NURS-FPX401 Interview and Interdisciplinary Issue Identification Essay

NURS-FPX401 Interview and Interdisciplinary Issue Identification Essay

NURS-FPX401 Interview and Interdisciplinary Issue Identification Essay

Interview Summary

Among the major focuses of the nursing profession and the nursing profession is ensuring that patients are safe in the care environment and that efficient services are offered as appropriate. As such, various efforts and initiatives are usually formulated to help achieve safety and care goals (Vaismoradi et al.,2020). Therefore, the purpose of this assignment is to present the findings of an interview with a healthcare professional and the issues identified. The interview was conducted for a middle-sized hospital offering curative, rehabilitative, and patient management services. It is known to have a large psychiatric department and offers both inpatient and outpatient psychiatric services.

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The nurse professional is a senior PMHNP with an experience of over twenty years of offering care to psychiatric patients and is currently the head of the department. The nurse is also tasked with ensuring that the standards and quality of care are at acceptable standards in the facility. An interview was conducted in a bid to explore safety and care challenges at the facility. During the interview, a host of issues at the organization were explored, such as the increasing cases of hospital readmissions and poorer working conditions, which lead to higher nurse turnover. The nurse noted that the organization has, in the past, embarked on efforts and actions such as mentorship programs and educating patients before discharge. However, such efforts have only led to minimal improvement. The senior nurse professional also indicated that she has an experience with collaboration as they, at one time, worked with pharmacists and physicians to help bring down the rates of medication errors at the facility, which indicates that the organization’s culture supports collaboration.

Issue Identification

The major issue which came up during the interview which needs to be addressed is the increasing number of readmissions in the psychiatric units. Hospital readmissions have been associated with various problems, impacting the patients, their families, and the hospitals. For example, the patients and their families have to spend more money, and the patients are exposed to various hospital-acquired infections upon longer stay in hospitals (Han et al.,2020). Even though this issue is a common problem, it can be reduced or solved using various nursing interventions. The senior nurse indicated that the facility is experiencing readmission rates of up to 25%, which is considerably high. Various factors lead to enhanced cases of readmissions, such as failure to adhere to the recommended lifestyle, not adhering to the medication regimen, and relapses. An interdisciplinary approach is appropriate for this issue since the problems come from various points of care, from when the patient is admitted to the hospital to discharge and follow-up (van der Does et al.,2020). Therefore, the healthcare professionals responsible for care in these phases can all participate in the proposed care plan to help reduce the rates of readmissions.

Change Theories That Could Lead to an Interdisciplinary Solution

   Change theories play a critical role in nursing as they provide frameworks upon which proposed nursing solutions can be built or implemented. The theories can also support interprofessional collaboration in resolving identified clinical problems or issues. Besides, using these theories can also support interdisciplinary solutions as professionals in the care environment can be supported to work together and find a sustainable solution to an identified problem. The proposed change theories to help in developing interdisciplinary solutions to the identified issue include the Plan-Do-Study-Act (PDSA) and root cause analysis models. The PDSA model, as the name suggests, has four different phases of change management, accomplished in a cyclic manner. The first phase, plan, entails coming up with a plan to follow. The next phase involves doing, while the third phase is studying (Li et al.,2022). The last step, arguably the most important one, entails putting every plan into action and implementing the proposed solution. The professionals in the care environment will be required to actively participate in every phase to ensure that the solution is appropriately and fully developed. This model offers a chance to restart the process depending on the outcomes of the implemented solution.

 As earlier indicated, root cause analysis can also be used to help build an interprofessional solution. This model helps lead the team to find the reasons behind the identified problem and come up with plans to address the causes and not just the impact (Okes, 2019). The root cause analysis approach is also appropriate since, by applying it, the interprofessional team can work together and identify the real cause(s) of hospital readmissions and formulate a befitting solution for the problem. It is important to note the credibility and relevance of the sources cited. The sources are credible since they are peer-reviewed, and they are also relevant since they directly address the two proposed change theories.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

 Leaders use various leadership styles to trigger success in organizations. Therefore, the success of initiatives undertaken by the leaders depends on the leadership styles and strategies employed. The problem of hospital readmissions can be solved through an interdisciplinary approach. Hence effective leadership strategies should be used by the leaders. Among the leadership strategies that can lead to interdisciplinary solutions is the use of transformational leadership. Transformational leadership strategy has been shown to support collaboration among the collaborating interprofessional teams hence supporting the interdisciplinary solution (Iqbal et al.,2020).

