Learning From Interprofessional Collaboration In Practice Social Work Essay

knowledge From Inter master quislingism In cause Social Work EssayInter headmaster on the job(p) (IPW) in health and neighborly plow is essential for in force(p) service provision and is a key driver of modern healthc ar. In a changing and more than pressured operationing environment, health and sociable dish out master keys need to be placeners in delivering function, comprehend collective accountability, be flexible and adaptable and exact doweryd goals in integrating care around service users (Fletcher 2010a, Pollard et al, 2010).According to Tope and Thomas (2007), analysis of policies from as early as 1920 in health and social care defend recommended original collaboration, amendd communication and squadwork to improve outcomes for service users. thither have been similar recommendations in government insurance policy since this time (Tope and Thomas, 2007).High profile investigations since 2000 highlight deficiencies in IPW across health and social car e. Inadequate communication between professionals in cases of the Bristol Royal Infirmary head (HM government 2001), the Victoria Climbie Inquiry Report (Laming, 2003), and The Protection of Children in England A Progress Report (Laming, 2009) have caused nationwide concern beyond the professions and serve involved, causing a frenzy of media comment and cosmos debate. magnetic core recommendations are for professionals to improve communication between agencies, to have an ethos based around group ups and working together and to improve professional accountability. The investigations provide turn out that collaborative working squirt only improve outcomes and underpins the real need to retrieve out how best to develop a work force that flock work together impressively (Leathard, 1994, Anderson et al, 2006 and Weinstein et al, 2003). Policy also recommends putting service users at the forefront of care and coordinating services across the authorities, conscious and priva te area organisations ( doh, 1997, universal time, 2000a, DoH, 2000b, Doh, 2001a, DoH 2001b, DoH 2001c, DoH, 2002a, DoH, 2006, DfES, 2006, HM Government 2004, HM Government 2007).Literature suggests that IPW improvements begin in interprofessional education (IPE) (DoH 2000b, DoH 2002b, Fletcher 2010a, Freeth et al 2002, Higgs and Edwards 1999, HM Government, 2007 Reynolds 2005,). IPE has been defined as reading which occurs when two or more professions learn from and near each opposite to improve collaboration and type of care (CAIPE, 1997). The need to produce practitioners who are adaptable, flexible and collaborative team workers has focused attention on IPE, which aims to reduce preconceptions between professional groups by bringing them together to learn with and from each some other to raise understanding of other professional roles, practice contexts and develop the scientific disciplines needed for effectual teamwork (Barr et al. 2005 Hammick et al. 2009, Parsell et al, 1998).At our interprofessional conference, we worked in teams of entang conduct student professionals. We introduced ourselves, our disciplines and our course structures, elected a chair and a scribe and set about to make love our tasks. Cooper et al (2001) identify one of the benefits of IPE as understanding other professional roles and team working. In their study, they tack evidence to suggest that early learning experiences were most beneficial to develop healthy attitudes towards IPW (Cooper et al, 2001). none of the members of my group knew what a social worker did and I explained my training and professional role to them. McPherson et al (2001) break how a lack of knowledge of the capabilities and plowshares of other professions can be a barrier to IPW.In our contendions, we talked about our preconceived ideas. Social workers were described as hippies and doctors described as arrogant. Leaviss (2000) describes IPE as being effective in combating invalidating st ereotypes before these develop and become ingrained. Atwal (2002) suggested that a lack of understanding of unalike professionals roles as sanitary as a lack of mindfulness of the different pressures faced by different team members could make communication and decision making problematic. The conference provided an opportunity for us to interact with each other and was conducive to making positive changes in intergroup stereotypes (Barnes et al, 2000, Carpenter et al, 2003). Barr et al (1999) describe how IPE can change attitudes and counters negative stereotyping. The role play exercise gave us an understanding of differing pressures faced by each professional.Our team worked well together, taking turns to let each other speak, listening, challenging appropriately when needed and creating our sentences by the end of the conference. I feel that our friendly and motivated characters made communication and thus teamwork easy in the group. Weber and Karman (1991) embed that the abi lity to blend different professional viewpoints in a team is a key skill for effective IPW. Pettigrew (1998) emphasises that the ability to make friends in a group of other professionals can reduce prejudice and encourage cooperation in future IPW. We agreed that teamwork was essential to IPW and can assist in the development and overture of interprofessional communication (Opie, 1997). We tangle that IPE allowed us to teach each other while encouraging reflection