Capella NURS-FPX4010 Assessment 3

Capella NURS-FPX4010 Assessment 3 Interdisciplinary Plan Proposal

Interdisciplinary Plan Proposal

Interviews provide vital information that helps plan and implement care interventions. After an interview with Mrs. Judy, a Nurse practitioner and the charge nurse in the ICU, the issues identified were medication errors and hospital-acquired infections. The issue selected is catheter-acquired urinary tract infections. The desired outcome is the eradication of CAUTIs in the intensive care unit of MedStar Union Hospital. This proposal focuses on developing an interdisciplinary intervention plan to address CAUTIs.

Objective

The objective is to engage an interprofessional team in creating a care bundle to prevent catheter-acquired urinary tract infections. The objective aligns with the directional organizational strategies to ensure a healthier population free of preventable disease and reduce the costs, safety issues, morbidity, and mortality associated with CAUTIs.

Questions and Predictions

1. What are the resources required for the interprofessional CAUTI care bundle implementation?

The resources required are rather few and will facilitate stakeholder communication. Each team member discussing the change intervention will receive an appreciation token of $1000 after the care bundle is ready to be implemented. Costs of the care bundle will be determined as the team discussions continue and the specific care interventions are agreed upon. Other resources include utilities such as electricity, snacks and electric gadgets to facilitate the meetings.

2. How will the plan affect care delivery processes in catheter care and infection prevention?

The plan will affect processes in catheter insertion, care, and removal. It will streamline the processes to increase accountability, quality, and safety measures to ensure quality patient outcomes.

3. How will the proposed plan affect the professionals’ roles and workload?

The proposed plan will significantly increase the workload of the professionals involved (in the interprofessional team). The plan will increase their workload by over 15% during the preparation phase, but most duties will be delegated during implementation, thus sharing the workload. They will be required to spare time from their busy schedule and during their free time to brainstorm ideas and evaluate research and available resources to develop recommendations for CAUTI management. Incentives and rewards for their time and hard work are thus necessary.

Change Theories and Leadership Strategies

The theory of interest is Kurt Lewin’s 3 stage theory. The theory will facilitate the change process. The first stage, unfreezing, will help prepare to gain buy-in for the project by showcasing the significance of the new interventions and the effects of remaining and the current state. The second stage, moving, will help support the care providers and other stakeholders in the implementation process to implement change (Saleem et al., 2019). The third stage, refreezing, will entail cementing the change into the organizational culture. The theory will provide a framework and rationale for interventions, from plan development to policy development. It will also help plan activities in the plan and systematically organize them for quality outcomes.

The leadership strategy of interest is developing and sharing the strategic vision, goals, and objectives. The strategy can be ignored or implemented without the attention it requires. According to Fixen et al. (2020), sharing the strategic vision, goals, and objectives helps gather professionals with the same ideas and desires. The vision, goals, and objectives also guide all the activities in the plan and will help gather the relevant resources and avoid confusion and conflicts that arise during project implementation processes.

Team Collaboration Strategy

The team members for the interdisciplinary plan proposal will include the nurse manager, the infection control professional, the health informaticist, the physician in the ICU, and the charge nurse. Through healthcare facility data analysis, the health informaticist will lead the root cause analysis process to determine the major causes of the rising CAUTI burden. The charge nurse will evaluate care delivery to determine gaps and the reasons for the failure of previously implemented interventions toward CAUTI management.

The physician will provide vital information and expert opinion and help gain buy-in from other professionals. The infection control nurse will lead the team in research to determine the best evidence-based interventions to manage the problem. The nurse manager will review the plan developed by the team members and make approval decisions and release funds. She will also represent the project’s interests to the executive management team. The team members are leaders in their units and will lead the activities, help diffuse the innovation and gain buy-in from professionals in their specific areas of jurisdiction.

The team collaboration strategy is clear team member role communication. Each team member must understand their role to prevent confusion and reluctance to implementing activities. The lack of clear-cut roles often leaves the team members to guess facts due to a lack of understanding or agreement. Fox et al. (2021) note that role sharing and communication enhance participation, as each member feels significant to the team. It also pushes them to perfect their work to produce quality outcomes, unlike when a group approach to roles is used. Individuals can tend to be reluctant or inactive, leaving the burden to fall on others instead of implementing them.

