NURS-FPX4010 Assessment 2 Paper

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

NURS-FPX4010 Assessment 2 Paper

Interview and Interdisciplinary Issue Identification Example

Introduction

Leaders in healthcare settings play integral roles in the success of healthcare organizations. They manage human and material resources and ensure organizations comply with the set rules and regulations, thus, understanding healthcare organizations better. Interviews with healthcare leaders can produce reliable information on current and past problems, which aids in improvement projects. This essay analyzes the results of an interview with a healthcare leader, identifies a healthcare issue, and highlights interventions necessary to solve the problem. In addition, it analyzes an important change theory and effective leadership strategies useful in the success of the chosen intervention.

Interview Summary

I interviewed Dr. Smith, the nursing services manager at the Waterfront Nursing Home. Due to the limited time, I had with him due to his busy schedule, I ensured that I organized my interview questions well, outlined my goals and objectives, and ensured my questions were straightforward and organized chronologically. During the interview, I paid attention to verbal and non-verbal cues and sought clarity where I did not understand. I also maintained eye contact during the interview. At the end of the interview, I thanked him for his time and provided feedback on my interview, and he confirmed that the information I had gathered was true.

Dr. Smith identified his roles as managing daily patient flow, employing and managing staff, handling nursing staff discipline issues, and overseeing improvement projects. He mentioned several current issues affecting the nursing profession and the organization. He explained that elderly patients form the bulk of patients are elderly. Dr. Smith highlighted several issues that were of great concern to these patients. During the interview, patient falls among the elderly, medication errors, staff shortage, and a high nurse turnover rate were his main problems.

Issue Identification

Patient falls among elderly patients require interventions from a multidisciplinary approach. Patient falls are often sudden, unpredictable and cause high healthcare costs. They are caused by neurological, musculoskeletal, and environmental factors such as slippery floors (Greene et al., 2019). Patient falls are unpredictable, and patient monitoring is mainly a nursing role.

However, other healthcare providers, such as doctors and pharmacists, are integral in determining the risk of falls (such as certain medical conditions and current medications). In addition, doctors are pharmacists integral in prescribing patients medications and other care interventions, and thus, their involvement in patient care is integral. Identifying and preventing falls among elderly patients thus requires a multidisciplinary support team for its success.

Change theories That Could Lead to an Interdisciplinary Solution

Kurt Lewin developed the three-stage change theory is the most formidable theory in this situation. It entails three major concepts that are driving forces, restraining forces, and equilibrium. The three-stage theory entails three stages; unfreezing, moving, and refreezing. The first stage entails determining the need for change, communicating it, determining restraining factors, and mitigating them (Hussain et al., 2018).

The second stage entails facilitating change by supporting staff and availing necessary resources. The last stage, refreezing, entails enhancing acceptance of the change and incorporation into the organizational policies. The change theory provides a framework for healthcare professionals to track change by determining areas that require change, convincing influencing participation by other healthcare providers; hence it is the most reliable theory (Hussain et al., 2018). The resource used is current, presents accurate information, and is relevant to the study.

Leadership Strategies That Could Lead to Interdisciplinary Solution

Leadership strategies significantly employed determine the success of an interdisciplinary team. Employee support and clear vision are effective strategies to employ alongside the three-stage theory in this case. The best leadership strategy is the democratic leadership strategy (John, 2020). In this strategy, healthcare team members are given equal rights and chances in decision-making.

Democratic leadership creates a sense of importance and belonging to the team, which improves collaboration. The members are also encouraged to air their concerns freely, and hence no intervention is overlooked. The information cited is reliable and credible because it was published less than five years ago and in a reputable journal.

Collaboration Approaches for Interdisciplinary Teams

Effective healthcare teams entail trust, collaboration, and respect. Interprofessional teams entail different professionals such as nurses, doctors, and pharmacists with different training and scope, and hence effective strategies are a prerequisite for their collaboration. The first strategy is clearly defining each team member’s roles to ensure no overlap of duties.

The second strategy is clear guidelines for delegating duties to each member’s scope of practice (Buljac-Samardzic et al., 2021).  It ensures excellent performance if delegated roles. Effective conflict resolution methods are integral to any healthcare team (Brown et al., 2018). Conflicts always arise in relationships and interactions, especially between multidisciplinary teams. Thus, having effective and well-laid strategies for conflict resolution is integral.

The other strategy is staff training on effective collaboration. Training also provides a platform for introducing the healthcare team’s essential roles, goals, and objectives.  In addressing the issue of falls, staff training is integral (Buljac-Samardzic et al., 2021). The articles are published by reputable journals, provide relevant information, and are produced within acceptable time limits.

Conclusion

As seen above, healthcare organizations are dynamic fields that require constant evaluation and implementation of evidence-based practices. As seen above, interviews with healthcare leaders provide vital information in enhancing change. Wearable technology is an effective evidence-based intervention to prevent patient falls. Kurt Lewin’s three-stage theory is also an effective model for change management in the dynamic healthcare sector. Leaders must also employ effective strategies such as employee training to enhance the success of a change intervention.

