NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care


NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care

NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care


Capella university

NURS-FPX 6614 Structure and Process in Care Coordination

Prof. Name


Enhancing Performance as Collaborators in Care Presentation

Hi everyone, this is Wendy. Today I will be giving a presentation on Enhancing Performance as Collaborators. Care coordination is a key component of the provision of high-quality care to the elderly population with COPD that are chronic obstructive pulmonary disease. In this process, interprofessional collaboration is a major driver, since it enables practitioners with different specialties to operate as a unified team in the pursuit of shared objectives. This presentation is about how different professions could collaborate better, and provide educational services and resources for COPD patients (Vanfleteren et al., 2020).

Analyzing Steps to Improve Interprofessional Collaboration

For improving interprofessional collaboration in evidence-based practice among elders with COPD, several decisive measures can be put to work. First of all, there is a need to create a single communication platform for the healthcare specialists who are treating to COPD patients. This objective can be met through periodic joint interdisciplinary team meetings where members can discuss patient cases, share their ideas, and to organize and coordinate the care plans in a proper way. Moreover, stipulation of standardized protocols and rules and regulations for COPD management will allow for equal care delivery in the multi-disciplinary environment. To this end, building a culture of empathy and understanding is the first step which this entails.

It means that each healthcare member is recognized and valued for his/her particular skills and that the team is pursuing the main objectives together (Sevy Majers & Warshawsky, 2020). The analysis is based on the idea that the medical professionals involved are willing to collaborate effectively and motivated in order to provide the best care available to people with COPD. The crucial thing is to produce a common goal and team members’ shared willing to deliver the best to the patients in order to overcome this assumption. Moreover, creating the programs of incentives or recognition which give the opportunity to take part in interprofessional collaboration would also inspire healthcare professionals to actively participate in it (Sigurgeirsdottir et al., 2020).

The process of strategic planning to improve interprofessional collaboration in COPD care starts with a comprehensive needs assessment that assesses the present gaps and identifies the areas of improvement. This requires the redesigning of existing processes, seeking the input from clinicians and patients, and the establishment of SMART objectives and measurable goals that are guided by the assessment results. Therefore, an action plan comes next, that will define the tasks, the deadlines, and the roles for each team member. Regular reviews and evaluations are carried out during the implementation period, which includes regular communication sessions to address the emerging problems and seek solutions for future improvement. Sustainable improvements in collaboration can be achieved by establishing quality processes that are continuous and result in improved patient outcomes (Latimer, 2020).

Educational Services and Resources for Elders with COPD

To taking care of the gap in care coordination for elders with chronic obstructive pulmonary disease (COPD), it is, therefore, necessary to have educational services and resources geared to their specific needs. Education is instrumental in determining the degree to which a patient can competently deal with his health condition, follow a prescribed treatment plan, and prevent acute episodes. Educational programs are one of the essential sources for seniors suffering from COPD. This programs taught members how to have structured excercise training, education on COPD management, and psychosocial support. Taking part in pulmonary rehabilitation enables patients to stabilize their exercise endurance, learn breathing techniques and acquire a deeper knowledge of their disease (Seshan et al., 2021).

The self-management education which is another key element of COPD patients’ education is also very significant. This involves handing out information about their condition, educating them on how to spot symptoms and cope with difficulties, and providing self-help skills that enable them to develop the necessary skills to successfully manage their illness. Self-management education can be conducted with either individual or group sessions, as well as with pamphlets, not only in print but also online resources. Educating elders with COPD on the ins and outs of their medication management is essential in order to help them comprehend the purpose of their meds, the best way to use them correctly and any potential side effects that should be watched out for. Pharmacists in this regard can be in a position to deliver medication instruction, carry out medication reviews and handle any problem related to the drugs a patient might have raised (Cravo et al., 2022).

Collaboration and Partnership with Interprofessional Team Members

It is vital to form competent alliances and partnerships with interprofessional team members when there is a gap in care coordination for the elderly with chronic obstructive pulmonary disease. Through the utilization of the medical experts and views of healthcare professionals, we can create care plans with the major components that are able to meet the needs of COPD patients and schedule and monitor improvement of health outcomes (Zhao et al., 2022). The initial stage of cooperating with the interprofessional teammates is the inclusion of the key stakeholders who perform the tasks related to the COPD care, such as pulmonologists, primary care physicians, nurses, respiratory therapists, pharmacists, social workers, and rehabilitation specialists Then, when you have singled out these stakeholders, you should start communicating with them from the very beginning of the process so as get them on board and their support (Paciocco et al., 2021).

Among the approaches to collaboration, creating interdisciplinary care coordination teams within healthcare institutions would be effective. These teams are composed of individuals not only from one medical specialty, but also from different professions to coordinate care planning, implementation, and evaluation processes. Communication and teamwork are essential in delivering care that is holistic and patient centered. We, therefore, endeavor to impart those skills and foster open communication and shared decision-making among team members so as to guarantee that care plans are holistic, coordinated, and patient-centered. Standardizing protocols and communication processes is critical for effective collaboration among interprofessional team members. Clear communication channels, such as regular team meetings, electronic health record systems, and shared care plans, can facilitate information sharing and coordination of care across disciplines. By establishing clear roles, responsibilities, and expectations for each team member, we can promote accountability and ensure that everyone is working towards common goals (Myrhøj et al., 2023).

