NURS-FPX4010 Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification Paper

NURS-FPX4010 Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification Paper

Interview and Interdisciplinary Issue Identification

Interview Summary

I interviewed Mr. Johnson, a registered nurse at Valley Regional Medical Center’s emergency department. As a registered nurse at the hospital’s emergency department, he is responsible for assessing and observing patients, recording details, including patient medical history and current health needs, administering medications and treatments, performing wound care, and collaborating with other healthcare professionals to ensure timely, convenient, and quality care. Johnson has a 10-year of experience as a healthcare professional in the hospital’s emergency department, meaning he is well-versed in the thresholds for safeguarding patient safety and improving medical outcomes.

The primary objectives of the interview were to reflect on the relevant safety issues at the organization and expound on institutional measures for addressing safety concerns, including leadership styles and interprofessional collaboration, alongside their effectiveness in safeguarding patient safety and well-being. While responding to the question about the prevailing safety issues at the Valley Regional Medical Center, Johnson highlighted staff shortages; patient falls, hospital-acquired infections, the increased workload in the emergency department, and medication errors as the primary threats to patient safety. In the same breath, he argued that the organization has successfully cultivated a safety culture despite these challenges.

For instance, the interviewee provided past incidences of interprofessional collaboration and leadership commitment to address threats to patient safety. He argued that the hospital implements a one-year nurse residency program that allows first-year nurses to move easily from the classroom to the bedside. Also, Johnson highlighted that the institution enacted a fall prevention precautions program which emphasizes the need to educate patients and healthcare professionals on fall prevention, integration of advanced technologies like alarm systems to monitor the movement of at-risk patients, and environmental modification protocols to address trip and slip hazards. Undoubtedly, these interventions shed light on the leadership’s commitment to safeguarding patient safety and well-being across all hospital units and specialties.

Issue Identification

Johnson identified medication administration errors as a patient safety concern and an issue that prompts the organization to consider the aspect of inter-disciplinary collaboration. For instance, he argued that despite the presence of a one-year nurse residency program for newly employed nurses, the program is deficient in the context of preventing medication administration errors. Finally, the respondent contended that interdisciplinary collaboration could be a plausible tool for averting the potential consequences of medication mistakes, including moderate to severe patient injury, deaths, increased care costs, and multiple legal and ethical implications.

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Change Theories That Could Lead to an Interdisciplinary Solution

The change theory that is consistent with the determination to embrace interdisciplinary collaboration in addressing medication errors is Kotter’s eight-step change theory. According to Carman et al. (2019), Kotter’s change management theory contains three primary tenets that summarize all the eight steps: creating the climate for change, engaging and enabling the whole organization, and implementing and sustaining change. These tenets contain subthemes such as establishing a sense of urgency, creating and building coalitions, developing a consensus vision and strategy, communicating the change vision, and anchoring new approaches in the organizational culture (Carman et al., 2019). This change theory can apply when developing a quality improvement initiative for addressing medication errors because it emphasizes the need to create a sense of urgency, collaborate with other employees to obtain buy-ins, empower employees, ensure effective interprofessional communication, and sustain change. Further, the change management model receives backing from credible scholarly evidence. For instance, the scientific article by Carman et al. (2019) is peer-reviewed, current, and relevant in supporting the plausibility of using Kotter’s change theory in implementing a quality improvement plan.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

Equally, leadership strategies are essential in determining the trajectories of interdisciplinary approaches for tackling medication errors. For instance, transformational leadership is the most sought-after leadership style for promoting team approaches. According to Ree & Wiig (2019), transformational leadership encourages team members to integrate critical and creative thinking about clinical problems, improves job demands, and reduces mental workload. In the same breath, Seljemo et al. (2020) argue that this leadership style encourages and recognizes staff members, fosters trust, and enhances cooperation among team members. As a result, it emerges as a profound approach for improving team-based efforts for addressing medication errors, including proper risk assessments, communication, effective delegation of medication administration responsibilities, and timely reporting. The selected studies by Ree & Wiig (2019) and Seljemo et al. (2020) are peer-reviewed evidence sources, current, authoritative, and purposeful in linking transformational leadership to improve interventions for cultivating a safe culture.

Collaboration Approaches for Interdisciplinary Teams

Effective Interdisciplinary teams for preventing medication administration errors should exhibit characteristics of operational units. Kilpatrick et al. (2020) state that factors influencing team functioning includes decision-making processes, communication patterns, cohesion, care coordination, and problem-solving strategies. It is essential to note that a transformational leadership style supports team-based collaborative approaches by facilitating meaningful interpersonal relationships, improving communication between team members, cultivating a “system thinking” mindset, and aligning team members’ beliefs and attitudes toward organizational success (Espinoza et al., 2018). Further, other approaches for improving Interdisciplinary team collaboration are proper conflict resolution mechanisms, strengthening team members’ well-being, promoting intellectual stimulation, and individualized consideration. These aspects form the basis of transformational leadership. The selected studies fulfill the criteria for credible resources because they provide up-to-date information, are peer-reviewed, published in reputable databases, and present evidence consistent with the topic.

 References

Carman, A. L., Vanderpool, R. C., Stradtman, L. R., & Edmiston, E. A. (2019). A change-management approach to closing care gaps in a federally qualified health center: A rural Kentucky case study. Preventing Chronic Disease, 16(E105). https://doi.org/10.5888/pcd16.180589

Espinoza, P., Peduzzi, M., Agreli, H. F., & Sutherland, M. A. (2018). Interprofessional team member’s satisfaction: A mixed-methods study of a Chilean hospital. Human Resources for Health, 16. https://doi.org/10.1186/s12960-018-0290-z

Kilpatrick, K., Paquette, L., Jabbour, M., Tchouaket, E., Fernandez, N., Al Hakim, G., Landry, V., Gauthier, N., Beaulieu, M.-D., & Dubois, C.-A. (2020). A systematic review of the characteristics of brief team interventions to clarify roles and improve functioning in healthcare teams. PLOS ONE, 15(6), e0234416. https://doi.org/10.1371/journal.pone.0234416

Ree, E., & Wiig, S. (2019). Linking transformational leadership, patient safety culture, and work engagement in-home care services. Nursing Open, 7(1). https://doi.org/10.1002/nop2.386

Seljemo, C., Viksveen, P., & Ree, E. (2020). The role of transformational leadership, job demands and job resources for patient safety culture in Norwegian nursing homes: A cross-sectional study. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05671-y

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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

Demonstration of Proficiency
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.
Professional Context
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.

Scenario
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.

Instructions
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.
Additional Requirements
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.