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The Difference Between the Credibility Composition Coordination and Collaboration Among Medical Health Care Setting

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INTRODUCTION

Doctors are trained in medical schools that are part of the university. They usually have a degree in medical college. Doctors meet at hospitals, medical clinics, their own offices, or people in their homes. They can also work for schools, organizations, sports teams, or players. Nurses often help nurses. Medical doctors came to know what was wrong with what was known to treat patients. They asked about the patient’s symptoms. It is fever or ill. They may ask about past illness or sick family members. They will test the patient. They see the various parts of the body, and the heart and lungs ask for a stethoscope. Sometimes they have to collect blood samples, use x-ray machines, or use other tools. When they collect enough information, a doctor can be diagnosed with diagnosis. Most often give medicines.

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Pharmacists are the most accessible healthcare professional and know more about medications, prescription and over-the-counter, than any other member of the healthcare team. In addition, they have many duties that must be completed on time and correctly because they can easily kill a patient with the wrong medication if they are not paying close attention. Therefore, they monitor medication usage, the interactions and side effects of medications. They also check if the medication is being used correctly. Also, they do rounds with doctors to discuss the patient’s treatment and advise both the doctor and the patient about treatments that can be used. Pharmacists are either required to compound certain medications to powders, tablets, capsules, ointments and solutions or the medications come from pharmaceutical companies that sell the medications pre-made.

Nursing is a profession in the health sector that focuses attention on the care of individuals, families and communities so that they can achieve, maintain or retain optimum health and quality of life. Patients can distinguish patient care from other health care providers, practice and practical purpose. Nurses in various stages are different in the brain. Many nurses care about the purpose of the medical order, and this traditional character designs a nurse public image as a caregiver. Nevertheless, nurse practitioners are allowed in various systems independently in most systems. In the post-war period, nurses education is subject to the diversification process for more advanced and specific qualifications, and the role of many traditional rules and providers has changed

General Objective

To study the difference between the credibility composition coordination and collaboration among medical health care setting

Specific Objective

  1. To study the role and function of the profession( doctor, nurse, pharmacist)
  2. To learn the competent ontogeny among the medical health care team
  3. To determine how the interprofessional merge together to manage the patients’ care.

Interview of a Doctor

Interview of a Pharmacist

Background

The interview session was conducted with the pharmacy lecturer Sir Rasny. He’s from Sri Lanka. It has been seven years of him working at Management and Science University. He also has experience of working at the hospital. He studied Bachelor in Pharmacy at Pakistan in the year of 2004. He had to continue his degree at Pakistan because those days at Sri Lanka the government did not offer Bachelor in Pharmacy course. Thus, he had to travel neighboring country to continue his Bachelor in Pharmacy course. Then, he pursues his master in Biomedical scientist at United Kingdom. He is a specialized haematologist. Moreover, he chooses pharmacy field because, he felt that is very unique and rarely chosen field by everyone. Now he is working as a lecturer in the School of Pharmacy faculty because he has the speciality on pharmacy and biomedical scientist, which only few people will have the combination and he also would love to share the knowledge and experience to the student.

Content

According to Sir Rasny, the reason of choosing this pharmacy field of speciality is because at Sri Lanka those days they don’t offer Bachelor in Pharmacy course. To pursue the Bachelor course, they have to go abroad countries and he felt its very unique and interesting. Besides that, he also had interest and ambition to learn the drug compounds and the processes that done as a pharmacist.

As a pharmacist the job scope in the medical health care was working in outpatient department as dispensing and at the inpatient departments as a clinical pharmacy in the wards.

The unique and different skills that Sir Rasny have is that he is specialized in the treatment and diagnosis process in the medical health care. Through this specialized knowledge he can troubleshoot the misdiagnosis and wrong treatment.

The weakness that shared by Sir Rasny was that still there are communication gap among the inter professionals in the medical care. Form his experience working at United Kingdom there was no communication gaps which was easier to carry out the proper management for the patients care. But at Malaysia he feels some medical care environment are still not been improved well on the communication skills among each other. Moreover, he feels that without a proper communication at times there are high chances for the errors to occur which will be the main weakness of the medical care team. The strength that Sir Rasny feels is that he has been specialized in pharmacy and biomedical scientist which helps him personally and also as team to diagnose and treat the patients accurately.

According to Sir Rasny’s experience at the hospital, there was an eight years old girl whom diagnosed with meningitis. The doctors were doing lumbar puncture for the patient and sending the blood samples to the lab. But the results were negative. Later, it was founded that the patient was not having meningitis, it was actually due to Promithazine drug overdose. As a pharmacist Sir Rasny consulted the parents and get the information’s that the patient was on the medications. When there is a communication gap between the inter-professional’s collaboration at the medical health care it causes misdiagnosis and involve in wrong treatment and later leads to death. In the communication it should involves the patient’s family members, patient and the health care team to prevent the errors from occurring.

