Importance of Inter-professional Working in Nursing Practice

Importance of Inter- master key Working in Nursing PracticeInter-professional on the job(p) is constantly promoted to professionals within the wellness and aff able financial aid sector. Various terms such as interdisciplinary, multidisciplinary and inter termncy collaboration working rescue been use to promote professionals to work together with the patient, carers, relations, services and other professionals (SCIE, 2009). This Paper leave alone explore the importance of inter-professional working in nurse practice, due to imbibes fighting and processing a variety of patients. This paper will discuss the ecumenic importance of inter-professionalism as lineament of good nursing practice, it will use examples of self-aggrandising misfortune patients and squirtren who stimulate rational palsy. These two conditions have been chosen because they allow the paper to explore two disagreeent age groups and the necessitates of patients who hightail it to have complex kin d and healthcare contends. There is excessively a wealth of literature available on these conditions which helps highlight the regard for nurses to work effectively with other health and amicable care professionals, service providers and carers.Patients initially tend to see nurses either al wiz on arrival at accident and emergency departments, or in conjunction with a aesculapian practitioner. Therefore, the duration of conviction that a nurse spends with a patient tends to be longer than most other health/medical professionals (Godfrey, 2012). hospital ward nurses who work on hospital wards, provide care and suffer to admitted patients throughout their whole stay. This length of epoch spent with the patients allow them to be familiar with the patient, hence allowing them to recognise changes in a patients health and also to identify any new inevitably. Often, patients need to see more than than than one health/medical professional in their stay at the hospital, due to their health ask. Despite these professionals possessing specialist skills to support or treat specific health concerns that the patient whitethorn have, much the health recommendations that are shedn to the patient need to be completeed routinely even when the patient is non in the presence of this specialist. Therefore, allied health professionals tend to advise, seek the support of, or hand specific recommendations over to nurses. This is much seen between nurses and physiotherapists in mobility recommendations, this is because nurses lots have to mobilise a patient out of hours as recommended by the physiotherapist (Godfrey, 2012). This avoids the patient having to detention for a physiotherapist on weekends, or to become frustrated due to cosmos in one position for long periods of time and it also supports the overall hospital service aim of relegate patient outcomes.Similarly patients with complex physical issues, minimal mobility or neurological complications, su ch as stroke patients, need to be on a regular basis moved to avoid pressure ulcers developing. In addition to this, regaining mobility gradually is often part of a patients stroke rehabilitation programme. Clear guidelines and training are given, as recommended by NICE, to nurses to perform safe base and handling techniques on patients. These guidelines advise 2-3 trained professionals to move a patient who is hunch bound, depending on the patients movement ability and weight (Jacob et al, 2007). If this is a stroke patient this needs to be through with(p) on recommendation of a physiotherapist (RCP, 2012). Therefore, it is important for nurses to make it effectively with other health and cordial care professionals when moving and handling a patient who may have complex needs, as nurses may need specialist recommendations by the physiotherapist, or the patient may have medical equipment attached to them which needs to be handled care to the full or removed temporarily. Safe mo ving and handling techniques as part of a team effort non only promotes good health and social care practice, it also decreases the take chances of injury to a nurse. This is particularly important as moving and handling injuries have been the most common land causes of supply absence for a period of 3 days and longer between the years of 2007 and 2013 (Anderson, 2014).A key feature of hospital care is information sharing through ward rounds done by doctors and other health professionals. The aim of this is to provide patient care which can be delivered in a timely manner, but it also allows the multidisciplinary team involved with the patient to plan their future care and treatments. Nurses commentary via reporting to colleagues their judgement and observations on the patients current health state is not only vital for better care cooking in the future, but it is also important because nurses can often voice the preferences that patients have expressed to them, hence promotin g the principle of patient centred care (RCP and RCN, 2012). Furthermore, due to the direct care ward nurses give on their shift throughout the day to allocated patients, they often recognise the general deterioration of a patients health and wellbeing before other health professionals and doctors. Therefore, it is extremely important for the safety and well-being of patients for nurses to liaise with doctors on a regular basis to manage the change of symptoms as soon as possible.Even though patient care planning is revisited and documented regularly by health and medical professionals when changes are needed for the patient, formal multidisciplinary meetings allow ameliorate outcomes for the patient, an example of an improved outcome is when Stroke Early Discharge Support Teams can discharge patients earlier, allowing them to more likely be independent sooner in their daily tasks (Clarke, 2013). The multi-disciplinary team who has contributed to this evidence has consisted of spec ialist medical practitioners, various speciality therapists, dietitian, a care manager, nurses and sometimes a social worker. Nurses, due to possessing past biography medical notes and the fellowship of relations who visit the patient, can usually provide the occupational therapist and the allocated social worker with information on key relations of the patient that maybe useful to contact front to discharge. Also, nurses through conversation can gather information on the patients living situation at alkali. This is predominate in discharge planning for stroke patients as sometimes they are unable to communicate fully and clearly their living environment at home, as stroke can impact an individuals ability to communicate verbally and physically. Also, if patients have few or no relations living with them, they may need home care via nursing lag or telecare equipment which can support risks of injury or allow individuals to alarm emergency care services via sensory equipment wh en they have a fall or another(prenominal) stroke which results them to fall. Even though occupational therapists will do assessments of the environment which the patient resides in (EKUHFT, 2015), nurses can often give the therapist insight on any issue the patient has had in their stay at the hospital, an example of this may be that the patient has difficulty lowering themselves to sit on the toilet, the occupational therapist would usually request for a