Capella University NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal – Step-By-Step Guide

This guide will demonstrate how to complete the Capella University  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal  

Whether one passes or fails an academic assignment such as the Capella University  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal   depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal  

The introduction for the Capella University  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal   is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal  

After the introduction, move into the main part of the  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal   assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal  

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for  NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal  

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal 

Medication errors are prevalent in the healthcare system. The adverse events occur when prescribing drugs, feeding information into a computer system, preparing and dispensing drugs, or giving the drug to a patient (Tong et al., 2017). The current paper covers a proposal to reduce medication errors within general medical units at the Optimal Health Center. The proposed solution is an interdisciplinary medication-reconciliation intervention to curtail medical errors between preadmission, admission, and patient discharge. The intervention will use a Web application called preadmission medication list (PAML) builder and a processes redesign that will restructure the way physicians, nurses, and pharmacists feed patient medication notes into charts.  

Objective 

The objective of the undertaking is to adopt a medication reconciliation intervention in the medical-surgical ward to reduce medication errors and promote patient safety. The objective aligns with the hospital’s goal of providing safe, secure, and high-quality medical care. Medication reconciliation will ensure that the team creates an accurate list possible of all medications a patient will be taken and compare it against the physician admission, transfer, or discharge orders (Liu et al., 2019). The process will also ensure that a patient gets correct medications at all transition points within the ward.  

Questions and Predictions 

1. What are the challenges of obtaining an accurate medication list? 

A challenge that may arise is incomplete patient medication histories. The team will have to be vigilant to ensure that medication histories are complete to get accurate information about patient medication.  

2. What is the impact of an inaccurate medication list? 

Although a medication error may have no notable effects, an inaccurate, medication list may result in severe patient injury or death. Measures are essential to enhance accuracy and reconciliation is an effective approach.  

3. Which healthcare disciplines are involved in obtaining patient medication lists?  

The disciplines that handle medication lists are physicians, nursing, and pharmacy. The planned interdisciplinary team will comprise physicians, nurses, and pharmacists.  

4. What is the goal of performing an accurate medication reconciliation?  

Accurate medication reconciliation aids in the reduction of negative patient outcomes linked to medication errors.  

5. How much workload will the new intervention add to the interdisciplinary team? 

The workload will increase by 5to10% but as the team acclimatizes with the reconciliation process, they will be able to perform their duties efficiently. 

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Change Theory and Leadership Strategy 

The program will follow the Lippits Seven-Step Change Theory. The initial steps will be diagnosing medical reconciliation issues and assessing motivation and capacity for change (Grol & Wensing, 2020). The steps will improve the readiness and willingness of the hospital to change. It will also make the interdisciplinary team aware of the need for change and improve their motivation for adopting the new medical reconciliation intervention. After sensitization, the hospital systems’ problem will be diagnosed by the whole team and alternative routes established. At this juncture, the team will roll out the reconciliation program as they transform intentions into actual efforts. After rolling out the program, the evaluation will be done to stabilize it as the program gets adopted across different hospital wards and the relationship terminated.  

Leadership Strategy  

The hospital requires strong leadership to adopt measures that will reduce medication errors and enhance interdisciplinary teams.  A leadership strategy that addresses the issue at hand is a patient-centered approach to medication errors. It will ensure that services are tailored to suit individual patient wants and needs. It will help the team treat patients with dignity, compassion, and respect as well as offer coordinated care, support, and treatment (Lee et al., 2018). Providers will record patient medication-related issues in their care plan and share them with other caregivers to facilitate a holistic view of the patient and limit the occurrence of medication errors. 

Team Collaboration Strategy 

The program will use a Web application called preadmission medication list (PAML) builder and a processes redesign. On admission, the ordering physician will take a comprehensive medication history, input the first PAML, and develop a strategic plan for the patient’s medication during hospitalization. The nurse will then assess the plan and confirm its accuracy and inform the physicians of any errors. The pharmacists will reconcile the PAML in line with the physician’s admission orders and check for errors. Once the patient is admitted, the physician, nurse, and pharmacists will work together as a team to update the orders as needed. During discharge, the physician, nurse, and pharmacist will review the PAML and current medications and come up with a set of discharge orders. To evaluate the impact of the program, an independent pharmacist will take “gold standard” medication histories and compare the results with the PAML and the admission and discharge orders. The pharmacist will then seek answers for any discrepancies found. Lastly, two blinded physician adjudicators will evaluate the errors and potential for harm.  

The team will optimize their success through a collaborative culture. They will have to overlook their failures and achievements, level of training and scope of expertise, and work jointly. In the current project, the roles will be clear and based on team members’ strengths to ensure that any medication issues that arise can be resolved (Morley & Cashell, 2017). The interdisciplinary team handling the project should also understand the “big picture” to enhance their bond and make the daily work easier. Trust and open communication are also essential. Trust will allow the team members to follow the goals outlined while open communication will facilitate positive feedback and make the team feel they can communicate freely. In adopting these collaborative measures, the team will be able to discuss patients’ concerns on medications and clarify discrepancies, utilize the prescription databases, work with IT professionals to develop technological solutions, research best practices, and collaborate well.  

