NURS-FPX4010 Interview and Interdisciplinary Issue Identification Sample
I interviewed a nurse practitioner who has been working at the Emergency section of Novant Health organization for a decade. I work on the cardiac telemetry floor of the same facility, and happen to have known the NP for some time now. Her role in the ED was to triage patients, provide emergency services, conducting assessment as well as monitoring patients who are admitted. Several issues touching on patent safety emerged during the interview, and we agreed to engage practitioners from other departments. Common challenges that teams of care had experienced in the last six months included high rates of infection, readmission rates, decubitus among others. Interdisciplinary collaboration is nothing new on this facility since the providers of care often work together to solve challenges affecting them. The interviewee admitted to have collaborated with other teams of care at the organization in the past and the outcomes were admirable.
An issue from the interview related to patient safety that emerged was decubitus, commonly referred to as pressure sores. Team approach is a crucial component for risk assessment, prevention and prevention of pressure sores among hospitalized patients at Novant Health. The units that report high rates of pressure sores include ICU, medical and surgical units. Interdisciplinary collaboration would be the best approach in dealing with the issue considering that members have diverse experiences, knowledge and skills (Higgins & Dyschkant, 2014).
Different teams of care involving nurses, physiotherapists, physicians, nutritionists, lab technicians, and the support staff should work as a unit to develop appropriate interventions that reduce decubitus.
Change Theories That Could Lead to an Interdisciplinary Solution
The agents of change rely on change theories and models to bring about desired changes in their organizations. Theories of change provide a comprehensive description and illustration on the manner in which the desired change should happen. Kurt Lewin’s three-stage model of change (unfreezing-change-refreeze model) would provide a perfect framework for the interdisciplinary teams of care to implement an improvement plan that will prevent pressure sores. The article by Hussain, Lei, Akram, Haider, Hussain, & Ali (2018) describe the different steps that the team can follow when implementing change. This resource is not only specific to the issue of decubitus but also passes the credibility test which includes currency (timeliness of the information), relevance (the importance of the information for your needs), authority (the source of the information), accuracy (the reliability, truthfulness and correctness of the content), and purpose (the reason the information exists)
Leadership Strategies That Could Lead to an Interdisciplinary Solution
The success of interdisciplinary teams to work in collaboration is determined by the leadership strategies that are adopted. A leadership strategy can be compared to a map which seeks to align the resources in an organization with the goals and aspirations that it seeks to accomplish. A laisses-faire leadership strategy would be the most effective to lead to an interdisciplinary solution. The professionals would not want to be pushed, but lead in the most respectful manner. The leaders must define and communicate the vision, encourage recognition of employees, speak from the heart, delegate and empower as well as commit to continued education. The article by Dyess, Sherman, Pratt & Chiang-Hanisko, (2016) discuss several leadership strategies and how each of them could be used to improve the performance of organizations. This is a relevant and credible resource since it provides different perspectives on how today’s nursing leadership impacts the practice environment. The article was published within five years by reputable authors.
Collaboration Approaches for Interdisciplinary Teams
Through collaboration, interdisciplinary teams are able to share and evaluate information with the hope of improving patient outcomes. Interdisciplinary collaboration calls for the input of all providers of care to the planning and accomplishment of common goals. The collaboration approach that would be effective in this case would be networks and the formation of coalitions. The providers of care from different departments will form coalitions to mobilize others towards the new practice. Coalitions are appropriate considering that they enable teams of care to focus their efforts and resources on a single issue that calls for their collaboration. I have identified the article by Reeves, Pelone, Harrison, Goldman & Zwarenstein, (2017) on different collaboration approaches for interdisciplinary teams as the most appropriate for interdisciplinary teams. Other than being published by reputable publishers, the article is relevant in that it discusses various ways that teams can collaborate.
NURS-FPX4010 Interview and Interdisciplinary Issue Identification Sample References
Dyess, S. M., Sherman, R. O., Pratt, B. A., & Chiang-Hanisko, L. (2016). Growing nurse leaders: Their perspectives on nursing leadership and today’s practice environment. OJ Nurs.
Higgins, A. K., & Dyschkant, A. (2014). Interdisciplinary Collaboration in Philosophy. Metaphilosophy, 45(3), 372-398. doi:10.1111/meta.12091
Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123-127. doi:10.1016/j.jik.2016.07.002. https://www.sciencedirect.com/science/article/pii/S2444569X16300087
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, (6).