The speech pathologist may recommend prompting the use of vocal communication in that interactive play, while the occupational therapist may suggest strategies for promoting motor planning and imitation in interactive play. In transdisciplinary assessment, team members also take on the roles of members in other disciplines(Woodruff & McGonigel, 1988). This is referred to as role exchange. For example, the nurse may ask the social worker to gather dietary information during the preliminary social history interview. Or, the occupational therapist may suggest that the team member interacting with the child during the assessment position the child for optimal performance. Role support occurs as team members guide one another in assuming the roles and interpreting assessment tool results of other disciplines. This collaborative effort contributes to the quality and accuracy of the arena assessment.The team practiced role release and collaboration while conducting assessments of typically developing children before accepting referrals of children with special needs.Role release and collaboration in assessment can be personally challenging and require the use of newly required teaming skills. Developing skill in transdisciplinary teaming is an ongoing process. IMPLICATIONS FOR NURSING EDUCATION AND RESEARCH Nurses are essential members of a transdisciplinary team,given that very young children with disabilities often have health concerns. Preparation for this role necessitates exposure to collaborative transdisciplinary team training.Lasker & the Committee on Medicine & Public Health(1997), in their efforts to promote collaboration, identified changing the education process as one of seven basic components for developing an infrastructure of collaboration.
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