Additional finding by (Rebecca et al., 2009) stated, previous research suggests that a number of interprofessional barriers exist between community pharmacists and general practitioners which hinders the integration of community pharmacists into the primary health care team (PHCT). One of the aims of the local pharmaceutical service contract, introduced in England in 2002 as an alternative to national contractual arrangements, was to enable pharmacists to work more closely with other health care professionals. Overall the level to which the local pharmaceutical service pharmacists felt integrated into the primary health care team did not substantially increase with the introduction of local pharmaceutical service, although co-location was reported to have facilitated integration. New relationships were formed with general practitioners and existing ones strengthened. The findings suggest that establishing interprofessional collaboration between general practitioners and pharmacists is a piecemeal process, with a reliance on goodwill and trust-based relationships.

Furthermore, from Sir Rasyn’s opinion there are non-organization deliver the best care to people when it comes to the health section. It’s because there are no proper communication skills and facilities provided. To provide best care to every patient and every time we must ensure all the patient have the proper facilities, treatment provided and also reduce the communication gap among the inter-professional collaboration.

Besides that, from Sir Rasny’s experience he told at time workload and emergencies will not be under control. But we must manage it according to our potential and must find time to release our stress situations. Moreover, Sir Rasny also gave some advice that the works must be done on the day rather than compiling it up for the next day.

Moreover, although interviewees expressed mutual respect, organisational structures often limited the extent to which they could establish professional relationships. Sharing information and agreeing goals were considered fundamental to good decision making, but the working environment and differing perspectives could make this difficult to achieve. Our data suggest that junior doctors and nurses see themselves as having complementary and non‐competitive roles in patient care. The establishing of an interprofessional team was seen to require leadership, which was not always apparent. Without leadership, new members were not always well oriented to the team. The need to maintain an environment in which open communication could take place was acknowledged as important for patient safety, but there were some barriers to achieving this (Jennifer et al., 2011).

Interview of a Nurse

Background

Puan Wahidah was the nurse whom we interviewed to gather the information. The background of her profession started when she was offered a sponsorship from Pusat Rawatan Islam to continue her Diploma in Nursing for about 4 to 5 years. Furthermore, after 5 years of studying and working in Malaysia, she continue working in Saudi Arabia due to her family bonding.Then after 5 years of experiencing in Saudi Arabia to enhance the exposure to her kids made her to return back to Malaysia. During the working period she was a staff nurse and has been promoted to head nurse. Then after sometimes her interest changed into teaching and where she proceed to Management and Science University for teaching in the same field. She then continue as a clinical instructor for the nursing student by educating them more regarding the nursing field. Puan Wahidah was working for about 8 years in Management and Science University.

Content

Based on the interview that has been done with the medical health care worker we have manage to find the relevant information regarding the profession and the experience that they come through. An interview has been done with a professional nurse to gather more information regarding the profession.The reason she have chosen in the field of nursing because is the job that she dreamt in order to serve the patient. Serving patient is something that she wanted to deal with, and she loves the challenges and thinking outside the box to come up with solutions keeps her excited and engaged. Above all, she truly loves helping people.

She’s very proud of her ability to really listen to what a patient is telling to her. Having spent the past ten years in the medical field working directly with patients has shown her just how far actively listening can goes in helps to make someone comfortable. Her most recent position included working with patient directly in admissions which meant she was often the first face they had to see when they came in and the last on their way way out as well as everything in-between. In that time, she learned that addressing their concerns and making sure the patient felt that the nurse genuinely listening to them is important. As a result, she helped to establish a patient advocacy program to teach other nurses student those same listening skills.

As a nurse who has to interact with a wide scope of individuals in the medical fields including doctors as well as pharmacist patient and all. She finds that she work well with the circumstances. She really enjoy working in a team because she often find that different viewpoint could help her to find solution. She also says that, when she started to teach the students again and again she improves in self motivating and more confident working as a lecturer in nursing. This is very much related to the article that has publish in the website. (Nursing Times, 2018)

When it comes to managing the workload and emergencies in the profession as a nurse she said that dealing with only limited patient per day makes the job even more comfortable.Only limited patient has to deal by the nurses making the work more convenient and comfortable.

Conclusion

In Nutshell the operational definition of interpersonal communication is the ability of the provider to elicit and understand patient concerns, to explain health care issues and to engage in shared decision-making if desired. Although interpersonal communication is closely related to relational continuity, trust and patient-centered care, it is considered a distinct attribute. Communication skills can be observed. Effective communication can be experienced even in a first encounter with a provider who may not be seen again. It precedes and leads to relational continuity and fosters patient-centred practice cooperation training among professionals today represents a new sports field for health and hospital plans. The border was removed, the tax was deleted and the pamphlet was rewritten. However, do not change some things: The key to building a motivation team is the ultimate goal is to send a business group of high-profile health care and have the tools and resources to address the challenges of labor healthcare. IPC has many advantages. It enhances safety and health delivery, as well as reduces costs. It puts the patient in the focus center of the health team and allows all health personnel to provide patients with the input partnership, the decision making part, and increase revenue.

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