Interview and Interdisciplinary Issue Identification Paper

Interview and Interdisciplinary Issue Identification Paper

Interview and Interdisciplinary Issue

My interview with an associate nurse employed in the ICU section at our middle health center exposed dreadful figures of the presence of Staphylococcus infection in the midstof in-patients. She related to me the increase of this strain of ailment amongst persons that had compromised immunity. The growing rates of neutropenia among in-patients reveal the crucial need to do something other than strict adherence to standard precautions, including hand sanitation, utilization of individual protective kits, secure shot practices, cough protocol and secure handling of dirty apparatus and tops(Almeida et al., 2020 Interview and Interdisciplinary Issue Identification Paper).

Interview and Interdisciplinary Issue Identification Paper

Staphylococcus contamination rates have remained on the snowballing calls for all healthcare practitioners’ association in evidence-best execution acts. All support groups are concerned on safety in health care, that’s a vital aspect of excellent patient outcomes. The importance of collaboration comes from the statistic that various groups bring diverse knowledge and skills essential in bringing about the anticipated results.

Integrative collaboration calls for nurses, physicians, dieticians, pharmacists, physiotherapists, laboratory technicians, social workers, and other participants to operate as a unit to guarantee the abolition of the identified issue. An associate from every unit can be designated in excellence enhancement initiatives input in the hunt for to decrease Staphylococcus infection frequency in in-patients. Interview and Interdisciplinary Issue Identification Paper

Incorporating Evidence-Based Practice in the Interview and Interdisciplinary Issue Identification Paper

Handling the infections issue needs the quality enhancing squad to exploit current evidence-based interventions. An exercise is alleged to be evidence-based as soon as it encounters three similarly subjective aspects including, its involvement in the knowledge arena (applicable study), medical ability and patient standards and likings(Craig & Dowding, 2019 Interview and Interdisciplinary Issue Identification Paper).

The squad chosen to lead the present best practices implementation must initially found clear-cut aims and responsibility at the commencement of their gatherings for the purpose of getting a bearing on their exertions. Led by a skilled nurse leader, the team must conduct widespread studies by revising journals from trustworthy establishments as well as applicable literature in order for them find the best approach they can implement to put in place the most suitable practices that address the recognized problem.

After collecting satisfactory evidence on the new practice, the team will gather to debate on evidence implications to various care stakeholders who would be affected by the change. At this period, it will be imperious for this team to reflect on both human and financial resources required in change implementation. They are going to enquire thought-provoking enquiries and breakthrough to attain a pure foretaste and integrity of the evidence-based practice. Interview and Interdisciplinary Issue Identification Paper

The Responsibility of Change Management Theories

The change execution procedure in health establishments can be an intimidating task, more so when the relevant stakeholders are not engaged in the whole procedure. The crew with the result verdict duty are obligated to apply all actions that will minimalize confrontation as well as upsurge suitability and compliance. A few tactics employed by squads is the assortment of suitable change management theories and replicas, as well as management approaches that will simplify communiqué among various stakeholders.

Change management theories forecast the alteration procedure, offer the best means to gauge the procedure, implant a logic of responsibility, and increase assurance. The PDSA change model is designated to carry out this evidence-based exercise looking towards lessening the detrimental consequences of staphylococcus infection amid in-patients. The model is made up of a four-stage iterative problem-solving approach frequently applied to enhance a specific process; therefore, accomplishing the anticipated change(Kompatsiaris et al., 2019 Interview and Interdisciplinary Issue Identification Paper). For excellent working of the model, it’s vital to reflect on from both internal and external’s customer feedback. It is due to such reaction that the health institution will have the capacity to outline their services’ quality , that is, evidence-based practices.

A study done in 2019 recapped the fact that the PDSA model made it possible for the researchers to examine the variations on a reduced gauge, and build on this data before executing a mission. The stakeholders were better situated to govern the accomplishment degree of the anticipated alteration and respond in an appropriate if something does not seem to go well. The PDSA model is intended to be unceasing; thus, permitting the stakeholders to carry out steady appraisals envisioned to progress the mission. Every associate disturbed with the excellence enhancement initiative must give alert considered to all parts of the PDSA sequence while collaborating the findings of each phase to the applicable squads.

