Interprofessional Collaboration and Leadership

This assignment examines the crucial role of leadership in interprofessional education and collaborative practice within healthcare. It analyzes various perspectives on leadership, focusing on how it fosters effective teamwork and improves patient outcomes. The analysis draws upon a range of scholarly articles that delve into the challenges, facilitators, and best practices associated with interprofessional collaboration and leadership development.

Leadership ,
management ,
collaboration and
inter-professional
practice

Table of Contents
INTRODUCTION...........................................................................................................................3
Leadership and management.......................................................................................................3
Collaboration Mdt and interpersonal working............................................................................4
Relational leadership and its effectivenesses in creating positive and negative relationships....6
Self analysis................................................................................................................................8
CONCLUSION................................................................................................................................9
REFRENCE...................................................................................................................................10

INTRODUCTION
Leadership refers to an activity of leading a combination of individuals in order to guide
the followers or other members of the organisation. Whereas management involves organizing
and coordinating different activities in order to achieve the already set goals of the business.
This report will give detailed explanation of leadership and management skills that are required
in patient centred care. It will also analyse collaboration, inter professional working and
multidisciplinary ontological team along with their impact on patient centred care. Later part of
the report deals with the different approaches that inform inter professional ans multi agency
working. (Twigg and McCullough, 2014).
MAIN BODY
Leadership and management
According to Adeoye Mayowa, Leadership is refered to ability which comprises of
evaluating and forecasting a long term policy or plans Along with influencing the followers in
order to achieve the said strategy. According to Bennis and Nanus Leadership is like the
Abominable Snowman, a individuals who have their footprint every where but they are not seen
(LEADERSHIP DEFINITIONS BY SCHOLARS 2009) Leadership involves leaders influencing
others so that their actions can be directed towards achievement of overall organisational goals.
According to Harold Koontz, Management can be explained as an art, which comprises
of getting things done through members and also from the organised groups. According to Henri
Fayol, Management involves planning, organizing, commanding, coordinating and controlling
different activities of others (Khalili, Hall and DeLuca, 2014). Management is an complex
process which involves various activities such as planning and controlling different activities
involved in an hospital as they deals with a number of people on a daily basis it is important for
management to actively manage different department such as nurse department in this nurse
managers should ensure that the organisation have adequate number of nurses and they are also
responsible to delegate the responsibility to them on a daily basis. On the other hand leaders are
obligated to find the right people and motivating them and also they are responsible to
responsible to communicate the organisation vision to the members of nursing departments.
They also play an very important role in influencing the members in order to achieve the
objective for Instance the environment of the health an social care is very sensitive they can have

emergencies ate any point of time so it is the duty of leader to influence the members to work on
different working hours and shifts (Jensen and Lund, 2014) .
In the present case study different leadership and management styles have been adopted
such as Authoritarian leadership styles in nursing it involves nurse managers or leaders taking
the decisions and then giving the orders to their subordinates and other member of the team.
Employees are obligated to follow the direction as in the case study it have been described that
the while the patient was still suffering from Clostridities difficile still the order for the patient
discharge was issued by the senior nurse matron to nurse in charge to which the primary orders
were given by consultant. While ignoring the warning given by the student nurse. Under the
report Laize- faire management style is being used under this style minimum direction are being
provided by the leaders and employees are suppose to handle their own tasks and they are
responsible for making their own decision. This kind of leadership style in nursing will only be
successful if the staff members are highly skilled, educated and careful while performing their
duty. As the responsibility of discharging the patients was in the hands of nurse in charge they
were not being able to handle such with care which would have resulted in bad health of then
patient if the issue would have not been brought up by the nurse (Floyd and Morrison, 2014).
Collaboration Mdt and interpersonal working
Collaboration
In the modern health and social care system, service delivery involves customer
interacting with 50 different employees which involves physician, nurses and others. In order to
effectively practice clinical practices there are many instances where clinical information needs
to transformed at different level in an effective manner. Along with it is important for the
information to be accurate for this team collaboration is essential element. In order to provide
safety of the customers the health care professionals needs to communicate effectively. Lack of
communication can lead to situation where the chances of medical errors are high in number.
The error can further result in severe injury or unexpected patient death. Errors which arises due
to failure of communication is an important issue in the Patient centred care organisations. Under
the collaboration in Patient centred care professionals are responsible to work in a cooperative
manner together which involves sharing the responsibility of problem solving and formulating
plans that are focussed on patient care. The case study depicts that the information was passed to
consultant did not consists of the lab report due to non disclosure of the information they issued

