Chinese Medical Professionalism Forum-Beijing, China October 16, 2009

1. Chinese Medical Professionalism Forum-Beijing, China October 16, 2009

2. How Doctors and Nurses Collaborate on Medical Professionalism at Mayo Clinic Linda K. Matti RN, MSN Administrator

3. Objectives • Identify Professionalism as part of Mayo Clinic’s Heritage • Define Nursing Professionalism • Describe the Attributes of Professional Nursing • Describe How Doctors and Nurses Professionally Collaborate as a Team

4. Mayo’s Early Years1883

5. Dr. Charlie & Dr. Will Surgical Nursing Sisters

6. Education Research Clinical Practice

7. Rochester,Minnesota Phoenix/Scottsdale,Arizona Jacksonville,Florida Mayo Clinic Practice Sites

8. Mayo Clinic FactsPatient Care -- 2008 Unique patients 526,000 Outpatient visits 1.5 million Hospital admissions 132,000 Hospital Days of Patient Care 619,000

9. Mayo Clinic FactsStaff - 2008 Staff Physicians & Scientists 3,649 Residents, Fellows & Students 3,246 Adm/Allied Health Staff 49,948 Total 56,843

10. Program in Professionalism and BioethicsVision “Promote an environment at Mayo in which the duties and responsibilities of professionalism and bioethics are taught and valued and serve to inform the conduct of clinical care, scholarship and relationships”

11. Program in Professionalism and BioethicsGoals • Celebrate the culture of professionalism at Mayo Clinic and emphasize its relevance to contemporary clinical practice, medical education and research • Champion and communicate the values, attributes and behaviors of professionalism and bioethics

12. Program in Professionalism and BioethicsGoals • Establish professionalism and bioethics training curricula together with reliable assessment tools • Study the professional and bioethical implications of new models of care, individualized medicine, and quality

13. Mayo Clinic Model of Care

14. Mayo Model of Care • Environment of respect for providing quality services • Listening to needs of the patient • Treating the whole patient • Respect for patient and family • Professionalism

15. Program Initiatives & Activities are based on the Proposition that Professionalism • Is not only a stand alone competency but is key to the mastery of all others • Is a critical element in quality and patient safety • Informs and advances the practice of Mayo Clinic • Increases both Patient and Staff Satisfaction

16. Premises for teaching, assessing, and researching professionalism • Professionalism is a core competency • Professionalism: • is associated with important clinical outcomes • should be taught and assessed • can be researched

17. Attributes of Professional Nursing • There is an educational background required to ensure safe and effective practice • Members are accountable for continuing education and competency • Members of the profession adhere to a code of ethics • Members are autonomous and self-regulating

18. Attributes of Professional Nursing • A profession develops, evaluates and uses theory as a basis for practice • Members are involved in research • Publish and communicate their knowledge and advances in their profession • Member participate in professional organizations

19. Professional Nursing Values • Altruism • Equality • Autonomy • Human Dignity • Justice • Truth

20. Professional Nursing Behaviors • Dependability • Professional Presentation • Initiative • Empathy • Cooperation • Critical Thinking

21. Definition of Teamwork • Teamwork in nursing practice refers to interdisciplinary practice or collaboration defined as a joint decision-making and communication process with the goal of satisfying the needs of the patient. This includes respecting the unique abilities of each professional involved in the care

22. Teamwork • Nurses work in multidisciplinary professional teams with doctors • The goal of these teams is to promote and provide treatments which improve patient outcomes • Nurses have been working with doctors for many years attempting to strengthen mutual understanding of each other professionalism and ability

23. Teamwork • As professionals, nurses must not forget the greatest consideration – that of the patient rather than the provider • Today’s best integrated health delivery systems are evolving toward a model of care in which interdisciplinary teams of providers manage the care of complex patients

24. Teamwork We collaborate with unlicensed assistants and owe them mutual respect and courtesy. Their job is also to provide comfort, care, love and compassion to the sick.

25. Teamwork • Attributes of interdisciplinary collaboration include: • Trust and Mutual Respect • Knowledge • Good Communication • Cooperation and Coordination • Share Responsibility • Optimism

26. Nursing’s Future As new modalities of delivering care are yet to be envisioned and coordinated, fundamental to the nursing professions’ future is our ability to honor, respect and value the inter-personal and inter-professional relationships with physician colleagues.

27. Thank you!