on our avow roles (Parsal et al, 1999).We were very clear on how we worked as a group and effective as merging our tasks and I feel we reached the Tuckmans performing stage (Tuckman 1965). Baliey (2004) describes team members who are unable to work together to share knowledge go away be ineffective in practice. Although, there is an argument that this is more likely to excrete in teams where the concept of IPW is new and team members lack skills to understand the benefits of IPW or adopt new ship canal of working (K enny, 2002). creation in our second year of study and having all had experience of working in an interprofessional setting, we were very motivated at the conference and in achieving our objectives. It is noted that personal commitment is strategic for effective IPW (Pirrie et al, 1998).We acknowledged the issue of designer in our professional social hierarchies. In our role play exercise, we found that we all looked to the doctors first for management of the service users treatment and they commanded the most respect. We agreed that medicine was the most establish out of all the healthcare professions (Page and Meerabeau, 2004, Hafferty and Light, 1995) and that other professions have faced challenges in establishing berth (Saks, 2000). I felt this was especially relevant to social workers who have new-fashionedly extended their professional training to degree status to bring it in line with other professions. Reynolds (2005) suggested that hierarchies within teams could cont ri just nowe to communication difficulties for example, where input from some of the team members were not given equal quantify. Leathard (1994) describes that rivalry between professional groups especially in terms of sensed seniority are a barrier to IPW. The Shipman Report (2005) noted the importance of ensuring all team members are cling tod, recommending less hierarchy in practice, more equality among staff, regardless of their position. We talked about valuing and respecting each others professional opinion. Irvine et al, (2002) talk about how IPW can break the monopoly of any single profession in providing sole expert care, promoting share out obligation and accountability. We discussed understanding, weathering and respecting every individual in the workplace to promote diversity and fairness.We also concluded that institutions and differing professional pressures could be a barrier to IPW. Having previously worked in an interprofessional HIV team for Swansea NHS ch arge, I found that team members were given priorities from their managers which impacted on their availability to attend team meetings. Wilson and Pirrie (2000) suggest that a barrier to IPW can be a lack of support from managers and the workplace structure. Drinka et al (1996) describe how during times of work cogitate stress, individuals can withdraw from IPW. We acknowledged that institutional support would be essential to effective IPW. Dalrymple and Burke (2006) discuss that different professionals have different priorities, values, pressures and constraints, obligations and expectations which can lead to tension, mistrust and go on to cause to homophobic and oppressive practice in IPW.In light of the above learning, we all felt that IPW had occurred naturally in our first year placements, where it was considered the norm in our working environments and where the concept was understood and encouraged. The conference had highlighted some of the barriers to IPW and we ordain channelise this knowledge into our practice settings.Word Count 1348 partitioning 2How would you take what you have learnt about IP working into practice?The conference highlighted some key issues about IPW that I will take into practice. One of the most significant developments in health and social care policy in recent years has been the move away from the professional being the expert with the place and knowledge to the patient centred care with professionals applying their knowledge to the needs and rights of the service user (Barrett et al, 2005). The social model of care identities issues of power in the handed-down medical model approach to care and looks at how dependency on the professional can be a side effect of the helping relationship and be disempowering for service users (Shakespeare, 2000). Informing, consulting with and incorporating the views of service users and carers is critical to effective interagency interprofessional practise. There is a drive in recent p olicy for service users and carers to be engaged in service provision and the recent white paper Liberating the NHS (HM Government, 2010a), calls for more autonomy for service users, making them more accountable through choice, being able to access services that are transparent, fair and promote power and control over decisions made.Nothing about me without me ( HM Government, 2010a, page 13) is a commitment that will foment power from professionals to service users, a huge change in current culture. The service user is the aboriginal vision, a team member involved in decisions made about their care, transforming the NHS to deliver get out get together up services, partnerships and productivity (HM Government, 2010)My learning has reiterated the importance of service user engagement and I have reflected on ways to implement this in practice. In previous employment, I helped to run a patient worldly concern involvement group at the HIV service, Swansea NHS Trust. This