Proposed Outcomes of Improved Interprofessional Collaboration

Establishing a new collaboration process for improved interdisciplinary cooperation may result in several advantages which in turn can improve care for the elderly patients with Chronic Obstructive Pulmonary Disease (COPD). These results are derived from a presumption that the improved collaboration among healthcare professionals will eventually result in a much better and more integrated care delivery system. The main objective of advanced interprofessional cooperation is brushing up the care coordination processes and making them more efficient. Through the creation of communication pathways, standardised processes and multidisciplinary care coordination teams, we can ascertain that information is communicated across team members efficiently and that plans of care are implemented comprehensively. This could help avoid service breaks, duplication of tasks, and errors, thus significantly contributing to a more effective and efficient care delivery (Volpato et al., 2023).

Effective collaboration among interprofessional team members can improve communication and teamwork, both within and across disciplines. By fostering a culture of open communication, mutual respect, and shared decision-making, we can promote collaboration and synergy among team members. This can lead to more cohesive care planning, smoother care transitions, and better coordination of services, ultimately benefiting both patients and providers (Volpato et al., 2023).

Ethical Considerations in Improving Care Coordination for Elders with COPD

When we talk about improving care coordination for our elders with COPD, it’s not just about medical procedures and treatment plans. It’s also about upholding ethical principles that ensure our patients’ dignity, rights, and well-being are respected every step of the way. These principles guide us, as healthcare professionals, in making decisions that prioritize what’s best for our patients. One key ethical consideration is respecting the autonomy of our COPD patients. These individuals have the right to have a say in their own care, from choosing treatment options to expressing their preferences and goals. It’s crucial that any changes we make in the services and resources we provide prioritize their input, ensuring that they feel heard and valued in the decision-making process (Cotton et al., 2023).

Transparency and accountability are also paramount in our care coordination efforts. Patients deserve to have clear and accurate information about their condition, treatment options, and available resources. By being transparent about our processes and decisions, we foster trust and empower our patients to make informed choices about their care. Furthermore, ethical practice in care coordination involves striking a balance between doing good and avoiding harm. We must ensure that any changes we implement are based on evidence and have the potential to improve patient outcomes without causing any unnecessary risks. This may require thorough assessments of interventions, close monitoring of patient responses, and being willing to adjust our plans if needed to ensure our patients’ safety and well-being remain our top priorities (Lalova-Spinks et al., 2024).


Enhancing interprofessional collaboration is essential for addressing the complex needs of elders with COPD and improving their overall quality of life. By implementing evidence-based practices, leveraging educational resources, fostering collaboration among team members, and considering ethical principles in care coordination, we can optimize patient outcomes and promote the delivery of safe, high-quality care. Through ongoing evaluation and continuous improvement, healthcare professionals can work together effectively to ensure that elders with COPD receive the comprehensive, coordinated care they need to live healthier, more fulfilling lives.


Cotton, A., Sayers, J., Green, H., Magann, L., Paulik, O., Sikhosana, N., Fernandez, R., & Foster, J. (2023). Older persons’ perceptions and experiences of community palliative care: A systematic review of qualitative evidence. JBI Evidence Synthesis22(2), 234.

Cravo, A., Attar, D., Freeman, D., Holmes, S., Ip, L., & Singh, S. J. (2022). The importance of self-management in the context of personalized care in COPD. International Journal of Chronic Obstructive Pulmonary Disease17(17), 231–243.

Lalova-Spinks, T., Robbe Saesen, Silva, M., Geissler, J., Iryna Shakhnenko, Jennifer Catherine Camaradou, & Huys, I. (2024). Patients’ knowledge, preferences, and perspectives about data protection and data control: An exploratory survey. Frontiers in Pharmacology14

Latimer, K. (2020). The art of care: A report on the 2019 vizient connections education summit. American Journal of Medical Quality35(1_suppl), 5S111S.

Myrhøj, C. B., Viftrup, D. T., Jarden, M., & Clemmensen, S. N. (2023). Interdisciplinary collaboration in serious illness conversations in patients with multiple myeloma and caregivers – a qualitative study. BioMedCentral BMC Palliative Care22, 93.

NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care

Paciocco, S., Kothari, A., Licskai, C. J., Ferrone, M., & Sibbald, S. L. (2021). Evaluating the implementation of a chronic obstructive pulmonary disease management program using the Consolidated Framework for Implementation Research: A case study. BioMedCentral BMC Health Services Research21(1).

Seshan, V., Matua, G. A., Raghavan, D., Arulappan, J., Al Hashmi, I., Roach, E. J., Sunderraj, S. E., & Prince, E. J. (2021). Case study analysis as an effective teaching strategy: Perceptions of undergraduate nursing students from a middle eastern country. SAGE Open Nursing7(3), 237796082110592.

Sevy Majers, J., & Warshawsky, N. (2020). Evidence-based decision-making for nurse leaders. Nurse Leader18(5).

Sigurgeirsdottir, J., Halldorsdottir, S., Arnardottir, R. H., Gudmundsson, G., & Bjornsson, E. H. (2020). Frustrated caring: Family members’ experience of motivating copd patients towards self-management. International Journal of Chronic Obstructive Pulmonary Disease15, 2953–2965.

Vanfleteren, L. E. G. W., van ‘t Hul, A. J., Kulbacka-Ortiz, K., Andersson, A., Ullman, A., & Ingvar, M. (2020). Challenges to the application of integrated, personalized care for patients with COPD—A vision for the role of clinical information. Journal of Clinical Medicine9(5), 1311.

Volpato, E., Farver-Vestergaard, I., Brighton, L. J., Peters, J., Verkleij, M., Hutchinson, A., Heijmans, M., & Leupoldt, A. von. (2023). Nonpharmacological management of psychological distress in people with COPD. European Respiratory Review32(167).

Zhao, S., Du, R., He, Y., He, X., Jiang, Y., & Zhang, X. (2022). Elements of chronic disease management service system: An empirical study from large hospitals in China. Scientific Reports12(1), 5693.



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