discharge order which would have been a threat to the patient life if the true and authentic
information would have not brought in front of them.
Multidisciplinary ontological team
Multidisciplinary team in a Patient centred care involves all level of staff members on
hospitals treatment pyramid. Which involve nurses, physician therapists, social worker and
attending physician (Forman, Jones and Thistlethwaite, 2014). These teams help the managers in
distributing the job responsibility instead of randomly assigning staff to different sections such as
emergency rooms, Intensive care Unit and Operating room. The teams helps in breaking down
the communication barriers between specialist and helps in enabling better co-operation among
all specialists. These teams helps in improving patient outcome and also in increasing patient
satisfaction level. In order to ensure optimum functioning of the teams and effective patient
outcomes. The roles of the the members must be clearly defined that are enabling respect and
trust among the team members and agreeing on communication protocol and effective interaction
among team members. As the teams requires active participation of all the members they needs
to also respect each other in the order to handles different situations. If the team member are not
working in an effective manner as illustrated in the cases study that the student nurse have
informed the nurse in charge about the unfit condition of the patient and still no importance were
provided to the issues. Along with the nurse in charge the issue was brought up to the matron in
charge as well but still no action were taken. This depict the teams do not respect the point of
view of there members and do not want to coordinate their efforts which can be a threat to
patient's life .
Inter professional working
It is a process in which members of different profession works with each other in order to
provide health and social care benefit to patients (Blais, 2015). Members such as nurses needs to
collaborate effectively with other members of the healthcare teams from different discipline. It
involves working together as team members and team leaders. Inter professional working helps
in improving the communication and teams work and also helps in optimizing the patient
outcomes. It is important as it facilitates coordination of care across the health care in different
levels. Working as a team will help in taking care of patient through the healthcare continuum. It
is important to work in coordination with each other in the as the healthcare sector involves
treating patients and effective team work will help them to identify the issues that patients are

dealing with and also in providing treatment as per the issues. In the case study the different
nurse such as nurse in charge, matron and student nurse were not able to work in a team and as
team amber the consultant was not equipped with valuable information which made him issue
discharge order. If the patient would have discharged his life would have been in danger.
Relational leadership and its effectivenesses in creating positive and negative relationships.
Relational leadership comprises of a model that focuses on ideas that leadership
effectiveness is related with the leaders ability that can create positive relation among the
members of the organisation (Relational Leadership 2018). It can be defines as process of
individuals together attempting to accomplish change or to establish a difference in order to
benefit the common objectives. It acknowledges the diverse skills of group members and trust
the entire process to bring good thinking thinking to socially responsible changes to which group
member agree and would want to work towards. They believe that relationships are the key to
create effectiveness in leadership.
Relational leadership involves focussing on five different components pointed below. Each
model is further being divided into sub sections that comprises of knowing, being and doing.
Knowing deals with possessing certain set of knowledge in certain area, Being comprises with
having certain belief and Doing comprises with having skills in certain areas. These can be
further explained in points (Forman, Jones and Thistlethwaite, 2015).
Inclusion comprises of having knowledge about oneself and others. Along with it
requires understanding of Citizenship and culture. The Being sub section of this components
comprises of involving fairness and equality in treatment of all the members and believing that
everyone have the capacity to make a difference which will help to create a positive relationship
among different member as they all are being valued on the other hands if leaders give more
importance to only some members it will foster negative relationship among member as they will
compare themselves with others. Under this Leaders believe in extreme value of fairness and
equality and also believes that all the group members should be valued and believed. The doing
part under this components includes listening, developing and building coalitions. Under the
case the issue raised by student nurse were not being listened the senior nursed. through the
inclusion components of relational model the members of the patient centred care will be able
express themselves and will be able to listen to each others point of view and it will also help