Required Organizational Resources 

The program introduces a preadmission medication list builder. As indicated above, five staff will be in charge of the program. The staff are a physician, nurse, and pharmacist. An independent pharmacist and two blinded physician adjudicators are also needed for the evaluation of the program. A PAML builder is needed for the success of the program as well as portable tablets for the involved staff to make it easy for them to reconcile medication. The PAML builder will be embedded in the existing electronic health record system. Installing, training, and aligning the PAML with the clinical workflow will cost $500,000. Access to the data in the ward will be free but the involved staff will be compensated at $300,000. The overall financial budget should be $800,000 to cover staff time, resource acquisition, and resource use. The project is expected to reduce readmission rates and adverse events. Specifically, it should reduce the Ades by 75% per year. Current ADEs stands at 543 and should reduce to 136. Each averted drug event is expected to cost about $4000 which will save a total of $1.6million annually (Manias, 2018). The hospital expects a similar loss if it fails to adopt the current project.  

References 

Grol, R., & Wensing, M. (2020). Effective implementation of change in healthcare: a systematic approach. Improving Patient Care: The implementation of change in health care, 45-71. https://doi.org/10.1002/9781119488620.ch3 

Lee, J. L., Dy, S. M., Gurses, A. P., Kim, J. M., Suarez-Cuervo, C., Berger, Z. D., … & Xiao, Y. (2018). Towards a more patient-centered approach to medication safety. Journal of Patient Experience, 5(2), 83-87. doi: 10.1177/2374373517727532 

Liu, V. C., Mohammad, I., Deol, B. B., Balarezo, A., Deng, L., & Garwood, C. L. (2019). Post-discharge medication reconciliation: Reduction in readmissions in a geriatric primary care clinic. Journal of aging and health, 31(10), 1790-1805. https://doi.org/10.1177/0898264318795571 

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: 10.1080/14740338.2018.1424830  

Morley, L., & Cashell, A. (2017). Collaboration in health care. Journal of medical imaging and radiation sciences, 48(2), 207-216. doi: 10.1016/j.jmir.2017.02.071 

Tong, E. Y., Roman, C. P., Mitra, B., Yip, G. S., Gibbs, H., Newnham, H. H., … & Dooley, M. J. (2017). Reducing medication errors in hospital discharge summaries: a randomized controlled trial. Medical Journal of Australia, 206(1), 36-39. doi: 10.5694/mja16.00628  

Sample Answer 2 for NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal 

Nurses and other health providers encounter different issues that require interdisciplinary collaboration. Through an interview with a quality assurance registered nurse at our facility which offers comprehensive care to patients, these issues require a collaborative approach and interdisciplinary teams to resolve them and improve quality care provision (Flores‐Sandoval et al., 2021). As the facility’s quality assurance nurse, the interviewee’s roles and duties include offering leadership, support, and direction on quality aspects, including having skilled registered nurses and specialty nurses to cater to diverse patients. The nurse also collaborates with all stakeholders to develop the best care founded on cultural diversity and individual needs. She also trains, enforces, and monitors new changes within the nursing team and ensures that the facility and nurses consistently follow and adhere to the healthcare guidelines and codes. She also implements processes to rectify any identified issue in the organization.

Relevant issues in the organization include sufficient levels of nurses, continuous quality improvement guidelines, and delivery of patient-centered care. Having culturally competent nurses and other healthcare providers is also a critical issue that she raised. She notes that while the management has made efforts to increase newly hired nurses, the number is still not sufficient, and effective coordination is critical to ensuring patient-centered care. The organizational culture in the facility does not promote a collaborative approach and it would be important to entrench it in the processes and activities. The interviewee asserts that collaboration will help the facility improve the quality of care due to effective coordination among providers.

Issue Identification

The core issue from the interview that requires an evidence-based interdisciplinary approach is continuous quality improvement to enhance the quality of care offered to patients, especially those with comorbidities. The nurse asserts that enhancing quality care will lead to a safety culture that is critical to improving patient outcomes and implementing culturally competent care because of the rising diversity of patients getting services from the facility. Continuous quality improvement to attain a safety culture can happen through an interdisciplinary approach as the providers will have one common goal or a shared vision for change.

