N108: Transition to the Registered Professional Nurse Role Study Guide treatment. It involves a multidisciplinary approach and identifies both the care activities and the outcomes for each 24-hour period of hospitalization. These specific standards of care become the basis for evaluation of care, quality improvement within the organization, and cost analysis. 3.7 The Inter-Professional Health Team In the late 1980s and 1990s, the concept of team building began to receive a great deal of attention in business environments, as well as in healthcare. Today the concept of team building, especially inter- professional (previously referred to interdisciplinary), is being added to the curricula of helping professions. Team building is a concept where a group of people are working together toward a shared goal. The teamworks together toward goals in ways that maximize the individual skills of each member and for which they all share responsibility. The goal of team building is to create a type of synergy, in which the effect of everyone working together toward the shared goal results in a greater total effect than could be achieved by the sum of the efforts of everyone working individually. Team building begins with involving all members of the team in identifying the goal and establishing the steps to be taken to achieve the goal. Through the process of goal setting, members of the team recognize their contribution and its importance in the work of the team, and all members of the team have ownership in the process and in the product. Composition of Inter-Professional Health Team Teams are composed of a diverse membership, with a variety of skills and abilities represented. On the interdisciplinary healthcare team, some have special knowledge of pharmacy medicine, respiratory therapy, and some of nursing, with each member contributing to the patient’s recovery. There are formal and informal roles of the team members: • Formal roles are related to an individual’s contribution to the team goal or purpose and relates to the individual’s job preparation (e.g. physician, nurse, therapist, or pharmacist). • Informal roles are defined by natural skills and talents (e.g. some individuals are good with detail, others are creative). An inter-professional team is composed of members from different health professions who have specialized knowledge, skills, and abilities. The goal of an inter-professional team is to provide patient-centered care in a collaborative manner. The team establishes a common goal and using their individual expertise, works together to achieve that patient-centered goal. Teammembers synthesize their observations and profession-specific expertise to collaborate and communicate as a team for optimal patient care. In this model, joint decision making is valued and each team member is empowered to assume leadership on patient care issues appropriate to their expertise. The Commission on Collegiate Nursing Education is the accrediting agency for baccalaureate and graduate nursing programs in the U.S. and works closely with the American Association of Colleges of Nursing (AACN). The Essentials of Baccalaureate Education for Professional Nursing Practice contains the accepted standards for baccalaureate programs in nursing and was revised in 2008. The programs focus on inter-professional education as a central competency for patient-centered care.