Fig. 1

The NP interprofessional knotworking process. This figure captures a simplistic view of the IP knotworking process used by NP. While the figure appears stepwise, the process is iterative. The process begins with receiving or making connections (tying knots) to gather information. The NP retains a thread from each brief knotworking interaction essentially filtering, sorting, and prioritizing each thread. Inquiry is used to aid in the filtering. When required, delegation of a task may occur at this point. The retained threads of information are twined together. To ensure a strong IP cord of information the NP may engage in further inquiry or initiate share decision-making with other HCPs. In doing this, the NP defragments the information and creates a comprehensive, holistic picture of patient needs and responses from the healthcare professional perspectives. The retained IP cord eventually becomes a collection of validated knowledge termed the “source of truth repository” and a collective IP intentionality of the plan of care is created. Next the NP uses brief knotworking to deliver the knowledge back to all involved. In re-tying the strong IP cord of information back to other professionals, the NP translates knowledge, aids in coordination, and provides a clear, IP understanding. The process requires the use of both rapid and brief knotworking to encourage partnerships, collective problem-solving, clear and timely communication, shared decision-making, and coordination for interdependent activity. In the outpatient setting the NP completed the process with each patient’s visit. In the inpatient setting the NP juggled several processes consecutively with each process at a different stage