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Important elements of collaboration
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Respect as a health professional,
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Working together
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Complementary practice style
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Reciprocal relationship
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Consultations
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Similar vision
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Trust & mutual respect
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Shared goals
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Communication
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Competence
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Coordination
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NP autonomy
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Personality
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Shared philosophy
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Sharing
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Sharing
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Exchange of knowledge and ideas about patient management
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Important for collaboration
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Shared offices, shared patients
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Working together
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Reciprocal discussion
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Important for collaboration
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Providing advice to NPs
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Practice reality
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Collaboration can be hierarchical and one-sided; only initiated by NPs for consultation
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Perceived level of communication is high Perceived level of collaboration is collegial
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Collaboration can be an interdependent and a hierarchical relationship
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Competence
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Defined by MP, pressure to demonstrate competence
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Important for collaboration
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Important that NP recognises limits
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Autonomy
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NP is autonomous health professional
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Important for collaboration
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NP is assistant, limited autonomy of NPs
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NP has full responsibility for patient care, consultations with MP when required
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NP is autonomous when no MP consultation is required
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Supervision
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Some NPs valued MP input, others felt controlled through supervision
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MP is available on site for NP
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MPs prefer that NP practices under MP supervision for complex cases
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