References

Brown, D. K., Fosnight, S., Whitford, M., Hazelett, S., Mcquown, C., Drost, J. C., Kropp D. J., Hovland, C. A., Niederriter J. E., Patton, R., Morgan, A., Fleming, E., Steinerm, R. P., Scott E. D., & Ortiz-Figueroa, F. (2018). Interprofessional education model for geriatric falls risk assessment and prevention. BMJ Open Quality, 7(4), e000417. doi: 10.1136/bmjoq-2018-000417

Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. (2020). Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources For Health, 18(1), 1-42.https://doi.org/10.1186/s12960-019-0411-3

Greene, B. R., McManus, K., Redmond, S. J., Caulfield, B., & Quinn, C. C. (2019). Digital assessment of falls risk, frailty, and mobility impairment using wearable sensors. NPJ Digital Medicine, 2(1), 1-7. https://doi.org/10.1038/s41746-019-0204-z

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. https://doi.org/10.1016/j.jik.2016.07.002 

John, K. (2020). Adlerian theory and practice wisdom promote democratic leadership and organizational health. The Journal of Individual Psychology, 76(1), 84–98. http://doi.org/10.1353/jip.2020.0020

NURS-FPX4010 Assessment 2 Paper

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.).

Also Read:

NURS-FPX4010 Assessment 3

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

NURS-FPX4010 Assessment 2 Paper

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.

NURS-FPX4010 Assessment 2 Paper 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.

NURS-FPX4010 Assessment 2 Interview and Interdisciplinary Issue Identification Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Summarize an Does not Discusses an Summarizes an Summarizes an
interview focused on summarize an interview, but the interview focused on interview focused on
past or current issues interview focused focus of the interview, past or current issues past or current issues at a health care on past or current the issues addressed, at a health care a health care
organization. issues at a health or the specifics of organization. organization.

Notes
care organization. health care strategies employed in organizational context the interview to ensure are unclear or that sufficient missing. information was gathered.

Identify an issue from Does not identify Identifies an issue Identifies an issue Identifies an issue from
an interview for which an issue from an with an unclear from an interview for an interview for which an
an evidence-based interview for which connection to the which an evidence- evidence-based interdisciplinary an evidence-based interview or for which based interdisciplinary approach would be interdisciplinary an evidence-based interdisciplinary approach would be appropriate. approach would be interdisciplinary approach would be appropriate, providing appropriate. approach seems appropriate. one or more specific inappropriate. reasons to justify this approach.

Describe potential Does not describe Identifies change Describes potential Describes potential
change theories and potential change theories and change theories and change theories and
leadership strategies theories and leadership strategies leadership strategies leadership strategies
that could help leadership that are unclear, that could help that could help develop develop an strategies that incomplete, or develop an an interdisciplinary interdisciplinary could help develop irrelevant to interdisciplinary solution to an solution to an an interdisciplinary developing an solution to an organizational issue.

organizational issue. solution to an interdisciplinary organizational issue. Notes which sources
organizational solution to an seem most credible or issue. organizational issue. relevant to the specific
organizational issue.

Describe Does not describe Identifies Describes Describes collaborative
collaborative collaborative collaborative collaborative approaches from the
approaches from the approaches from approaches from the approaches from the literature that could be
literature that could the literature that literature but the literature that could relevant in establishing
be relevant in could be relevant relevance to be relevant in or improving an
establishing or in establishing or establishing or establishing or interdisciplinary team to
improving an improving an improving an improving an address an
interdisciplinary team interdisciplinary interdisciplinary team interdisciplinary team organizational issue.
to address an team to address to address an to address an Notes which sources
organizational issue. an organizational organizational issue organizational issue. seem most credible or
issue. is unclear or relevant to the specific
insufficiently organizational issue.
explained.

Organize content so Does not organize Organizes content Organizes content so Organizes content with a
ideas flow logically content for ideas. with some logical flow ideas flow logically clear purpose. Content
with smooth Lacks logical flow and smooth with smooth flows logically with
transitions; contains and smooth transitions.

Contains transitions; contains smooth transitions using
few errors in transitions. errors in few errors in coherent paragraphs,
grammar/punctuation, grammar/punctuation, grammar/punctuation, correct
word choice, and word choice, and word choice, and grammar/punctuation,
spelling. spelling. spelling. word choice, and free of
spelling errors.

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Apply APA formatting Does not apply Applies APA Applies APA Exhibits strict and to in-text citations APA formatting to formatting to in-text formatting to in-text flawless adherence to and references headings, in-text citations, headings citations and APA formatting of exhibiting nearly citations, and and references references, exhibiting headings, in-text flawless adherence to references. Does incorrectly and/or nearly flawless citations, and APA format. not use quotes or inconsistently, adherence to APA references. Quotes and paraphrase detracting noticeable format. paraphrases correctly.