Transforming nursing through knowledge

Collaboration: All Resources

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    The Royal College of Nursing (RCN) has interviewed a number of nursing policy and practice experts working in national nursing associations (NNAs) in Canada, Australia, Sweden, Denmark and Norway to understand the reality behind the rhetoric on the shift from acute hospitals to community care and to understand the impact of this shift on the nursing workforce. These discussions have helped to shape the country-specific intelligence and analysis in this report.
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    This best practice guideline, Developing and Sustaining Interprofessional Health Care: Optimizing patients/clients, organizational, and system outcomes is intended to foster healthy work environments. The focus in developing this guideline was identifying attributes of interprofessional care that will optimize quality outcomes for patients/clients, providers, teams, the organization and the system.

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    Healthcare network managers are called upon to take on sizable challenges on a daily basis, such as the growing need, and the shortage (in some cases, the complete absence) of resources. To maintain a level of service suited to the needs of the population, institutional authorities must reconsider the way they provide services and organize their work. For many players, adopting solutions in silos is insufficient. The interdependence of activities requires setting up collaborative initiatives with other institutions and organizations within the healthcare continuum. 
     
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    Canadian Health Services Research Foundation (CHSRF): The objectives of this four and a half year program of research were to: explore structures and processes required to build successful collaborations between primary care (PC) and public health (PH); understand the nature of existing collaborations in Canada; examine roles that nurses and other providers played in collaborations. The research represents academic reserchers and decision makers fromBritish Columbia (BC), Ontario (ON) and Nova Scotia (NS), as well as national leaders in PC and PH. By gaining a stronger understanding of the nature of existing collaborations and the structures and processes that support and hinder their success, this program of research has begun to answer how to create and enhance future PC and PH collaborations. 
     
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    Canadian Health Services Research Foundation (CHSRF): This literature review conducted includes published and grey literature as well as information gathered from key informants. The objectives of this review was to gather examples of models of care in primary care and other non-acute care settings that include a substantive role for nurses, and to understand the effectiveness of these models as well as the essential factors that influence their successful implementation.
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    Canadian Health Services Research Foundation (CHSRF): This report focuses on the use of nurses in interprofessional teams, including nurse-led teams. The goal is to highlight the cost and outcomes effectiveness of interprofessional or nurse-led teams. The economic rationale for interprofessional teams is that the professionals have comparative advantages in skill sets and costs in the delivery of elements of the service basket to the patient. The scope of this report is outside the direct acute-care context, and instead focuses on primary care and on settings such as clinics, community health centres, family health teams, long-term care, and public health.
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    Change efforts such as total quality management and continuous quality improvement reveal the importance of teamwork and collaboration to organizational success. In health care, teamwork has consistently been shown to improve the quality of health care and reduce medical errors[1,2]. In addition, Hoegl and Gemuenden[2] demonstrated that the quality of the teamwork is significantly associated with team performance on innovative projects, which indicates that teamwork is crucial to organizational growth and development. Both of these studies showed that communication is of the utmost importance for determining teamwork and collaboration. This paper uses path analysis to construct a causal path model which helps identify intra-organizational factors influencing the variation in perceived teamwork and collaboration within a large medical center.
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    Interest in networks as collaborating, professionalised structures continues to grow. As a post-bureaucratic form of organisation, networks have gained increasing popularity for governments and policymakers. With a considerable corpus of literature on networks within and outside the health sector, it is timely to assess the current state of knowledge, particularly in relation to how the features of networks may be applied to improve quality and outcomes of care.

    ‘Network’ is a word used extensively in healthcare research and in health services delivery. It is used as a synonym for 'partnership’, ‘collaboration’, ‘alliance’ and ‘group’, or more specifically to describe the relationships between people, groups or organisations.

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    The Canadian Federation of Nurses Unions (CFNU): This guide calls on everyone to examine the part they play in creating a healthy workplace. That team includes front-line nurses, educators, managers, senior administrators and everyone in between. We must value individuality but know that we have common goals that bind us — like caring for patients. These goals oblige us to look beyond just diversity in age to acknowledge and respect other forms of diversity such as race, culture, religion, physical ability, socioeconomic status, gender, and sexual orientation.
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    Intersectoral partnerships have been identified as a useful mechanism for addressing the health challenges that face society. In theory, partnerships achieve synergistic outcomes that amount to more than can be achieved by individual partners working on their own. This study aimed to identify key factors that influence health promotion partnership synergy.