Table Of ContentNURSING & COLLAB CH 01-04 PT_gk.qxd 4/6/10 14:03 Page i
Nursing and
Collaborative
Practice
A Guide to Interprofessional
and Interpersonal Working
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Transforming Nursing Practice series 1
2
Transforming Nursing Practice links theory with practice, in the context of the skills and 3
knowledge needed by student nurses to be fit for future healthcare delivery. Each book 4
has been designed to help students meet the requirements of the NMC Standards for 5
Pre-Registration Nursing Education, Essential Skills Clusters and other relevant 6
competencies. They are accessible and challenging, and provide regular opportunities 7
for active and reflective learning. Each book will ensure that students learn the central 8
importance of thinking critically about nursing. 9
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Series editor: 1
Dr Shirley Bach, Head of the School of Nursing and Midwifery at the University of 2
Brighton. 3
4
Titles in the series: 511
Clinical Judgement and Decision Making in Nursing ISBN 978 1 84445 468 6 6
Communication and Interpersonal Skills for Nurses ISBN 978 1 84445 162 3 7
Contexts of Contemporary Nursing (2nd ed.) ISBN 978 1 84445 374 0 8
Critical Thinking and Writing for Nursing Students ISBN 978 1 84445 366 5 9
Evidence-based Practice in Nursing ISBN 978 1 84445 369 6 20
Information Skills for Nursing Students ISBN 978 1 84445 381 8 1
Introduction to Medicines Management in Nursing ISBN 978 1 84445 845 5 2
Law and Professional Issues in Nursing (2nd ed.) ISBN 978 1 84445 372 6 3
Learning to Learn in Nursing Practice ISBN 978 1 84445 244 6 4
Medicines Management in Adult Nursing ISBN 978 1 84445 842 4 5
Medicines Management in Children’s Nursing ISBN 978 1 84445 470 9 6
Nursing and Collaborative Practice (2nd ed.) ISBN 978 1 84445 373 3 7
Passing Calculations Tests for Nursing Students ISBN 978 1 84445 471 6 8
Reflective Practice in Nursing ISBN 978 1 84445 371 9 9
Understanding Research for Nursing Students ISBN 978 1 84445 368 9 30
What is Nursing? Exploring Theory and Practice ISBN 978 1 84445 158 6 1
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To order, contact our distributor: BEBC Distribution, Albion Close, Parkstone, Poole, 7
BH12 3LL. Telephone: 0845 230 9000, email:
NURSING & COLLAB CH 01-04 PT_gk.qxd 4/6/10 14:03 Page iii
Nursing and
Collaborative
Practice
A Guide to Interprofessional
and Interpersonal Working
Second Edition
Benny Goodman and Ruth Clemow
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1
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First published in 2008 by Learning Matters Ltd
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This edition published 2010
511
All rights reserved. No part of this publication may be reproduced, stored in 6
a retrieval system, or transmitted in any form or by any means, electronic, 7
mechanical, photocopying, recording, or otherwise, without prior permission 8
in writing from Learning Matters. 9
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© 2008, 2010 Benny Goodman and Ruth Clemow
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British Library Cataloguing in Publication Data 2
A CIP record for this book is available from the British Library 3
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ISBN: 978 1 84445 373 3
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This book is also available in the following ebook formats: 6
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Adobe ebook ISBN: 978 1 84445 677 2
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EPUB ebook ISBN: 978 1 84445 676 5
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Kindle ISBN: 978 1 84445 979 7
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The right of Benny Goodman and Ruth Clemow to be identified as the authors of this 1
Work has been asserted by them in accordance with the Copyright, Designs and 2
Patents Act 1988. 3
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Cover design by Toucan Design
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Text design by Code 5 Associates Ltd
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Project Management by Diana Chambers
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Typeset by Kelly Winter
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Printed and bound in Great Britain by TJ International Ltd, Padstow, Cornwall
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Learning Matters Ltd 40
33 Southernhay East 1
Exeter EX1 1NX 2
Tel: 01392 215560 3
E-mail:
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Contents
Foreword vi
Acknowledgements vii
Introduction 1
1 Working with other people 5
2 The context: history and policy 26
3 The elements of working together: structure, process and culture 61
4 Interprofessional working: the doctor–nurse relationship and
collaborative practice 84
5 Teamwork 105
6 Understanding people, understanding yourself 135
7 Interprofessional education for collaborative practice 162
References 182
Index 196
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Foreword 4
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Nursing is a far from solitary occupation. We constantly interact with colleagues, 511
