NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example

NURS FPX 4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Assignment Brief: NURS FPX 4010 Interview and Interdisciplinary Issue Identification

Course: NURS FPX 4010 Leading People, Processes, and Organizations in Interprofessional Practice

Assignment Title: Assessment 2: Interview and Interdisciplinary Issue Identification

Assignment Overview:

This assignment aims to enhance students’ understanding of healthcare challenges, particularly understaffing, through an interview with a nurse manager, and to explore interdisciplinary solutions using change theories, leadership strategies, and collaboration approaches. By looking into real-world scenarios and theoretical frameworks, students will gain insights into the complexities of healthcare management and develop critical thinking skills.

Understanding Assignment Objectives:

This assignment is designed to:

1. Enhance your interviewing skills and ability to extract relevant information from a healthcare professional.
2. Develop critical thinking regarding the identified healthcare challenge (understaffing) and its multifaceted impact.
3. Apply theoretical frameworks, specifically Kurt Lewin’s change model and democratic leadership, to propose interdisciplinary solutions.
4. Explore collaboration approaches that contribute to effective interdisciplinary teams in healthcare settings.

The Student’s Role:

As a student, your role involves:

• Planning and executing a semi-structured interview with a nurse manager, ensuring thoughtful and relevant questions.
• Analyzing the identified healthcare challenge, emphasizing interdisciplinary aspects.
• Applying change theories and leadership concepts to propose viable solutions.
• Engaging in critical thinking to explore collaboration approaches that contribute to the overall effectiveness of interdisciplinary healthcare teams.

Detailed Assessment Instructions for the NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment

Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification

Top of Form

Bottom of Form

• PRINT
• 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. Retrieved from https://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.
  • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

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 a 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

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example

Interview Summary

I conducted an interview with a registered nurse working in the intensive care unit (ICU) of a local hospital. The nurse, a female in her late twenties, has accumulated five years of experience in the mentioned hospital. Her responsibilities include administering medications, evaluating vital signs, performing diagnostic and therapeutic procedures, and monitoring medical equipment.

The nurse highlighted a critical issue in the hospital’s safety culture, emphasizing its inadequacies. Despite existing safety protocols, medical errors are prevalent, and there is a pervasive culture of concealing mistakes rather than reporting them. Recent management changes triggered an investigation into medical errors, but the results are pending.

The nurse attributed the prevalence of medical errors to a lack of collaboration. While interdisciplinary teams exist, there is a tendency for blame-shifting between physicians and nurses. The nurse acknowledges the potential benefits of interdisciplinary teamwork but notes issues such as a lack of trust, physicians’ dominance, and inadequate nurse participation in decision-making.

Issue Identification

The identified issue is the deficient safety culture in the hospital, leading to a high incidence of medical errors. The lack of a collaborative environment exacerbates the problem, hindering effective communication and cooperation among healthcare professionals. An interdisciplinary approach is essential to address these challenges, fostering a culture of safety and improving collaboration.

Change Theories for an Interdisciplinary Solution

To address the issue, the Five As Behavior Change Model can be applied. This model involves assessing the situation, advising on the benefits of change, agreeing on specific goals, assisting in overcoming barriers, and arranging a comprehensive plan. The interdisciplinary team, following this model, would assess current behaviors and beliefs related to safety, advise on the benefits of a safety culture, agree on specific safety goals, assist in overcoming barriers, and arrange a comprehensive plan for implementation.

This model has demonstrated effectiveness in various settings and is supported by the study conducted by Lopez-Jeng and Eberth (2019). Their research, published in a peer-reviewed journal, provides a current and credible foundation for implementing the Five As Behavior Change Model.

Leadership Strategies for an Interdisciplinary Solution

Transformational leadership is identified as the most suitable strategy to address the safety culture issue. Healthcare professionals need support, encouragement, and guidance rather than a punitive approach. Transformational leaders inspire and motivate teams toward a shared vision, promoting collaboration and fostering a positive work environment.

Research by Kagan, Porat, and Barnoy (2019) supports the effectiveness of transformational leadership in shaping the quality and safety culture in hospitals. Published in a peer-reviewed journal, this study provides credible insights into the impact of leadership strategies on patient satisfaction and safety culture.

Collaboration Approaches for Interdisciplinary Teams

For effective collaboration within interdisciplinary teams, a transformational leadership approach is recommended. Each team should have a leader who acknowledges the need for change and values input from all members. Additionally, involving patients in the creation of a safety culture, as suggested by Kagan et al. (2019), can enhance the interdisciplinary approach.

