Inter Professional Working Practice

Introduction

Inter professional working practice in the health care settings is important strategic planning for the organisations to serve better care to the locality by including all the social communities where the health care professionals try to provide efficient treatment and quality care to the individual for improving the wellbeing of the individuals (Reeves et al., 2017). The aim of the study is to understand the existing challenges of the London as well as explore different theories and knowledge about the working practice in the health and social care setting so that the aim and objective of the health care institution can be fulfilled. Through this study, it is also possible to discuss the existing knowledge and understanding about the interprofessional working in contemporary health and social care as well as evaluate the advantages and disadvantages for interprofessional working in practice. This will be effective for understanding the working strategy for the Public Health England (PHE) to mitigate the challenges across the London where the country is facing the issue of health inequalities as there are many social communities who cannot access efficient treatment and quality care from the PHE. This study provides a scope to the PHE to explore the challenges and develop proper strategic planning after evaluating the existing concept and strategies of inter professional working practice in the health and social care institution. The aim of the PHE is to create values for the social communities across the UK through providing proper treatment and quality care to all the individuals. In addition to these, the objective of the PHE is to work with the people, develop inter professional working practice, respect and maintain dignity and fulfilment the commitment to quality so that efficient treatment and quality care can be provided to the individuals across the locality Royal Borough of Greenwich, London (Green, and Johnson, 2015). The chosen locality is royal borough of Greenwich which is situation inner location of the London and the aim of choosing the locality is that it is possible to identify the changes in this locality and develop effective strategic planning for the PHE to improve their practice and fulfil the aims and objectives of the PHE in this locality so that the social communities can access proper health and social care service (Harris et al., 2016).

Determinants of health:

There are several determinants of health including the income and social status, genetic problems, education, physical environment, safety and security, physical exercise, health services in the locality available for treating the patients and employment and working practice. It is important to identify the key variable or determinants of health for the children who are suffering from obesity as the rate of obesity mong the children is increasing rapidly year to year which can be considered as a serious concern for the health and social service professionals for supporting the social communities in the locality of London for serving better care and treatment to the children who are facing the problem of obesity during their early age (Morgan, Pullon and McKinlay, 2015). For obesity, the main determinants of health are such as genetic problems, dietary trend and bad eating habits, physical inactivity and lack of physical exercise among the children, environment for staying safely and social economic status which are the major factors for the issue of obesity in the Royal Borough of Greenwich, London, where the children are facing issues during obesity.

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Impacts of inequality:

Inequality is one of the major issues in this case, where the individuals or the parents of the children lacks to availability the health and social care service in the PHE. Inequality affects the individuals where some of the people in the locality can access the service of the PHE, but others cannot which raises the issue of inequality int he society where there is no equal distribution of the health and social care service provided by the PHE. It is the responsibility of the PHE to support the social communities at the locality as a whole and treat all of them fairly by providing proper treatment and care to the children who are suffering from childhood obesity. Income distribution is also not equal and in this regard differences in income and social class, working status, living condition raises the issue of inequality int he locality of London, where the people cannot access proper service from the PHE. Illness, injuries and risk-taking behaviour as well as limited education, stigma and discrimination and poor access to the service, food and good housing also are the determinants of childhood obesity which in turn raises the problem of inequality (Pullon et al., 2016).

Borough of Greenwich, London:

The major challenge in the Royal Borough of Greenwich, London is that all the social communities cannot access the treatment and facilities provided by the PHE due to lack of efficiency of the PHE in providing equal treatment to the individuals living in the society. It is the responsibility of the PHE to provide equal treatment and care to the children in the locality who are suffering from obesity. In this regard, lack of inter professional working practice and poor communication raises the issue of inequality in the locality for which the people are suffering a lot in accessing the treatment and care provided by the PHE, London.

