The document discusses team nursing and its implementation in Malaysia. It describes team nursing as involving a team leader who coordinates patient care and supervises team members who are responsible for total care of assigned patients. It notes team nursing was presented at a national nursing meeting in 2006 and was adopted to be practiced widely in Malaysia. Key aspects of team nursing discussed include the team leader's responsibilities of assigning staff, coordinating activities, and conducting rounds.

1. KA/PJN/JKNKedah
5/10/2023

2. KA/PJN/JKNKedah
5/10/2023
THE POWER OF VISION
Vision in Organizations
A positive vision has the following
characteristics:
 It is shared and supported
 It is leader initiated
 It is comprehensive and detailed
 It is positive and inspiring

3. KA/PJN/JKNKedah
5/10/2023
VISION FOR HEALTH MOH
The Vision for Health is to develop:
 A nation of healthy individuals, families and
communities
 Health system that is:
 equitable
 efficient
 affordable
 technology appropriate
 environmentally adaptable

4. KA/PJN/JKNKedah
5/10/2023
VISION FOR HEALTH
 Consumer friendly
 Quality
 Innovation
 Health promotion
 Respect for human dignity
 Promotes individual responsibility.
 Community participation towards an enhanced
quality of life

5. KA/PJN/JKNKedah
5/10/2023
GOAL FOR HEALTH
 All health sector shall work together towards the
realization of the common goal and the ultimate
aim is to raise and sustain optimally the health
status of individuals, families, communities
through:
 Health promotion
 Prevention

6. KA/PJN/JKNKedah
5/10/2023
Professional Role and Function of the
Nurse
Globally , nurses are the largest group
of health care professionals, and therefore
they have the potential to improve the health of the
peoples of the world.
They play a vital and influential role in
health care systems, in developing health care policy,
in promoting health and preventing illness, and in caring
for people who are sick and for those that require
rehabilitation

7. KA/PJN/JKNKedah
5/10/2023
International council of Nurses
w.w.w.icn/ch
A federation of 125 national nurses associations,
represents nursing world wide to advance
the profession and influence health policy.
Founded in 1899, ICN works to ensure
quality nursing care for all, sound health policies globally,
the advancement of nursing knowledge,
and the presence world wide of a respected nursing
profession and a competent and satisfied nursing
workforce.

8. KA/PJN/JKNKedah
5/10/2023
Nursing Theorist Virginia
Henderson
“Nursing is about complementing
the patient by supplying what
he needs in knowledge,
will or strength
to perform
activities of daily living on his own”

9. KA/PJN/JKNKedah
5/10/2023
Contd….
Every nurses should
“ get in the skin of the patient
in order to know what he or she
needs to assist individuals
to gain independence
in relation to the performance of activities
contributing to health or its recovery”

10. KA/PJN/JKNKedah
5/10/2023
Defines Nursing
“the diagnosis and treatment
of human responses
to actual or potential health problems”
Human responses are :
Biological,
Psychological,
Social, Spiritual,
reactions to an event or stressor

11. KA/PJN/JKNKedah
5/10/2023
Nursing care
Develop through the Nursing Process
and invites participation of the patient,
family and significant others
in the development of care goals
knowing that the nurse
must guide the patient
to self management of health
and wellness in the present acute health climate.
Nursing care is aimed at prevention

12. KA/PJN/JKNKedah
5/10/2023
Team Nursing
Is a model of care
that involves
the coordination
of care activities
under the direction
of the RN the team leader
with the assistance of other healthcare
providers

13. KA/PJN/JKNKedah
5/10/2023
Team Nursing
In the Team Nursing Model
of care delivery,
the professional nurse
utilizes critical thinking skills
to lead the care team
and delegate
aspects of care delivery.