Shared-decision making will also help promote collaboration in this project. According to Michalsen et al. (2019), shared decision-making makes team members feel important. It also stimulates their participation as they participate in every step of the project’s implementation. The team must agree on the best interventions to include in the care bundle and resources to utilize in implementation.

Agreed-upon decisions are thus significant to the success of the interprofessional team in addressing the issue at hand. These two strategies will guide team collaboration. In this team, the members will decide on the best interventions to implement among the available options, such as checklists, clinician education, patient education, audits, and healthcare dashboard utilization for better patient outcomes (Hernandez et al., 2019).

Required Organizational Resources

The proposed plan is to create a care bundle for CAUTIs. The plan is to reorganize activities such as indication, insertion, care, and removal to improve efficiency and outcomes (Hernandez et al., 2019). The needed resources include standardized terminologies for indications and checklist tools to ensure the recommendations by the team are implemented without fail.

The organization has a robust health information system, which is one of the requirements of this planning proposal. The intervention will entail process streamlining, hence no additional staff needs. Access to care information and data on CAUTIs to derive causal relationships is necessary. There are no costs incurred because the data is stored in the hospital servers, and the care providers involved have access to the data.

The resources needed for the plan proposal are minimal and include resources required to facilitate professional meetings of an interprofessional team, such as a board room, projector, laptop, and other utilities such as electricity. The cost of facilitating the interprofessional plan proposal is thus $8000, which will cater for the interprofessional team incentives/rewards and other utilities such as electricity required to facilitate the meetings. Other costs will be incurred in implementing the proposed intervention if the interventions require any purchase.

The interprofessional team will create end-products, such as instructions to implement new processes for the nurses and other care providers. Several factors can lead to the interprofessional approach’s failure to manage the problem, such as deviations or misappropriation of the resources. The failure can cost the organization over $8000. Hence, a keen evaluation of the approach before implementation and a possible pilot study is necessary to prevent possible losses and protect the organization’s financial security.

Conclusion

CAUTIs are an issue of interest at MedStar Hospital. An interprofessional approach is necessary to help implement corrective interventions to reduce the CAUTI rates. The interprofessional team consists of various members who will oversee the team activities and change implementation processes. The interprofessional approach is manageable, and Kurt Lewin’s theory, alongside leadership and collaboration strategies, will enhance the intervention’s success. The care bundle will take the perspective of various professionals, resulting in better outcomes.

Capella NURS-FPX4010 Assessment 3 References

Fixsen, A., Seers, H., Polley, M., & Robins, J. (2020). Applying critical systems thinking to social prescribing: a relational model of stakeholder “buy-in.” BMC Health Services Research, 20, 1–13. https://doi.org/10.1186/s12913-020-05443-8

Fox, S., Gaboury, I., Chiocchio, F., & Vachon, B. (2021). Communication and interprofessional collaboration in primary care: from ideal to reality in practice. Health Communication, 36(2), 125-135. https://doi.org/10.1080/10410236.2019.1666499

Hernandez, M., King, A., & Stewart, L. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses’ checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1).

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 Medicine, 47(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 Care, 2, 12. https://doi.org/10.36348/sjnhc.2019.v02i12.003

Capella NURS-FPX4010 Assessment 3

For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a shared vision and team goals (Mulvale et al., 2016). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.

You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.

Demonstration of Proficiency

• Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

• • Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
• Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

• • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

• • Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
• 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.

Reference

Mulvale, G., Embrett, M., & Shaghayegh, D. R. (2016). ‘Gearing up’ to improve interprofessional collaboration in primary care: A systematic review and conceptual framework. BMC Family Practice, 17.

Professional Context

This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.

Scenario

Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.

Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.

Capella NURS-FPX4010 Assessment 3 Instructions

For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.

Additionally, be sure that your plan addresses 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.

• Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
• Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
• Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
• Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
• Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements for NURS-FPX4010 Assessment 3

• Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. 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

Also Read: Capella NURS-FPX4010 Assessment 2 Paper