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As per the figure above, the issue of child obesity is raising rapidly which raise serious concern among the PHE professionals to take active initiatives for resolving the problem in the locality and provide safe environment and guidance to stay secured and healthy. the figure shows that, among both male and female and across different age group the child obesity is increasing rapidly due to unhealthy life style and lack of healthy eating habits among the children. However, the challenges are such as miscommunication, lack of cooperation among the team members, lack of proper investment in the Information technology as well as infrastructure of the PHE for providing better treatment with the help of latest technology.

Key factors of health promotion:

Healthy promotion is necessary for the PHE England, where the health and social care professionals need to provide education about healthy eating habit and life style that would be effective for the children to avoid the risk of having obesity. Improving transparency and accountability as well as implementing Information Technology in the health care setting of the PHE are also effective factors for promoting health in the locality. Additionally, the leader and the managers also need to promote health through developing different program and investing in the social development program which are also effective factors for health promotion where free medication check-up, providing advice for healthy living and eating habit to the society and communication for maintaining child obesity are also effective factors for health promotion in the locality of the London. Social support, national policies and the cooperation of PHE with the government of the UK are also important factors which raises the accessibility of health and social care service and it is also posisbel to enhance health promotion (O’Carroll, McSwiggan, and Campbell, 2016).

Concept of inter professional working practice:

Inter professional working practice is important practice in health and social care service where it is necessary to develop team work so that the team members, nurses, staff, doctors and physicians can work collaboratively to maximise the values of the patinets.in order to develop inter professional working practice, the personal factors are such as beliefs in inter professional collaboration, flexibility, trust, cooperation and communication skills through which it is posisbel to develop inter professional working practice. In is necessary for the professionals to improve trust and loyalty among each other so that they can work collaboratively by sharing their experience. In addition to this, trust is necessary in which the decision-making practice and developing care plan of other health and social care professionals can be applicable with loyalty. Cooperation is another factor which is required for working as a team in which it is easy to share their experience and knowledge for maximising patient’s safety. Moreover, in this context it is important to manage the team members successfully where trust and loyalty can be helpful to rely each other’s decision and apply the care plan or the patients (Xyrichis, Reeves, and Zwarenstein, 2018). Proper cooperation enhances the performnace of the team members where the members can collaborate and help each other for serving the patient with better treatment and quality care. Communication skill is another factor where all the staff members need to interact with each other positively by managing respect and integrity to each other. In this regard, the health and social care professionals try to improve their communication skill so that they can communicate and share their gaols and responsibilities for serving the patient uniquely.

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The situational factors are leadership, empowerment and support structure which are effective for maximising the inter professional working practice where proper leadership and management of the health and social care institution are effective for developing an effective team for organisational success and meeting the aims of serving all the patient with quality care and effective treatment. Transformational leadership style is effective in which the leaders encourage the staff members and cooperate with them for achieving the organisational success through developing effective team which can contribute positively for meeting the aims and objectives of the organisations. In addition to these, empowerment is necessary for the health and social care settings, where the leaders empower the employees, nurses and doctors in the care plan of the patient and organisational decision-making practice which raises responsibility among the team members, and they contribute positively by working as a team for achieving success. Additionally, supporting each other and respecting as well as managing transparency and accountability are also necessary for the leader to develop the strategy of inter professionals working practice in the health and social care institution. Inter professional collaborative practice needs suitable environment where the team members understand the roles and responsibilities of each other as well as exchange knowledge with other colleges and develop collective ownership of goals for developing inter professional working practice in the health and social care settings. Moreover, working behaviour and attitude to each other is another factor for developing inter professional working practice in the PHE where all the staff member respect each other and resolve the internal conflicts through developing understanding and enhancing communication. The inter professional working practice in this regard is necessary for developing the strategic planning to work cooperatively. Additionally, the inter professional working practices requires proper cooperation among the team members as well as sharing goals and responsibilities so that the professional can rely on each other and imporve the organisational performnace collaboratively by contributing their full potential.

