![Page 1: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/1.jpg)
Partnerships: Essential Foundation for Effective
Interprofessional PracticeTeddie M. Potter PhD, MS, RN
![Page 2: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/2.jpg)
Objectives• Define partnership-based health care • Describe the impact that partnership-based
healthcare can have on interprofessional practice, quality and safety, health care outcomes, and patient and employee satisfaction and engagement
• Analyze their organization for its place on the partnership/domination continuum
• Develop two partnership skills to promote partnership-based interprofessional practice.
![Page 3: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/3.jpg)
The IPECP Vision
Many health workers believe themselves to be practicing collaboratively, simply because they work together with other health workers. In reality, they may simply be working within a group where each individual has agreed to use their own skills to achieve a common goal…
![Page 4: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/4.jpg)
Collaboration, however, is not only about agreement and communication, but about creation and synergy.
Collaboration occurs when two or more individuals from different backgrounds with complementary skills interact to create a shared understanding that none had previously possessed or could have come to on their own. (World Health Organization, 2010, p. 36)
![Page 5: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/5.jpg)
Culture eats strategy for breakfast.
-Peter Drucker
![Page 6: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/6.jpg)
We often do not perceive that we have a unique worldview or culture. It’s just the
way things are.
![Page 7: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/7.jpg)
The culture in the United States includes the tendency to rank or categorize into rigid hierarchies
![Page 8: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/8.jpg)
This rigid ranking shapes our behavior
![Page 9: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/9.jpg)
Ranking is a VERY old story in health care…
![Page 10: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/10.jpg)
And the story of ranking in health care is alive and well today
![Page 11: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/11.jpg)
If efforts at creating
successful teams are not
accompanied by a shift from a
domination to a partnership
way of relating, most efforts
will in fact be doomed.
-Eisler and Montuori (2001)
![Page 12: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/12.jpg)
Cultural Transformation Theory
![Page 13: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/13.jpg)
Employees in Domination-Based Health Care:
• Fear being shamed so they may skip steps or cut corners in procedures to be able to finish work on time
• Worry about being blamed so do not tell management if a policy, procedure, or product is not working
• May not call to report changes in patient’s status until they are extreme due to fear of being bullied
• Do not participate in innovation or creative problem-solving
Employees in Partnership-Based Health Care:
• Know that quality is valued and feel supported to give their best
• Feel safe communicating opinions and observa-tions to management.
• Know that their observa-tions are respected and early detection of status changes is valued
• Have energy to innovate solutions and create process improvements for quality and safety.
![Page 14: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/14.jpg)
Employees in Domination-Based Health Care:
• May feel disengaged from work and have more ill calls
• May treat their patients with decreased caring and attention. When patients are dominated, they become disengaged. They do not share status changes or indicate when something is not working.
• Treat one another with disrespect. Lateral violence and incivility increase.
Employees in Partnership-Based Health Care:
• Are eager to come to work and be part of a team.
• Treat their patients with respect, inviting them to be full partners in their own care.
• Treat each other with respect and value one another’s unique contributions to health care.
• Resolve conflict in a healthy way that encourages dialog and ongoing relationships.
![Page 15: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/15.jpg)
Patients in Domination-Based Health Care:
• Are treated like “cases” rather than people
• Feel afraid to disagree with their provider
• Are patronized when they raise a concern
• Are dismissed when they tell their story
• Are not offered clear choices
• When they are offered choices they often come with words like “Of course you know…”
Patients in Partnership-Based Health Care:
• Are invited to be full partners in their health care
• Feel free to voice their opinions and views even when they are different from their provider’s
• Are encouraged to raise concerns
• Their story is valued as the foundation of care
• Are offered clear choices• Receive information at
whatever depth is needed for full health literacy
![Page 16: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/16.jpg)
Partnership-Based Interprofessional Practice
• When two or more professions have over-lapping knowledge and skills, division of labor will be respectfully negotiated.
• When there is a tense situation the various parties will commit to civil conversation and respectful behavior to resolve the issue.
• Violence and abuse both physical and verbal will not be tolerated.
• Opinions and observations can be shared without judgments.• If a collaborative meeting requires leadership, selection of the
leader will be based on a decision by the team rather than being based on professional hierarchies.
• Overall there is a sense of trust, respect, and a deep commitment to being allies for quality and cost-effective patient care.
![Page 17: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/17.jpg)
Domination runs Deep therefore we need to take a systems
approach
![Page 18: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/18.jpg)
Where does your organization fall on the
partnership/domination continuum?
![Page 19: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/19.jpg)
Safety, quality, and patient outcomes are NEGATIVELY impacted in organizational cultures where there is fear, shame, and blame.
![Page 20: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/20.jpg)
Safety, quality, outcomes, and patient satisfaction IMPROVE in organizational
cultures based on respect and empowerment.
![Page 21: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/21.jpg)
LEADING in Partnership-Based Health Care
Hierarchies of Actualization:
Power with rather than power over.
![Page 22: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/22.jpg)
![Page 23: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/23.jpg)
How do we form effective interprofessional teams? Transform cultures of domination into
partnership-based health care.
![Page 24: Partnerships: Essential Foundation for Effective Interprofessional Practice Teddie M. Potter PhD, MS, RN](https://reader035.vdocuments.net/reader035/viewer/2022062322/56649e9f5503460f94ba1c70/html5/thumbnails/24.jpg)
ReferencesEisler, R. (1987). The chalice and the blade: Our history, our future. San Francisco: Harper & Row.
Eisler, R., & Montuori, A. (2001). The partnership organization a systems approach. OD Practitioner, 33(2), 11-17.
Eisler, R., & Potter, T. M. (2014). Transforming interprofessional partnerships: A new framework for nursing and partnership-based health care. Indianapolis, IN: Sigma Theta Tau International.
Whitman, W. (2010). Leaves of grass. (L. Ross, Ed.). New York: Sterling Innovation. (Original work published in 1855).
World Health Organization. (2010). Framework for action on interprofessional education and collaborative practice. WHO Department of Human Resources for Health. Geneva, Switzerland: WHO Press.