Organizational |
2.0 Nursing Collaborative Practice Organization Recommendations |
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Recommendation 2.1:
Organizations develop strategies to encourage and enable effective teamwork.
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Recommendation 2.2:
Organizations build a transformational or relational leadership culture that provides clear policies and supports effective teamwork.
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Recommendation 2.3:
Organizations develop systems and processes that promote collaboration and continuity of patient/client care. They can do that by:
- implementing shared governance models that empower staff at all levels
- supporting all nursing staff working to their full scope of practice; and
- encouraging staff to engage in communities of practice for support and mentorship.
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Recommendation 2.4:
Organizations develop systems and processes to support nurses engaging in intra-professional practice . They can do this by:
- developing and providing intra-professional learning opportunities and evaluating effectiveness
- developing competencies for intra-professional practice that are linked to performance appraisals
- providing opportunities for feedback on intra-professional practice
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Recommendation 2.5:
Organizations develop outcome measures for evaluating the effectiveness of intra-professional collaborative practice. Those indicators could include
- patient/client and family experience and satisfaction;
- nursing turnover rates, overtime, absenteeism, engagement and satisfaction;
- infection rates, fall ratios, re-admission rates .
- delayed or missed nursing interventions, gaps in continuity of care and caregiver, appropriate staff mix and skill levels; and
- eliminating obstacles (e.g. broken or malfunctioning equipment, complacency) to evaluation processes
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Recommendation 2.6:
Organizations encourage and develop preceptors in order to make the intra-professional collaborative environment more welcoming for students and new staff. They can do this by:
- Assigning preceptors from the same class of nursing (e.g. RN student to RN preceptor)
- selecting, assigning and supporting willing preceptors to work with students or new staff placed on the team;
- informing preceptors of students’ learning objectives and ensuring good communication between academic and clinical settings; and
- reducing preceptors’ caseloads to give them sufficient time to meet student nurses’ learning objectives.
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Recommendation 2.7:
Organizations develop conflict management policies, practices and interventions by teaching and supporting managers and colleagues to address intra-professional relational challenges.
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