Shift to Value-based Health Care Discussion NUR 514 Topic 1 DQ 1

Shift to Value-based Health Care Discussion

DQ
Discuss the shift to value-based health care and its impact on the roles and responsibilities of advanced registered nurses. What major evolving trends in the health care delivery system will affect your practice in the next 3-5 years, and how do you think advanced registered nurses will continue to influence the direction of health care?

Re: Topic 1 DQ 2

Healthcare is a team effort, and no individual healthcare provider exists in a silo. Patient care would be impossible without interprofessional relationships because one person cannot possibly cover the depth and breadth of care that a team can.

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Core Competency VE5 of the Interprofessional Education Collaborative (IPEC) states to “work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services and programs” (Interprofessional Education Collaborative, 2016, Values/Ethics section). Caring for premature babies in the NICU, care teams include doctors, neonatal nurse practitioners, physical therapists, speech language pathologists, respiratory therapists, dieticians, pharmacists, advanced practice nurses, bedside nurses, and more. Collaborating with the entire care team is crucial for quality, well-rounded care. I do not personally get to collaborate with much of the care team in person as a night shift nurse, since most of the therapies are only available during the day on my unit. I rely on my strong relationships with my dayshift counterparts to relay important information from integral day team members. Developing these relationships is important for easy transfer of information, but it can also help to ease tensions if team members disagree, and can also facilitate learning.

Another example of developing interprofessional relationships as it pertains to the IPEC competencies is pre-delivery huddles. When a premature baby is being born, as time permits, the entire NICU delivery team comes together to huddle before a delivery. This huddle includes going around and stating your name, title, and role in the resuscitation. While this huddle is done for quality assurance and patient safety, it also fulfills IPEC Competency RR6 by promoting clear communication to clarify roles and responsibilities during a specific health intervention (Interprofessional Education Collaborative, 2016).

By being an active member of the care team at the bedside, and attending deliveries and procedures, I can continue to develop relationships with care members and other advanced practice nurses.

Interprofessional Education Collaborative. (2016). IPEC Core competencies for interprofessional collaborative practice: 2016 update. https://www.asha.org/siteassets/uploadedFiles/Interprofessional-Collaboration-Core-Competency.pdf

RESPOND HERE (150 WORDS, 2 REFEFRENCES)

Hello Ali,

I agree with you that success in healthcare practice is built on teamwork and that no system exists in entirety without collaboration with the other (Ryan, 2016). The nurses require the physician and vice versa. In this regard, the entire healthcare organization should one as one unit with various functional components working together to realize one common goal which is to promote quality healthcare service and increase patient satisfaction. I do agree with you that for interprofessional collaboration to succeed each department or individual must first understand their role and also how they can compliment into the roles of the other individuals or departments. To ensure high level of efficiency the interprofessional education collaborative (IPEC) proposes and aspire model that has a common set of content and the values to be incorporated in the practice. The main values emphasized include; values for interprofessional collaboration, roles of the individual members in the team, communication among the members and teamwork (Brashers et al., 2019).

References

Brashers, V., Haizlip, J., & Owen, J. A. (2019). The ASPIRE Model: Grounding the IPEC core competencies for interprofessional collaborative practice within a foundational framework. Journal of Interprofessional Care, 1–5. https://doi.org/10.1080/13561820.2019.1624513

Ryan, S. (2016, October 21). Promoting effective teamwork in the healthcare setting. Journals.rcni.com. https://journals.rcni.com/nursing-standard/promoting-effective-teamwork-in-the-healthcare-setting-aop-ns.2017.e10726

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