Chinese Medical Professionalism Forum-Beijing, China October 16, 2009

How Doctors and Nurses Collaborate on Medical Professionalism at Mayo Clinic Linda K. Matti RN, MSN Administrator

ObjectivesObjectives Identify Professionalism as part of Mayo Clinic’s Heritage Define Nursing Professionalism Describe the Attributes of Professional Nursing Describe How Doctors and Nurses Professionally Collaborate as a Team Identify Professionalism as part of Mayo Clinic’s Heritage Define Nursing Professionalism Describe the Attributes of Professional Nursing Describe How Doctors and Nurses Professionally Collaborate as a Team

Mayo’s Early Years 1883

Surgical Nursing Sisters Sisters Dr. Charlie & Dr. Will

EducationEducation ResearchResearch Clinical Practice

Mayo Clinic Practice Sites Rochester, Minnesota Phoenix/Scottsdale, Arizona Jacksonville, Florida

Unique patients526,000 Outpatient visits 1.5 million Hospital admissions132,000 Hospital Days of Patient Care 619,000 Unique patients526,000 Outpatient visits 1.5 million Hospital admissions132,000 Hospital Days of Patient Care 619,000 Mayo Clinic Facts Patient Care

Mayo Clinic Facts Staff Staff Physicians & Scientists 3,649 Residents, Fellows & Students 3,246 Adm/Allied Health Staff 49,948 Total 56,843

“Promote an environment at Mayo in which the duties and responsibilities of professionalism and bioethics are taught and valued and serve to inform the conduct of clinical care, scholarship and relationships” Program in Professionalism and Bioethics Vision

Celebrate the culture of professionalism at Mayo Clinic and emphasize its relevance to contemporary clinical practice, medical education and research Champion and communicate the values, attributes and behaviors of professionalism and bioethics Celebrate the culture of professionalism at Mayo Clinic and emphasize its relevance to contemporary clinical practice, medical education and research Champion and communicate the values, attributes and behaviors of professionalism and bioethics Program in Professionalism and Bioethics Goals

Establish professionalism and bioethics training curricula together with reliable assessment tools Study the professional and bioethical implications of new models of care, individualized medicine, and quality Establish professionalism and bioethics training curricula together with reliable assessment tools Study the professional and bioethical implications of new models of care, individualized medicine, and quality Program in Professionalism and Bioethics Goals

Mayo Clinic Model of Care

Mayo Model of Care Environment of respect for providing quality services Listening to needs of the patient Treating the whole patient Respect for patient and family Professionalism Environment of respect for providing quality services Listening to needs of the patient Treating the whole patient Respect for patient and family Professionalism

Program Initiatives & Activities are based on the Proposition that Professionalism Is not only a stand alone competency but is key to the mastery of all others Is a critical element in quality and patient safety Informs and advances the practice of Mayo Clinic Increases both Patient and Staff Satisfaction Is not only a stand alone competency but is key to the mastery of all others Is a critical element in quality and patient safety Informs and advances the practice of Mayo Clinic Increases both Patient and Staff Satisfaction

Premises for teaching, assessing, and researching professionalism Professionalism is a core competency Professionalism: is associated with important clinical outcomes should be taught and assessed can be researched Professionalism is a core competency Professionalism: is associated with important clinical outcomes should be taught and assessed can be researched

Attributes of Professional Nursing There is an educational background required to ensure safe and effective practice Members are accountable for continuing education and competency Members of the profession adhere to a code of ethics Members are autonomous and self- regulating There is an educational background required to ensure safe and effective practice Members are accountable for continuing education and competency Members of the profession adhere to a code of ethics Members are autonomous and self- regulating

Attributes of Professional Nursing A profession develops, evaluates and uses theory as a basis for practice Members are involved in research Publish and communicate their knowledge and advances in their profession Member participate in professional organizations A profession develops, evaluates and uses theory as a basis for practice Members are involved in research Publish and communicate their knowledge and advances in their profession Member participate in professional organizations

Professional Nursing Values Altruism Equality Autonomy Human Dignity Justice Truth Altruism Equality Autonomy Human Dignity Justice Truth

Professional Nursing Behaviors Dependability Professional Presentation Initiative Empathy Cooperation Critical Thinking Dependability Professional Presentation Initiative Empathy Cooperation Critical Thinking

Definition of Teamwork Teamwork in nursing practice refers to interdisciplinary practice or collaboration defined as a joint decision-making and communication process with the goal of satisfying the needs of the patient. This includes respecting the unique abilities of each professional involved in the care

TeamworkTeamwork Nurses work in multidisciplinary professional teams with doctors The goal of these teams is to promote and provide treatments which improve patient outcomes Nurses have been working with doctors for many years attempting to strengthen mutual understanding of each other professionalism and ability Nurses work in multidisciplinary professional teams with doctors The goal of these teams is to promote and provide treatments which improve patient outcomes Nurses have been working with doctors for many years attempting to strengthen mutual understanding of each other professionalism and ability

TeamworkTeamwork As professionals, nurses must not forget the greatest consideration – that of the patient rather than the provider Today’s best integrated health delivery systems are evolving toward a model of care in which interdisciplinary teams of providers manage the care of complex patients As professionals, nurses must not forget the greatest consideration – that of the patient rather than the provider Today’s best integrated health delivery systems are evolving toward a model of care in which interdisciplinary teams of providers manage the care of complex patients

TeamworkTeamwork We collaborate with unlicensed assistants and owe them mutual respect and courtesy. Their job is also to provide comfort, care, love and compassion to the sick.

TeamworkTeamwork Attributes of interdisciplinary collaboration include: Trust and Mutual Respect Knowledge Good Communication Cooperation and Coordination Share Responsibility Optimism Attributes of interdisciplinary collaboration include: Trust and Mutual Respect Knowledge Good Communication Cooperation and Coordination Share Responsibility Optimism

Nursing’s Future As new modalities of delivering care are yet to be envisioned and coordinated, fundamental to the nursing professions’ future is our ability to honor, respect and value the inter- personal and inter-professional relationships with physician colleagues.

Thank you!