Guess Who?
Who Ya Gonna Call?
IP Competencies
IP Conflicts
Barrier to IPP
100
Helps access community resources for patients and families.
Social Worker
100
You are unsure of the interaction between two medications.
Pharmacist
100
This competency includes understanding and being able to communicate your knowledge, skills and scope of practice to the IP team
Role Clarification
100
A nursing student is participating in IP team rounds and notices that the physician is not using hand sanitizer between patient assessments. He mentions this to the physician who responds with a glare and an eye roll. The unit’s nursing educator pulls the nursing student aside and reprimands him for criticizing the doctor. Believing he was appropriately advocating for the patients, the nursing student argues with the educator. Who are the two parties involved in the IP conflict?
Doctor and Nursing Student
100
“Class Question”: What are barriers for nursing students engaging in IP collaboration?
Unsupportive learning environment, lack of confidence, (perceived) lack of knowledge, lack of respect, unfamiliarity, power imbalances, culture issues, unwillingness of staff/ leaders, unresolved conflicts, lack of IP training, lack of IP value, lack of leadership, etc.
200
Assesses and provides interventions for injuries or physical illnesses.
Physiotherapist
200
Your patient is being discharged to home but you are unsure if they have the mobility and equipment to complete their activities of daily living (ADLs)
Occupational Therapist
200
This competency involves developing a set of principles for working together that respects the ethical values of members
Team Functioning
200
A patient’s family makes a request to the nurse that their mother not be mobilized by the physiotherapist during the afternoons because it interferes with their spiritual practices. The nurse, believing spiritual care is a priority for her patient, asks if the physiotherapist could work with the patient in the morning. The physiotherapist disagrees with the nurse, saying morning mobilization would be inappropriate with the patient’s medication administration as lightheadedness is a potential side effect. Who are the two parties involved in the IP conflict?
Nurse and Physiotherapist
200
What strategies would you use to overcome one of the barriers mentioned by your peers?
Request guidance from preceptor/ professor, Seek opportunities to collaborate within group with members you trust (ex: medical students, allied health), develop knowledge, prepare for clinical cases, discuss shared goals with colleagues before IP meetings, set an example: respect others knowledge and skills, learn about other roles, reflect on collaborative attempts, develop trust, establish a positive attitude about own profession, consider personal conflict resolution strategies, explore new conflict resolution strategies, etc.
300
Assess a patient’s airway, physical status and comorbidities to determine appropriate sedation, ventilation and pain control during surgery
Anesthetist
300
Your patient is at the end of their life and is concerned about what faces them and their family after their death
Spiritual Leader/ Chaplaincy
300
This competency involves developing a level of consensus among those with differing views; allowing all members to feel their viewpoints have been heard no matter what the outcome.
Interprofessional Conflict Resolution
300
An operating room nurse is working in a trauma case with significant blood loss. More blood products are required, however the blood the nurse ordered has yet to arrive in the operating suite. When the porter arrives with the blood cooler the nurse demands the product and questions why the porter “took so long” and chastises her for the delay. What is a contributing factor to this IP conflict?
Context: Patient condition, Acuity of illness, Trauma
300
What strategies would you use to overcome one of the barriers mentioned by your peers?
Request guidance from preceptor/ professor, Seek opportunities to collaborate within group with members you trust (ex: medical students, allied health), develop knowledge, prepare for clinical cases, discuss shared goals with colleagues before IP meetings, set an example: respect others knowledge and skills, learn about other roles, reflect on collaborative attempts, develop trust, establish a positive attitude about own profession, consider personal conflict resolution strategies, explore new conflict resolution strategies, etc.
400
Uses knowledge of child development and developmentally appropriate interventions to educate, prepare and support children and families through difficult tests, procedures, and health changes
Child Life Specialist
400
While feeding your patient you notice they are having difficulty chewing their food adequately to swallow without choking
Dietician
400
This competency depends on the context of the situation and the specific kinds of expertise needed at a given point in time
Collaborative Leadership
400
You are a RN who works on a formal IP team. A patient’s mother calls you and during the conversation you find out that the physiotherapist was advising them about their medications. During the phone conversation you correct the mistaken information and remind in a non-judgmental tone that if she has any medication related questions not to hesitate to call either you or the physician on the team. What is the IP conflict here? Who does this conflict involve? What could be the contributing factors?
Role clarification. Physiotherapist and RN and physician
400
2nd year nursing students have a clinical placement on the same unit as you are doing your consolidation. They see you collaborating with different IP members and ask you why IP care is so important considering the number of different roles are costly to employ. What do you say?
(Overall) Cost effective, Better patient outcomes, holistic patient care, shorter hospital stays, increase staff morale, maximizes resources, creates a culture of innovation and collegiality
500
Provides counselling services to clients and families regarding communication and swallowing disorders
Speech Language Pathologist
500
During your patient’s morning care you need assistance performing a bed bath
Health Care Aid
500
This competency involves actively listening to other team members including patients and families and disseminating knowledge and information to meet shared goals of care
Interprofessional Communication
500
You are part of an IP team and are conducting rounds with the team MD. During rounds the MD discovers that a patient had high pain scores despite the ordered treatment but was not paged during the night. The MD becomes very angry and uses an accusatory tone with the charge nurse and the patient’s nurse and wants an incident form filled out and a call to the night duty RN. He becomes angrier when the unit staff and charge nurse refuse to call the night duty RN as she has to come back to work that night. Who is the conflict between? What could be the contributing factors. If you are the RN on the IP team what could you do to reduce the conflict in this situation?
RNs, MD Issues: collaborative leadership, poor communication, team functioning.
500
When participating in an interprofessional meeting a team member speaks to you in a disrespectful and hurtful way. How does this impact IP collaboration?
Creates barriers, erodes trust, decreases respect, inhibits future interprofessional collaboration, impacts patient care, impacts communication, decreases team morale, inhibits learning, decreases collegiality, heightens tension/stress
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