Collaboration


Article Author:
Romaine Martin


Article Editor:
Jody Bryant


Editors In Chief:
Casey Ciresi


Managing Editors:
Avais Raja
Orawan Chaigasame
Carrie Smith
Abdul Waheed
Khalid Alsayouri
Trevor Nezwek
Radia Jamil
Patrick Le
Anoosh Zafar Gondal
Saad Nazir
William Gossman
Hassam Zulfiqar
Hussain Sajjad
Steve Bhimji
Muhammad Hashmi
John Shell
Matthew Varacallo
Heba Mahdy
Ahmad Malik
Sarosh Vaqar
Mark Pellegrini
James Hughes
Beata Beatty
Beenish Sohail
Nazia Sadiq
Hajira Basit
Phillip Hynes


Updated:
12/16/2018 1:43:44 PM

Definition/Introduction

Collaboration has become an essential competency in the national and global plan for quality improvement.  There is a need to transform a culture of avoidance and isolation that continues to cause medical errors and lower patient outcomes.   A necessary strategy is to improve interrelationships and interactions between health care providers (HCP) and their teams in the clinical setting. 

Collaboration is a function of evidenced-based care in managing the complexity of patient care.  As an academic and professional requirement, its full potential in patient care management should attain full realization. Implementation will reverse the increasing disparities in patient outcomes stemming from inadequate knowledge, skills, and thinking.  As a vital element of patient safety and quality services, collaboration should be measured and monitored for effectiveness.  For the determination of satisfactory benchmarks, performance should be intentional and routinely conducted by all HCP's in the clinical setting.  For this reason, HCP's must train to perform collaboratively as a clinical competency. 

The conceptual framework for collaboration is interprofessional.[1]  The concept provides structural, functional and analytical elements that define collaboration as a clinical competency.  Interprofessionality embodies processes for building relationships, communication, and other problem-solving strategies for patient safety. Interprofessional education (IPE) is a field of study for interprofessional collaboration.  

Issues of Concern

IPE is a structured curriculum to establish competencies in collaboration. The TeamSTEPPS® 2.0 curriculum was developed by the Agency of Health Research and Quality (AHRQ) to promote collaboration as a clinical competency.[2] Based on 25 years of research, the curriculum, which originated from the US Department of Defense (DoD), was adopted by AHRQ.  TeamSTEPPS®  is designed to address three specific components of collaboration and teamwork: (1) performance, (2) knowledge and (3) attitudes.  As shown in Figure 1, the TeamSTEPPS® model connects these three components to the essentials of leadership, situation monitoring, mutual support, and communication.   This IPE curriculum is designed to shift the attitudes and behavior of HCP's towards collaboration and teamwork as a means of quality improvement.[3][4] 

Figure 1: TeamSTEPPS Instructional Framework (King et al., 2008)

Clinical Significance

Communication is a multifunctional event transmitting messages of information, emotions, and attitude to other people. The significance of communication in the clinical setting is its quality to improve patient outcomes.[5]  Quality is measurable in the timing, ease, organization and clarity in the acts of communication.  These acts should be non-threatening and comprehensible to facilitate responses that are goal-directed in achieving specific patient outcomes.[6]  Limitations give rise to ineffective communication, which is a detriment to patient safety and outcomes.[7] Communication errors are a major cause of adverse events in the clinical setting.[8]

Communication is an essential element of collaboration. TeamSTEPPS as an IPE program develops HCP in the art of communication and establishes skill sets as a standard of practice.[9] From this structured learning experience, HCP's are better prepared to collaborate and use communication skills as a clinical competency.[10]

IPE is purposeful to expand collaboration and its elements as an essential requirement for clinical practice. From this perspective, the interprofessional collaboration will advance cooperation in education, healthcare practice, research, and policy-making for continuous quality improvement in patient care services.  


  • Image 7184 Not availableImage 7184 Not available
    Contributed by King, H.B., Battles, J., Baker, D.P., Alonso, A., Salas, E., Webster, J., Toomey, L., & Salisbury, M. (2008). TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. In K. Hendrickson, J.B. Battles, M.A. Keyes, et al. (Eds.) Advances in patient safety: New directions and alternative approaches (Vol. 3: Performance and tools). Rockville (MD): Agency for Healthcare Research and Quality. Retrieved from (http://www.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf)
Attributed To: Contributed by King, H.B., Battles, J., Baker, D.P., Alonso, A., Salas, E., Webster, J., Toomey, L., & Salisbury, M. (2008). TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. In K. Hendrickson, J.B. Battles, M.A. Keyes, et al. (Eds.) Advances in patient safety: New directions and alternative approaches (Vol. 3: Performance and tools). Rockville (MD): Agency for Healthcare Research and Quality. Retrieved from (http://www.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf)

Interested in Participating?

We are looking for contributors to author, edit, and peer review our vast library of review articles and multiple choice questions. In as little as 2-3 hours you can make a significant contribution to your specialty. In return for a small amount of your time, you will receive free access to all content and you will be published as an author or editor in eBooks, apps, online CME/CE activities, and an online Learning Management System for students, teachers, and program directors that allows access to review materials in over 500 specialties.

Improve Content - Become an Author or Editor

This is an academic project designed to provide inexpensive peer-reviewed Apps, eBooks, and very soon an online CME/CE system to help students identify weaknesses and improve knowledge. We would like you to consider being an author or editor. Please click here to learn more. Thank you for you for your interest, the StatPearls Publishing Editorial Team.