enabled service users to give feedback and make suggestions for improvements (i.e. having evening nurse led clinics, introducing the home delivery of medication). In my experience, service users were actively involved in shaping services in their communities and it was very successful. In my practice, I will continue to value the service user as part of the interprofessional team as well as encourage this practice in my places of employment. In my placement at a supported housing charity for young mothers, ways to achieve service user involvement were being introduced. One of my roles was to carry out a questionnaire with the aim of getting feedback and empowering the service users. Reflecting on this, I can now guess how valuable this exercise was and I will continue to see the value in gaining service user feedback and always aim to do this in practice. I discussed this with my group and this added to our learning. free unpaid carers, the unbidden and private sector are also essential t eam players and the value of their contribution is being acknowledged increasingly as the success of an interprofessional workforce (Tope and Thomas 2007). In my role within the HIV service, Swansea NHS Trust, I coordinated an interprofessional team and ran a support group for African women living with or affected by HIV in conjunction with social services and the Terrence Higgins Trust. I understand the value that the third sector organisations can be for service users, often filling gaps in statutory services. The Terrence Higgins Trust were able to provide funding for activities as well as support sessions, training opportunities and counselling. Social electric charge Institute for excellence (2010) in a response to the white paper, Liberating the NHS (HM Government, 2010a) discuss how around 90% of contribute social care services are delivered in the private and voluntary sector. The Joseph Rowntree Foundation, a social policy research and development charity, discuss that th e state is withdrawing from many welfare functions and increasingly relying on the voluntary sector to fill gaps in care (Joseph Rowntree Foundation, 1996). The recent strategy document, Building a Stronger Civil Society (HM Government, 2010b) discusses how integrating with the voluntary sector will be essential to meet the challenges faced by the health and social care provision. The get across focuses on our society being able to access wider sources of support and encourage better public sector partnerships, shifting the power from elites to local communities. The government are also keen to support and strengthen the sector and promote citizen and confederation action (HM Government, 2010b) .My learning has made me aware that future teams will include professionals across all sectors and communication with these sectors will be essential to our professional roles. Working with the voluntary and private sector as well as statutory services, will require skills to acknowledge d ifferent agencies focus on care. Petrie (1976) acknowledges that each profession holds a direct focus to care and it can be challenging to communicate.Laming (2003) called for the training bodies for people working in medicine, nursing, housing, schools, the police etc to demonstrate effective joint working in their training. I feel that it would be useful in the future to incorporate more of these professional groups in IPE conference. Fletcher (2010a) discussed how he would hope this could be achieved in future IPW programmes at UWE. I feel that the auxiliary of these extra professions would really add to the learning.Fletcher (2010b) discusses the central dilemma in ethics between health and social care professionals about having a different focus and the best angle for patient care. These value differences can cause conflict (Mariano, 1999). I feel, in practice, it will be important to take time to find out what each agency/ professional does and I will always remember that in IPW, we have a common goal providing a good service for the service user. Leathard (2003) identities that what people have in common is more important than difference, as professionals acknowledge the value of sharing knowledge and expertise.In my practice, I will uphold professional province and personal conduct to facilitate respect in IPW. Carr (1999) explained that the professional has to be someone who possesses, in addition to theoretical or technical expertise, a range of intelligibly moral attitudes and values designed to elevate the interest and needs of service user above ego interest. According to Davis and Elliston (1986), each professional field has social responsibilities within it and no one can be professional unless he or she obtains a social sensibility. Therefore, each profession must seek its own form of social good as unless there is social sensibility, professionals cannot perform their social roles (Davis Elliston, 1986). The conference highlighted the be nefits of professional codes of ethics, setting of standards for our professional work, providing guidance as to our responsibilities and obligations and obtaining the status and legitimacy of professionals (Bibby, 1998). I feel that is in important to always uphold our values and ethics to create respect in our communities and with this comes respecting each others roles. I entrust that shared values will underpin this in practice. Darlymple and Burke (2006) discuss that we have a shared