Thriving As A Health Care Team

1. Thriving As A Health Care Team

2. Objectives • To propose ways to improve on a positive working environment • To relate the effects of how team work may affect the quality of patient care • To compare the pros and cons of working as a whole team • To propose solutions for possible barriers when developing a thriving health care team • To independently reflect and distinguish personal attributes that you will contribute to future health care teams

3. Collaborative Teamwork Collaborative teamwork in today’s health care system is no longer an option but a pre-requisite to provide effective quality patient care (McCalin & McCalin, 2009).

4. Collaborative Teamwork • Collaborative teamwork is created when health care professionals from multiple backgrounds work together to focus on patient-centered care, problem solving, coordinating care, learning together, and network with the communities. (McCalin & McCalin, 2009). • The team must share a common purpose and goal and works as a partnership which effectively communicates and shares information (Pangman & Pangman, 2010).

5. Thriving as a Health Care Team • Thriving as a health care team means not only working as a team but having a team that is effective, committed, healthy, positive, and despite many barriers and challenges, are resilient and support each other, resulting in quality patient care (Miller, 2006). • With open communication and supportive interpersonal relationships, a positive attitude towards the work environment is promoted and contributes to a sense of meaningful work and accomplishment (Pangman & Pangman, 2010).

6. Kreitner, Kinicki, and Cole (2007) believes that high -performance teams demonstrate eight attributes: • Participative leadership- developing interdependency by empowering and contributing to others • Shared responsibility- were all team members feel as responsible as the leader for the performance of the unit • Aligned on purpose- a common goal for the team and its function • Strong communication- trust and honest dialogue among the team members • Future- focused- opportunity for growth • Focused on task- meetings focused on results • Creative talents- utilizing each team members talents and creativity • Rapid response – acting promptly on possibilities (as cited in Pangman & Pangman, 2010, p. 235)

7. Negatives of Teamwork “The health care enterprise depends on communication and teamwork, and under difficult circumstances, these can break down (Clancy, & Hughes, 2009).” • Bullying • The Totem Pole Phenomenon • Lateral Violence • Team members who think “I” is part of “TEAM” • Role Conflict • Ineffective training • Wasting Time

8. Negatives of Teamwork Bullying The Totem Pole Phenomenon Snide comments Terse orders Bullying adds to the everyday stresses of work. (Clancy, C. M., & Hughes, R. G., 2009). Bullies can work together to form alliances, keeping them hidden from administration. Unprovoked, planned, aggression and cruelty Policies, and procedures deem bullying unacceptable counseling for both perpetrator and target (Hutchinson, M., Vickers, M. H., Jackson, D., & Wilkes, L., 2006). Hospitals are traditional Nurses are accountable to administrators, regulators, and patients. Nurses are being told what to do by a number of different parties and that can become stressful and confusing if all parties are not on the same page. (Clancy, C. M., & Hughes, R. G., 2009).

9. Negatives Continued Lateral violence ,“Nurses eat their young,” Seasoned nurses in positions of power have high levels of stress; unfortunately this stress can be unloaded on nursing students and other coworkers. 60% of new nurses will leave their first position because of this. This problem needs to be addressed by national, regional, and local institutions of higher learning. (Hippeli, F.,2009) Some nurses Believe there is an “I” in “TEAM” this can lead to frustration. This stems from the perception that an individuals work is disregarded when they work on a team. These team members must be reassured that the work they do individually is still valued and that with out their contribution the team could not strive. (Routhieaux, R., & Higgins, S., 1999)

10. Negatives Continued Role Conflict: Time spent on team projects reduce the time available for other areas; this can place a burden on coworkers. To avoid this conflict team leaders must ensure that the team work will not interfere with other responsibilities. Ineffective Training: Two factors decrease effectiveness of team training; Limited or non- existent needs analysis and failure to provide training on a just in time basis. Team members need to do a self analysis as to whether or not they need additional training. Wasting time: time is valuable and with out appropriate planning team work can be sloppy and take more time then necessary to execute. Careful planning by team leaders and team members is needed. (Routhieaux, R., & Higgins, S., 1999).

11. Benefits of working as Healthcare Team Effective teamwork and collaborative can improve performance in many aspects of the healthcare system. Teamwork is effective in improving the quality of care and patient safety as well as reducing staff shortages, stress, and burnout among healthcare professionals. It has also be proven that teamwork can significantly reduce workloads; increase job satisfaction and retention; improve patient satisfaction; and reduce patient morbidity. (Canadian Health Services Research Foundation, 2006)

12. Benefits of working as a health care team Benefits from working collaboratively as a team is most effective when: • they have a clear purpose; • good communication between staff members including update patient information; • shared decision-making; • co-ordination; • protocols and procedures; • and effective mechanisms to resolve conflict when it arises to optimize patient-centred care. • (Canadian Health Services Research Foundation, 2006)

13. Benefits of working as a health care The active participation of all members is a key aspect that benefits working as a team. Successful teams recognize: • the professional and personal contributions of all members; • promote individual development and team interdependence; • recognize the benefits of working together and accountability • (Canadian Health Services Research Foundation, 2006)

14. First we are all going to introduce ourselves as a title for our scenario.

15. FISH Philosophy! http://www.youtube.com/user/ChartHouseLearning#p/a http://www.charthouse.com/content.aspx?nodeid=1200

16. CHANGE How do we make change? • Change the way we speak about it • The way we feel about it • The way we act about it day in and day out How can we make positive change...