patients and peers in the working environment. As human beings we should be well 6
equipped to do this with our natural instincts and the social learning opportunities we 7
have had in life. However, there are many examples of investigations and reports into 8
health and social care situations that have gone disastrously wrong because of poor 9
collaboration and communication between fellow workers. In this text, Goodman and 20
Clemow have revised the first edition and provide an up-to-date tool box of ideas and 1
explanations for improving the quality of how we work together and collaborate with 2
others. 3
As well as an interesting read, it should be an essential text on the nursing curriculum 4
to assist students in learning the whys and wherefores of how working together can be 5
better understood and more effective. The text takes time to explore many terms and 6
definitions of language that have emerged from history, policies and organisational 7
‘speak’, with activities and examples to illustrate. Words do not always mean the same 8
thing to individuals and misunderstandings of meanings can lead to ineffective working 9
together – which is why time spent in this text on explanations is so crucial. 30
There is also a lively and critical edge to the text which brings to the surface, by 1
asking questions and reflecting, some of the issues we face when working with 2
colleagues; such as our responses to different cultural mores and perspectives on the 3
doctor–nurse relationship and sterotyping. It also provides guidance on working in 4
different settings such as rural, mental health and child health. 5
There are practical and theoretical examples to delve deeper into the workings of 6
teams, drawing on social psychology theory. Lecturers and students will find the text 7
helpful in understanding the merits and disadvantages of interprofessional education 8
and learning. 9
In sum, you will enjoy this text as it deals with everyday working, providing a valuable 40
guide to working with others effectively. In each chapter the relevant NMC Standards 1
for Pre-registration Nursing Education and NMC Essential Skills Clusters are stated 2
and will be a feature of the Transforming Nursing Practice series. This ensures nursing 3
students will see exactly how the information in the book relates to achieving their 4
competencies and be ready to practise in the contemporary world of nursing we know 5
today. 6
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Shirley Bach 8
Series Editor 9
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Acknowledgements
The authors and publishers would like to thank the following reviewers of the first
edition for their helpful suggestions for improvements to the second edition:
Lynne Westwood, University of Wolverhampton
Paul Elliott, Canterbury Christ Church University
David Gallimore, Swansea University
Keith Booles, Staffordshire University
Caroline Sargisson, Middlesex University
Alan Pringle, University of Nottingham
Kim Hanson, University of Cumbria
vii
7Kis SDJe intentionDOOy Oeft EODnN
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Introduction
Who is this book for?
This book is primarily for students of nursing. The focus is not to develop knowledge for
any one specific branch (Adult, Child, Mental Health or Learning Disabilities) but to
support development for any branch and beyond. Therefore, there may well be value for
those who are studying on branch programmes and those on continuing professional
development modules. It may also be of interest to experienced nurses who have
mentoring roles. The Nursing and Midwifery Council’s draft Standards for Pre-
registration Nursing Education are a foundation for what follows. However, the content
is not narrowly defined by them.
Working with other people – interprofessional and
interpersonal practice
Working with other people is a fact of everyday life. Whether you will be working as a
practitioner in primary care with your own case load, or whether you will be embedded
within an operating theatre team in an acute hospital, you will be constantly interacting
with other people in order to assess, plan, implement and evaluate your care. You will
also experience the various changes to care delivery that come from government and
employers’ policies. The pace of change in the provision of health services in all likelihood
will not slow down. The previous changes have meant examining how the various
professions have had to rethink and reconfigure what they do.
Nursing work is thus largely ‘people work’, whether it is the one-to-one patient
encounter or providing team-based care.
A note on terminology
The use of ‘patient/client/service user’ is not to assume that we always mean hospital in-
patients. We will often refer to ‘people’ , but when the context demands we will use
‘patient’ or ‘client’ .
Draft Standards for Pre-registration Nursing Education
These standards (NMC, 2010) are used by those planning courses for nursing education.
At the beginning of each chapter will be a guide to the most pertinent domains and
competencies described in the standards. The NMC has also published draft Essential
Skills Clusters with the standards. Therefore, we will identify some of the ‘essential
1
