This article is about a prime role which the author experienced as a nurse while undertaking patient-centered care - interprofessional approach in clinical practice and using Gibb’s reflective cycle as a guideline in the process. The author went through the whole process while looking after a palliative female with a delicate situation like family crisis amidst of her condition and life expectancy. The author, as a part of her role as a patient’s advocate and core figure, holistically initiated the multidisciplinary team (MDT) collaborative involvement in light of patient’s discharge wishes and in relation to the patient’s physical, medical, family, psychological and spiritual issues while actively involving the patient’s choice and maintain her dignity. The collaboration, in accordance to nurse’s scope of practice, involved referring the patient to various team as required like the medical and palliative care team, physiotherapist, occupational therapist, social worker, counselor and discharge coordinator. The key skills used were effective communication with patient and family, staff, mentor and other members of MDT, proper documentation by all member of MDT, recognition of each member’s scope of practice and code of professional conduct. Then the shared decision making process played a vital role in arriving at a mutually agreed plan in patient’s best interest. During the whole process the author used reflective thinking at every stage to evaluate the outcome including the difficulties and barriers experienced and author’s feelings about the whole process. Hence overall, it highlighted the pivotal role played by a nurse in delivering optimum care by effective communication, problem-solving, collaborating with MDT while recognizing each member’s vital role and scope in
This article is about a prime role which the author experienced as a nurse while undertaking patient-centered care - interprofessional approach in clinical practice and using Gibb’s reflective cycle as a guideline in the process. The author went through the whole process while looking after a palliative female with a delicate situation like family crisis amidst of her condition and life expectancy. The author, as a part of her role as a patient’s advocate and core figure, holistically initiated the multidisciplinary team (MDT) collaborative involvement in light of patient’s discharge wishes and in relation to the patient’s physical, medical, family, psychological and spiritual issues while actively involving the patient’s choice and maintain her dignity. The collaboration, in accordance to nurse’s scope of practice, involved referring the patient to various team as required like the medical and palliative care team, physiotherapist, occupational therapist, social worker, counselor and discharge coordinator. The key skills used were effective communication with patient and family, staff, mentor and other members of MDT, proper documentation by all member of MDT, recognition of each member’s scope of practice and code of professional conduct. Then the shared decision making process played a vital role in arriving at a mutually agreed plan in patient’s best interest. During the whole process the author used reflective thinking at every stage to evaluate the outcome including the difficulties and barriers experienced and author’s feelings about the whole process. Hence overall, it highlighted the pivotal role played by a nurse in delivering optimum care by effective communication, problem-solving, collaborating with MDT while recognizing each member’s vital role and scope in