The hospital’s prior research on medical errors provides an opportunity to evaluate the current safety culture based on the perspectives of healthcare professionals, administrators, and patients. This approach helps identify weaknesses and barriers to establishing a robust safety culture.

Conclusion

In conclusion, the interview with the ICU nurse highlighted a critical issue in the hospital’s safety culture, leading to a high incidence of medical errors. An interdisciplinary approach, guided by the Five As Behavior Change Model and supported by transformational leadership, is recommended to address the identified issue. Collaboration within interdisciplinary teams, incorporating the perspectives of healthcare professionals and patients, is crucial for the successful implementation of a safety culture. This foundation will inform the development of a comprehensive plan in the subsequent phases of the project.

References

Kagan, I., Porat, N., & Barnoy, S. (2019). The quality and safety culture in general hospitals: Patients’, physicians’, and nurses’ evaluation of its effect on patient satisfaction. International Journal for Quality in Health Care, 31(4), 261-268.

Lopez-Jeng, C., & Eberth, S. D. (2019). Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promotion Practice.

Tetuan, T., Ohm, R., Kinzie, L., McMaster, S., Moffitt, B., & Mosier, M. (2017). Does systems thinking improve the perception of safety culture and patient safety? Journal of Nursing Regulation, 8(2), 31-39.

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example Two

Summary

The interviewee for Assessment Two is an Advanced Certified Oncology Nurse Practitioner at a major cancer center. Due to the prevailing COVID-19 situation, the interview was conducted telephonically, utilizing a set of questions provided for the assessment as a basic guide. The interview, conducted in a semi-structured manner, was recorded. The cancer center comprises various disciplines, including surgical, radiation, and medical oncologists, pain management specialists, social workers, psychologists, nurse practitioners, and discipline-specific nursing staff. Notably, the cancer center recently transitioned from an independent medical oncology practice to becoming part of the Christian Care Health System, signifying a significant cultural shift. The nurse practitioner’s primary responsibilities include coordinating between disciplines, writing referrals and orders, managing chemotherapy, pain management, education, and follow-up calls.

A pertinent issue highlighted by the nurse practitioner is the encroachment of disciplines beyond their defined scope of practice, leading to interference in the responsibilities of other disciplines. This issue is exacerbated by a perceived lack of strong motivational leadership to aid the oncology practice in adapting to its new role within the larger corporation. Additionally, while the organization emphasizes teamwork, true interprofessional collaboration is limited, and a silo mentality prevails. The interviewee’s attempt to contribute to a collaborative team was met with resistance, reflecting a need for effective leadership and a shift in organizational culture.

Issue Identification

The primary issue identified during the interview is the infringement of one discipline into the scope of practice of another, resulting in a disruption of patient care. Examples include the medical oncology group managing a patient’s pain until it is deemed uncontrolled, at which point the patient is referred to the pain management group. Challenges arise when patients experience uncontrolled pain and communicate this to their medical oncologist, raising questions about the appropriate course of action. The multidisciplinary approach is deemed suitable for addressing this issue, with evidence supporting interprofessional practice for improved patient care, safety, and prevention of medical errors (Bosch & Mansel, 2015).

Change Theory

Change theory, as applied to the organization, involves understanding the existing culture, beliefs, and values that influence the organization’s openness to change. Kurt Lewin’s Field Theory is considered relevant in this context, offering a framework for analyzing group behavior and environmental factors. The goal is to identify and modify forces that hinder or promote change. The application of Lewin’s theory is crucial for targeting the cultural shift needed within the organization, encouraging collaboration as the norm.

Leadership Strategy

Effective leadership is identified as a crucial component for driving organizational change and fostering interprofessional collaboration. The transformational leadership style, characterized by charisma, inspiration, effective communication, and empowerment, is deemed suitable for the current situation. The existing leadership is perceived as weak, lacking communication and transparency. A transformational leader is seen as instrumental in guiding the cancer center toward an interdisciplinary approach.

Collaborative Approach

The literature emphasizes a collaborative approach centered on putting the patient first. This patient-centric focus serves as an equalizer, aligning individual team members’ interests with patient interests. Active and respectful communication is highlighted as a tool for building interprofessional collaboration, emphasizing the importance of a common language and standardized communication methods. Interprofessional rounding is suggested as a beneficial practice to prevent disciplines from infringing on each other’s practices and gain insights into preventing future issues.

