FUNDAMENTALS OF NURSING

Mr. Kenny Niño H. Tagum | 2nd Semester | BSN 1E

CONCEPTS AND PRINCIPLES OF PARTNERSHIP, COLLABORATION, AND TEAMWORK

1. DEVELOPMENT OF TEAMWORK AND COLLABORATION

Effective teamwork extends beyond individual performances, gaining strength from the interplay
of team members and group dynamics. Successful collaboration hinges on embracing diversity
as an asset, acknowledging it as a valuable contribution to the collaborative process and overall
team outcomes. Although managing differences initially poses challenges, when facilitated
appropriately, it fosters a positive impact on teamwork, providing varied perspectives and
enhancing results (Belbin, 2010).

TEAMWORK VS. COLLABORATION

- Group functions as a team but are - The group not only has to work
working as individuals. Everyone together, they have to think together.
has identified task which contributes - End product is a group effort.
to the outcome. Collaborators have to trust each other
- Leader controls/guides the work of and respect the opinion of others.
the group towards the goal. - Work together usually without a
leader.

1.1 Self Awareness

- The relationship between a person's perception of oneself and others perception of oneself. Its
purpose is to develop and make use of interpersonal skills and strengths.

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1.2 Dyad

- This is a partnership or two person groups, where a nurse leader or administrative member and a
clinical member, usually a physician, co-lead and co-manage their area of responsibility. They
balance each other's strengths and weaknesses, working together to bring the best of both worlds
in terms of skills, expertise, and experience.

1.3 Group

- Two or more people who have shared needs and goals. They take each other into account in terms
of their actions and set themselves apart from others in terms of their virtue of interaction.
- Group dynamics is the communication which takes place among the members of any group.
- Functions of Group Dynamics:
a. Develop and modify its structure of effectiveness
b. Maintain a degree of cohesion and unity
c. Accomplish set goals

1.4 Team

- This is the delivery of coordinated care to individual clients by a group of healthcare providers or
professionals.

- Members of a healthcare team provide a variety of relevant knowledge and experience to the
operation at hand. This functional competence might be subtle when members have different
viewpoints but similar abilities and experience, or it can be more evident when the team includes
a diverse range of knowledge, skills, and training. Patients, family members, and other
stakeholders should ideally be included in the delivery of healthcare as a team.

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2. TOOLS FOR FACILITATING TEAMWORK

➢ Communication
➢ Situational Awareness
➢ Mutual support
➢ Leadership
➢ Closed-loop Communication
➢ Readback
➢ SBAR Tool
➢ Safety Huddles
➢ Debriefs
➢ Checklists
➢ Human Factors

EXAMPLES:

Communication: Utilize secure messaging platforms like imessage or viber for efficient and
confidential communication among healthcare team members.

Situational Awareness: Employ Electronic Health Record (EHR) systems, such as Epic or
Cerner, to enhance awareness of a patient's current condition, medical history, and ongoing
treatment plans.

Mutual Support: Collaborate on patient care plans using healthcare collaboration tools like Halo
or Doximity, enabling seamless communication and support among healthcare profession als.

Leadership: Implement nursing management software such as NurseGrid Manager to assign

shifts, track staff availability, and streamline leadership responsibilities.

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Closed-loop Communication: Use tools like Vocera or Voalte to enable closed-loop

communication, ensuring that critical information is accurately transmitted and acknowledged.

Readback: Practice readback techniques during handovers or critical situations using

standardized protocols, confirming that information is correctly understood and acknowledged.

SBAR Tool: Incorporate the SBAR tool (Situation, Background, Assessment, Recommendation)
into patient handoffs or communication to provide a structured and concise format.

Safety Huddles: Conduct regular safety huddles using video conferencing tools like Zoom or
Microsoft Teams to discuss potential safety issues and collaboratively address them.

Debriefs: After critical events or procedures, conduct debriefs using tools like Qualaris or RL
Solutions to review and learn from the experience, enhancing future performance.

Checklists: Implement checklists in patient care using tools like PatientSafe or SafeStart,
ensuring that healthcare professionals follow standardized procedures and protocols.

Human Factors: Apply human factors principles in healthcare settings, considering tools like the
HFACS (Human Factors Analysis and Classification System) for analyzing and mitigating factors
contributing to errors or incidents.

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3. ROLES OF THE NURSES

A. Caregiver
Nurses assist the client physically and psychologically while preserving the client’s dignity.

B. Communicator
Nurses identify client problems and then communicate these verbally or in writing to other
members of the healthcare team.

C. Teacher
The nurse helps the client learn about their health and the healthcare procedures they need to
perform to restore or maintain their health.

D. Client Advocate
Nurses may represent the client's needs and wishes to other healthcare professionals. They
also assist clients in exercising their rights and help them speak up for themselves.

E. Counselor
Nurse helps the client in recognizing and coping with stressful psychological or social problems,
to develop improved interpersonal relationships, and to promote personal growth.

F. Change Agent
Nurses assist clients to make modifications in their behavior.

G. Leader
Nurses influence others to work together to accomplish a specific goal.

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H. Manager
The nurse manages the nursing process and care of individuals, families, and communities. As
well as assigns and delegates nursing activities to ancillary staff and other nurses, and
supervises and evaluates their performance.

I. Case Manager
Nurses work with multidisciplinary teams to measure the effectiveness of the case management
plan and to monitor the outcomes.

J. Researcher Consumer
Nurses use research to investigate nursing problems to improve nursing care and to refine and
expand nursing knowledge and practice.

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REFERENCES:

Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice, Volume 1 & 2, 11th

Edition.

Contributor, N. (2016, December 12). Tools and techniques to improve teamwork and avoid

patient harm. Nursing Times. https://www.nursingtimes.net/clinical-archive/patient-safety/tools-

and-techniques-to-improve-teamwork-and-avoid-patient-harm-12-12-2016/

Varghese, M., V. (2019, August 27). Collabration in nursing ppt [Slide show]. SlideShare.

https://www.slideshare.net/mathewvallanamatathil/collabration-in-nursing-ppt

Partnership, Collaboration, Leadership and Management Overview, Career Path.pdf. (2022, July

11). [Slide show]. SlideShare. https://www.slideshare.net/RubyEdiza/partnership-collaboration-

leadership-and-management-overview-career-pathpdf

Collaboration and teamwork - skill IT. (2019, November 21). Skill IT.

https://digipathways.io/resources/training-toolkit/collaboration-and-teamwork/

UNDERSTANDING THE DIFFERENCES BETWEEN TEAMWORK AND COLLABORATION.

(2018, August 29). Civil Service College. https://www.civilservicecollege.org.uk/news-

understanding-the-differences-between-teamwork-and-collaboration-203

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Chavez, Airiane Joy B.

Dayupay, Angel Mey P.

Dayupay, Ma. Alexis M.

Espallardo, Micaela G.

Francia, Mary Franzel D.

Genegaling, Allyssa Elaine M.

Gotoman, Nicole Jean R.

Vistan, Mark Anthony M.

Kenny Niño H. Tagum, RM, RN, MAN, LPT, Ph.d.

Instructor

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