The Role Leadership Strategies

The control elegance implemented by an establishment’s control influences to a considerable degree on the evidence-based implementation procedure. Establishments with a self-governing management method are in an improved state to device alteration as related to those with despotic and autocracy ways (Review et al., 2015 Interview and Interdisciplinary Issue Identification Paper). All associates’ views must be taken into consideration when employing evidence-based practices as it will help lessen incidences of resistance often accompanied by the change process.

Cooperative Approaches

Integrative collaboration is a solemn issue crucial in greatest procedures execution that will advance patient outcomes. The efficiency of partnership is realized when there are clear-cut tasks for all the squad associates (Bialek et al., 2017). Several of these tactics comprise of creation of alliances with other amenities, official and casual systems, activities, public-private alliances and communal effect enterprises (New Ways to Collaborate for Process Improvement, 2019). The option of tactic is reliant on on aspects for instance accessibility of funds, type of facilities that are presented and the aims of the integrative team.

References for Interview and Interdisciplinary Issue Identification Paper

Almeida, C. R., Bottazzi, B., Lawlor, K. E., & Nardo, D. D. (2020). Immunomodulation of innate immune cells. Frontiers Media SA. https://www.frontiersin.org/articles/10.3389/fimmu.2020.00101/full

Bialek, R., Beitsch, L. M., & Moran, J. W. (2017). Solving population health problems through collaboration. Taylor & Francis.

Craig, J. V., & Dowding, D. (2019). undefined. Elsevier.

Kompatsiaris, I., Huet, B., Mezaris, V., Gurrin, C., Cheng, W., & Vrochidis, S. (2019). MultiMedia modeling: 25th International Conference, MMM 2019, Thessaloniki, Greece, January 8–11, 2019, proceedings. Springer.

Review, H. B., Kotter, J. P., Porter, M. E., Teisberg, E. O., & Drucker, P. F. (2015). Leadership, strategy, and innovation: Health care collection (8 items). Harvard Business Review Press.

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

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.

Interview and Interdisciplinary Issue Identification Paper Answer 2

Interviews are a great way of gathering healthcare data to stimulate change interventions. Nurses are healthcare professionals closest to the patient, thus containing vital information that informs care delivery and changes focus. Well-structured interviews can generate information whose use can change the healthcare facility’s safety and quality of care delivery. This assessment focuses on an interview with a care provider, identifies a care issue at the care provider’s workplace, and describes a change theory that can help address the issue. The assessment will also evaluate a leadership strategy and collaboration strategy that can be used in addressing the issue.

Interview Summary

The interview was conducted with Mrs. Judy, a nurse practitioner and the in-charge of the ICU at MedStar Union Hospital. The NP coordinates care delivery and oversees care delivery at the facility. She also does other managerial duties such as scheduling, new staff training, and implementing disciplinary actions in the ward. The NP states that hospital-acquired infections are relatively high, with a rising mortality rate associated with infections.

The leading ones include central-line associated bloodstream infections, catheter-acquired urinary tract infections, and surgical site infections. The facility has implemented a risk assessment tool for all these categories that help identify the patient at risk for infections and manage them accordingly. The rates dropped for some time, but the NP is concerned by the high rates of catheter-acquired urinary tract infections despite the organizational efforts to manage them.

Other problems include medication errors, and patient falls, which are relatively high in the facility. The NP participated in the interprofessional teams assigned the role of developing the risk assessment tools, which was a great success. She is a member of the professional team concerned with infections in the facility. The organization promotes collaboration and increases the utilization of interdisciplinary collaboration by creating and supporting interprofessional team approaches.

Issue Identification

The issue that requires an interdisciplinary approach is catheter-acquired urinary tract infections. CAUTIs are associated with multiple factors, and their prevention entails many interventions delivered in care bundles. An interprofessional team must review healthcare data and perform a gap analysis, determining and implementing corrective action. According to Letica-Kriegel (2019), the risk factors for CAUTI include prolonged catheter use, female gender, catheter care violations, severe disease, diabetes, and immunocompromised.

An interprofessional team is required to ensure correct indications of catheters and management of other risk factors. About 15-25% of the patients are catheterized, meaning that 15-25% are at risk for CAUTIs (Wernburg, 2022). Physicians and nurse practitioners do the prescriptions, while risk assessment requires collaboration from all these professionals. Evidence from studies shows that interdisciplinary collaborative interventions can lead to better patient outcomes and a significant decrease in CAUTIs (Karimi et al., 2019).

