Fostering Interpersonal and Collaboration Relationship in The Healthcare Sector
The world is changing with the rapid speed which has increased the need for professionalism in every field of works. With the changing circumstances, new challenges, innovations, and development are emerging in the healthcare sector. Nurses who are the backbone of the healthcare sector are professionally responsible for delivering the utmost care and support to those who are in need of medical attention. It is their foremost responsibility to provide medical care and support to patients who are facing a decline in their health. In the traditional approach, nurses are the one who offers primary care to the patients and waits for the further instructions and guidance from qualified practitioners but the healthcare model has started to bend, leaving the door open for the new concept related to the therapeutic process. (Fournier, 2000).
Nursing is the process that includes a number of settings which can both positively and negatively influence the processes which are out of the access of the nurse. These settings include management policies, decisions, government laws, orders/instructions received from other practitioners in the hospital and more. These settings directly outline the personal intentions of the nurses to accept and follow the individual rules and respect the rights in the medical practice. Such codes of conduct may affect their performance and can cause other ethical issues they face while fulfilling their duties. Often nurses are encouraged to take an initiative and become a part of decision-making process and discuss the challenges they are currently facing while taking care and supporting patients (Gelman, White, Carlson & Norman, 2000)
Overall these years, the significance value has been given to the collaboration and interpersonal relationship between health and care supports. There is a never ending argument on the topic which has been led by the industry experts. They basically argued upon the fact that how collaborating both care and support services will allow professionals to achieve effective community care for the patients. The certain changes in the priorities and practices to the healthcare sector have brought several issues related to the professional relationship in the light (King & Ross, 2003). Some professional practitioners come up with the argument that collaborating services can actually create circumstances where boundaries between traditional roles and professional identities blur downs. During such a situation, practitioners are required to effectively work upon the situation in hand and negotiate their role to provide utmost care to students. Depending on the call of the situation where the immediate medical care should be provided by the experienced and qualified nurses but the practitioners do not provide authority to nurses to take necessary decisions related to the patients as the care is prioritized during such a situation.
Some situations can give birth to the challenges for medical professionals in terms of their roles and professional boundaries. This change has introduced a shift in the healthcare practicing and gave a path to new knowledge and procedures and helped the industry to further develop the capability of the prosthetic and orthotic disciplines to offer more effective services to the specially abled people (Whittington, 2003).
Earlier researches have indicated that the misunderstanding over the roles and responsibilities can lead to different difficulties. As after collaborating forces, two practitioners can attain the same patient and conflict between their responsibilities can cause several issues for both practitioners and patient. This indicates that lack of mutual understanding between nurses regarding their roles and responsibilities can increase only minor opportunities to establish a long-term inter-professional relationship (Gelman, White, Carlson and Norman, 2000). The studies have further highlighted that some professionals encounter various difficulties while dealing with complexities of the roles and responsibilities of the inter-professional relationship. When it comes to discussing about the different challenges faced by the professional nurses in their inter-personal environment, it has been witnessed that practitioners react upon the experienced difficulties and only come with the options which have been optimized in the ancient times rather than going for the alternatives that can certainly enhance the practice (King, & Ross, 2003).
According to the reviews, one of the major barriers professionals need to overcome is effective communication. They need to figure out how one can effectively interact and coordinate with others and offer a theoretical base the medical care and support. It states the fact that the direct involvement with the outer (social) world is pre-reflective, the actual context represents the situations or circumstances reflects that whatever they have done along with the interactions between the nurses and practitioners will follow the set pattern as they will always be subjected to the very same critical situations (Tomasik, 2015). Generally, it could be the situation where a practitioner is facing various difficulties with the other professionals he or she is working with, this can certainly force them to consider how the internal communications can be improved and what role does it offers in their practices. It can improve the quality of working and diverse thinking on the advanced ways to provide effective medical care which is not restricted by the traditional practices (Littlechild & Smith 2013).
In respect of such challenges, professionals need to come up with the solutions that would not only resolved the issues but also effectively help to establish a fruitful relationship between nurses and professional doctors and further help them to have a mutual understanding which will enable them to what other practitioner meant while discussing the condition of the patient. There is a wide range of doctrine methods that have been implemented to create personal understanding. In additions, these methods were specially designed to allow collaborating parties to explain their knowledge and experience in an effective manner as well as a way to improve their inter-personal relationships. As it is always said “two hands are better than one” and the collaboration among the care and support are putting this phrase into the action.
The core concept of collaboration and inert-personal skills can be used for the development in the healthcare sector. It can be optimized while conducting research and development in the working environment. According to the research, this concept was presented for the approval which was finally obtained from the National Health Service and Ethics committees (Stuart, 2002). There is no doubt that both medicines and nursing are both vital parts of the patient care and the medical outcome basically depend upon the diagnosis skill along with the treatment provided by the doctors and continuous care and observations and their ability to provide accurate and authentic information to their working partners.
The hospital system relies on the communication system that only transfers information from one professional to another but also plays a crucial role in the overall collaboration process. Unlike other departments of the patient care, intensive care unit majorly depends upon the benefits of the inter-professional collaboration. Hospitals that have a better communication system and where nurses share effective coordination with the physicians are said to be the one that has higher satisfaction and lower turnover of employees (Gelman, White, Carlson & Norman, 2000).