17. Being There During our current world we are faced with the very fast pace of society which includes: • Multiple E-mails • Cell phones ringing • Many people vying for your attention This fast paced life can prevent people from being totally there for some one. To be totally there for someone includes being there and actively listen to what they say. Think of how good this feels from your own personal experience. Being truly present means when one refrains from making judgment when talking. *Remember: It is important to understand that despite being merely physically present, absentees of emotions lead to a relationship that is empty and people feel that they are temporary stops to a persons final destination.

18. PLAY Responsibilities and challenges What kind of vibes/feelings do you get from this statement?

20. PLAY • Responsibilities and challenges don't always have to be viewed negatively ... It actually can be a very positive experience when one incorporates energy and enthusiasm Is your anticipation work environment serious? Does this mean you cant enjoy, have fun, and laugh while working? • Some of the best inventions today come from what one considered playing around with idea’s

21. Play involves going back to your basics to when you were a kid and did not hesitate to ask “Why?” or “How come?” • As children we viewed the world with an open perception, admiring it for its creativity and never hesitated to see the humor in things. After all, laughter is the best medicine right?

22. Make someone's day If someone: • Holds the door • Ask’s you how your day was • Take the time to give you a hug when you needed it the most • Told you how much they mean to you How does this make you feel?

23. Nursing is a very caring profession When someone takes time out of their day to make someone else’s day, despite seeking a reward and doing it for mere pleasure/reward, it demonstrates the true quality trait of caring

25. Although we blame our external forces for influencing our overall rate of happiness, we are actually dampening it by dwelling and wasting energy on the negatives. This is called pessimistic: “A tendency to stress the negative or unfavorable or to take the gloomiest possible view: "We have seen too much defeatism, too much pessimism, too much of a negative approach(www.dictionary.com).”

26. Let your Attitude shine Express yourself!

27. How? Become aware of: • What your attitude is now? • How does it affect you? • How does it affect others?

28. http://www.crnbc.ca/downloads/433-scope.pdf What kind of qualities/traits do you have that you will bring to nursing that will make you a strong link to the team? Scope of practice:

29. ?? QUESTIONS ?? • What were your experiences as working as a member of a health care team during one of your clinical experiences? • For those of you have experiences conflict between a health care member(s), how have you resolved the situation? • Can you name some examples as to how team work can be demonstrated ?

30. Each objective discussed here today can be thought of as a puzzle piece Each objective having its own important role in the care of the client

31. It is when we work together to incorporate these objectives that our clients receive excellent quality care….

32. And when we understand each team member’s role in reaching these objectives… …then we can work together to “thrive as a health care team”

33. Issue: PAY?

34. ONE MONTH UNTIL X-RING :D !!!!!!!!!!! Congratulations... We actually did it! CHEERS! • To Grads of 2010 ...

35. Freshmen students at StFX are in for a very special welcome when they arrive on campus.  On Wednesday, Sept. 9, members of the entering class of 2009-10 are invited to take part in the annual Xaverian Welcome Ceremony planned for 7 p.m. at the StFX Chapel. The ceremony, held at the beginning on a student’s journey, is an opportunity for new students to commit themselves to the pursuit of excellence in their academic, social and spiritual lives (www.stfx.ca/news).” During the ceremony, where each student dons a black robe, students pledge, “We the newest members of the StFX community, hereby commit ourselves to the pursuit of excellence in our academic, social and spiritual lives (www.stfx.ca/news).”

36. References Miller, J. F. (2006). Opportunities and obstacles for good work in nursing.Nursing Ethics, 13(5). 471-487. Retrieved October 20th, 2009 from EBSCOhost. McCallin, A., & McCallin, M. (2009). Factors influencing team working and strategies to facilitate successful collaborative teamwork. New Zealand Journal of Physiotherapy, 37(2). 61-67. Retrieved October 20th, 2009 from EBSCOhost. Pangman, V. C., & Pangman, C. H. (2010). Nursing leadership from a canadian perspective. Philadelphia, PA: Lippincott Williams & Wilkins.

37. References Canadian Health Services Research Foundation. (2006).Teamwork in Healthcare: Promoting Effective Teamwork in Healthcare in Canada. Retrieved from http://www.chsrh.ca/research_themes/pdf/teamwork-synthesis-report_e.pdf on October 23, 2009. Routhieaux, R., & Higgins, S. (1999). The effective team member: avoiding team burnout. Health Care Manager, 18(1), 29-34. Retrieved October 20, 2009, from EBSCHO Lavoie-Tremblay, M., Bourbonnais, R., Viens, C., Vézina, M., Durand, P., & Rochette, L. (2005). Improving the psychosocial work environment. Journal of Advanced Nursing, 49(6), 655-664. Retrieved October 20, 2009, from EBSCO library

38. References Hutchinson, M., Vickers, M. H., Jackson, D., & Wilkes, L. (2006).  Like wolves in a pack: Predatory alliances of bullies in nursing.   Journal of Management and Organization, 12(3), 235- 248.  Retrieved October 20, 2009 from ProQuest. Clancy, C. M., & Hughes, R. G. (2009).  The stress of the care environment.  AORN Journal, 89(4), 751- 753.  Retrieved October 25, 2009 form ProQuest.  Hippeli, F. (2009).  Nursing: Does it still eat its young, or have we progressed beyond this?  Nursing Forum, 44(3), 186- 188.  Retrieved Ocober 23, 2009 from EBSCO.