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    Autonomous Practice and the Professional Team

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    There is an idea that many practitioners are geared towards autonomous practice, despite being taught the importance of professional teams. Describe the difference between autonomous practice, multidisciplinary teams, and interdisciplinary teams. Describe how you are currently preparing to work on an interdisciplinary team versus what you still might need to be adequately prepared to effectively work on an interdisciplinary team. Remember, you must back your opinions up with information from the readings in the attachments.

    Bruner, P., Davey, M.P, & Waite, R. (2011). Culturally sensitive collaborative care models: Exploration of a community-based health center. Families, Systems, & Health, 29(3), 155-170.
    Dosser, D.A., Handron, D.S., McCammon, S.L., Powell, J.Y., & Spencer, S.S. (2001). Challenges and strategies for teaching collaborative, interdisciplinary practice in children's mental health care. Families, Systems, & Health, 19(1), 65-82.
    Vinokur-Kaplan, D. (1995). Enhancing the effectiveness of interdisciplinary mental health treatment teams. Administration and Policy in Mental Health, 22 (5), 521-530.
    Youngwerth, J., & Twaddle, M. (2011). Cultures of interdisciplinary teams: How to foster good dynamics. Journal of Palliative Medicine, 14(5), 650-654.

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    Autonomous patient care has been described as a continuous monitoring of a patient's care that allow immediate detection of changes in his or her medical status to make appropriate decisions for intervention. For example, appropriate intervention is considered that is provided by a skilled caregiver. In their study, Tullai-McGuiness, Magidan, & Anthony (2005) examined how the value of autonomy was reflected in home healthcare agencies' practice models and how staff registered nurse (RN) characteristics (education, experience, certification) relate to the RNs' perception of their ability to exercise autonomous practice: control over practice decisions (clinical autonomy) and control over practice setting decisions (organizational autonomy). The registered nurses were found to have more control over the practice decisions No relationship was found between the nurse and other providers.

    Multidisciplinary practice involves the combination of many practices working together for patient care (e.g. medical professional and psychiatry professional). According to Youngwerth, & Twaddle (2011), many publications use the term multidisciplinary interchangeably with interdisciplinary, reflecting the diverse expertise of the members rather than to imply the function of the team. He enlists the definition of The World Health Organization (WHO) concept of a team to make his point. "A team is defined as two or more people working interdependently toward a common goal" (p.650). Thus as Youngwerth and Twaddle suggest, health care professionals from different disciplines working together in patient care consider themselves a team. A distinction can be made; however, as "Multidisciplinary teams are typically hierarchical in structure with the professional identities of the members placed above team membership." The professionals may only be comprised of a group of individuals working side by side.

    In the same way, according to Youngwerth and Twaddle (2011), a formal definition of an interdisciplinary team is lacking; however, the team's structure and function vary depending on whether they are modeled after a "multidisciplinary, transdisciplinary, or interdisciplinary approach". For instance, they note that the literature examining the interdisciplinary approach has primarily been in the in the field of palliative care (p. 651). Palliative care focused on treatment beginning at diagnosis and extending beyond. For example, interdisciplinary teams have emerged in response to hospice care. Thus contrary to the culture where the physician or registered ...

    Solution Summary

    This solution highlights the differences and benefits associated with autonomous and interdisciplinary practice.