Collaboration - Questions

Take a quiz of the questions on this article.

Take Quiz
Select the choice which is the LEAST descriptive of collaboration:



Click Your Answer Below


Would you like to access teaching points and more information on this topic?

Improve Content - Become an Author or Editor and get free access to the entire database, free eBooks, as well as free CME/CE as it becomes available. If interested, please click on "Sign Up" to register.

Purchase- Want immediate access to questions, answers, and teaching points? They can be purchased above at Apps and eBooks.


Sign Up
What is the definition of collaborative practice?



Click Your Answer Below


Would you like to access teaching points and more information on this topic?

Improve Content - Become an Author or Editor and get free access to the entire database, free eBooks, as well as free CME/CE as it becomes available. If interested, please click on "Sign Up" to register.

Purchase- Want immediate access to questions, answers, and teaching points? They can be purchased above at Apps and eBooks.


Sign Up
Select the LEAST related choice describing collaboration:



Click Your Answer Below


Would you like to access teaching points and more information on this topic?

Improve Content - Become an Author or Editor and get free access to the entire database, free eBooks, as well as free CME/CE as it becomes available. If interested, please click on "Sign Up" to register.

Purchase- Want immediate access to questions, answers, and teaching points? They can be purchased above at Apps and eBooks.


Sign Up
Select the choice which is FALSE concerning communication in collaboration:



Click Your Answer Below


Would you like to access teaching points and more information on this topic?

Improve Content - Become an Author or Editor and get free access to the entire database, free eBooks, as well as free CME/CE as it becomes available. If interested, please click on "Sign Up" to register.

Purchase- Want immediate access to questions, answers, and teaching points? They can be purchased above at Apps and eBooks.


Sign Up
Collaboration is an essential element of interprofessional education (IPE). What is the purpose of IPE in developing healthcare providers (HCPs) in collaboration?



Click Your Answer Below


Would you like to access teaching points and more information on this topic?

Improve Content - Become an Author or Editor and get free access to the entire database, free eBooks, as well as free CME/CE as it becomes available. If interested, please click on "Sign Up" to register.

Purchase- Want immediate access to questions, answers, and teaching points? They can be purchased above at Apps and eBooks.


Sign Up

Collaboration - References

References

Arsever S,Tchernin E, [Interprofessionality in primary care medicine : overview and challenges for Switzerland]. Revue medicale suisse. 2018 Sep 26     [PubMed]
Dittman K,Hughes S, Increased Nursing Participation in Multidisciplinary Rounds to Enhance Communication, Patient Safety, and Parent Satisfaction. Critical care nursing clinics of North America. 2018 Dec     [PubMed]
Jacobowski NL,Girard TD,Mulder JA,Ely EW, Communication in critical care: family rounds in the intensive care unit. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2010 Sep     [PubMed]
Kiersma ME,Chen AMH,Yehle KS,Cailor S,Plake KS, Evaluation of a nursing and pharmacy student educational activity promoting interprofessional learning. Currents in pharmacy teaching     [PubMed]
Fischhoff B, Evaluating science communication. Proceedings of the National Academy of Sciences of the United States of America. 2018 Nov 26     [PubMed]
Ort A,Fahr A, Using efficacy cues in persuasive health communication is more effective than employing threats - An experimental study of a vaccination intervention against Ebola. British journal of health psychology. 2018 Sep     [PubMed]
Rodziewicz TL,Hipskind JE, Medical Error Prevention null. 2018 Jan     [PubMed]
Parker AL,Forsythe LL,Kohlmorgen IK, TeamSTEPPS{sup}®{/sup} : An evidence-based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review. Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2018 Sep 13     [PubMed]
Beiler J,Opper K,Weiss M, Integrating Research and Quality Improvement Using TeamSTEPPS: A Health Team Communication Project to Improve Hospital Discharge. Clinical nurse specialist CNS. 2019 Jan/Feb     [PubMed]
Zhu X,Baloh J,Ward MM,Stewart GL, Deliberation Makes a Difference: Preparation Strategies for TeamSTEPPS Implementation in Small and Rural Hospitals. Medical care research and review : MCRR. 2016 Jun     [PubMed]

Disclaimer

The intent of StatPearls is to provide practice questions and explanations to assist you in identifying and resolving knowledge deficits. These questions and explanations are not intended to be a source of the knowledge base of all of medicine, nor is it intended to be a board or certification review of Nurse-Corrections (CCN). The authors or editors do not warrant the information is complete or accurate. The reader is encouraged to verify each answer and explanation in several references. All drug indications and dosages should be verified before administration.

StatPearls offers the most comprehensive database of free multiple-choice questions with explanations and short review chapters ever developed. This system helps physicians, medical students, dentists, nurses, pharmacists, and allied health professionals identify education deficits and learn new concepts. StatPearls is not a board or certification review system for Nurse-Corrections (CCN), it is a learning system that you can use to help improve your knowledge base of medicine for life-long learning. StatPearls will help you identify your weaknesses so that when you are ready to study for a board or certification exam in Nurse-Corrections (CCN), you will already be prepared.

Our content is updated continuously through a multi-step peer review process that will help you be prepared and review for a thorough knowledge of Nurse-Corrections (CCN). When it is time for the Nurse-Corrections (CCN) board and certification exam, you will already be ready. Besides online study quizzes, we also publish our peer-reviewed content in eBooks and mobile Apps. We also offer inexpensive CME/CE, so our content can be used to attain education credits while you study Nurse-Corrections (CCN).