Developing Capability for Effective Collaboration Practice Report

This report delves into the principles of effective collaborative practice in healthcare, emphasizing service user and carer involvement within inter-professional settings. It critically examines factors and processes that facilitate collaboration, ensuring safe and effective service delivery, and explores the service environment to offer new insights through practice-based scenarios. The report also evaluates contemporary policy drivers for collaborative practice and integrated service delivery. Furthermore, it utilizes a critically reflective approach to assess the author's learning, knowledge, skills, and attitudes using the Interprofessional Capability Framework. The report covers various aspects, including the importance of service user involvement, factors facilitating effective collaboration, and the relevance of these practices to contemporary healthcare policy and practice. The analysis also highlights the role of training, communication, and technology in fostering inter-professional relationships and patient-centered care.

Developing capability for
effective collaboration
practice

Table of Contents
INTRODUCTION...........................................................................................................................1
1 Explain and justify the principles of service user and carer involvement in the context of
inter-professional working and critically appraise how you may apply these to your practice.. 1
2 Critically analyse the factors and processes, which are often ambiguous and complex, that
facilitate effective collaboration which promotes the creation and maintenance of safe and
effective services.........................................................................................................................4
3 Critically evaluate the service environment to offer new insights, through engaging with
practice-based situations and identify the relevance to contemporary policy drivers for
collaborative practice and integrated service delivery................................................................7
4 Utilising a critically reflective approach consider your learning during this module drawing
on these reflections, assess your knowledge, skills and attitudes, using the Interprofessional
Capability Framework, .............................................................................................................10
Conclusion.....................................................................................................................................12
REFERENCES..............................................................................................................................13

INTRODUCTION
Effective collaborative practice is an approach which helps in delivering health care
services to all the service users. It enables the management to focus on giving such services that
service users can get the best possible health outcomes. In this present report, principles of
service user and carer involvement in the context of inter professional working will be majorly
focused. In addition to this, the factors and processes that facilitate effective collaboration and
promotes the creation and maintenance of safe and effective services will also be discussed in
detail. Other than this, key issues in personal and professional development in relation to
working within a team will be covered in brief. Furthermore, critical evaluation of service
environment to offer new insights, through engaging with practice-based situations will be made.
1 Explain and justify the principles of service user and carer involvement in the context of inter-
professional working and critically appraise how you may apply these to your practice.
Involvement of service users refers to a process through which people who are having a
service become engaged in the planning, development and delivery of that service. Every health
care focuses on delivering the best quality services to service users as they are running care
homes with the aim of giving people a sense of satisfaction that they are being treated well.
Service users are the one who are taking services and their involvement is really important in
order to make the purpose successful. As service users can guide that where the things can be
improved and where the services are lacking. Service user or patient involvement is all about
engaging them and knowing more from them about the services they are getting. As no one can
tell more about the services than those who are taking it. Through the same care homes can
improve their services and work in a better way. Below are some major principles that are being
used for inter professional working. Involving carers in process of planning and enhancing
services makes good sense as this helps them in understanding their roles and needs (Svahn,
Mathiassen & Lindgren,2017).
Involvement enables trust to learn from personal experiences of service users and assist
them to give services that are reflecting to their needs. It has been observed that, involvement can
give people a better experience of services and build a positive effect on their own recovery and
welfare. Variety of ways are there that carers can become involved in shaping and assisting them
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to improve services. Knowing the carers view point in their own words regarding how things can
get better, and good practice further developed, is a necessary part of the Trust method to
involvement.
Principles of carer and service user involvement:-
 Service users have unique contribution build a sense that they are experts by experience.
This refers to an addition to any other skills, qualities, life experience and knowledge
they have.
 Carers and service users are being valued for their differentiated and unique expertise due
to their experiences of palliative care.
 Their participation will be promoted across the project or policy development cycle and
at all levels of palliative care (Amui & et.al., 2017).
 Moreover, another principle is that service users should be included service planning,
recruitment process, care management, delivery and by assuring the quality of care
services.
 Further, perform and work collaboratively with member organisations and their service
user strategy programs.
 Provide education and training opportunities for consumers to support their effective
participation, including an orientation to the organisation's work. Using mixed approaches of participation, as this helps to support the engagement of
people in diverse conditions, and with different capacity to contribute as well as various
preferences for how they would like to contribute.
