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Interprofessional Essay

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Interprofessional Essay
The aim of this assignment is to explore how the culture of individual professions can present barriers to interprofessional working in relation to my clinical experience. The essay will discuss professionals and define interprofessional, multidisciplinary and professional culture it will then examine issues of the effectiveness of interprofessional working in my clinical experience and discuss how professional culture can present barriers that hinder teamwork. Finally the essay will identify what changes could be made to enhance current and future practice.

Traditionally doctors, lawyers and clergymen were perceived as professionals. Nurses and social workers were not observed as professionals because they were seen to have limited knowledge, that has all changed and these days they are considered to be professionals who possess a wide body of knowledge which is usually gained from academic studies. Leathard (2003) indicates that a professional has a certain expertise that justifiably entitles them to the role of practitioner, who is bound by a code of ethics. Cook et al (2001) found that professionals highlighted trust as an important factor in facilitating open discussion and successful role negotiation, both important features of interprofessional working.

The terms interprofessional and multidisciplinary are the most commonly used words that many professionals employ in practice. Freeman et al (2000) defines interprofessional to be where a group of professionals interact with each other across boundaries for the benefit of the patient. Another term used in place of interprofessional is multidisciplinary, this term was used more frequently in the 1980’s and 90’s where as defined by (Day 2006) is a group of professionals working together with little collaboration. Both groups share a common purpose which is to contribute to patient care.

Gregson et al (1991), suggests that the terms teamwork and collaboration are both used to describe



References: Audit Commission (1992). Making time for patients: A handbook for ward sisters. London: HMSO. Barrett. G. Sellman. D. Thomas. J. (2005). Interprofessional working in health and social care: Professional perspectives. Basingstoke: Palgrave Macmillan. Booth, J. Hewison, A. (2002). Role overlap between occupational therapy and physiotherapy during in-patient stroke rehabilitation: An exploratory study. '  Journal of Interprofessional Care Vol.16. (1). 31-40. Brooker, C. Nicol, M. (2005). Nursing adults: The practice of caring. London: Elsevier. Cook. G. Gerrish K. Clarke. C. (2001). Decision making in teams: issues arising from two UK evaluations. Journal of Interprofessional Care. Vol. 15. 141-51. Currie, L. Loftus-Hills, A. (2002). The nursing view of clinical governance. Nursing Standard. Vol.16. (27). 40-44. Day, J. (2006). Interprofessional working: expanding nursing and health care practice. London: Nelson Thornes Ltd. Freeman et al. (2000). The impact of individual philosophies of teamwork on multiprofessional practice and its implications for education. Journal of Interprofessional Care. Vol. 46. (14). 40-44. Gerard, K. 2002. Interprofessional working: opportunities and challenges. Nursing Standard. Vol. 17 (6). 33-35. Gregson, B.A. Cartlidge, A. Bond, J. (1991). Interprofessional collaboration in primary health care organizations. London: The Royal College of General Practitioners. Hogston, R. Simpson, M. (2002). Foundations of nursing practice: making the difference. (2nd ed). Basingstoke: Palgrave Macmillan. Irvine, R. Kerridge, I. McPhee, J. (2002). Interprofessionalism and ethics: consensus or clash of cultures? Journal of Interprofessional Care. Vol. 16. 199-210. Kenny, G. (2002). Interprofessional working: Opportunities and challenges. Nursing Standard. Vol. 17. (6). 33-35. Leathard. A. (2003). Interprofessional collaboration: From policy to practice in health and social care. Hove: Brunner-Routledge Loxley, A Mariano, C. (1999). The case for interdisciplinary collaboration. Nurse Outlook, Vol. 37, 285 – 288. Mitchell, E. Moore, K. (2004). Stroke: holistic care and management. Nursing Standard. Vol. 33. (18). 43-52. NMC (Nursing & Midwifery Council). (2002). Code of professional conduct. London: NMC Reese, D Reid, M. Hammersley, R. (2000). Communicating successfully in groups. London: Routledge Rushmer, R Secretary of state for health (1997). The New NHS Modern, Dependable. London: HMSO Soothill, K Swage, T. (2001). Clinical governance in health care practice. (2nd ed). Edinburgh: Butterworth Heinemann. Webster, J. (2002). Client centred goal planning. Nursing Times. Vol. 98. (6). 36-37. Workman, B.A. Bennett, C.L. (2003). Key nursing skills. London: Whurr Publishers Ltd.

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