14. KA/PJN/JKNKedah
5/10/2023
8 Model of core competencies
designed by Carrie Lenburg
 Assessment and intervention
 Communication
 Critical Thinking
 Teaching and learning
 Human caring relationships
 Management
 Leadership
 Knowledge Integration

15. KA/PJN/JKNKedah
5/10/2023
Critical thinking
 Is an attitude and a reasoning process skill
 Rational and reasonable
 Autonomous thinking
 Creative thinking
 Fair thinking
 Problem solving, reasoning
 Decision making, prioritizing
 Scientific inquiry, research process

16. KA/PJN/JKNKedah
5/10/2023
CRITICAL THINKING
 Consists of a mental process of analyzing or evaluating
information, particularly statements or propositions that
people have offered as true. It forms a process of
reflecting upon the meaning of statements, examining
the offered evidenced, reasoning and forming judgment
about the facts.
 Critical thinkers can gather such information from
observation, experience, reasoning, and or
communication. Critical thinking has its basis in
intellectual values that go beyond subject-matter
divisions and which include; clarity, accuracy, precision,
evidence, thoroughness and fairness.

17. KA/PJN/JKNKedah
5/10/2023
Critical Thinking
 Defined as reflective and reasonable thought that focuses on
deciding what to believe or do and is a composite of attitudes,
knowledge and skills.
 Attitude denotes a frame of mind in which there is the recognition
of problems.
 Knowledge involves weighing the accuracy and logic of the
evidence and understanding the nature of valid inferences,
abstractions, and generalizations.
 Skill in cognitive application of attitudes and knowledge must be
demonstrated. The Nursing Process is a framework within which
nurses to apply critical thinking skills. To use knowledge from the
natural, behavioral, social and nursing sciences and humanities to
assess, plan, implement and evaluate care.

18. KA/PJN/JKNKedah
5/10/2023
William Graham Summer offers a useful summary
of critical thinking
Critical thinking is the examination and test of
proposition of any kind which are offered for
acceptance, in order to find out whether they
correspond to reality or not. The critical faculty
is a product of education and training. It is a
mental habit and power. It is a prime condition
of human welfare that men and women should
be trained in it. It is our only guarantee against
delusion, deception, superstition, and
misapprehension of ourselves and our earthly
circumstances.

19. KA/PJN/JKNKedah
5/10/2023
Team Nursing
In 1953,
Eleanor Lambertson
and her colleagues
proposed a system
of team nursing
to overcome
the fragmentation of care
resulting from the task-oriented
functional approach.

20. KA/PJN/JKNKedah
5/10/2023
Team Nursing
Team nursing responds to the needs of both the patient
and the staff.
Team members are stimulated by the team leader to learn
and develop new skills.
The team leader instructs the team members, supervises
them, and provides assignments that offer them
potential for growth

21. KA/PJN/JKNKedah
5/10/2023
Patient care and professional
practice
Require clinical competence to achieve critical
thinking, decision making, and collaboration.
Therefore support is provided for evidence- based
practice, on- going professional development,
participation in discussion regarding patient care
issues, decision- making forums, and quality
improvement.

22. KA/PJN/JKNKedah
5/10/2023
The Practical Nurse
as a team Leader
The practical nurses’ role
has expanded
to team leadership
and patient teaching.
Leadership is defined
as influencing individuals
or groups to take an active part
in the process of achieving agreed upon goals.

23. KA/PJN/JKNKedah
5/10/2023
The Practical Nurse
as a team Leader
Nursing leadership
may be defined
as a process
of interpersonal influence
through which
a patient is assisted
in the establishment
and achievement of goals
toward improved well being.

24. KA/PJN/JKNKedah
5/10/2023
It is accomplished
by using the nursing process.
It allows for comprehensive,
holistic nursing care when
the team functions at a high level of
efficiency.
It is direct patient care accomplished by a specific
group of nurses and allied health care workers

25. KA/PJN/JKNKedah
5/10/2023
It is direct patient care
It is composed of a team leader
who coordinates patient care
and supervises team members,
and
team members
who are responsible
for total care given
to an assigned group
or
number of patients.
It requires cooperation
and effective communication
with all staff members.

26. KA/PJN/JKNKedah
5/10/2023
Basic to team nursing are the team conference,
nursing care plan, and leadership skills.
The conference is led
by the team leader,
and all personnel assigned
to the team
should be included.

27. KA/PJN/JKNKedah
5/10/2023
Nursing care Plan
The nursing care plan
is
a written guide
that organizes information
about a patient’s health.
It provides
for continuity of care
by
a constantly changing nursing staff.