Advantages and disadvantages for interprofessional working in practice:

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The inter professional working practice is beneficial for the health and social care professionals to manage the patents efficiently and treat them with proper treatment and quality care as well as by providing proper support. Hereby, through inter professional working practice, the team members can maximise the values for the patients by delivering high quality treatment and care to them. Additionally, inter professional working practice provides an opportunity to work as a team and enhance cooperation among the team members, doctors, nurses, staff and other physicians in the health and social care organisation. For example, through inter professional working practice, it is also possible for the organisation PHE to enhance their performnace through cooperation and communication. In this regard, patient’s empowerment is one of the crucial planning of the PHE where it is necessary to empower the patients in developing appropriate care planning for the patients so that their needs and preferences can be fulfilled. In this regard, the health and social care providers can develop inter professional working practice where they can empower the patents in the PHE through enhancing communication and cooperation (Walkenhorst et al., 2015). In addition to this, the inter professional working practice will be effective for enhancing the quality of the PHE and it is required for developing inter professional working practice int he workplace so that the health and social care professionals can cooperate and communicate with the patients for better car and practice. Patient’s safety and quality of care for the patients can also be handled by the inter professional working practice and apart from that, patient empowerment and satisfaction can also be maximised where the health and social care professional are able to meet the expectations of the patients in long run. Creating values for the patients, developing organisational culture as well as proper leadership style are also the benefits of inter professional working practice. However, on the other hand, there are some disadvantages of working in partnership practice in the workplace such as internal conflicts, lack of trust and loyalty, cultural diversity and lack of understanding. Internal conflicts is one of the major disadvantage where during the inter professional working practice the employees are not agreeing the other decision made by the staff members and it raises the issue of internal conflicts where they cannot cooperate and collaborate for making the organisation efficient to serve the patients better care and services.

National policies for interprofessional working:

The National Policies to support the inter professionals working practice are such as empowering the individuals and social communities, developing healthy place to work cooperatively, enhancing communication through implementing technology and enhancing the quality of care. The policy is effective to develop inter professional working practice where tit is posisbel to resolve the issue of lack of access of proper treatment in London where the child obesity is one of the major problems among the social communities. Inter professional working practice provides a scope to the PHE to enhance internal and external communication where proper interaction can be made among the team members, patients and their family members which is necessary to improve the quality of care. The inter professional working practice is also advantageous for improving trust and loyalty where the patients can rely on the health and social care professionals an share their experience which in turn helps to resolve the issue of child obesity in London where the rate of child obesity is increasing year to year due to unhealthy lifestyle, high rate of diabetic patient and lack of safety measures for the social communities. As per the national policy, the government of London build public sector capacity to engage more effectively with the social communities as well as promote community development approaches to improve health and actively support the children in the society. Moreover, the policy of building knowledge about health and wellbeing, tacking the cultural stigma, motivating the people in the social communities are also helpful for mitigating the challenges on the society where the child obesity is increasing among the children due to unhealthy lifestyle and lack of education. The national policy of improving accessibility of health and social care service by investing more in the public health PHE for enhancing provision, advocacy, information accessibility and providing advice.

Reviewing the factors applying for achieving the target in the Royal Borough of Greenwich in London:

The target of the PHE is to serve the children with obesity in the Royal Borough of Greenwich where the rate of child obesity is increasing year by year in order to unhealthy lifestyle, bad eating habits of the people, lack of safety and security, lack of education and low oncome opportunities for which the individuals cannot access proper treatment and quality acre for their child in this locality of London. It is necessary to achieve the target of developing inter professionals working practice so that it is easy to improve the accessibility of the health and social acre service for the children which are suffering from obesity. The major factors for achieving the target is that recruiting efficient professionals in the locality, increasing the activities for health promotion, and provide proper access to the health and social care service so that the individuals can aces the treatment for resolving the child obesity. Moreover, the investment for improving health care service for the children as well as proper cooperation between the government of the UK and the local authority is also necessary factors contributing in achieving target. Additionally, proper communication with the individuals in the social communities in Royal Borough of Greenwich as well as cooperation with them for improving understanding and acknowledging their actual needs and preferences are also necessary to achieve the target. The leadership style must be improved where the inter professional team work can be developed well with building strong relationship among all the staff members in the PHE, patients and their families doctors and other health care professionals so that they can communication and contribute in enhancing patient’s safety as well as maximising the wellbeing of the individuals.

