Volume 43 Number 1
Collaboration and consultation: enhancing clinical care
Jenny Prentice
For referencing Prentice J. Collaboration and consultation: enhancing clinical care. WCET® Journal 2023;43(1):7
DOI https://doi.org/10.33235/wcet.43.1. 7
It is well recognised that collaboration in any context is essential to successfully realise identified goals for any initiatives undertaken. Collaborative processes usually involve two or more people who aim to achieve a better result than if they worked alone. Famously, the following quote on collaboration “Coming together is the beginning. Keeping together is progress. Working together is success.” has been attributed to both Henry Ford (1863-1947) and Edward Everett Hale (1822-1909) 1.
Inherent to collaboration are the establishment of relationships and interactions within and between groups. In addition, and integral to these processes, is consultation whereby the opinions or guidance of others are sought to debate and strategise all aspects of the topic under discussion.
There are many exemplars of how Ford’s and Hale’s quote in conjunction with consultative processes could be applied to initiatives and projects discussed within this issue of the Journal. These exemplars have each uniquely enhanced approaches to or pathways to clinical care thereby improving patient, clinical and clinician, and health professional / organisational outcomes.
The message from our President and President-Elect identifies how the WCET® is strategically engaging with members and like professional organisations to collaborate in achieving mutual goals.
Down G et al in addressing the question of how best to reduce the risk of peristomal skin complications (PSCs) describe how a modified Delphi consensus-building process was used to consult stomal therapy nurses internationally to seek their opinion on associated PSC risk factors. Subsequent agreement on a PSC risk factor model will facilitate earlier recognition and management of PSCs.
The importance of collaboration, consultation and respectful communication to assist intravenous drug users in the community to avoid or seek earlier medical treatment for managing resultant skin and soft tissue abscesses are discussed by Kuhnke et al. This process allowed participants to make recommendations on minimising abscess formation, improving self-care treatments and access to healthcare services.
Prevention of heel pressure injuries remains a clinical challenge. Murooka and Ishii recruited 26 healthy individuals to investigate incremental bed head elevation and resultant changes in heel pressures using a three-axis tactile sensor. The implications for nursing practice are discussed.
Research is another example of the ethos of Ford’s and Hale’s quote. Haesler and Carville in synthesising evidence for using traditional hypochlorite solutions for reducing wound infection or improving wound healing recommend they may be used to manage infected wounds in low resource settings where less cytotoxic antiseptic solutions are not accessible.
The merits of collaborative consultative practice in enhancing clinical care are clearly evident.
Best wishes to you all, Jenny.
合作与磋商：加强临床护理
Jenny Prentice
DOI: https://doi.org/10.33235/wcet.43.1. 7
众所周知，在任何情况下，要想成功实现已有方案的既定目标，合作至关重要。合作的过程通常会涉及两个人或更多人，其目标是取得比各自单独工作更好的结果。亨利•福特（Henry Ford，1863-1947）和爱徳华•埃弗雷特•希尔（Edward Everett Hale，1822-1909）有一句关于合作的名言：“相遇是开始，共处是进步，合作是成功”1。
合作的本质是在群体内部和群体之间建立关系和互动。此外，这些过程中不可或缺的是磋商，即通过寻求他人的意见或指导，就所讨论主题的各个方面进行辩论和制定策略。
有许多例子可以说明福特和希尔的名言结合磋商过程如何应用于本期杂志中讨论的倡议和项目。这些范例均具有独特的方法或途径来加强临床护理，从而改善了患者、临床和临床医生以及医疗保健专业人员/组织的结果。
来自我们的主席和候任主席的寄语表明了WCET®是如何与其成员和类似的专业组织进行战略合作，实现共同的目标。
Down G等人在讨论如何尽可能减少造口周围皮肤并发症（PSC）的问题时，描述了如何使用改良的徳尔菲共识建立法，与国际造口治疗护士磋商，征求他们对相关PSC风险因素的意见。随后就PSC风险因素模型达成一致，这将有助于尽早识别和管理PSC。
Kuhnke等人讨论了对于帮助社区内的静脉注射吸毒人群避免由此产生的皮肤和软组织脓肿或及早寻求医疗服务来管理脓肿而言，合作、磋商和相互尊重的沟通的重要性。这一过程使参与者能够就尽量减少脓肿形成、改善自我护理治疗和获得医疗保健服务提出建议。
足跟压力性损伤的预防仍然是一个临床挑战。Murooka和Ishii招募了26名健康受试者，使用三轴触觉传感器研究床头抬高的増量和由此产生的足跟压力变化。此外，还讨论了对护理实践的启示。
研究是践行福特和黒尔名言精神的另一个例子。Haesler和Carville在综合了使用传统次氯酸盐溶液减少伤口感染或改善伤口愈合的证据后给出建议，在资源匮乏的环境中，如果无法获得细胞毒性较低的消毒溶液，可以使用次氯酸盐溶液来处理感染的伤口。
合作和磋商的实践在加强临床护理方面的优点是显而易见的。
谨致问候Å\Å\Jenny。
Author(s)
Jenny Prentice
PhD, BN, RN, STN, FAWMA
References
- Edward Everett Hale Quotes. (n.d.). BrainyQuote.com. Retrieved March 7, 2023, from BrainyQuote.com Web site: https://www.brainyquote.com/quotes/edward_everett_hale_121997