However, the relationship between nurses and doctors were never a subject of consistent even in the very beginning. Readers need to understand that from the earlier time, both of these professionals have their separate opinions about the patient care and they look different on the gender gap of the co-operation. All these years the collaboration of doctor and nurse and inter-professionalism is accepted by the society and seen as a classical indication of the power, gender, and professionalism (Fournier, 2000). Sociology researches and studies have helped to shed more light on the topics related to the healthcare professionals’ especially doctors and nurses. It has contributed more on the understanding of the inter-professional relationship shared by practitioners and nurses yet, this contribution will remain theoretical and academic only. Since the last few years, the collaboration among the nurses and doctors have been put in the several practical perspectives ways in the different hospitals. As studies basically focus upon the inter-personal relationship that serves as a base for effective healthcare and patient care. It also suggests that co-operation does not mean utilizing each other’s skills and experience to reach a common goal but a term that can be used to convey the message that different professions can be employed by the very same organization (Tomasik, 2015).
As per the feedback received from the different hospitals, it was reported that conflict and discrepancies do exist between the role and responsibilities of nurses and physicians. It has seen that nurses are more critical to the doctor but if not a single party lived up the expectations and standard of the opposite party. After in-deeply analyzing and studying, it was concluded that both professionals have different perspectives regarding their roles and responsibilities (Littlechild & Smith, 2013). Nurses often are seen as the one who follows the instructions and acts accordingly and doctors as the individuals who give those instructions. This point has been covered by the empirical studies, where they primarily focused upon the fact that inter-professional and co-operation are not just problems that can be easily resolved by the male doctors, yet kit further indicate that the gap in the working culture can affect the inter-personal relationship shared by the organization and can make some undramatic impressions. The lack of corporation among female doctors and nurses can cause more issues and require urgent attention from the authority. It is their responsibility to make decisions regarding patient care and support and also the rights that should be given to the professional nurses (Stuart, 2002).
As analyzed in the present phase of the developing co-ordination, inter-professional relationship and professionalism, practitioners are more corporative and satisfied. Both parties evaluated co-operations differently and it has observed that doctors reported more frequently than nurses and enjoyed being praised for their efforts by other professionals, better co-operation between other departments, and they take interest in discussing the condition of the patients with other doctors and their abilities. When it comes to meeting the expectations, doctors are less satisfied compared to nurses as nurses do not have that much expectation from other members of the same profession. What actually differentiates these two professions with each other is the satisfactory level within the departments (McDermott & Archibald, 2010).
The collaboration requires the mutual agreement from both parties to achieve a mission in the hospital setting which is the patient to whom proper nursing care will be provided. Both parties are required to come up on the same platform to share their knowledge, objectives, skills, and experience (Weiss & Hughes, 2005). But as mentioned earlier both doctors and nurses have their specific perspective directly linked to their work, patient and their culture. Along with this, cemented monopoly competence also plays an important role Therefore, the inter-professional relationship takes place at a point where the objectives of both parties intersect with each other.
In case, if there is any doubt about the objectives between any of the above party then, the third party who is receiving the benefits from the collaboration is more likely to suffer. If both parties work with the mutual aim then, chances of facing serious consequences are less (Whittington, 2003).
From the above discussion, we have concluded that there are a lot of challenges which are in between nurses and doctors. In the world of advancement where you can observe several changes in the various disciplines, medical stream also shown development in a unique way just like health care which was not given earlier. For the improvement of patients, both doctors and nurses play a significant role, that is why it is advisable that nurses have equal opportunity to take the decisions regarding the patient’s health. Here, it doesn’t mean that nurses have more authority than the doctors to take the decisions. However, it only means that nurses also reached to a certain level of experience where they can also take the right decision as per the requirements and treatment of patients. According to the studies given by Weiss & Hughes, 2005 to achieve the objective of health care, it becomes essential to work as a collaboration between the nurses and doctors (Weiss & Hughes, 2005).
References:
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Fournier, V. (2000).” Boundary work and the (un) making of the professions”. In E. Malin (Ed.) Professionalism, boundaries and the workplace, pp. 67-86. London: Routledge.
Gelman, S.B., White, A.W., Carlson, L., & Norman, L. (2000).” Making organizational change to achieve improvement and interprofessional learning: Perspectives from health professions educators”. Journal Of Interprofessional Care, 14(2), pp.131-146.
King, N., & Ross, A. (2003).” Professional Identities and Interprofessional Relations: Evaluation of Collaborative Community Schemes”. Social Work in Health Care, 38(2). pp.51-72.
Leathard, A. (1994).” Inter-professional developments in Britain: an overview”. In A. Leathard, (Eds.), Going inter-professional: Working together for health and welfare, pp. 3-37. London: Routledge.
Littlechild B, Smith R.(2013), “A Handbook for Interprofessional Practice in the Human Services: Learning to Work Together.” New York, NY: Routledge;
McDermott R, Archibald D(2010). “Harnessing your staff’s informal networks.” Harv Bus Rev.;88(3):82–89.
Stuart, G. (2002).” Embedding practice based, interprofessional education into the curriculum”. Retrieved October 20, 2003 from Social Policy and Social Work Case Study.
Tomasik J,(2015).” Fleming C. Lessons from the field: promising interprofessional collaboration practices”. Philadelphia: CFAR; 2015 Feb. p. 2-48.
vanRijnsoever FJ, Hessels LK (2013). “Factors associated with disciplinary and interdisciplinary research collaboration.” Res Policy. ;40(3):463–472.
World Health Organization, (2010). “Framework for Action on Interprofessional Education and Collaborative Practice.” Geneva: World Health Organization; 2010
Whittington, C. (2003).” Learning for collaborative practice with other professions and agencies”. London: Department of Health. Retrieved February 15, 2004.
Weiss J, Hughes J(2005)., Want collaboration? Accept—and actively manage—conflict. Harv Bus Rev. 2005;83(3):92–101, 49
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