Question

The practice is a physician practice more than 35 years, large man with a loud voice. His routine is to come in the office after making morning rounds at two skilled nursing facilities. Although his first 3 patients are already roomed he stops to go through the mail. There is another general practice physician and two nurse practitioners also working in the practice part time. Working today there are the two receptionists, one medical assistant, one NP, the diabetic educator, and a new case manager.

The atmosphere is tense because the patients have been waiting. Mr. Jefferson has already asked how much longer he will need to wait because he has to go to work. You over hear the MA's arguing about who is going to take lunch when the new case manager interrupts and asks, “Can you help me get a login for the computer?” The physician walks by and says "not now I need her to set up for a procedure." The other physician comes in at 9 am. You share an office. As she prepares to see patients she says, "I was so mad yesterday. The MAs complain to Dr..... that I am to slow but they are not supportive so things take longer, anyway I bill more, and provide better care. I wish sometimes there was something else I could do. At the end of your very long busy day the MA catches you in the hall and tells you that there is a drop in sick visit and asks if you can take care of it in front of the patient? All the rooms are filled with patients so there is unspoken pressure to see the patient in the hallway. In front of you is a 82-year-old man who looks frail. The MA says Mr. Arnold is feeling weak and short of breath. You tell the MA fine but you will need a room. She look angry but rooms the patient. When you go in to see the patient they are fully clothed and the vital signs have not been done. You leave to find the pulse ox to check patient oxygen. You finally find it tucked in a back room draw after a ten minute search.

QUESTIONS: Create a concept of team work and interprofessional practice.

• Consider the paradox of authority and responsibility in teams.
• Identify what the challenges are and what factors you want to enhance in the practice.
• Write a introduction that could be used to meet with staff to discuss a plan.

Answer 1

collaborative practice in health care occurs when multiple health workers form defrent professional backgrounds provide comprehencive services by working with patient their families careers and communities to deliver the highest quality of care across setting,As the name implies teamwork in health care employs the practice of collaboration and enhhanced communication to expand the traditional roles of healthh workers and to make decisions as a unit that work towards a common goal.

The leadership and the teame work addressing the paradox,leadership and teamwork addressing the paradox some managers believe that power and control should ramain in the hands ofhigh level executives, This model of leadership assumes that the leader has all of the answers knnowledge and ideas in the organization