grab/hand rail to be fitted in the patients home to support them to do this action.Patient care planning via inter-professional working is also fundamental to children who have been born with rational Palsy. Nurses with specialist contributions such as wellness visitants, provide a community establish service to cerebral palsy patients and their families. This differs to the role of nurses on the ward as health visitors review the health of the patient in reference to their living environment and public health needs, hence allo wing them to identify the wider health needs of the family as well (Alexander, 2014).. Due to cerebral palsy being a non-curable condition the child and the family/carers of the child will regularly receive treatments and support from an extended network of health and social care professionals and also educational specialists and support staff (NHS, 2014). Therefore, health visitors need to be able to create successful inter-professional relations with professionals who are immaterial to the health and social care industry such as educational psychologists, by understanding the role and service that the professional is providing to the patient. It is also vital to understand roles due to the referral systems we have in the United Kingdom, some(prenominal) within hospital and community care. Furthermore, policies can differ between the local authority, the NHS and private healthcare providers and the child and his/her family may have chosen to have a specific care package which the health visitor may not be aware of (Know your rights, 2015 NHS, 2013). Also, Health visitors often need to liaise with professionals who are not employed by the NHS or another private healthcare provider but by a local authority instead. This can mean the caseload is allocated antitheticly, waiting times may differ and methods of referral may differ too.Therefore, to ensure that the patients transition is efficient and positive from immediate hospital care to accessing community based services, nurses need to be aware of the basic structure and logistics of other services. This awareness needs to be raised more specifically in the working environment for younger student nurses or graduate nurses who may not know the difference between certain professional roles, as despite accredited nursing programmes having modules or lessons in multidisciplinary practice covering the importance of knowing the roles of other health and social care professionals, sometimes there is confusion betw een specialists who support patients or service users with the same condition(s). A classic mistaking is a student nurse struggling to understand the difference between a mental health social worker and a mental health nurse, who can twain work for community based teams and may be employed by the local authority (The Masked AMHP, 2012).The administration of medication is another role that nurses carry out in health and social care settings. The administration or readying of medication is usually done by using the skills learnt from their training, instructions from the pharmacist or manufacturer guidelines. However, military man error in the administration or preparation or omission of the medication can order the patient at risk of poor health or even death (NICE, 2014). Hospital pharmacists and dispensing staff function in a fast paced environment, hence processing prescriptions for medications that are needed for patients on the ward who vary in conditions. Some medications a re needed urgently and human error can progress on the behalf of pharmacist or dispensing staff. Despite pharmacy staff recording clinical errors as part of their good clinical practise, nurses also need to be aware of these errors for the patients safety and awareness also needs to be raised to other nursing colleagues of the issue because the patients health may need to be check up on regularly. . Furthermore, as doctors complete prescriptions for the request of medications, nursing staff only follow the patients drug chart in administrating the medication, hence it is vital for the nurse to understand what the doctor is prescribing the medication for (UHS, 2015). This is important to know as the nurse may observe patient changes after the patient has had the medication, which need to be recorded. To avoid error and to rationalize their clinical actions in medical administration of drugs, nurses need to be able to follow the advice and instructions of both the doctor and pharmac ist, therefore effective and open communication allows questions to be asked and concerns to be raised, hence creating a secure working relationship. This protects not only the patient but it also improves working relationships between medical and nursing staff. Also, nursing staff and doctors caring and treating patients with cerebral palsy have to work using a statewide rehabilitation approach, which includes working alongside physiatrists who manage anti-spasticity medication and review medical complications associated with cerebral palsy. Hence, nursing staff need to have a broad understanding of the specialisms of the medical practitioners that they are liaising with, as often nursing staff liaise with several different specialists.To conclude, inter-professional working is clearly important for all health and social care staff, however it is extremely important for nursing staff because their varied role requires them to liaise with different professionals, settings and pati ents. Also, as nurses can now undertake CPD to specialise in areas such as such as stroke, diabetes, palliative care and disability, their role has changed from providing traditional nursing through practical care to now being able to provide specialist advice to the patient and relations on the management of the condition. (Niece McEwen, 2015). For nurses to be successful in their specialist roles they need to create positive working relationships with other health/medical staff, non-clinical professionals, carers/families and most significantly the patient. Furthermore, due to the demand of nurses in non-clinical settings such as homes and schools, for nurses to practice effectively they need to be able to understand the roles of professionals practicing in community settings as often these professionals can provide the nurse with how the patient functions in their daily life. Due to ward nurses providing care throughout their shift, usually to the same patients, the greater leng th of time with the patient allows them to have a better insight to the patient and their health whilst in care of that ward. This allows them to nutriment back to fellow nurses and other health/medical professionals any changes that need to be made to the patients care plans. It seems not only is patient care improved by inter-professional working but also the skills and knowledge of nursing staff is also developed by learning from other professionals, it is likely that in the future, guidelines will further advise nurses to work more inter-professionally with other professionals.BibliographyAlexander, C. (2014) Growing into the role. Nursing Standard. 28 (20). p. 63.Anderson, M.P, Carlisle, S, Thomson, C, Ross, C, Reid, H.J, Hart, N.D, Clarkle, A. (2014) Safe moving and handling of patients an interprofessional approach. Nursing Standard. 28 (46). p. 37-41.Clarke, D.J. 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