Table 1.

POBC multiple strategies and recommendations from RNAO documents

Improvement initiative POBC3 multiple strategies	RNAO/BPG Recommendations
Participants discuss the components of collaborative practice to understand what is involved and the underlying arguments. This intervention arouses professionals' interests and helps to determine goodness of fit with their local work environment.	Develop knowledge about the values and behaviours that support teamwork and the impact of teamwork on patient/client safety and patient/client outcomes. As such, nurses:
	▪ Inform themselves about the attributes of supportive teams.
	▪ Articulate their belief in the value of teamwork.
	▪ Demonstrate their willingness to work effectively with others.
Participants are involved in reflective communication exercises, and diverse educational strategies are employed to develop their relational capacities. This strategy identifies enablers of and barriers to effective communication.	Contribute to a culture that supports effective teamwork by:
	▪ Demonstrating accountability for actions, enthusiasm, motivation, and commitment to the team.
	▪ Understanding own roles, scope of practice, and responsibilities, as well as seeking information and developing an understanding about other roles and scopes of practice.
	▪ Being accountable for and respectful in the manner in which they communicate.
Once participants identify a clinical situation of interest, they discuss psycho-social interventions in a collaborative way. Activities are conducted to ensure assimilation of the core concepts by the participants in collaboration with a psychosocial expert and two regional, trained professionals.	Teams establish clear processes and structures that promote collaboration and teamwork that leads to quality work environments and quality outcomes for patients/clients by:
	▪ Establishing processes for conflict resolution and problem solving.
	▪ Establishing processes to develop, achieve, and evaluate team performance, common goals, and outcomes.
	▪ Building capacity for systematic problem solving.
	▪ Participating to the implementation of practices to support enhanced collaboration at the functional and organizational level.
	▪ Incorporating non-hierarchal, democratic working practices to validate all contributions from team members.
Mentoring by professional experts target problem-solving strategies, conflict resolution strategies to ensure sustainability of learning in doing, and identify needs for further educational workshop.	▪ Incorporating processes that support continuity of care with patients/clients to enhance staff satisfaction, staff self-worth, and patient/client satisfaction.
	▪ Establishing processes for decision making for a variety of circumstances such as:
	• emergencies;
	• day-to-day functioning;
	• long-term planning;
	• policy development;
	• care planning
Assess participants' perceptions of their current inter-professional functioning and provide feedback to each other.	Teams establish processes which promote open, honest, and transparent channels of communication by:
	▪ Establishing processes to ensure effective communication.
	▪ Developing skills in active listening.