Background
Context
Improvement initiative POBC3multiple strategies | RNAO/BPG Recommendations |
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Participants discuss the components of collaborative practice to understand what is involved and the underlying arguments. This intervention arouses professionals' interests and helps to determine goodness of fit with their local work environment. | Develop knowledge about the values and behaviours that support teamwork and the impact of teamwork on patient/client safety and patient/client outcomes. As such, nurses: |
▪ Inform themselves about the attributes of supportive teams. | |
▪ Articulate their belief in the value of teamwork. | |
▪ Demonstrate their willingness to work effectively with others. | |
Participants are involved in reflective communication exercises, and diverse educational strategies are employed to develop their relational capacities. This strategy identifies enablers of and barriers to effective communication. | Contribute to a culture that supports effective teamwork by: |
▪ Demonstrating accountability for actions, enthusiasm, motivation, and commitment to the team. | |
▪ Understanding own roles, scope of practice, and responsibilities, as well as seeking information and developing an understanding about other roles and scopes of practice. | |
▪ Being accountable for and respectful in the manner in which they communicate. | |
Once participants identify a clinical situation of interest, they discuss psycho-social interventions in a collaborative way. Activities are conducted to ensure assimilation of the core concepts by the participants in collaboration with a psychosocial expert and two regional, trained professionals. | Teams establish clear processes and structures that promote collaboration and teamwork that leads to quality work environments and quality outcomes for patients/clients by: |
▪ Establishing processes for conflict resolution and problem solving. | |
▪ Establishing processes to develop, achieve, and evaluate team performance, common goals, and outcomes. | |
▪ Building capacity for systematic problem solving. | |
▪ Participating to the implementation of practices to support enhanced collaboration at the functional and organizational level. | |
▪ Incorporating non-hierarchal, democratic working practices to validate all contributions from team members. | |
Mentoring by professional experts target problem-solving strategies, conflict resolution strategies to ensure sustainability of learning in doing, and identify needs for further educational workshop. | ▪ Incorporating processes that support continuity of care with patients/clients to enhance staff satisfaction, staff self-worth, and patient/client satisfaction. |
▪ Establishing processes for decision making for a variety of circumstances such as: | |
• emergencies; | |
• day-to-day functioning; | |
• long-term planning; | |
• policy development; | |
• care planning | |
Assess participants' perceptions of their current inter-professional functioning and provide feedback to each other. | Teams establish processes which promote open, honest, and transparent channels of communication by: |
▪ Establishing processes to ensure effective communication. | |
▪ Developing skills in active listening. |
Translating evidence into action
Theoretical background to use of research evidence
Research aim and objectives
Methods
Design
Participants and recruitment
Data collection
Sample size
Analysis
Elements | Short definitions |
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A. Assess barriers and supports
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Local context | |
• Work environment | Factors such as rules, regulations, available resources, and support |
• Work pressure | Fit between EIPCP work load and receptivity of involved professionals |
• Competing demands | Multiple pressures calling for practice change and importance of EIPCP and time constraints |
Recommendations form BPGs | |
• Intervention source | Professionals' perception of whether the EIPCP is an externally or internally driven intervention |
• Benefits ratio | Professionals' perception of the added value for themselves and for the service users |
• Adaptability | The extent to which recommendations can be adapted to fit the dynamics of the local context |
• Usefulness | Perceived usefulness of recommendations from BPGs and others sources of evidence |
Adopters | |
• Knowledge | Professionals' definition and concepts related to collaborative practice and anticipated outcome of EIPCP |
• Current practice | Fit between EIPCP, perceived quality of care process and shared decision making |
• Beliefs/Attitudes | Value that professionals place on EIPCP and perception of responsibilities regarding care |
B. Monitor degree of use
| |
• Operational processes | Sequence of events illustrating how cancer team members perform collaborative care planning and shared decision making, |
• Relational processes | Sequence of events illustrating how cancer team members interact, communicate and negotiate shared intervention zone |
• Adaptive processes | Sequence of events illustrating how cancer team members enact changes in order to enhance collaborative practices |