Core principles :-
 Consumer and carer voice :- every one must have opportunities who are effected by a
decision, to be engaged in the decision making process at some level.
 Access and equity :- individuals are affected by decision at minimum, and those people
must be informed of the decision making process, have access to information regarding
the matter under discussion and be provided with the means to participate.
 Trust and respect :- mutual agreement will be there regarding the process and assessment
of the issues under consideration. All participants will demonstrate consideration and
respect each other as equal contributors to the participation process (Palanisamy, Taskin
& Verville, 2018)
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 Timeless :- service users and carers should be engaged at the starting, not towards the end
of the decision making process.
 Transparency :- it is recommended that the type of participation and engagement must be
made clear and well defined from the outset. Further, non-negotiable will be expressed,
involving stating where there are options and choices to be made and where there are not.
 Diverse and flexible :- many strategies are considered necessary and must vary depending
on the requirements of the consumer and carers being participated (Gutierrez-Gutierrez,
Barrales-Molina & Kaynak, 2018)
 Balancing impact and input :- this principle states that, participation & engagement
activities must be balanced the potential impact of the procedure for people with ability
and availability of service users and carer participants. Support and capacity building :- this principle represents that participation & engagement
must be resources so that it is considered meaningful to consumers and carers. This
involves resources to; build workers capacity to implement the framework of principles,
create users and carer capability to participate and cover the cost resulting from
participation.
I will achieve this by:
 Working with partnership with service users, carers and community organisations.
 Developing the capability of staff and the healthcare institution to undertake service users
and community participation from the level of individual care to the level of system
changes.
 Providing processes and structures for engagement in all aspects of policy improvement,
health service planning and quality betterment provisions.
 Providing training and supporting workers to undertake CCP (consumer and carer
participation).
 I will encourage culture of collaboration by listening, engaging and responding to
concerns.
 By ensuring that consumers, carers and society members have been informed regarding
their own health and services so that they can make their own decision.
 Moreover, I will apply these principles by ensuring that results of service users and carer
participation are fed back to communities.
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 Also, make sure that consultation and participation processes are comprehensive & give
access equally for service users.
 In addition, by creating an open, transparent and responsible organisation.
 Value, welcome and identify service users, carers and community experiences and
expertise with the healthcare system (Brusset and Teller, 2017).
2 Critically analyse the factors and processes, which are often ambiguous and complex, that
facilitate effective collaboration which promotes the creation and maintenance of safe and
effective services.
There are several factors that were discovered to facilitate inter-professional
communication when using telemedicine as a mode of service delivery. Collaboration and
communication refers to the interchanging of ideas, thoughts or opinions through speech.
Furthermore, collaboration in healthcare is defined as the care provider professionals expect
complementary roles and cooperatively working together, sharing accountability for solving
issues and making decisions to carry out plans for services user's care. Collaboration among
doctors, nurses, and other care professionals increase team member's awareness of each other's
type of skills, knowledge and skills. Moreover, it has been observed that effective teams are
determined as trustworthy. Respect and collaboration (Walters, S. J., Stern, C., & Robertson-
Malt, 2016) .
It has been observed that collaboration in health care has been displayed to enhance
patient results such as decreasing preventable adverse drug intake. Moreover, teamwork has also
been demonstrated to provide benefits to healthcare providers involving decreasing extra work
and raising satisfaction of job. The culture of healthcare has long emphasized solo performance
where the nurses work apart from the physicians as they are not aware of the physical therapist's
role. Moreover, inter-professional collaboration is described as; when numerous healthcare
workers from various professional backgrounds work together with carers, service users, families
and communities in order to deliver the highest quality of care. It has been determined that, this
collaboration is based on the concept that when carers respect each other's perspective, ideas and
opinions (Morgan, 2017).
Factors that facilitate effective collaboration which promotes the creation and maintenance of
safe and effective services are:
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Training and development :- many studies represent training and planning as an important part
to the overall success of healthcare services. It has been determined that, this factor includes key
aspects that are imperative to consider in the primary stage of promoting effective collaboration
such as providing training for ICT users, recognising client's suitability, identifying current
system as essential, and well describing rules, responsibilities, roles and answer ability while
operating through ICTs.
