Street address,

2

Streetaddress,

Town,state, Zip

NancyBlake,

DepartmentEditor,

AACNAdvanced Critical Care,

25720Oak Leaf Ct,

Valencia,CA 91381

DearNancy Blake,

Iwishto endorsetheperspectivespresentedin the article “Collaboration: Akeycomponentof excellence”publishedin the AACN Advanced Critical Care in 2013 regardingthesignificanceof nursecollaboration in enhancingpatientoutcome.Theauthor,Nancy Blake, indicateswith claritythat nurseshavetheprimaryresponsibilityto fosterandpursuetruecollaboration, which is thebasisof qualityhealthcare.Blake indicatesthatthepartnershipbetween thenursemanagersandmedicaldirectorscontributestowards truecollaboration. Althoughitis truethatatruecollaboration among thenursesimprovesthetreatmentoutcome,theoverall qualityandeffectiveness ofhealthcaredepends on theextentto which patientsareinvolvedin theprocessof decision-making.

WhileI endorsetheBlake’s argumentthatnursecollaboration coupledwith thepartnershipbetween nurseleadersandmedicaldirectorscontributetowards patientoutcome,I wishto addthatpatient’sparticipationin medicaldecisionsincreasesthequalityof reportedtreatmentoutcome.Thismeansthatcollaborative teamsof nursesshould embracea shareddecision-making approach,which givespatientsan opportunityto selecttheir preferredtreatmentafter beinginformedabout theavailablealternativesby thehealthcareproviders. Engaging patients in decision making exposes the teams ofhealth care providers with valuable information that they had notpreviously thought about (Lovoie etal.,2014). The information provided by clients enhances the quality ofcare as well as the treatment outcome.

Atruecollaboration betweennursesand physicians isakeyfactorthat contributesto thequalityof care.However,a shared decision-makingthat involvespatientsin selectingthetypeof therapycan helphealthcareproviders in enhancingthequalityof carefurther.Thisis becausetheshared decision-makingapproachis consistentwith theprinciplesof patient-centered care.

Sincerely,

Reference

Lovoie,M., O’Connor, P., Harripaul, A., Rithie, J., MacGibbon, B. &ampCyr, G. (2014). CE the perception of health care member care teammembers about engaging patients in care redesign. AmericanJournal of Nursing,114 (7), 38-46.