NR 451 Week 5 Discussion; Interprofessional Collaboration, Assignments of Nursing

NR 451 Week 5 Discussion; Interprofessional Collaboration

Typology: Assignments

2023/2024

Available from 11/03/2024

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NR 451 Week 5 Discussion: Interprofessional Collaboration
Planning for our patients during times of transitions (for example: hospital to home, home to
rehabilitation facility) involves collaboration with a number of healthcare professionals. Please address
the following questions:
How does your facility promote interprofessional collaboration during times of patient
transitions?
What is the role of the nurse in patient transitions?
What gaps can you identify in this process related to quality of care? (If you are not currently in
practice, please use a previous role or clinical experience in your answers.)
Answer
During patient transitions, professionals of all the disciplines involved in patient care play an important
and unique role. In the clinic where I work, we receive patients from the hospitals who have just
started receiving dialysis treatments. We also transition patients from the clinic to their homes where
they can receive home hemodialysis. In any of these two scenarios, the providers, nurses, social
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NR 451 Week 5 Discussion: Interprofessional Collaboration

Planning for our patients during times of transitions (for example: hospital to home, home to rehabilitation facility) involves collaboration with a number of healthcare professionals. Please address the following questions:

  • How does your facility promote interprofessional collaboration during times of patient transitions?
  • What is the role of the nurse in patient transitions?
  • What gaps can you identify in this process related to quality of care? (If you are not currently in practice, please use a previous role or clinical experience in your answers.) Answer During patient transitions, professionals of all the disciplines involved in patient care play an important and unique role. In the clinic where I work, we receive patients from the hospitals who have just started receiving dialysis treatments. We also transition patients from the clinic to their homes where they can receive home hemodialysis. In any of these two scenarios, the providers, nurses, social

workers, and dietitians are involved. Together we make sure that the patient is knowledgeable about the treatments and diet and that they count on the support they might need. According to Chamberlain College of Nursing (2021), nurses have the huge responsibility of providing health teaching to avoid health complications and promote positive health behaviors. Nurses play an essential role in promoting successful transitions by developing a patient-centered transition plan and communicating any problem that might interfere with the results (Camicia & Lutz, 2016). In my workplace, when we receive new patients from the hospital, nurses have to educate the patient about the concept of dialysis and the importance of being compliant. Patients must be aware of the consequences of missing their treatments and of not controlling their water and sodium intake. When patients are transitioned from in-center hemodialysis to home hemodialysis, nurses must educate the patients and their families about the process, contraindication, and how to prevent any infection. Nurses also make sure patients go home with all their medications. One of the gaps I could identify is poor communication with the patient and family. Sometimes they leave with a lack of education or poor knowledge which can cause these patients to be readmitted and at risk of major problems. In addition, another gap could be that sometimes the providers do not follow up with the patients when they are transitioned from in-center to home hemodialysis, so it is difficult to evaluate if there was any improvement. Camicia, M., & Lutz, B. J. (2016). Nursing’s role in successful transitions across settings. Stroke , 47 (11), e246-e249. Chamberlain College of Nursing. (2021). NR 451: Capstone. Week 5: Lesson-Foundational concepts