Foundations of Learning and Collaborative Working Essay

Discuss the concept of collaborative workings(a) within your master argona To be able to understand the rationale, the different factors influencing the asidecome of collaborative working 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 numerous terminological variations, one(a) of the more frequently used is Inter-professional working. Hornby and Atkins (2000) state that collaborative working is a relationship between two or more good deal, groups or organisations, working unitedly to define and achieve a common purpose. Barrett et al (2005) decl atomic number 18s that inter-professional working is the process whereby members of different professions and/or agencies work together to lead integrated health and/or social care for the benefit of process users. Disregarding what is seen as the correct/incorrect terminology, the common denominator here is that all(prenomi nal) health care staff/ agencies are working together to try the best health care possible for patient roles and service users.There have been some(prenominal) debates about the variation in terminology, Leathard (19945) refers to it as terminological quagmire 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 leave alone be used. Over the years there have been m whatsoever drivers behind the rationale for collaborative working dating as utter almost back as the 1960s in the USA, where Henderson (1966) field of studys that one hospital has hebdomadal inter-professional ward conferences. The idea of collaborative working is therefore not a relatively new concept. In recent years increased violence has been placed on collaborative working and the need to work together due to castrates in technology, accountability and government reports. Technological advances such as telecommunication is now used by functional staff to give out feed surgical procedures to opposite parts of the world. This has aided remote-area surgeons in their take in practices (Shields & Werder 2002)Similarly, the introduction of the National health Service (NHS) direct advice line has created a way in which doctors can consult patients over the telephone. However a study by the stinting and Social Research Council (2005) concluded that telemedicine is fade compared to NHS direct advice line. The introduction to new machinery which takes blood pressures automatically rather than manually, this and otherwise technological advances have all required healthcare staff to change the ways in which they work collaboratively. On the other hand, Government reports in addition 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 order of business for Change. Day (2006) claims that the use of KSF will enable team leaders to notice gaps in the knowledge and skills of their inter-professional teams.KSF is an essential requirement carried out every year to ensure pay progressions. Collaborative working is also brought about by accountability. All healthcare professionals are governed by a professional carcass such as the wellness Professions Council (HPC) in which it is their duty to ensure respect with the legislation on the use of protected titles (HPC, 2008) Not only are registrants accountable to the HPC they are also accountable to statutory and criminal right which means healthcare professionals must interact with patients and staff on an satisfactory level at the risk of being prosecuted for their actions. Another driver for collaborative working is seen through the ever scrutinizing media. A recent intelligence agency report by Hughes (2011) titled Emergency surgery patients lives at risk, say surgeons is one of the some examples of negative media that is putting more pressure on healthcare professionals to work more collaboratively. On the other hand, many of the public viewers do not see the bias in the majority of these news reports and many examples of good coaction is missed.Resulting from the rationale behind why pile work together it is important to understand the ways in which people do work together. Safe operating theater Saves Lives was an initiative that arose in 2006 by the World Health Organization and in 2008 a Surgical rubber eraser Checklist was released globally. Research proved that postoperative complication rates fell by 36% on average and the checklist has also improved communication among the surgical teams. (Haynes, B.A et al, 2009, Pg 496) Many trusts also have a subject area list policy and this ensures that staff are working collaboratively to ensure the lists are correct, accurate and the m ost important procedures have been prioritised. The idea differentiates among the trusts, but is most commonly referred to as a Group hug. This is carried out each morning before any surgical procedures commence and it is a chance for staff to collaborate and portion out any ideas or concerns over that days list.A sorry 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 share models for students of all professions. Further promoting this the General Medical Council (2006) document on Good Medical give propounds that doctors also act as role models to try and inspire and motivate others. It is apparent(a) that there are many ways in which healthcare staff work together, however major issues are still place around the factors that influence the outcomes of collabo rative working. Miscommunication has been identified as a reoccurring problem. Certain behavioral patterns 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 case of Elaine Bromiley who had undergone a mundane fistula surgical procedure. Due to a breakdown in communication between surgeons, Elaine unfortunately died. A video titled Just 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 method to intubating the patient which was ignored. This concept has been previously recognised as professional separatism. D inter-group communication et al (2005) argued th at because professional groups are educated separately they are and so socialised into discipline-specific thinking.Research 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 adviser surgeons (Coe and Gould, 2008, Pg 609-618) Thus 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 largely 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 Health and Social Care Professional Perspectives. Basingstoke Palgrave Macmillan. Coe, R and Gould, D (2008) Disagreement and belligerence in the operating theatre. Journal of advanced Nursing. 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 abstract 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. Online purchasable at www.esrc.societytoday.ac.uk. (Accessed 8 October 2011) Gardezi, F, Lingard, L, Espin, S, Whyte, S, Orser, B and Baker, G.R (2009) Silence, power and communication in the oper ating room. Journal of Advanced Nursing. Volume 65, Issue 7, Pg 1390-1399. General Medical Council (2006) Good Medical Practice guidelines working in teams. Online Available at http//www.gmc-uk.org/guidance/good_medical_practice/working_with_colleagues_working_in_teams.asp (Accessed 9 October 2011) Haynes, B.A, Weiser, G.T, Berry, R.W, Lipsitz, Sc.D et al (2009) A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. The refreshful England Journal of Medicine. Volume 360, Issue 5, Pg 496. Health Professions Council (2008-09) Continuing professional development annual report. Online Available at http//www.hpc-uk.org/publications/reports/ (Accessed 8 October 2011)Henderson, V (1966) The nature of Nursing A definition and its implications for practice, research and education. New York. Macmillan. Hornby, S and Atkins, J (2000) Collaborative Care Inter-professional, interagency and interpersonal. Oxford Blackwell. Hughes, D (2011) Emergency Surgery patient s lives at risk, say surgeons. BBC news. Online Available at http//www.bbc.co.uk/news/health-15098114 (Accessed 8 October 2011) Kenward, L and Kenward, L (2011) Promoting Inter-professional Care in the Perioperative environment. Nursing Standard. Volume 25, Issue 41, Pg 35-39. Proquest Online Available at http//proquest.umi.com/ (Accessed 9 October 2011) Laerdal Medical (2011) Just a Routine operating theatre Online Available at http//www.youtube.com/watch?v=JzlvgtPlof4 (Accessed 9 October 2011) Leathard, A (1994) sacking Inter-professional Working Together for Health and Welfare. London Routledge. Shields, L and Werder, H (2002) Perioperative Nursing. Cambridge University Press.