1. Working on and with Interdisciplinary Teams
Carl hinterberger
Leadership in Nursing Administration: Advanced Nursing Situations
Christine e. lynn college of nursing

2. Objectives Define an interdisciplinary team
Understand why interprofessionalism is important in healthcare
Review competencies related to interprofessional team values
Understand the implications for nurse leaders

3. What is an interdisciplinary team?
An interdisciplinary team is a group of different healthcare providers who work together to share expertise, knowledge, and skill with each other. They work toward the same goal of providing the best care and outcomes for a patient.
Examples: physicians, social workers, nurses, case managers, pharmacists, respiratory technicians, physical therapists, etc. ✚ ✚ =

4. Why is this important?
Nurses must embrace interprofessional collaborative care because health care reform has transformed health care delivery models that require nurses to work in an interprofessional world while caring for patients.
High-functioning interprofessional collaborative care is required for patients to have positive outcomes and for achievement of high scores on patient satisfaction surveys.
Therefore, nurses MUST respond to the demands for high-quality, safe, and accountable care.

5. Communication Among Healthcare Providers
The US Joint Commission identified communication errors as the main cause of serious, unexpected patient injuries.
Improving the effectiveness of communication among health care providers remained a National Patient Safety goal until just last year.
Medical errors can be life altering, life threatening, and expensive. Interprofessional communication involving teamwork and collaboration can prevent patient errors. However, it is not being well executed in health care programs throughout the United States.

6. Teamwork
Taking teamwork to its highest level involves interprofessional teamwork or collaboration. These teamwork behaviors involve collaboration in a patient-centered delivery of care.
Collaborative care involves each professional coordinating their care with other health professionals so that deficits, redundancies, and errors are avoided.
Nurses should collaborate with others through shared problem solving and shared decision making. This requirement is especially important in circumstances of uncertainty.
The Interprofessional Education Collaborative believes that interprofessionals must develop relationship-building values and principles of team dynamics. They also believe that interprofessionals must learn different team roles to deliver patient-centered/population- centered care that is safe, timely, efficient, effective, and equitable.

7. IPEC Competencies Related to Interprofessional Team Values
Place the interests of patients and populations at the center of interprofessional health care delivery
Respect the dignity and privacy of patients and maintain confidentiality in the delivery of team- based care
Embrace the cultural diversity and individual differences that characterize patients, populations, and health care teams
Respect the unique cultures, values, roles/responsibilities, and expertise of other health professions
Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services
Develop a trusting relationship with patients, families, and other team members; and high standards of ethical conduct and quality of care in personal contributions to team-based care
Manage ethical dilemmas specific to interprofessional patient-centered/population-centered care situations
Act with honesty and integrity in relationships with patients, families, and other team members to maintain competence in their individual professions appropriate to scope of practice

8. Interprofessional Communication
Successful collaboration depends on effective communications and is contingent on all parties being available for and receptive toward one another.
Effective communication begins with healthcare professionals speaking face- to-face.
In these days of technology, communication is often done via , texting, computer charting, or phone. Frequent face-to-face interaction of the team members creates ongoing connections and familiarity with one another.
Team members who communicate regularly and are in a professional relationship with one another in the good times are more apt to work together smoothly during a crisis. 

9. The Nurse Role
Nurses are better educated than in the past – nurses have the intellect to challenge existing assumptions about our practice, and the ability to critically address practices and transform these into our current communication age.
Our professional focus on relationships with others is a key to shaping how interprofessional collaborative practice can move to become the norm of all health services practice.
Such a transformation will take a willingness to challenge the foundations of what shapes our nursing profession.

10. Implications for Nurse Leaders
Nurses may perceive higher interprofessional collaboration when their nurse leaders exhibit behaviors consistent with authentic leadership. 
Authentic nurse leaders can create a culture that encourages respect for others and how to work collaboratively within a team context.

11. Implications for Nurse Leaders
It is important for nursing leaders to educate other nurses about, and instill competencies in interprofessional communication and collaboration.
Nurse leaders should also advocate for an increase of efforts to work with payers, health care organizations, providers, employers, and regulators to redesign care delivery and payment systems with the goal of making them more dynamic, interprofessional, and patient centered.
Nurse leaders must promote the importance of interprofessional care through their actions with other healthcare leaders.
It is the duty of nurse leaders to lead the nursing profession into a more interprofessional approach.

12. References
Bender, M. (2017). Clinical Nurse Leader-Integrated Care Delivery: An Approach to Organizing Nursing Knowledge Into Practice Models That Promote Interprofessional, Team-Based Care. Journal of Nursing Care Quality, 32(3),
Fulmer, T. (2016). Effective Interdisciplinary Teams: Do We Really Know How to Build Them? Generations, 40(1),
Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative. pp 1-56.
Lomax, SW., White, D. (2015). Interprofessional Collaborative Care Skills for the Frontline Nurse. Nursing Clinics of North America, 50(1),
Orchard CA. (2010). Persistent isolationist or collaborator? The Nurse’s role in interprofessional collabirative practice. Journal of Nursing Management, 18(3),
Ulrich, B. (2017). Using Teams to Improve and Outcomes and Performance. Nephrology Nursing Journal, 44(2),