Module 6: Consultation & Collaboration in LTC Practice

143 6.1.2 NP/MD Role and Scope of Practice in LTC

Collaborative Practice Models are based on the 7 key elements. Way, Jones & Busing[1] describe a Structured Collaborative Framework illustrated below:

Key Elements Responsibility and Accountability Coordination Communication Cooperation Assertiveness Autonomy Mutual Trust and Respect
Practice Examples Both partners actively participate in decision making and accept shared responsibility for outcomes. Joint decisions to reduce duplication.

Bi-directional consultation, referral and transfer of care.

Appropriate professional is addressing the problem.

Includes content and relationship.

Share information from both presented and received in context of the relationship.

Free to express concerns.

Feel equal.

Acknowledge and respect other disciplines’ opinions and viewpoints.

Alter your own views and perspectives.

Assured of the value of their contribution.

Respect for on another’s professional approach.

Synergistic solution.

Independently make decision and carry out the treatment plan.

Not contrary to collaboration – serves to complement shared work (eg within scope).

Each must be able to depend an integrity of the other.

Interprofessional collaboration is defined as: multiple health workers from different professional backgrounds who provide comprehensive services, supporting patients, their families, carers & communities to deliver the highest quality of care[2].

Interprofessional collaborative models for health service delivery is crucial for improving access to client-centred health care in Canada. According to the Canadian Nurses Association, the following principles support collaboration amongst health care teams:

  • Client-centred care
  • Evidence -informed decision making for quality care
  • Access
  • Epidemiology
  • Social Justice & Equity
  • Ethics
  • Communication

  1. Way, Jones & Busing, 2000
  2. World Health Organization, 2010

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Nurse Practitioners Delivering Primary Care in the Long Term Care Setting Copyright © 2024 by Erin Ziegler, Carrie Heer and Adhiba Nilormi is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License, except where otherwise noted.

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