 ICT training :- healthcare professionals at some level patients, engaged in telemedicine
programs are need to learn about to operate ICT equipments and develop the skills
required to make sure safe and effective services. Patient suitability :- this is another factor under training & development that was
recognised to promote collaborative care delivered through ICTs was focus on efforts on
those service users who would benefit most from this collaboration. For example,
concentrating telemedicine efforts particularly on patients with chronic disease that needs
visual information for proper control (Shippee, Domecq Garces & Erwin, 2015)
ICT system supports :- Communicating through this software has nowadays become more and
more common with the growth of technology and evolution of high quality media and superior
resolution. Furthermore, it has been observed that, inter-professional teams that are not
collaborative through ICT then they are required ICT support. This is because this software
includes design and development of high quality technology system, a system which is
considered as well designed user friendly (Moss, 2017). High quality technology :- factors that contribute to high technology were considered
necessary for effective inter-professional interaction using ICT. In addition, while this
software enables high quality video conferencing, inter-professional collaboration that
involves collaboration with patients can be made better with the increase in sharing of
data and more meaningful communication.
Establishing good rapport and communication patterns :- another factor or process that
facilitates effective collaborative care in healthcare is introducing good rapport and
communication patterns within inter-professional teams. This also involves interaction with
patients or service users which is considered important for any working relationship. Therefore,
in order to promote collaboration between individuals who are communicating through ICTs
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studies have expressed the significance of having a primary face to face meeting and making
efforts to create relationship and build strong trustworthy connection. Relationship building and trust :- it has been observed that in healthcare ICTs has proven
to be extremely helpful in promoting a collaborative environment and also making efforts
to build connections when communicating through this software. Likewise, better
relationship among care providers and service users along with clinical demand for health
service, were among various significant contributors for attaining clinical acceptance of
services in a model of tele-health service sustainability (Grundy, Bee & Lovell, 2016). .
Patient-centeredness: - according to Canadian Inter-professional Health Collaborative National
Inter-professional Competency Framework defines collaboration that involves patient-centred
care as one of the competency domains. As described above that using ICT creates more patient-
centred focus, hence, enabling more inter-professional collaboration with service users. Further,
these service users who are seen as important and primary team members. Therefore, interacting
through ICTs encourages collaboration with clients by making triangle connection, enabling for
the presence of a second clinical eye, increasing support, and developing continuous care.
Willingness to adapt to and accept the technology:- this states that to attain inter-professional
collaboration in healthcare while interacting through ICTs participants must have a willingness
to adapt their present work process first and perceive that it is beneficial to begin using ICTs in
their working. This is because communicating through ICT cannot happen without willingness
and acceptance from side of the participants. Therefore, these factors are defined as facilitators of
promoting effective collaboration (Manners , 2017).
Major individuals providing leadership and administrative support :- various key persons are
available that facilitate inter-professional collaboration such as stakeholders, leaders and end-
users who take ownership in building an effective program.
3 Critically evaluate the service environment to offer new insights, through engaging with
practice-based situations and identify the relevance to contemporary policy drivers for
collaborative practice and integrated service delivery.
Through service environment, it means healthcare delivery system and surroundings in the
healthcare institutions that greatly affect both carers and patients. Also, through environmental
hygiene is considered crucial for the prevention of transmission of infectious diseases within
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healthcare settings (Reinke, 2018). It include effective cleaning of surfaces through appropriate
products, decontamination of medical equipment and devices used in patient care process, safe
and better handling of sharps, waste, linen, etc. Moreover, it has been observed that the National
Health System in UK has evolved to become one of the largest healthcare systems in the world.
Environmental deficit in health care institutions decrease the quality and number of service
provision, and this results in worsen fundamental injustice in access to critical health services
among poor people and unprotected groups, including women and children. Further, are the
major issues that can affect people around that environment:-
 Difficult sleeping conditions :- there are many such healthcare institutions whose
environment does not provide comfortable accommodation to service user’s family
members who stay with them overnight. They feel uncomfortable in shifting in the
middle of the night as they feel that they will disturb their loved ones who are there for
treatment.
 Uncomfortable environment :- in many of the hospital settings, limited furniture makes it
more tough to host visitors also there are only few places to store items that guest bring
with themselves. This creates frustration for guests due to this condition of service
delivery in healthcare(Liao, Hu & Ding, 2017) .
 Errors in medication :- from many years it has been observed that serious hospital risk is
a medication error. This was proven in 2006 by the institute of medicine that every year
about 450,000 injuries take place resulting from medication errors in healthcare sectors.