Change Theories That Could Lead to an Interdisciplinary Solution

Change theories are critical when implementing new approaches or interventions, especially an interdisciplinary solution like enhancing the quality of care in a healthcare setting. Developing an interdisciplinary solution to the issues identified requires an effective change model. Kotter’s 8-step change model is an appropriate theory because of its systematic process and steps (Ravi et al., 2021). The model’s eight-step process ensures that stakeholders understand the change, accept and have buy-in, and get to understand all components of the proposed solution through effective communication. For instance, the second stage of the model is to create a team to champion change while the third stage is the development of a strategic vision. These steps ensure that change occurs through the effective participation of all stakeholders. In its last step, the model recommends the integration of changes as part of the organizational culture. As advanced by Harison et al. (2021) this model is appropriate due to its systematic approach to change. Kupferschmid et al. (2021) also observe that Kotter’s 8-step change process is essential for organizations to implement lasting transformation by integrating stakeholders’ perspectives. The two sources are credible and relevant due to their currency and being peer-reviewed. They also follow the expected ethical considerations to improve their credibility. 

Leadership Strategies That Could Lead to an Interdisciplinary Solution

Developing an interdisciplinary solution to address quality improvement in the facility requires an appropriate leadership model or strategy. In this case, the transformational leadership model would be the most effective because of its attributes. Transformational leaders inspire employees to strive beyond required expectations by working toward a shared vision. The theory advances that a leader works with teams, including an interdisciplinary team, beyond their self-interests to attain the required change (Khan et al. (2020). The transformational leader creates a vision to guide the change process. Imperatively, the model is relevant as the change in this scenario requires all providers to have a shared vision and think through to come up with innovative ideas on continuous quality improvement for better patient safety and care.

According to the American Nurses Association (2023), transformational nurse leaders develop a culture of respect and open collaboration. They also practice active listening skills and address new and current issues. Therefore, this strategy is appropriate as it will allow the leaders to listen to subordinates during the change process to enhance the quality of care in the facility. The different health and nursing professionals, based on their specialties and skills, will work collaboratively through a shared vision to attain the desired change. Khan et al. (2020) observe that transformational leaders are key to improving quality as they seek ways to mitigate shortage, burnout, and social loafing. The sources are relevant as they are from peer-reviewed journals and follow all ethical requirements.

Collaboration Approaches for Interdisciplinary Teams

Collaboration is a core part of a modern healthcare setting because of the increased integration of patient care and teamwork approaches that exist in health organizations. As such, the effective leadership approach is participative leadership (Flores‐Sandoval et al., 2021). Participative leaders are democratic and allow team members to participate in making decisions. Additionally, participative leaders communicate their priorities and involve the whole organization in realistic goals. Therefore, this leadership approach will improve collaboration among the different professionals in the organization. The approach establishes and improves collaboration as all stakeholders, especially facility nurses, can communicate and have a shared approach to health issues. Wang et al. (2022) and Usman et al. (2021) observe that participative leadership style is critical when implementing change as it enables all people to give their views leading to more innovative ideas to implement and improve the quality of care in organizations. These sources are credible as they adhere to ethical requirements and come from peer-reviewed journals.

Conclusion

Collaboration through interdisciplinary teams is a critical part of delivering quality care. In this case, the interviewee is categorical that the facility requires quality improvement approaches to enhance its present culture. As such, implementing a continuous quality improvement project to enhance patient safety, have sufficient staff levels, and lower adverse outcomes requires the organization to develop an interdisciplinary approach based on appropriate change theory, effective leadership models, and leadership strategies through a collaborative effort.

References

American Nurses Association (ANA) (2023). What Is Transformational Leadership In Nursing?

https://www.nursingworld.org/content-hub/resources/nursing-leadership/transformational-leadership-in-nursing/

Flores‐Sandoval, C., Sibbald, S., Ryan, B. L., & Orange, J. B. (2021). Healthcare teams and

patient‐related terminology: a review of concepts and uses. Scandinavian journal of caring sciences, 35(1), 55-66. doi: 10.1111/scs.12843.

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H.

(2021). Where do models for change management, improvement, and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of Healthcare Leadership, 85-108. DOI: 10.2147/JHL.S289176

Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational

leadership on work performance, burnout, and social loafing: a mediation model. Future Business Journal, 6(1), 40. DOI:https://doi.org/10.1186/s43093-020-00043-8

Kupferschmid, M., & Tripathi, S. (2021). Utilization of Kotter’s stages and statistical process

control to implement and sustain delirium screening in PICU. Pediatric Quality & Safety, 6(6), e536. DOI: 10.1097/pq9.0000000000000536

Ravi, S., Patel, S. R., Laurence, S. K., Sebok-Syer, S. S., & Gharahbaghian, L. (2022). Kotter’s 8

stages of change: implementation of clinical screening protocols for assessing patients for COVID-19–a review of an academic medical center’s preparedness. BMJ leader, leader-2020. DOI:10.1136/leader-2020-000379

Usman, M., Ghani, U., Cheng, J., Farid, T., & Iqbal, S. (2021). Does participative leadership

            matters in employees’ outcomes during COVID-19? Role of leader behavioral integrity.

            Frontiers in Psychology, 12, 646442. DOI: 10.3389/fpsyg.2021.646442

Wang, Q., & Hou, H. (2022). Participative leadership: a literature review and prospects for future

            research. Frontiers in Psychology, 13, 924357. DOI: 10.3389/fpsyg.2022.924357