them to create strong relationship with each other as they are being valued in the organisation
(Honingh, and Hooge, 2014).
Empowering It involves providing empowerment of different member such as group
members oneself and other related individuals. Under the knowing part comes the understanding
of different concepts such as empowerment, self esteem and power. Empowerment believes that
every individuals in the group have something to offer, and personal growth is important and it
also believes that knowledge decision and power are made in a collective approach. The Doing
sub parts involves balancing power, encouraging and praising other to lead themselves. This
components of relational leadership model enable learning at individual and team level and also
comprises of sharing information and decision making process which will help the individuals to
participate in the decision process which will increase the bond of individuals in the workplace.
As in the case study the information related with the lab results of the patient were not shared
with the consultant and the decision related to the discharge of the patient should have been a
collective decision of the entire team which were responsible to handle the patient. Through the
empowerment of the different members of the patient care unit leaders are able to maintain
strong relations.
Purposeful comprises of having individual commitment to a goal or activity. The
knowing section under this comprises of having understanding of concept and values of having
clear objective. The belief portion comprises of having an attitude which is positive and
optimistic. Skills under this involves creativity and goal making. Which involves others in the
vision building process. If the leaders involve other members in the vision building process they
will feel more associated with they will work more efficiently towards achieving the set vision.
Non inclusion of member will make them less associated with the overall gaols and might affect
their work performance (Orchard and Rykhoff, 2015)
Ethical component of the model comprises of differentiating what is right and wrong and
development of values and ethical decision making. Ethical requires to believe in different areas
such as social responsibility, moral integrity and leaders to posses an altruistic attitude. The
doing part of this component involve trusting others acting courageously and confronting the
inappropriate behaviour in others. Through trusting and working in ethical manner the relation
among different members of the patient care. Under the report the nurse student have shown the
courage of raising the discharge issue in front of the infection control team and by working in an

ethical manner and fulfilling her job responsibility. They were able to protect the life of patient
and also the reputation their hospital (Lamont and et. al., 2015).
Process oriented- This involves understanding the concept such as team building,
multiple perspectives and community. The being section under this process comprises of giving
equally important to process along with outcomes. It also believe that good things will happen if
people have trust on the process. The skills under these involves ability to receive and give
feedback and collaborative. If leaders are proving active feedback to their members this will help
them to work more effectively and efficiently. Under the report the nurse in charge and matron
nurse were not bale to take the feedback which was given by nurse student they did not tent to
value the point of view of student nurse. They also lacked the ability to work in collaboration
with member of their team who were handling the patients (Frich and et. al., 2015).
Self analysis
As a qualified nurse I have come cross a difficult situation. As the current situation
comprised of an issue in which the patient was having symptoms of c-diff type 7 watery stools
with a foul smell still an order was being passed by senior nurse to the nurse in charge to which
the primary notice was issued by consultant who was responsible to handle patient. As lab report
depicted that the patient is unfit to get discharge. I reported the same to the nurse in charge but
the nurse in charge advised that medication have been prescribed and patient is fit to discharge.
After putting the same in front of the matron nurse the response tent not to change which left me
with no option but to report to the infection control team. Which eventually stopped the
discharge of patient.
In order to avoid such situation in future I have to maintain the use of ethical practices
that will help in identification of the difference between what is right and what is wrong. As they
have helped me to report the wrong decision of the staff members to the higher authority. In the
first attempt the nurse in charge and the matron nurse did not pay the attention but the ethics kept
me motivated to be fair in the work place and to report if anything is going wrong in the
organisation. Along with the ethical practices communication is also an essential element in
providing treating patients. In the future I have to maintain the courage of communicating
important information as even a small details that can cause danger to the life of patients it will
also help to foster the relationship with other staff member and will also help to share the
expertise and knowledge of the different member which will help to enhance my knowledge.