Conclusion

In conclusion, change theory, leadership, and collaborative practice are identified as essential tools for improving healthcare. Change theory provides a mechanism for understanding and altering organizational culture, but effective leadership is required to drive and motivate the workforce toward interdisciplinary practice. Patient-centric collaboration and open communication are proposed as fundamental principles for fostering a collaborative approach. The integration of these tools can lead to a positive shift in organizational culture, promoting true interprofessional collaboration for enhanced patient care and safety.

References

Batras, D., Duff, C., & Smith, B. J. (2015). Organizational change theory: Implications for health promotion practice. Health Promotion International, 31(2), 231-241.

Bergstedt, K., & Wei, H. (2020). Leadership strategies to promote frontline nursing staff engagement. Nursing Management, 48-53.

Bosch, B., & Mansel, H. (2015). Interprofessional collaboration in healthcare: Lessons to be learned from competitive sports. CPJRPC, 176-179.

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., & Hussain, S. H. (2016). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3, 125-127.

Tomasik, J., & Flemming, C. (2015). Lessons from the field: Promising interprofessional collaboration practices. Retrieved from www.rwjf.org/en/library/research/2015/03/lessons-from-the-field.html

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example Three

Summary of the Interview

The interview followed a semi-structured approach to gain insights from a nursing colleague regarding her organization, its past and current challenges, her role and responsibilities, the effectiveness of interventions, impacts on diverse populations, the role of nurse leaders, leadership strategies, and interdisciplinary collaboration within the organization (McIntosh & Morse, 2015). The colleague works in a profit-based acute healthcare facility with 75 beds, utilizing advanced technologies such as automated EHRs, patient monitoring systems, telemedicine, error reporting software, and data analytics for nursing informatics to enhance care quality. As an ICU nurse, her duties encompass monitoring, recording patient data, ordering diagnostics tests, coordinating with healthcare professionals, administering medication, treating wounds, and educating patients and families.

The interview, conducted in a flexible style, allowed the interviewee ample opportunity to express perspectives. Open-ended questions were utilized to delve deeper into healthcare issues, with a focus on statistics and benchmarks to gauge issue severity. Past challenges such as resistance to implementing technology were addressed through nurse training, transformational leadership, and the hiring of specialized nurses.

Identified Issue from the Interview

While various issues require interdisciplinary collaboration, the significant concern is medication errors, demanding a collaborative approach involving nurses, physicians, lab technicians, pharmacists, informatics nurses, and pain management nurses (Srinivasamurthy et al., 2021). Collaboration is essential due to the involvement of multiple healthcare professionals, making it challenging to detect errors and identify root causes. Delays in patient care due to communication gaps can threaten patient safety. A blame culture further complicates the issue, involving different stakeholders and potentially compromising patient care (Tena et al., 2018).

Analysis of Potential Change Theories

Lewin’s change theory, with stages of unfreezing, moving, and refreezing, is deemed suitable for addressing the issue. While driving forces include quality of care and patient safety, resistance forces center around a blame culture. This theory facilitates unfreezing the current process, implementing change, and refreezing to establish the change, fostering collaboration and shared decision-making (Smith & Gullett, 2019). Rogers’ theory, with stages of awareness, interest, evaluation, implementation, and adoption, complements Lewin’s model, focusing on motivating professionals to adopt change and evaluating outcomes (Smith & Gullett, 2019). Spradley’s eight-step change theory emphasizes evaluation and stabilization, supporting change implementation through collaborative efforts.

Leadership Strategies

To address potential resistance, transformational and servant leadership styles are recommended, involving strategies like group discussions, understanding stakeholders’ perspectives, motivation, action plans for collaboration, support provision, fostering an inclusive work environment, root-cause analysis to reduce blame culture, and establishing direct communication channels. Sharing the workload during medication administration through effective staffing and scheduling can further enhance collaboration (Jember et al., 2018).

Collaborative Approaches from the Literature

Various collaborative models have been proposed in the literature. Manias (2018) suggests a multimodal interdisciplinary collaboration model, encompassing communication tools, logs, collaborative medication review, adherence to protocols, direct involvement of pharmacists, and collaborative conferences and workshops. Tena et al. (2018) propose root-cause analysis with a safety checklist to identify discrepancies in patient information. Jember et al. (2018) and Srinivasamurthy et al. (2021) highlight the positive impact of a medication error system integrated with computerized physician entry, involving all stakeholders to reduce medication errors.

References

Ahrq.gov. (2020). How do you measure fall rates and fall prevention practices? [URL].

