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