28. KA/PJN/JKNKedah
5/10/2023
Team leaders
The team leader starts
the care plan
as soon as the patient is admitted
to the medical treatment facility.
In response to changes in the patient’s condition,
and evaluation of goal achievement,
the nursing care plan
is updated and revised throughout
the patient’s hospital stay.

29. KA/PJN/JKNKedah
5/10/2023
Factors affecting team
productivity
 The number of team members
 The number of assignments
 The types of tasks to be accomplished
 The time allocated to complete the tasks
 The environment
 The management style of the team leader
 The skills and experience of each team member.

30. KA/PJN/JKNKedah
5/10/2023
Leadership Skills
 Assertiveness, risk taking
 Creativity, vision, flexibility
 Anticipating, supporting, develops
people
 Accountability
 Motivating

31. KA/PJN/JKNKedah
5/10/2023
Professional knowledge
 Professional knowledge.
Nursing involves knowledge in biology,
nursing science, social science, and many
other areas.
 A positive self-image.
Leaders must be enthusiastic, dynamic, and
self-directed. They must be comfortable with
themselves and act as role models to
followers.

32. KA/PJN/JKNKedah
5/10/2023
Professional knowledge
 Effective communication.
Leaders must communicate effectively in
order to relate to others.
 The ability to communicate effectively is
especially needed when relating to
patients, peers, subordinates, and
superiors

33. KA/PJN/JKNKedah
5/10/2023
Professional knowledge
 Assertiveness.
Leaders need to be assertive in team
interaction and other leadership
situations.
 Flexibility.
Changes in the needs of patients,
families, and nursing team

34. KA/PJN/JKNKedah
5/10/2023
Professional knowledge
An understanding
of human needs.
The highest level on
Maslow’s hierarchy of
needs is self actualization.

35. KA/PJN/JKNKedah
5/10/2023
Team leader responsibilities
 Supervise other nursing and health related
personnel
 Coordinate and make assignments of other
nursing and health related personnel and
patients
 Serve as team leader
 Serve as charge nurse.

36. KA/PJN/JKNKedah
5/10/2023
Team work
All members
on a
nursing team
work together
under the direction
of the physician
to help the patient return to his optimum function
as quickly as possible

37. KA/PJN/JKNKedah
5/10/2023
The team leader’s responsibilities
 To attend change of shift reports
 To assign personnel
 To assist team members with patient care.
 To coordinate staff activities.
 To motivate the team

38. KA/PJN/JKNKedah
5/10/2023
The team leader’s responsibilities
To make final rounds.
About one hour before the shift ends, the
team leader should begin final rounds to
observe and assess patient care and
patient needs, and to see that everything
is in order before the staff goes off duty
for that shift. In making final rounds, the
team leader: check for completion of
assignments, check I/O, IV,NG, review
nursing documentation

39. KA/PJN/JKNKedah
5/10/2023
Team leader’s responsibilities
 Talk to the patients.
 Thank team members
 To complete nursing care rounds, the
team leader should visually assess
individual patients following the change of
shift report.

40. KA/PJN/JKNKedah
5/10/2023
Nurse Manager
Ward Sister
T/L S/N
Morning
2S/N,AN,JM,PPK
T/L S/N
Evening
1S/N,JM,AN, PPK
T/L S/N
Night
1S/N,JM,PPK

41. KA/PJN/JKNKedah
5/10/2023
TEAM NURSING
10 July 2005
Grand Continental Hotel
Pulau Langkawi
Presentation to all the Pengarah Hospital
Mesyuarat Program Perubatan Jabatan
Kesihatan
Negeri Kedah.
Already implemented the whole Kedah.

42. KA/PJN/JKNKedah
5/10/2023
Team Nursing
 Team Nursing were presented at
Technical Nursing meeting of all State
Matrons at National level MOH.
On 28 April 2006 Friday at Teluk Dalam
Resort Pangkor Island
were adopted
to practice widely in whole Malaysia

43. KA/PJN/JKNKedah
5/10/2023