Theme 3: Multidisciplinary Collabor

Theme 3: Multidisciplinary Collaboration
Participants stated that multidisciplinary
collaboration is an agreement to practice together as a
team focused on sustainable MVWP implementation.
Multidisciplinary collaboration includes respect,
knowledge, and proficiency of team members, and
sharing roles and responsibilities. Participants stated
that physicians trust the nurses by letting nurses
implement weaning using the MVWP to assess the
patient’s readiness to wean and adjust ventilator modes.
The physicians respect nurses’ weaning activities and
trust the decisions the nurses make.
Physicians have requested that patients receiving
mechanical ventilation on the general ward
move to the ICU for weaning. The physician
needs the patient to wean in the ICU because
they respect the knowledge and skills of the
ICU nurses. (ID, Nurse 1, H4)
Physicians believe that providing authority to
nurses allows the nurse to implement MVWP
completely…from the beginning of assessment
until extubation. Physician acceptance of the
nurses’ capabilities yields job satisfaction for
the nurses. (ID, Head nurse, H2)
Participants discussed sharing roles and
responsibilities as having discussions and making
decisions as a team and reviewing the weaning protocol
together. The multidisciplinary team learns together
by using the weaning protocol to solve weaning problems.
In cases of problems with weaning, we evaluate
the problems against the MVWP. The premise
is that we will follow the weaning protocol or
learn together by using the weaning protocol as
a basis to solve the problem. (ID, Physician, H1)