In order to treat patient in an effective manner as a nurse I have to pay attention to every
details that are associated with the patient disease so that they can be treated in a fair manner and
it will also help in elimination of errors and mistakes. As small details in the customer reports
needs to analysed in details as there are large number of customers that are being treated on a
daily basis and they comprises of different type of diseases and symptoms. In order to serve them
they needs to be examined and their report needs to studied in detailed manner. In order to avoid
providing them with wrong treatment or medicine.
As a qualified nurse I have to deal with certain situation that will require me to take
spontaneities decision in future. As in the case the hospital was going to discharge the patient
and the situation required quick decision making which enabled the courage to report the same to
the higher authority so that they can stop the discharge process and patients can be provided with
further treatment. This spontaneous decision making helped the hospital to avoid discharging the
patient. In future also this will help to take the right and decision in a proper given time. For
instance if the on call doctor is delayed due to certain circumstance then the responsibility to
treat the patient until the doctor arrives lies in the hands of nurse and as a qualified nurse I have
to take certain decision in order to save the life of patient.
CONCLUSION
Under this report leadership and management style have been discussed in relation with
the case. Further the report deals with collaboration, Multidisciplinary ontological team and Inter
professional working and their impact in relation with case study and patient centred care. Later
part of the report deals with Relational leadership and its effectivenesses in creating positive and
negative relationships in association with the case study. Along with it self analysis is being done
as qualified nurse and future practices that will be adopted by qualified nurse are referred based
on the findings.

REFRENCE
Books and Journals
Twigg, D. and McCullough, K., 2014. Nurse retention: A review of strategies to create and
enhance positive practice environments in clinical settings. International journal of
nursing studies.51(1). pp.85-92.
Khalili, H., Hall, J. and DeLuca, S., 2014. Historical analysis of professionalism in western
societies: Implications for interprofessional education and collaborative practice.
Journal of Interprofessional Care.28(2). pp.92-97.
Floyd, A. and Morrison, M., 2014. Exploring identities and cultures in inter-professional
education and collaborative professional practice. Studies in continuing education.36(1).
pp.38-53.
Forman, D., Jones, M. and Thistlethwaite, J. eds., 2014. Leadership development for
interprofessional education and collaborative practice. Springer.
Blais, K., 2015. Professional nursing practice: Concepts and perspectives. Pearson.
Forman, D., Jones, M. and Thistlethwaite, J. eds., 2015. Leadership and collaboration: Further
developments for interprofessional education. Springer.
Orchard, C. and Rykhoff, M., 2015. Collaborative leadership within interprofessional practice.
In Leadership and Collaboration (pp. 71-94). Palgrave Macmillan, London.
Frich and et. al., 2015. Leadership development programs for physicians: a systematic review.
Journal of general internal medicine.30(5). pp.656-674.
Honingh, M. and Hooge, E., 2014. The effect of school-leader support and participation in
decision making on teacher collaboration in Dutch primary and secondary schools.
Educational Management Administration & Leadership.42(1). pp.75-98.
Lamont and et. al., 2015. Collaboration amongst clinical nursing leadership teams: a mixed‐
methods sequential explanatory study. Journal of nursing management.23(8). pp.1126-
1136.
Jensen, R. and Lund, A., 2014. Horizontal dynamics in an inter-professional school
improvement team. International Journal of Leadership in Education.17(3). pp.286-
303.
O’Leary, D.F., 2016. Exploring the importance of team psychological safety in the development
of two interprofessional teams. Journal of interprofessional care.30(1). pp.29-34.
Chiocchio, F. and Richer, M.C., 2015. From multi-professional to trans-professional healthcare
teams: The critical role of innovation projects. In Challenges and opportunities in
health care management (pp. 161-169). Springer, Cham.
McInnes and et. al., 2015. An integrative review of facilitators and barriers influencing
collaboration and teamwork between general practitioners and nurses working in
general practice. Journal of advanced nursing.71(9). pp.1973-1985.
Online-
LEADERSHIP DEFINITIONS BY SCHOLARS. 2009. [Online] Available through;
<http://adeoyemayowaleadership.blogspot.com/>.
Relational Leadership. 2018. [Online] Available through;
<http://leadertoday.org/faq/relational.htm>.