Monday, May 23, 2016

QSEN: Teamwork and Collaboration; Recognition of Barriers and Solutions


Identify system barriers and facilitators of effective team functioning
Examine strategies for improving systems to support team functioning
Participate in designing systems that support effective teamwork
Value the influence of system solutions in achieving effective team functioning

(QSEN, 2016 Teamwork and Collaboration KSA's)


pmdeadline.com


Looking now at the last part of KSA’s for the QSEN competency Teamwork and Collaboration and how it affects the role of the nurse leader.  This final section looks at the nurse leader's ability to recognize barriers and find innovative ways to overcome them, not alone, but by enlisting the aid of the team.  This blog is not about placing blame or naming specific barriers, but about being aware of various factors or situations that contribute to ineffective teamwork and communication. Being a leader that can support and value the team while working together to solve any problem requires communication, so it only makes sense to develop a system that supports a strong communicative base (QSEN, 2016).  Once the team members are able to determine the barriers and name the barriers only then are you able to look for effective solutions to remove the barriers.  

www.pinterest.com

As mentioned in the previous post, the role of leadership is a crucial part of an organization’s success, and leaders that are able to manage stress effectively and facilitate understanding can reduce feelings of uncertainty (Stare, Pezdir, & Boštjančič, 2013).  To do this one must have an effective communication plan in order.  Just as it is simple to say the leader must be able to examine themselves and others, but a difficult task to actually do.  The same truth exists with the development of communication strategies that reduce error and contribute to a culture of safety.  Being able to ask the right questions can aid in uncovering the barriers, that impede effective communication.  As a leader, motivating staff to do precisely this is the first part of this process (Hills, 2014). 

Recognizing Barriers

With the diverse nature that is inherent to medicine, increased patient complexity and more focus on areas of specialization demands for effective communication and teamwork are more important now than ever before. Yet, as more professionals enter the workforce, less is being done to train professionals how to communicate in collaborative teams (Weller, Boyd, & Cumin, 2014).  Considering the nature of the services provided by healthcare professionals, taking care of human lives, ensuring that there is a smooth and seamless communication between the different members of the team (doctors, nurses, patients, therapists, etc.)  or transition from one area of care to the next is of utmost importance. Many things can impede this transition and result in an error that causes harm or death to the patient. There are multiple barriers listed in research today, including physical, psychological, cultural, gender and organizational, but again the point of this article is not to place blame (Weller, Boyd, & Cumin, 2014; Hills, 2014).  The point instead is that when evaluating these barriers listening to the team and establishing where they perceive the barriers are in their specific organization is more important than making generalized assumptions.  Just as each person is different and has unique needs and desires, each organization has a different climate with different idiosyncrasies.  Regardless of what the barriers are, once they are discovered, name them.  Naming the barriers makes them more concrete and tangible allowing it to be kept at the forefront of the team's mind as they attempt to work out solutions (Hills, 2014).  

Developing Solutions for the Recognized Barriers

For any team to function effectively, there must be a leader.  It is this leaders responsibility to inspire and provide the vision for the team.  Modeling positive behaviors and communication techniques such as seeking help, communicating feelings and providing clear, concise expectations helps to establish trust (Stare, 2013; Hills, 2014).  Drawing strength from adversity, keeping faith and containing to gather input from the team maintains that trust (Stare, 2013; Hills, 2014).  The leader needs to have a basic understanding of and coordinate all of the tasks, monitor progression and keep the project moving; all while providing support and reciprocal trust to the team (Weller, 2014; Hills, 2014).  In the end, it is maintaining this positive work environment and taking measures to reduce stress or keep it manageable with concrete expectations and carefully modeled communication that will allow the team to come up with strategies for barrier resolution (Stare, 2013; Hills, 2014; Weller, 2014).

Conclusion
Considering the last part of the KSAs section of the QSEN competency regarding Teamwork and Collaboration we gain insight into the leader's role expectations for leading the team to uncover and resolve barriers that inhibit effective communication.  As much of medical research is aware, barriers in communication can be directly linked to patient morbidity and mortality.  With a strong communicative foundation to build upon, understanding how to use the valuable assets contained within every team, to uncover issues and then work together to find a resolution.  Knowing how to respect and operate in a team are invaluable skills for a leader to poses and can be carried, later into other areas of concern.

References
Hills, L. (2014). Overcoming the Ten Most Common Barriers to Effective Team
            Communication. Podiatry Management, 33(3), 141-148 8p.
QSEN (2016). Competencies.  Accesses 19 May, 2016 http://qsen.org/competencies/
Stare, J., Pezdir, M., & Boštjančič, E. (2013). Links between Perceived Leadership
Styles and Self-reported Coping Strategies. Psihologijske Teme / Psychological Topics, 22(3), 413-4
Weller, J., Boyd, M., & Cumin, D. (2014). Teams, tribes and patient safety:
overcoming barriers to effective teamwork in healthcare. Postgraduate Medical Journal, 90(1061), 149-154. doi:10.1136/postgradmedj-2012-131168