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Week 10 Discussion Board Forum: Accountability in Interprofessional Collaboration
 

This discussion board forum is worth 20 points.

 

Introduction: In nursing, there will be times when we come across a situation that compromises our own personal values and ethics. It is important to recognize what our values are so that we can anticipate how we will hold true to our values and ethical beliefs when they are challenged by a person or situation.

 

This week we will be looking at values and ethics in interprofessional collaboration, specifically accountability. The type of accountability we will be focusing on is holding yourself accountable in holding others accountable. This is not always the first thing we think of when we hear the word “accountability.” Often we think about our own accountability in directly completing a task or making a choice.
 

As members of a patient care team, we are accountable for holding our colleagues accountable in their actions and choices for the good of the team and the care of the patient. This week we again approach a challenging topic and apply biblical principles from God’s teaching to our interprofessional practice as nurses and leaders of the interprofessional team.

Working through the content this week, think about how you have seen accountability play out in your clinical experiences and even in your IPC small groups. Holding yourself accountable for what you are responsible for is only one aspect of accountability within interprofessional collaboration. Being accountable in holding others accountable is a responsibility nurses often face and need to address. The key is understanding the importance of this challenging responsibility in being a patient care provider and advocate. Though usually not an easy thing to do, the perspective you have and the approach you take when holding colleagues accountable can be the difference between an interaction that is successful or unsuccessful. The goal of holding yourself accountable to hold others accountable is to achieve a win-win outcome.

The verses shared below bring to mind not only how we all experience being under the authority of someone, but also how we, as nurses, are leaders and have the responsibility and burden of having authority over others too.

And do not forget to do good and to share with others, for with such sacrifices God is pleased. Have confidence in your leaders and submit to their authority, because they keep watch over you as those who must give an account. (New International Version, Hebrews 13:16-17)

As nurses, we must give account for our choice of action or inaction. Therefore, we should interact with our colleagues in a way that serves both our patient and our colleagues so their work will “be a joy, not a burden” because that would not benefit anyone, let alone our patient who is in a vulnerable position.

The topic of accountability, within the professional role of a nurse, makes me also think about the following verses from Luke 12:47-48 (New International Version) which has a lot to say about all the different facets of accountability:

The servant who knows the master’s will and does not get ready or does not do what the master wants will be beaten with many blows.  But the one who does not know and does things deserving punishment will be beaten with few blows. From everyone who has been given much, much will be demanded; and from the one who has been entrusted with much, much more will be asked. (bolding added)

We have been given a lot as nurses-physical ability, intellectual ability, freedom to choose our profession, choice of what type of nursing to practice, a platform to serve others, the opportunity to minister to others, and the list of gratitude for what we have been blessed with could go on and on.

Key take-away points for this week: As nurses, we have been given much. We can honor what we have been given by being accountable, and helping others to be accountable.

Purpose: In the following unfolding case study, you will be presented with three different scenarios. You will be given the opportunity to identify and describe how you would handle each of the different situations. You will be able to determine how you will implement holding others accountable and how you will deal with confrontation by pulling information from the assigned podcast, article for the week, and previous learning. You will also be able to identify and describe how you will modify your own behavior to receive accountability and confrontation from a colleague, as it is inevitable that you will receive feedback in return for offering accountability to others.

 Unfolding Case Study Scenario:

While working on the floor in a hospital setting, you are assigned a patient who has just arrived to the unit for cellulitis to the left lower extremity following a fall and cut on their leg at home. The patient has just been settled in their room, has ordered dinner, and you are just now seeing the orders for the patient to be put on Contact Precautions for MRSA and ESBL. As you head to the stock room to grab an isolation cart and a “Contact Precautions” sign to be placed on their door, you see a dietary aide come out of the patient’s room. Keep in mind that you have not yet set up the isolation cart, so the dietary aide does not know that they have been potentially exposed to MRSA or ESBL. What would you do?
After placing the isolation cart outside of the patient’s room, performing the patient’s head-to-toe assessment, and finishing up acknowledging their initial orders, you see the provider head towards the patient room. You see the doctor stop at the door, look at the “Contact Precautions” sign, and walk into the patient room without donning the proper personal protective equipment (PPE). What would you do?
The following day, the physical therapist (PT) asks you if now would be a good time to go see the patient to evaluate them for weakness following their fall. You agree that now seems appropriate and the PT walks to the patient room. The PT does not gown up, but instead opens the patient door, and begins confirming patient information from the hallway. This is a clear violation of HIPAA, as other patient doors are open and the PT is confirming the patient’s name, date of birth, and why they are in the hospital. The PT also asks the patient, “Why do we have to gown up to come into your room?” The PT then gowns up after confirming this information and heads into the patient’s room. What would you do?

Instructions:

In Initial post:

Identify a minimum of 1 way you would respond to your colleague in each scenario above. Be sure to discuss all 3 scenarios of the unfolding case study by labeling responses as A, B, and C.
For each scenario, explain why you believe this is the most appropriate way to respond to your colleague. Provide rationale for your responses to A, B, and C.
Describe at least one way you will succeed in implementing accountability and confrontation to colleagues for the safety of the patient and their overall well-being. Examples could be approaches you plan to incorporate into your nursing practice or attitudes you will commit to having.
Explain at least one way you will modify your own behavior to receive accountability and confrontation from a colleague.
Share a minimum of one Bible verse that you feel supports holding others accountable and confronting your colleagues for the sake of patient safety.

 

 

 

 

 

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