Reflection of Interprofessional Practice

What went well?

I was once asked to review a patient 70 years old male with recurrent cerebrovascular
accident secondary to atrial fibrillation with paraplegia of both lower limbs and reduces muscle
power of both arms. The patient is patient is being treated for the stroke as well as urinary tract
infection and is on several treatment including anticoagulants. The basis of physiotherapy was to
maintain upper body strength and mobilize the lower limbs to prevent deep venous thrombosis.
The notification for the offer of service by the nursing team was timely effectively clearly
giving recommendations of what physiotherapy is expected to achieve in the long-term care of
the patient.

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What did not go well?

The first session was not easy because the patient felt pain and was not cooperative at all
the family had mixed feeling about physiotherapy and they thought that “if it causes pain” it
should not continue. The was no pre session between family patient and service provider not
organized this was to familiarize with the patient, plan for the session and answer questions that
might be present.

Barriers to effective collaborative practice

Barrier are ways or issues that hinder effective multidisciplinary functioning and these
include confusion or roles and responsibilities. Each member should be aware of their role and
purpose on the care of the patient and avoid overlap to conflict.
Leadership of the interprofessional team could also hinder the effective practice
especially when the healthcare teams are conflicting about who to be in charge this can also
result into mistrust which doesn’t encourage team spirit (Etherington et al., 2021)
How can interprofessional practice be improved?

Interprofessional practice can be improved by improving team communication among
members, upholding respect and trust among team members by respecting one’s roles, opinion
and suggestion to the group.
Patient centered approach in provision of care helps in acting professionally and task
priority among members. (L. Gleeson et al., 2022)

Literature review on interprofessional practice

Interprofessional practice occurs when two of more health care works come together with
the goal of delivering quality efficient care to the patient. It is patient centered are revolves
around taking care of the patient as a whole, emotionally, physically and mentally. Reflective
thinking involves the act of looking back on one’s previous decisions and doing with the aim of
engaging in adaptation or learning to improve one’s knowledge and skills and prepare for the
same situation in future and be ready to deliver excellent outcome.
Several articles have been written and research done to justify or explain how
interprofessional practice is linked to improved quality of care, increased positive outcome some
of the studies done (Reeves et al., 2018) argued that team of is one of the forms of
interprofessional work and also mentioned that networking, collaboration and coordination are
also factors to be considered in interprofessional practice.

How does effective/ineffective interprofessional practice affect patient
Effective collaborative care is believed to encourage prompt diagnosis of the patient, and
early initiation of treatment needed this is by relevant discussions and assessment by different
disciplinaries giving new signs and not overlooking any factor of the patient. It also reduces the
rate of medical errors since the decisions made about care are made and there is room for
scrutiny and opinion change.

Ineffective interprofessional practice will discourage the patient and create room for
mistrust and loss of confidence in healthcare might also cause financial strain to the
patient by increasing the number of bed days in the hospital and also create room for medical
errors which might end up harming the patient.

Busari, J. O., Moll, F. M., & Duits, A. J. (2017). Understanding the impact of interprofessional
collaboration on the quality of care: a case report from a small-scale resource limited
health care environment. Journal of multidisciplinary healthcare, 10, 227–234.
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional
collaboration to improve professional practice and healthcare outcomes. The Cochrane
database of systematic reviews, 6(6), CD000072.

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