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Throughout a nursing associate’s career, all registrants will have opportunities to demonstrate leadership qualities, regardless of whether or not they occupy formal leadership positions.

Working cooperatively is part of Practicing Effectively, and all registrants are required to:

1 8.1 Respect the skills, expertise and contributions of your colleagues, referring matters to them when appropriate

2 8.2 Maintain effective communication with colleagues

3 8.3 Keep colleagues informed when you are sharing the care of individuals with other health and care professionals and staff

4 8.4 Work with colleagues to evaluate the quality of your work and that of the team

5 8.5 Work with colleagues to preserve the safety of those receiving care

6 8.6 Share information to identify and reduce risk

7 8.7 Be supportive of colleagues who are encountering health or performance problems. However, this support must never compromise or be at the expense of patient or public safety

Source: based on Nursing & Midwifery Council (2018a)

Both the Code and the Proficiencies (Nursing & Midwifery Council 2018a, 2018b, respectively) share various elements of team working, including effective communication, supporting colleagues and respecting the scope of practice of colleagues and of yourself. These qualities are essential for good teamwork, and every nursing associate should consider them when delivering care.

All healthcare interventions have an interdisciplinary approach. In community care settings, the nursing team work together as a team of healthcare assistants, nursing associates, staff nurses and district nurses. They work utilising the strengths of each individual and their scope of practice. They work in collaboration with general practitioner (GP) services and community specialist nurses. There may also be involvement from specialist medical teams. Should a patient then need to go to hospital, they are cared for by the inpatient services including healthcare assistants, nursing associates, staff nurses, ward sisters, matrons, specialist nurses, the medical team and allied health professionals such as physiotherapists, occupational therapists, speech and language therapists, pharmacists and many others. The importance of effective team working cannot be overemphasised to ensure that the patient’s needs are met fully from all members of the team. The complications that can arise by having so many different professionals involved are high, and the more complex the needs of patients and service users, the more complex are the health services provided. This multi‐agency working means that effective team working is essential. In order to ensure that a patient is cared for effectively in every part of their journey, each individual team must work in collaboration with each other. This requires effective communication, candour, openness and having the common goal of good patient care. Adair’s model of 1973 clearly demonstrates how these elements work together to provide the highest quality and safest care.

The Nursing Associate's Handbook of Clinical Skills

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