Conclusion

It can be concluded that, the locality Royal Borough of Greenwich, London faces the issue of inequality in accessing the health and social care service in the PHE which is the public health providers in the UK. It has been seen that, the number of children having child obesity is raising rapidly which is a serious issue and it is the responsibility of the health and social care providers to invest in the social development program and promote health so that the issue of child obesity can be resolved well. In this regard, for health promotion, it is necessary to develop inter professional working practice so that all the staff members, doctors, nurses, physicians and other health care professionals can work collaboratively for promoting health in the locality so that the issue of child obesity can be resolved well by delivering proper treatment, guidance and quality care. It has been explored that; it is necessary to enhance equality so that everybody can access the treatment from the PHE. The leaders and managers also need to manage the transparency and accountability for treating all the patient with care and effective treatment. Moreover, it is necessary to implement ICT for enhancing communication which in turn helps to improve cooperation among the team members where working in partnership practice can be posisbel to develop and the patients can also be empowered well in developing suitable care plan according to their health needs and personal preferences.

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References

  • Green, B.N. and Johnson, C.D., 2015. Interprofessional collaboration in research, education, and clinical practice: working together for a better future. Journal of Chiropractic Education, 29(1), pp.1-10.
  • Harris, M.F., Advocat, J., Crabtree, B.F., Levesque, J.F., Miller, W.L., Gunn, J.M., Hogg, W., Scott, C.M., Chase, S.M., Halma, L. and Russell, G.M., 2016. Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries. Journal of multidisciplinary healthcare, 9, p.35.
  • Hepp, S.L., Suter, E., Jackson, K., Deutschlander, S., Makwarimba, E., Jennings, J. and Birmingham, L., 2015. Using an interprofessional competency framework to examine collaborative practice. Journal of interprofessional care, 29(2), pp.131-137.
  • Morgan, S., Pullon, S. and McKinlay, E., 2015. Observation of interprofessional collaborative practice in primary care teams: an integrative literature review. International Journal of Nursing Studies, 52(7), pp.1217-1230.
  • O’Carroll, V., McSwiggan, L. and Campbell, M., 2016. Health and social care professionals’ attitudes to interprofessional working and interprofessional education: A literature review. Journal of interprofessional care, 30(1), pp.42-49.
  • Pullon, S.S., Wilson, C., Gallagher, P., Skinner, M., McKinlay, E., Gray, L. and McHugh, P., 2016. Transition to practice: can rural interprofessional education make a difference? A cohort study. BMC medical education, 16(1), p.154. Reeves, S., 2016. Why we need interprofessional education to improve the delivery of safe and effective care. Interface-Comunicação, Saúde, Educação, 20, pp.185-197.
  • Reeves, S., Pelone, F., Harrison, R., Goldman, J. and Zwarenstein, M., 2017. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, (6). Walkenhorst, U., Mahler, C., Aistleithner, R., Hahn, E.G., Kaap-Fröhlich, S., Karstens, S., Reiber, K., Stock-Schröer, B. and Sottas, B., 2015. Position statement GMA Comittee–“Interprofessional Education for the Health Care Professions”. GMS Zeitschrift für medizinische Ausbildung, 32(2).
  • Xyrichis, A., Reeves, S. and Zwarenstein, M., 2018. Examining the nature of interprofessional practice: An initial framework validation and creation of the InterProfessional Activity Classification Tool (InterPACT). Journal of interprofessional care, 32(4), pp.416-425.

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