Interprofessional Working

Topics: Patient, Nursing, Health care Pages: 12 (4722 words) Published: January 11, 2013
NJ272 Preparing for Professional Practice assignment
The aim of this assignment is to analyse the legal and professional issues involved within a critical incident observed whilst in clinical practice and to discuss the interprofessional workings of the professionals involved. A critical incident is an event which has left either a negative or positive impact on the observer or participant, this information can then be used to inform future practice (Flanagan 1954). This assignment will first describe the critical incident witnessed, the legal and professional issues will be briefly discussed and advocacy explored in depth. Interprofessional working surrounding the incident will be discussed focusing on the importance of interprofessional working, interprofessional education and what makes an effective interprofessional team and barriers to its success. The critical incident occurred whilst on clinical placement on a high dependency ward, a patient was requesting more pain relief because they felt that their current medication was no longer beneficial. This was making it difficult for the patient to mobilise and was felt to be detrimental to his rehabilitation. Both the nurse and the physiotherapist agreed that the patient’s pain medication should be reviewed and during the ward round discussed this with the doctor involved in the patients care. The doctor’s opinion was that once the patient had begun to mobilise he would review the pain relief and would not alter the medication until this occurred. The patient tried to explain the pain that he felt on moving to which the doctor replied that he wanted to wait and see what happened before altering the dose. The nurse and physiotherapist stepped in to explain to the doctor that the patient would not mobilise until his pain was under control but the doctor would not change his mind and left the bedside. The nurse then discussed the incident with the nurse in charge who spoke to the doctor and agreed to alter the medication. McCaffrey (p14, 1979) defines pain as ‘Pain is whatever the experiencing patient says it is, existing whenever he says it does,’ by stating that the medication would not be altered the doctor was dismissing this theory. The General Medical Code (2006) requires doctors’ to respect their patients’ right to be fully involved in decisions about their care, listen to their concerns and respond appropriately which in this case did not occur. The moral principle in this case first and foremost is autonomy, the patient had made a choice and the requirement is for the doctor to respect that choice. By stepping in and explaining the reason why the patient required a review of his analgesia, the nurse took on the role of advocacy. Advocacy has a crucial role within nursing (Rumbold 2000), The Nurse and Midwifery Council (2008) promotes patient advocacy within the code of conduct by stating that the care of patients should be a nurses first concern. The International Council of Nurses codes of ethics (2006) also states that nurses have a responsibility to provide care which ensures the patient’s rights are met and the importance of advocacy. Despite this finding a definition and explanation of advocacy is difficult (Bu and Jezewski 2007, Baldwin 2003, Zomorodi and Foley 2009), O’Connor and Kelly (2005), suggest that this lack of definition could make it difficult to implement within practice because nurses are unsure how and when to advocate for their patients. Authors have attempted to define advocacy placing it within a moral context rather than legal (MacDonald 2007), Hank (2010) believes it is acting on behalf of another, Malik (1997a) expands on this by stating that it is the act of arguing in favour of and the practice of supporting the patient to make their voice heard. Bennett (1999) reflects that many definitions encompass the nurses desire to care for a vulnerable individual rather than intervening because they have been asked to, suggesting that...
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