concern that the work we do makes society fairer in some small way and we have a commitment to social justice. I feel that IPE has facilitated respect and mutual understanding across our professions. It has made me aware of the importance of professional development, about how we are part of the wider team of health and social care services and how our common values can underpin effective partnership working. It reinforces that collaboration is required as not one profession alone can meet all of a services (Irvine et al. 2002).My social work degree is a combination of theory and applicatory learning. It is through combining this learning and by reflecting on my experiences throughout the course, that will set my knowledge base, allow me to relate theory to practice, allow me to test my ideas and idea while identifying areas that need further research becoming a reflective practitioner (Rolfe Gardner, 2006 and Schon, 1983). As a group we discussed that there we all value continued professional development, reflection and awareness and personal responsibility for our learning (Bankert and Kozel 2005). It is this that we agreed we would carry forward as we start our working careers.Word count 1352Section 3ReferencesAnderson, E., Manek, N., Davidson, A. (2006) Evaluation of a model for maximising interprofessional education in an acute hospital. journal of Interprofessional thrill 2 182-194Atawl A (2002) A world apart how occupational therapists, nurses and care managers p erceive each other in acute care. British journal of Occupational Therapy, 65(10) 446-452Bailey, D. 2004. The Contribution of Work-based Supervision to Interprofessional Learning on a Masters Programme in Community Mental wellness. Active Learning in Higher schooling 5(3) 263-278Bankert, E., G. And Kozel, V,.V (2005) Transforming pedagogy in nursing education a caring learning environment for adult students. treat Education Perspectives 26 (4) 227-229Barnes, D., Carpenter, J,. and Dickinson, C (2000) Interprofessional education for association mental health attitudes to community care and professional sterotypes. Social work education, 565 583.Barr J, Hammick M, Koppel I and Reeves S (1999) Evaluating Interprofessional education Two systematic examines for health and social care, British Educational Research Journal, vol 25, no.4 533-544Barr H, Koppel, I., Reeves S,. Hammick M, Freeth D, (2005) Effective interprofessional education, argument, assumption and evidence. Oxford Bla ckwell Publishing.Barret, G., Sellman, D., Thomas, J. (2005) Interprofessional Working in Health and Social Care. Palgrave LondonCAIPE (Centre for the advancement of interprofessional education) (1997) Inter-professional Education- a definition. CAIPE Bulletin no.13.Carpenter, J., Barnes, D, and Dickinson, C. (2003) The making of a modern careforce. External evaluation of the Birmingham University programme in community mental health. Durham. Centre for Applied Social Studies. Available at http//www.dur.ac.uk/resources/sass/research/ipe.pdf (accessed 24/10/10)Carr, D. (1999). professional education and professional ethics, Journal of Applied Philosophy, 16(1), 33-46.Cooper, H Carlisle, C Gibbs, T Watkins, C., 2001. Developing an evidence base for interdisciplinary learning a systematic review. Journal of Advanced Nursing 35(2), 228-37Dalrymple, J., Burke, B. (2006) Anti- Oppressive Practice Social Care and the Law Berkshire Open University Press.Davis, M., Elliston, F. (Eds.). (19 86). Ethics the legal profession. New York Prometheus Books.DfES (Department for Education and Skills (2006) The Lead Professional Managers guide. Integrated working to improve outcomes for children and young people. Nottingham.DoH (Department of Health) (1997) The New NHS Modern, Dependable, HMSO, LondonDoH (Department of Health) (2000a) A Health Service of all the Talents Developing the NHS custody. London.DoH (Department of Health) (2000b) The NHS Plan A Plan for Investment, A Plan for Reform. London.DOH (Department of Health) (2001a) Working Together Learning Together a Framework for Lifelong Learning for the NHS. London.DOH (Department of Health) (2001b) Valuing people. A new strategy for learning disability in the 21st century. Stationary Office. Norwich.DoH (Department of Health) (2001c) The National Service Framework for Older people. Stationary Office, Norwich.DoH (Department of Health) (2002a) Shifting the balance of the balance of power securing delivery. London.DoH (D epartment of Health) (2002b) Chronic disease management and self care national service frameworks. A practical aid to implementation in primary care. London.DoH (Department of Health) (2006) Our health, our care, our say A new direction for community services, LondonDrinka, T.J.K., Miller, T.F. and Goodman, B.M. (1996) Characterizing motivational styles of professionals who work on interdisciplinary healthcare teams. Journal of Interprofessional Care 10 (1) 51-62Fletcher, I. (2010a) Interprofessional Education, Origins, rationale and outcomes. UWE Bristol, IPE Level 2 Conference.Fletcher, I. (2010b) Ethics and Interprofesisonal Education, UWE Bristol, IPE Level 2 ConferenceFreeth, D., Hammick, M., Koppel, I, Reeves, S and Barr, H. (2002) A critical review of evaluations of interprofessional education. London Higher Education Academy.Hafferty, F. and Light, D (1995) Professional dynamics and the changing nature of medical work. Journal of Health and Social Behaviour, 35. Extra Issue