 Infection with bacteria or virus :- this is considered as another major risk that occurs due
to environment of service delivery, as hospitals are loaded with bacteria or a virus. There
are about 1.7 million health-care related infection every year are noticed.
 Energy access and flexibility: it has been determined that deficiency of access to
efficient, dependable electricity & energy arrangement for basic lighting, interaction,
medical devices and small machines or instruments or laboratory equipment. All of these
obstruct distribution of health care services, specifically at initial health care level, as
well as influencing on clinic hours and potential employees retention.
 Restricted access to safe drinking-water and cleanliness, at initial health care level,
including barriers in health care delivery and raises the risk of the transfer of waterborne
and diarrhoeal diseases.
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 Shortage of public transport or safe walkways facilities can lead to access obstacles for
service users, families and healthcare providers that don't have vehicles. The deficiency
of transport to and from large health care services may encourage traffic-related over-
crowding and pollution around provisions, out of proportion influencing patients, health-
care staff or neighbourhoods around it (Subramony & et.al., 2018).
Offering new practices to improve service environment
Environmental services skilled worker reside a truly distinct position in the team of
health care. Although they do not administer care, their focus to detail sets the stage for a clean
and safe health care environment.
 Improving operating room cleaning efficiency :- Patients unprotected on an operational
room table are assailable to a host of pathogens, which leaves little room for fault in
terms of hygiene and cleanliness. In demanding jobs, it has been observed that it is
sometimes best to take it slow, but the revolving nature of health care doesn’t leave that
lavishness. The role of environmental cleaning is to decrease the range of infectious
causes that may be present on surfaces and decrease the danger of transfer of micro-
organisms from one person to another, thereby reduction of the risk of cross-infection.
 Management of environment at the time of renovation or construction:- disturbance and
barriers that occur at the time of construction projects give rise to both airborne and
waterborne danger or harm specifically to persons with worsen immune systems.
Therefore, it is necessary that all major stakeholders are involved in all steps of project to
reduce the risk of vulnerable individuals obtaining a possibly serious infection within the
healthcare setting.
 Developing a program to clean hospital floor :- many researchers have recommended to
hospitals in UK to have floor cleaning program in hospitals. An overview for processes
of vinyl composition and flooring, involving pre-cleaning steps and chemicals to be used,
is necessary.
 Seven steps of surface selection :- there is a need of properly trained and skilled
technicians to limit the spreading of infections in health or social care areas. Also, facility
designed with the similar aim of greatly helping this infection prevention effort. Further,
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as thiese facilitators are created, environmental services mangers can consult this
checklist of seven factors (materials & textiles, surface assembles, microbiology, etc.) to
consider while selecting surface items for healthcare.
 Decontamination of medical equipments :- equipments used for care patients must be
handled in a best possible way to prevent skin and other infection, contamination of
clothes and spread of micro-organisms. Products or items of shared service users such as;
oximeters, BP cuffs, infusion pumps, etc. should be cleaned prior to use at another patient
(Neale, Tompkins & Strang, 2015). Safe management of wastes :- it is considered as the most important practice that needs to
be followed in every hospital or healthcare centre. All staff members who are engaged in
this work of waste management must adopt procedures that reduce risk to both
themselves and to their surroundings. Medical waste is described as waste involving of
sharps, human tissues and liquid fluid including specimens from laboratory. Therefore,
proper personal protection must be worn while managing all waste including due care to
prevention against disposal of general waste.
Contemporary policy
It has been observed that a major policy, The NHS plan introduced in 2000 which
constituted the broad change to health and social care in England since the NHS was developed
in 1948. Moreover, as described by World Health Organisation, collaborative practice happens
when multiple health workers from various professional backgrounds provide broad services
through working with service users, their families care providers and communities in order to
deliver the best possible quality of care across settings. In addition, inextricably connected to this
quality care deliver model is considered as inter-professional education, which occurs when
students of two or more professions learn to have effective collaboration and enhance health
outcomes.
Also, public enquiry reports for example the Laming Report in 2003 that have followed
crisis in hospitals and healthcare policy also known as strengthening collaboration and
integrating of work. The NHS plan aimed to bring social services and the NHS together with
single firm and centre it on needs of the patients, providing much greater emphasis to their
involvement in decision making in all levels of health and social care service delivery.
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