Nursing Role in Interprofessional Care

Extract

[...] Interprofessional collaboration is a culture that professionals and management must adopt, as it has a real added value in the quality of care. It is necessary that it be included in the strategic orientations of healthcare establishments. Within the framework of our nursing skills acquisition course, it is necessary to improve our knowledge of the different roles and missions of the intervenants as our role cannot be held effectively without knowledge of all the actors. We are now convinced of the essential nature of coordination. But, for this, we must continue our acquisitions. Interprofessionalism is learned and accompanied. [...]

[...] However, the organization of the polyvalent surgery service is a hindrance to the development of interprofessionalism. 2. Organisation not conducive to interprofessionalism The current organization of the polyvalent surgery service leads AS to be present 3 days out of 5 per week, which limits collaborative work. This rigid organization does not take into account the workload: in fact, the AS presence days are fixed. Outside of AS presence time, IDE is forced to work alone, without collaborative work with AS, essential work to maintain the quality of care provided through interprofessionalism. [...]

[...] During these meetings, it encourages all the professionals making up the multidisciplinary team to share the positive and negative experiences encountered in daily professional practice. The SRN is a key player in stimulating collective reflection around the problems encountered and seeking collective solutions, by promoting mutual assistance and communication within the group. These exchanges are essential as they have a direct and certain impact on the quality of care provided as well as on the cohesion of the team. Through these missions, the SRN mobilizes skill 7. [...]

[...] This work, which requires collaboration, is also thwarted by the organization of care: in fact, although ASH actions require coordination with IDE and effective communication regarding patient discharges, the workload does not allow for teamwork. Furthermore, ASH finish their shift at midnight and therefore have a staggered schedule compared to other night professionals. The polyvalent surgery service is the only service open at night. Professionals therefore have no interaction outside of the sphere of collaborators of the service. Medical presence is non-existent, outside of emergency situations. [...]

[...] This cooperative work leads the SRN to mobilize skill 5. The interdisciplinary team, composed of the SRN and the AS, is led to establish a care relationship with the patients, who are often anxious due to their clinical situation. It therefore adapts its communication mode according to the patient and the person of trust concerned to facilitate good understanding of the information. The team establishes a climate of trust in order to calm the patients and their entourage. The SRN then mobilizes skill 6. [...]