Interview and Interdisciplinary Issue Identification Essay

 Interview and Interdisciplinary Issue Identification Essay

NURS-FPX 4010 Assessment 2:Interview and Interdisciplinary Issue Identification Essay

Interviews are essential sources of data. Healthcare professionals provide much information regarding the healthcare institutions where they work. They understand the problem they face better and can help provide solutions to these problems. An interview with a healthcare professional such as a nurse or doctor could help provide a perspective on problems they face as a profession or that affect the patients and the organization at large. This essay focuses on interview results that identify a problem and evaluates a change theory, leadership strategies, and collaborative strategies that will help manage the problem.

Interview and Issue Requiring Interdisciplinary Approach

During this assessment, I interviewed Mrs. Davis, an advanced practice registered nurse working in the surgical unit as a charge nurse. Before the intervention, I prepared objectives and interview questions to help keep me focused. I also ensured the timing was good, at 10:00 am when individuals were active, and there were thus few distractions. However, the hour was busy, and her incoming calls kept disrupting the interview. Choosing a better time next time will help prevent such problems.

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Mrs. Davis revealed that she had been a nurse for 23 years. She worked as a deputy charge nurse for seven years and now as a charge nurse for four years during her career as a nurse. She worked in a children’s hospital for five years after registering as a nurse and has worked for this hospital for 19 years. Mrs. Davis loves her job and identifies the main problem as staff shortage. The problem has persisted for a long time, and many interventions have been unsuccessful, mainly because the problem is universal. The country has allowed foreign nurses to work in the nation, but all these interventions have failed to meet the needs of US citizens.

The problem is worse in nursing because of the many particular roles in the institutions and the organizational policy of rotating nurses in various departments. Mrs. Davis admitted that nurses’ shortage affects various other roles such as scheduling and delegation, and patient management contributing to nurses‘ work overload. The problem has caused an increase in the number of medical errors in the specific affected departments. According to her, training nurses to work in various departments to help try to solve the global problem affecting the hospital. She also added that the strategy would cost the hospital less and avoid consequences, such as medical errors. Mrs. Davis also laments that other professionals, such as physicians, face staff shortages, hence the need for an interdisciplinary approach to address the problem.

Change Theory and Leadership Strategies

Kurt Lewin’s change theory is healthcare’s most widely used change theory. The theory has three stages: unfreezing, moving, and refreezing, which help managers manage change from recognizing its need to implementing it. The theory will help the manager recognize resistance, prevent it, and manage change resistance if it arises. The unfreezing stage introduces the need to abandon the older ways or improve them with newer interventions that are more effective and less costly. The second stage will help executive team members support staff in accepting and implementing change. The third stage entails incorporating change into culture through incorporation into the organizational policies. Kurt Lewin theorizes theory as dynamic and continuous, enabling healthcare leaders to implement and amend change interventions for better outcomes.

Collaborative Strategies

Reward and recognition are effective leadership strategies that can help implement a change intervention. Rewarding through immediate and long-term benefits such as pay raises could help increase individuals’ hard work and desire to improve. Recognizing individuals who do well in the team increases their motivation, and employees feel appreciated (Woodward & Ruston,2022). Staff empowerment is also an integral step in managing the change. Ng and Tung (2018) note that staff empowerment entails providing resources required to acquire desired outcomes and increasing the desire and ability to implement change. It is difficult to convince staff to implement change that weighs down on them and provides no tangible benefits. Empowering the staff by fully sponsoring their education or training will help improve their efforts in implementing the change. Combining these strategies will ensure staff is motivated and quickly take up the courses leading to positive and desirable outcomes.

Collaboration is integral for the interdisciplinary team to produce the desired outcomes. Shared-decision making among professionals will increase interprofessional team collaboration. The executive team responsible for the change should have professionals from each team to ensure all professionals are involved (Michalsen et al., 2019). Defining and communicating these roles and responsibilities in the change process will also increase collaboration. Conflicts and poor relations arise when there is role overlap. Some roles are ignored or poorly performed because responsibility and accountability are not established. Defining roles and responsibilities eliminates hesitation and helps professionals implement interventions without fear and to the best of their abilities (Schots et al., 2020). Every professional will take up roles that coincide with their knowledge and experience hence better outcomes. These strategies will improve collaboration in the interdisciplinary team.

Conclusion

Mrs. Davis provided vital information on problems the healthcare institution is facing. Staff shortage is a problem that cuts across all health professionals, and an interdisciplinary team approach can thus help address this problem. Kurt Lewin’s change theory will provide a framework for implementing the interprofessional approach to solving the problem. Reward and recognition, staff empowerment, shared decision-making, and defining roles are leadership and collaborative strategies that will help implement an interprofessional approach to addressing the staff shortage problem.

 References

Michalsen, A., Long, A. C., Ganz, F. D., White, D. B., Jensen, H. I., Metaxa, V., Metaxa, V., Hartog, C. S., Latour, J. M., Truog, R. D., Kesecioglu, J., Mahn, A. R.,  & Curtis, J. R. (2019). Interprofessional shared decision-making in the ICU: a systematic review and recommendations from an expert panel. Critical Care Medicine47(9), 1258-1266. https://doi.org/10.1097/CCM.0000000000003870

Ng, P. K., & Tung, B. (2018). The importance of reward and recognition system in the leadership of virtual project teams: qualitative research for the financial services sector. Journal of Transnational Management23(4), 198-214. https://doi.org/110.1097/ACM.0000000000002807

Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review of how healthcare professionals contribute to interprofessional collaboration. Journal of Interprofessional Care34(3), 332-342. https://doi.org/10.1080/13561820.2019.1636007

Woodward, A., & Ruston, A. (2022). Empowerment of care home staff through effective collaboration with healthcare. Journal of Interprofessional Care, 1-9. https://doi.org/10.1080/13561820.2022.2047015

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Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification

For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.
As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:

The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).

You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
Reference
Institute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization. Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary
solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA
format.

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This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.

This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.
Remember: this is just the first in a series of three assessments.

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment.
Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an
interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.

Length of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your
central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE

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