Comparison of Two Health Care Videos

Assessment 1: Essay

Weighting40%
FormatIndividual 1800 word essay
Date/WeekWeek 8 Due Monday, 11th April at 1000hrs.

Essay 1800 words (+ or – 20%) This assignment is worth 40%.

Comparing two health care videos provided you will write an 1800 word essay using information from the literature (journal articles). In your discussion and description you will incorporate your knowledge of effective leadership, or teamwork or interprofessional practice and their importance in client centred care.

Through researching journal articles you will be able to discuss both the implications of effective and poor processes on the functioning of a health care team and subsequently on the care of the patient.  It is important that in both your role as a student nurse and later as a Registered nurse you are an effective team member and leader in interprofessional health teams.

Supporting journal articles

Being able to demonstrate that you are able to access and utilise information such as journal articles is an important part of the role of both the student nurse and the registered nurse.

All journal articles must be cited (in text citation) and listed (end reference list).  A minimum of five journal articles must be used and cited within the essay.

NOTE: Do not use websites or books for this essay as reference material use only journal articles.

The essay is to be written in the third person. The essay is to be submitted through Turnitin. Remember there is no need to concern yourself with the disease or diagnosis of the client in the videos.

Instructions

Two video links are provided under the assessment tab on Blackboard (Assessment 1). It will be necessary for you to review these two videos: one demonstrating poor interprofessional teamwork and the other good interprofessional teamwork.

Compare the differences shown within the videos and discuss using the examples shown in the videos. Also support your discussion about the video examples using information from the referenced articles you have found to support your examples.

To assist you to research and write your essay choose one of the following three aspects of the patient care demonstrated in the videos:

1.    Teamwork

  • Discuss what the current literature describes as effective or ineffective teamwork.

Link this to the teamwork practice you have seen in the videos-

  • Use examples from the videos to explain how the video scenarios demonstrated good teamwork; and second examples from the videos to explain how they demonstrated poor teamwork.

OR

  • Leadership characteristics
  • Discuss how the current literature describes effective or ineffective leadership.

Link this to the leadership practice you have seen in the videos-

  • Use examples from the videos to explain how the video scenarios demonstrated effective leadership; and second examples from the videos to explain how they demonstrated ineffective leadership.

OR

  • Interprofessional teams
  • Discuss how the current literature describes literature why it is important for a registered nurse to work effectively as a member of the interprofessional team.

Link this to the interprofessional practice you have seen in the videos-

  • Use examples from the videos to discuss how effective and ineffective interprofessional working was demonstrated within the health team

Scenario brief

Mr Keane is a 78 year old man with a history of congestive heart failure who had been admitted to hospital with an episode of Acute Pulmonary Oedema (APO) for which he initially required Bi-level Positive Airway Pressure (BiPAP). The original problem has been resolved but he has developed hospital-acquired pneumonia as a result of a left lower lobe lung

infection. He requires daily chest physiotherapy for this. Around midday on day five of his hospital stay Mr Keane has got out of the shower and is attending his scheduled physiotherapy session. The effort required to shower has exhausted him. Present in the room is an Enrolled Nurse who has the joint responsibility of looking after five other patients as well as Mr Keane, and the Physiotherapist.

During physiotherapy the patient’s anxiety levels begin to rise. His panic is due to increased breathlessness and a new onset of chest pain. As Mr Keane’s distress increases the emergency button is pressed for assistance. This summons members of the Medical Emergency Team (MET), a multidisciplinary team with acute care expertise, to the ward.

Medical, Nursing and Allied Health staff members are required to work together to restore Mr Keane to an optimum level of homeostasis before there is a rapid disintegration in his condition that would require more complex care in a specialised setting such as the Intensive Care Unit.

List of interprofessional team members:

Anaesthetic Registrar – male: dark blue checked scrubs

EN Enrolled Nurse- Female: blue coloured floral shirt with blue vest Physiotherapist- Female: red shirt

ICU Resident – Female: beige coloured long sleeved T shirt ICU RN Registered Nurse – Female: Blue floral shirt Medical Registrar – Male: grey long sleeved shirt

Patient – Male: grey T shirt; in the bed

If you have any difficulties accessing the video please contact IT on 63046000 to discuss the issue.

1.0 Introduction

Hospitalized patients tend to believe that they are in a place of well being, where they and their relatives are justified in believing that they will receive the best medical care and attention. However, there exists evidence to prove that actually, the contrary happens. Patients at the time become terribly ill because of receiving sub-optimal attention. The reason behind this is that the deterioration in their health is not recognized. Team work in healthcare teams is crucial as it leads to the production of high-quality medical services within a short time, leading to a reduction in the patients suffering.

Health systems of developed nations serve a patient population of growing acuity and complexity. A considerable number of patients may encounter severe adverse events (SAE) while still in the hospital. Studies show that cardiac arrests and SAE’s in patients admitted to the hospital are not unexpected or abrupt. The majority of these cases are precipitated by derangements in aspects such as laboratory tests and other vital signs.

1.1 Emergency Medical Team

 Most of the inpatients are the aged, the emergency medical team (EMT) has advanced to enable it to identify, assess and treat those patients at-risk during the initial stages of health deterioration. The difference between the EMT and other emergency teams is that the former is headed by a medical registrar who is an expert in intensive care. Other associates of the team include; ICU nurse, Anaesthesia Resident, Ward Nurse and Medical registrar. Members of these teams are trained in advanced life sustenance.

2.0 Team Working Literature

The challenges facing the health sector can be addressed through involving different health professionals in multi-disciplinary teams. Multidisciplinary care (MDC) is a comprehensive approach to health care, where medical and allied health service providers are put into consideration.  All pertinent treatment options are considered and they collaboratively formulate a treatment plan for every patient. Teamwork is necessary because in most operations where many health providers are involved, poor communication and direction of care may arise (Leach & M., 2013). When professional performs various tasks together, they can achieve the best and cost-effective results for their clients. They should learn together and also jointly take part in the audit of clinical outcomes.

2.1 Factors Influencing Teams

It is almost impossible to achieve teamwork in health systems because of the hurdles caused by professional groupings, for example, nurses and doctors. Gender factors also determine the effectiveness of teams. Other factors influencing the effectiveness of a team are numerous management lines, absence of organizational structures for managing teams and the status differences that exist between the various professional groups.

2.2 Effective and Ineffective Teams

The quality of the team working determines the effectiveness of the health teams. Effective teams are characterized by precise objectives, high member commitment, and participation as well as high levels of innovation. For a team to be effective, the conduct and obligation of each person should be specified. Team work is founded on a high degree of trust, inclusion of varied viewpoints in medical processes and decision making.

2.3 Role of Teams in Patient Centred Care

Team working contributes immensely to patient centred care in that it leads to an improvement in the outcomes and processes of health care. This teamwork leads to increased patient satisfaction due to the quality services offered. It is through team working that organization and consistency are achieved (Iliadi, 2010). Health facilities can develop and deliver health services in a cost effective manner, while at the same time maintaining high quality. Through team work, much time is saved due to the effective coordination among the team members. Tasks previously undertook one at a time can be executed concurrently…

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