Question

which of the following best describes a collaborative working relationship among health care team members

Answer 1

Principles of Relationship-Based Care

Healing Culture – Our healing culture holds all people with respect and dignity. All are supported in reaching their full potential and are valued for their contribution to the health and healing of patients. Therapeutic relationships and a calming physical environment are core components of our healing culture.

Loving Leadership – Our leadership is one of service. Our servant leaders share power, puts the needs of others first, and helps people develop and perform as competently as possible. A Loving leadership is key ingredient for leaders aspiring to advance a more positive healing culture. Inspired leaders who love what they do and the people with whom they do it, inspire others to greatness. Loving leadership is marked by deep affection and caring for those with whom we work and lead. Love in leadership means truly caring about each person, celebrating successes, as well as having empathy in times of struggle. It includes releasing judgment and forgiving past difficulties. It means being fully present in our interactions.

Teamwork – We embrace a shared purpose and work together with trust and mutual respect across all disciplines and departments. Nurses collaborate with all disciplines of the health care team to achieve best patient outcomes. This requires consistent and coordinated care of a patient through a unified plan of care, and information sharing amongst health care team members.

Interprofessional Practice – Our clinical professionals are respected and valued for their unique expertise and full scope of practice. Clinical practice is grounded in research, professional standards, and ethics. “Clinical competence” is the combination of both technical and relational competences. We accept that different perspectives of people in multiple disciplines are essential to effective collaboration and optimal patient care and outcomes. We allow for all practitioners to bring their best wisdom to the interdisciplinary group. We follow formula of Responsibility + Authority + Accountability to facilitate greater personal ownership and alignment with and among teams.

Care Delivery – We facilitate the ability of each caregiver to know the patient as a person and to provide care based on what is most important to the patient and family. We hold 3 rules:

1. We hold the patient and family at the center of our care
2. Make the best way the easiest way
3. Support all relationships

We believe that designing the delivery system using these simple rules actively promotes the conditions for care that is safe, effective, patient-centered, timely, efficient and equitable.

System design –

We are continuously improving our structures, processes and relationships to bring quality, safety, effectiveness and efficiency to patient care and the work environment.

We are improving our systems to allow clinicians to focus on what is most important, safe and efficient. We approach any change with rigorous methodology and humble and curious attitude.

Our Just Culture framework and the four relational practices of attunement, wondering, following and holding are in place to support a system that is both relationally and technically proficient.

Evidence –

We have outcomes that show evidence of success, such as Magnet, Beacon, Prism awards that are sources of inspiration. Our achievements of actualizing our vision and mission are evident in our nursing practice.

Healthy Work Environment

Nurses at UC Davis Medical Center believe that a healthy work environment is an essential element in creating the context for engagement in the professional practice of nursing. A healthy work environment is actualized through alignment with the six standards for establishing and sustaining healthy work environments identified by American Association of Critical Care Nurses:

1. We model and educate techniques for skilled communication.

1. We work to collaborate with each other and other disciplines by identifying and engaging stakeholders and seeking feedback for our nursing practice.

1. We are effective decision makers as evidenced by our policies, councils, and committee involvement.

1. We continuously evaluate the appropriateness of our staffing practices through patient outcomes, patient experience, and nurse engagement.

1. We recognize our contribution to the organization through established programs to promote nursing practice.

1. We, as nurses, embrace our practice with the responsibilities and privileges it brings.

Nurse engagement is measured by Press Ganey through the employee engagement survey.

Recognition

Recognition of the nursing profession is both formal and informal. Nurses are recognized many ways for their clinical expertise, leadership, compassion and caring.

Coaching and Mentoring

Experienced nurses mentor and support new graduate nurses as they progress through the Vizient/American Association of Colleges and Nursing (AACN) Nurse Residency Program.

The coaching provided by preceptors, clinical facilitators, and mentors facilitates new nurses as they acquire the knowledge, skills, and confidence to provide safe quality care.