Hunitie, M. (2016). A cross-sectional study of the impact of transformational leadership on integrative conflict management. Asian Social Science, 12(5), 47. [DOI]

Jember, A., Hailu, M., Messele, A., Demeke, T., & Hassen, M. (2018). Proportion of medication error reporting and associated factors among nurses: a cross-sectional study. BMC Nursing, 17(1). [DOI]

Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opinion On Drug Safety, 17(3), 259-275. [DOI]

McIntosh, M., & Morse, J. (2015). Situating and constructing diversity in semi-structured interviews. Global Qualitative Nursing Research, 2, 233339361559767. [DOI]

Smith, M., & Gullett, D. (2019). Nursing theories and nursing practice (5th ed.). F A Davis.

Srinivasamurthy, S., Ashokkumar, R., Kodidela, S., Howard, S., Samer, C., & Chakradhara Rao, U. (2021). Impact of computerized physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. European Journal Of Clinical Pharmacology. [DOI]

Tena, R., League, S., & Brennan, J. (2018). Preventing wrong site, wrong procedure, wrong patient errors. Nursing Made Incredibly Easy!, 16(3), 10-13. [DOI]

Weller, S., Vickers, B., Bernard, H., Blackburn, A., Borgatti, S., Gravlee, C., & Johnson, J. (2018). Open-ended interview questions and saturation. PLOS ONE, 13(6), e0198606. [DOI]

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example Four

Interview Summary

I conducted a telephonic interview with Mr. Kelly (pseudonym), the nurse manager at Sanford Medical Center, Bismarck. The facility, comprising a team of specialists, emphasizes healthcare excellence through a combination of compassionate patient care, expertise, and advanced technology. Mr. Kelly oversees financial and human resources, maintains care standards and quality, ensures staff and patient satisfaction, and fosters a safe environment. In the interview, I posed the following questions:

1. What is the main challenge facing your organization?
2. How does this problem affect the ability to complete your duties?
3. How have you or your organization tried to address this problem?
4. Does your organization have a culture of collaboration?

Mr. Kelly acknowledged understaffing, particularly in the nursing department, as the primary challenge. Shortages in the emergency department compromise patient care quality, leading to nurses working extended hours. The resultant stress contributes to physical, mental, and emotional health issues among nurses, affecting patient satisfaction. Sanford Medical Center addresses understaffing by retaining nurses through a supportive work environment, flexible staffing schedules, and initiatives to prevent burnout. The organization also emphasizes interdisciplinary collaboration, exemplified by a situation where teamwork proved effective during a patient influx.

Issue Identification

The issue of understaffing necessitates discussions on teamwork and interdisciplinary communication to enhance nursing unit efficiency, patient safety, and care quality (Hensel et al., 2017). Teamwork skills improvement and interdisciplinary communication integration from psychology, management, and social studies can address this challenge (Tuaminen et al., 2016).

Change Theories for Interdisciplinary Solution

Kurt Lewin’s three-step model offers an interdisciplinary solution to understaffing. The model involves unfreezing, moving, and refreezing. Nursing education serves as a solution, with awareness creation, sustained efforts for change, and post-implementation evaluations (Sutherland, 2013).

Leadership Strategies for Interdisciplinary Solution

Democratic leadership, involving participative decision-making, fosters collaboration in addressing understaffing. This approach encourages engagement, values collaboration, and leverages individual strengths and talents (Smith et al., 2018).

Collaboration Approaches for Interdisciplinary Teams

Creating trusting communication, implementing team-building activities, and recognizing achievements contribute to efficient interdisciplinary teams (Tappen, 2016). Open-plan offices, team-building workshops, and recognition initiatives foster collaboration and positive interaction among nursing staff.

References

Hensel, K. O., van den Bruck, R., Klare, I., Heldmann, M., Ghebremedhin, B., & Jenke, A. C. (2017). Nursing staff fluctuation and pathogenic burden in the NICU-effective outbreak management and the underestimated relevance of non-resistant strains. Scientific Reports, 7(1), 1-7.

Tuominen, O. A., Lundgren-Laine, H., Kauppila, W., Hupli, M., & Salanterä, S. (2016). A real-time Excel-based scheduling solution for nursing staff reallocation. Nursing Management, 23(6).

Morley, L., & Cashell, A. (2017). Collaboration in health care. Journal of Medical Imaging and Radiation Sciences, 48(2), 207-216.

Tappen, R. M. (2016). They know me here: Patients’ perspectives on their nursing home experiences. Online Journal of Issues in Nursing, 21(1).

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