 As highlighted earlier, the hospital has been prompting its staff to give patients some education during discharge. Unfortunately, little success has been achieved. Therefore, the solution should have a collaborative approach targeting all points of care. Therefore, by using the transformational leadership strategy, the team leader can lead professionals at the points of care to formulate a solution that cuts across all points to effectively address the problem of enhanced cases of readmissions(Iqbal et al.,2020).

Collaboration Approaches for Interdisciplinary Teams

  An interdisciplinary approach can be used to effectively address the problem. The implication is that an appropriate interdisciplinary collaboration is required. Hence relevant approaches or strategies should be used. Among the approaches is the use of open and effective communication. This approach will encourage the team members to freely express their ideas and send out communication timeously to improve their chances of success. The communication approach can be fostered through transparency, holding round table meetings, and formulating and maintaining open communication channels (Tang et al.,2018). The next approach is teamwork. Teamwork will be key in ensuring that the individuals have a common purpose, goal and pull in the same direction. Positive management and leadership will be applied to offer appropriate direction and vision for the team

Conclusion

 The interview with the senior nurse offered a great insight into the problems that impact the facility. The most pronounced problem is the enhanced rates of hospital readmissions, especially in psychiatric units. Therefore, the PDSA model has been proposed to be a major model to be used in the development of an interdisciplinary solution. In addition, appropriate leadership strategies and collaborative approaches for the solution have been explored.

References

Han, X., Jiang, F., Tang, Y., Needleman, J., Guo, M., Chen, Y., …& Liu, Y. (2020). Factors associated with 30-day and 1-year readmission among psychiatric inpatients in Beijing China: a retrospective, medical record-based analysis. BMC Psychiatry, 20, 1–12. Doi: 10.1186/s12888-020-02515-1

Iqbal, K., Fatima, T., & Naveed, M. (2019). The impact of transformational leadership on nurses’ organizational commitment: a multiple mediation model. European Journal of Investigation in Health, Psychology, and Education, 10(1), 262-275. https://doi.org/10.3390/ejihpe10010021

Li, L., Kulp, W., Krieg, H., Aptaker, D., Klink, B., Knox, D., &Pincus, H. A. (2022). An Initiative to Improve Performance on a National Transition of Care Measure and to Reduce Readmissions in an Academic Psychiatric Hospital. The Joint Commission Journal on Quality and Patient Safety, 48(4), 205–213. https://doi.org/10.1016/j.jcjq.2022.01.002

Okes, D. (2019). Root cause analysis: The core of problem-solving and corrective action. Quality Press.

Tang, C. J., Zhou, W. T., Chan, S. W. C., &Liaw, S. Y. (2018). Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study. Journal of Nursing Management, 26(1), 11–18. https://doi.org/10.1111/jonm.12503

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028

van der Does, A. M., Kneepkens, E. L., Uitvlugt, E. B., Jansen, S. L., Schilder, L., Tokmaji, G., … &Karapinar-Çarkit, F. (2020). Preventability of unplanned readmissions within 30 days of discharge. A cross-sectional, single-center study. PloS One, 15(4), e0229940. https://doi.org/10.1371/journal.pone.0229940

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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.

Interview and Interdisciplinary Issue Identification Scoring Guide – the aim is DISTINGUISHED
CRITERIA PROFICIENT DISTINGUISHED
Summarize an interview focused on past or current issues at a health care organization. Summarizes an interview focused on past or current issues at a health care organization. Summarizes an interview focused on past or current issues at a health care organization. Notes strategies employed in the interview to ensure that sufficient information was gathered.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate. Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate. Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate, providing one or more specific reasons to justify this approach.
Describe potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue. Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue. Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.
Describe collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue. Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue. Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling. Organizes content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling. Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format. Applies APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format. Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly.

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