BPG Reflection

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Developing and Sustaining Interprofessional Health Care BPG Reflection

Ferreira, B.

School of Nursing, Nipissing University

NSGD-2106-FA814: Clinical Practicum – RPN to BScN

Marion Nguyen-Huu

November 5, 2023
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Developing and Sustaining Interprofessional Health Care BPG Reflection

1. Identify three effectives (enablers) when working in interprofessional care team and

provide a detail example of each

One example of an enabler outlined in RNAO’s BPG is shared commitment to

improving care. An example of this would be putting aside personal conflicts with team

members to focus on the patient and their care. For example, a nurse did not get invited to

a physician’s dinner plans that included the most of the unit’s nurses. Instead of being

petty and disregarding the physician when she attempts to give orders, the nurse

acknowledges the doctor’s orders in a polite manner and completes them in a timely

manner.

Another enabler mentioned is inclusive/shared language use. An example of this

would be using each other’s stated pronouns and avoiding outdated or politically-

incorrect terms or language when speaking of others. For example, a nurse on the unit

identifies as they/them, the rest of the unit do not refer to them as he/her, but instead uses

they/them as the nurse asked them to.

Another enabler is client-centered care. This would be treating the patient as a

member of the health care team and including them in the decision-making process of

their care. For example, a patient is trying to decide between a surgical or non-surgical

treatment plan. The nurse reviews both options with the patient and addresses questions

they may have, and then supports the patient in their decision and helps facilitate it.
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2. Identify three ineffective (barriers) when working in interprofessional care team and

provide a detail example of each.

One example of a barrier outlined in the BPG is interdisciplinary rivalry. This

would include an entire disciplinary team not getting along with another team for

personal or professional differences. For example, the nurses on one unit believe the

doctors on the unit to be snobbish and egotistical, while the doctors believe the nurses to

be uncooperative and disrespectful. This leads to snide comments and hostility between

the teams, which not conducive to an efficient team environment.

Another example of a barrier is lack of understanding of mutual roles. An

example of this would be members of the team overstepping boundaries and perhaps

working outside of their scope, endangering the patient. For example, a nurse decides to

stop a medication without an order from the physician because of their assessment of the

patient. When the physician finds out, they are angry because that medication was given

for a specific reason the nurse was not aware of. This could have potential hazardous

consequences to the patient’s condition.

Another barrier mentioned is inequitable power relations. An example of this is

members of the team being fearful or avoidant of other interdisciplinary team members

due to their role, or perhaps others using their role as a means of controlling others or

inspiring a feeling of inadequacy in others due to their role. For example, a nurse makes

comments to a PSW that belittle and demean them, like “they’re just a PSW”. This makes

the PSW feel small and unimportant in the team, leading to stress and a poor work

environment.
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References

Registered Nurses’ Association of Ontario (2013). Developing and sustaining interprofessional

health care: Optimizing patient, organizational and system outcomes.

https://rnao.ca/bpg/guidelines/interprofessional-team-work-healthcare

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