forty years of medical sociology the state of the art and directions for the future, 132-153Hammick M, Freeth, D, Goodsman D, Copperman J. (2009) Being interprofessional. UK Polity PressHiggs, J. and Edwards, H. (1999) Educating beginning practitioners challenges for health professional education. Oxford Butterworth-HeinemannHM Government (2001) Learning from Bristol the report of the public inquiry into childrens heart surgery at the Bristol Royal Infirmary 1984 -1995. London HMSOhttp//www.bristol-inquiry.org.uk/final_report/report/index.htm(accessed 06/10/10)HM Government (2004) Every Child Matters Change for Children 2004. London HMSOhttp//www.opsi.gov.uk/Acts/acts2004/ukpga_20040031_en_1accessed 05/10/10HM Government (2007) Creating an Interprofessional Workforce An education and Training Framework for Health and Social care in England. London HMSOhttp//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_078442.pdf(accessed 20/10/10)HM Government (201 0a) Liberating the NHS Crown Copyright http//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_117705.pdf(Accessed 07/10/10)HM Government (2010b) Building a stronger civil society A strategy for voluntary and community groups, charities and social enterprises. Crown Copyright.http//www.cabinetoffice.gov.uk/media/426261/building-stronger-civil-society.pdf(accessed 15/10/10)Irvine, R., Kerridge, I., McPhee, J and Freeman, . (2002) Interprofessionalism and ethics consensus or clash of cultures? Journal of Interprofessional Care, 163, 199-210Kenny G (2002) Inter-professional working opportunities and challenges Nursing measure 17(6) 33-35Dalrymple, J., Burke, B. (2006) Anti- Oppressive Practice Social Care and the Law Berkshire Open University Press.Laming, (2003) The Victoria Climbie enquiry a report on the inquiry by Lord Laming. HMSO. Londonhttp//www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4008654 (access ed 20/10/10)Laming, Lord (2009) The security department of Children in England A progress Report. Norwich HMSOLeathard,A. 1994, Going inter-professional Working together for health and welfare, Routledge London and New YorkLeaviss, J. (2000) Exploring the perceive effect of an undergraduate multiprofessional educational intervention. Medical Education, 34 (6) 483-486Mariano, C (1999) The case for interdisciplinary collaboration, Nurse Outlook, 37 (6), 285-288McPherson, K., Headrock, L and Moss, F (2001) Working and learning together good quality care depends on it, but how can we achieve it?. Quality in Health Care no.10 Supplement II 46-53Opie, A. (1997) Thinking teams mentation clients Issues of discourse and representation in the work of health care teams. Sociology of Health and Illness, 19, 259-280.Page, S. and Meerabeau, L. (2004) Hierarchies of evidence and hierarchies of education reflections on a multiprofessional education initiative. Learning in Health and Social Care 3 (3) 118-218Parsell, G., Spalding, R., Bligh, J. (1998). Shared goals, shared learning Evaluation of a multiprofessional course for undergraduate students. Medical Education, 32, 304-311.Petrie, H. G. (1976) Do you see what I see? The epistemology of interdisciplinary inquiry. Educational Researcher. February, 9-15Pettigrew, T. (1998). Intergroup contact theory. Annual Review of Psychology, 49, 65-85Pirrie, A., Wilson, V., Elsegood, J, Hall, J, Hamilton, S, Harden, R, Ledd, D and Stead, J (1998) Evaluating multidisciplinary education in health care. Edinburgh SCREPollard, K. C., Thomas, J. and Miers, M (eds) (2010) Understanding Interprofessional Working in Health and Social Car, theory and practice. Basingstoke Palgrave MacmillanReynolds F (2005) Communication and clinical effectiveness in rehabilitation. Edinburgh Elsevier Butterworth-HeinmannRolfe, G. and Gardner, L. (2006) Do not ask who I am confession, emancipation and (self)-management through reflection. Journal of Nursing Management. 14 593-600Saks, M. (2000) Professionalism and Health Care. In C. Davies, L. Findlay, A. Bullman (Eds.), Changing Practice in Health and Social Care. London. salviaSCIE (Social Care Institute of Excellence) (2010) response to Liberating the NHS White Paper and associated consultation papers. http//www.scie.org.uk/news/nhswhitepaper.aspAccessed 20/10/10Schn D (1983) The reflective practitioner. Basic Books New YorkShakespeare, T (2000) Help. Birmingham, Venture Press.The Joseph Rowntree Foundation (1996) The future of the voluntary sector. Social Policy Summary.http//www.jrf.org.uk/sites/files/jrf/sp9.pdf(accessed 19/10/10)The Shipman Inquiry (2005) Fifth report safeguarding patients lessons from the past, proposals for the future. HMSP. LondonTope, R. And Thomas, E (2007) Health and Social Care Policy and the Interprofessional Agenda. A supplement to Creating an Interprofessional Workforce an education and training framework for health and social care. hhttp//www.caipe .org.uk/resources/creating-an-interprofessional-workforce-framework/(accessed 25/10/2010)Tuckman, B. (1965) Developmental sequence in small groups. Psychological bulletin, 63, 384-399Wilson, V. and Pirrie, A. (2000) Multi Disciplinary team up working Beyond the Barriers The Scottish Council for Research and Education, EdinburghWeber, M. D., Karman, T. A. (1991). Student group approach to teaching using Tuckman standard of Group Development. American Journal of Physiology, 261, 12 16.Weinstein, J. et al, 2003, Collaboration in Social Work Practice, Jessica Kingsley Publishers