Change Theory That Could Lead to an Interdisciplinary Solution

The change theory of interest is Kurt Lewin’s change theory. It is simple and easy to implement. The theory focuses on an issue generally and allows the care providers to implement the best-fit intervention for their problem. The first stage, unfreezing, entails mobilizing support for the change by showing the concerned parties the need for change. The second stage entails facilitating the change (such as providing resources required to implement it) and supporting staff to implement it (Saleem et al., 2019). The theory is generalizable and can be used for organization-wide change hence its significance in the interdisciplinary approach to CAUTI management.

The third stage, refreezing, entails embedding the change into the organizational culture by incorporating it into the organizational policies (Saleem et al., 2019). The theory is widely applied in healthcare, and studies have used it as a framework to guide the implementation of evidence-based interventions and manage change (Iwe, 2022). The sources are current and published by reputable journals, hence the information’s reliability.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

The leadership strategies selected are open and effective communication and creating shared goals, objectives, and a strategic vision. Open and effective communication is a motivating factor for professionals to collaborate. Developing goals, objectives, and a strategic vision creates unity of direction as all professionals understand the implications of the change and the desired outcome/end product. Open and effective communication allows professionals to relay information flawlessly, facilitating change activities (Fox et al., 2021). These two strategies can thus support CAUTIs as professionals share information clearly and work towards common goals and objectives of eradicating CAUTIs.

Collaboration Approaches for Interdisciplinary Teams

The collaboration approaches of interest are shared-decision making and timely role communication. Role communication eliminates role confusion and promotes role execution by the various member of the healthcare team (Fox et al., 2021). Shared decision-making is an approach that requires the input of professionals, patients, and families in solving healthcare problems. Shared decision-making considers the ideas and perspectives of others in solving problems and making high-quality and reliable decisions. The collaboration approach makes all team members feel significant, stimulating their participation and input.

One of the advantages of the approach is the quality outcomes they produce in care delivery. Michalsen et al. (2019) note that interprofessional teams that share decisions have better outcomes, especially in UCU units which is the focus of the healthcare issue. The study shows that shared decision-making in interprofessional teams increases information exchange, commitment to change, deliberation, and joint results attainment (Michalsen et al., 2019). The study is a systematic review, a high level of evidence, of reputable databases and was conducted within the last five years, making the data generated reliable.

Conclusion

Catheter-acquired urinary tract infections are the issue of interest from the interview. The interview with the NP showed that interdisciplinary efforts are required to manage the problem. Kurt Lewin’s Change theory is the selected framework that will guide the management of the issue. Open communication and the development and communication of common goals and objectives, shared decision-making, and role communication are the leadership and collaboration strategies that will facilitate interdisciplinary interventions in CAUTI management. Interviews are a great way to identify opportunities for change and address them.

References

Fox, S., Gaboury, I., Chiocchio, F., & Vachon, B. (2021). Communication and interprofessional collaboration in primary care: from ideal to reality in practice. Health Communication36(2), 125-135. https://doi.org/10.1080/10410236.2019.1666499

Iwe, A. I. (2022). Silver Alloy-Coated Urinary Catheters: Preventing Urinary Tract Infection.

Karimi, S., Karimi, S., Kaiser, R., Cobbs, E., Lepcha, N., & Whitehead, S. (2019). Teaming up to Reduce Catheter-Associated Urinary Tract Infections. Journal of the American Medical Directors Association, 20(3), B25. https://doi.org/10.1016/j.jamda.2019.01.094

Letica-Kriegel, A. S., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Green, R. A., Furuya, E. Y., Calfee, D., & Perotte, R. (2019). Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ Open9(2), e022137. https://doi.org/10.1136/bmjopen-2018-022137

Michalsen, A., Long, A. C., Ganz, F. D., White, D. B., Jensen, H. I., Metaxa, V., Christiane, H., Jos, L., Ribert, T., Jozef, K., Anna, M., & 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

Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, S. A. (2019). Accreditation: application of Kurt Lewin’s theory on private health care organizational change. Saudi Journal of Nursing and Health Care2, 12. https://doi.org/10.36348/sjnhc.2019.v02i12.003

Werneburg, G. T. (2022). Catheter-associated urinary tract infections: current challenges and future prospects. Research and Reports in Urology, 109-133. https://doi.org/10.2147/RRU.S273663