest.
collaborative working, has always been an issue
of hierarchy between healthcare professionals however this was not the case
with Franks care. The doctor led the team professionally, respecting each
others contribution and encouraging others to participate in sharing ideas and
decision making. Everyone felt that communication was very effective and. To
help to reduce issues of hierarchy, Petro (2010) suggested that, students upon
entering professions should be introduced to interprofessional educational
experiences during their education. Such experience could help the student to
build trusting relationships between students and with other differing
professions, progress to understanding and valuing each discipline unique
contribution to health care and culminate in practise together as partners to
provide high quality of care. By doing this would allow the students to
understand the importance and effectiveness of collaboration in providing care
of a patient.
Franks had good pre-and post op care. The
family was happy with the decision made by the health care professionals to go
ahead since Frank lacked capacity and the operation was for his own good.