NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Capella University NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification– Step-By-Step Guide

This guide will demonstrate how to complete the Capella University  NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 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 FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 

Whether one passes or fails an academic assignment such as the Capella University  NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification  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 FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 

The introduction for the Capella University  NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification  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 FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 

After the introduction, move into the main part of the  NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification  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 FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 

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 FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 

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 FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Interview Summary 

The organization discussed was an Acuity Specialty Hospital. As a 30-bed Long Term Acute Care hospital, the hospital provides acute care to critically ill and medically complex patients. The facility adopts a patient-focused care model and has interdisciplinary staff to ensure excellent clinical outcomes. The services offered are pulmonary, wound care, Hyperbaric oxygen therapy, medically complex diseases, and infectious diseases. The interviewee providing the information is a nurse manager and her role is to supervise the facility nursing staff. She also oversees patient care, set work schedules, make budgetary and management decisions, make personnel decisions, and coordinate meetings.  

According to the nurse, the facility battles with patient falls, medication errors, inadequate communication, and readmissions. Patient falls have been devastating and have resulted in an average patient fall cost of $14,000 and over six days to each hospital stay. To address the issue, the staff ensure that nurse call cables are always plugged in to reduce the risk of patients getting up unassisted. Hourly safety rounds are also used as well as an assessment of high-risk patients by checking for a history of falls, medication associated with falls, altered mental state, and impaired mobility. The hospital also reports overlooked allergies, drug overdoses, and administration of the wrong drug. The nurse also feels that opportunities for medication to go wrong are many from the physician, pharmacists, to nurses administering the drug. To reduce medical errors, the facility advocates for the identification of the right patient for the right medication. It also calls for providers to inquire about drug allergies and use technology like automated dispensing cabinets to enhance nurse efficiency and medication safety.  

Another prevalent issue in the hospital is inadequate communication but measures have been adopted to address the issue. The staff are encouraged to participate in multidisciplinary rounds, institute team hurdles, and implement tablets for patients use. The measures are expected to inspire teamwork and make the work environment less stressful. Readmission cases are also rampant due to premature discharge from the hospital and patient lack of awareness on the contact person after discharge. The hospital has created policies to enhance discharge planning and care coordination.  

As outlined above, the hospital uses an interdisciplinary approach to optimize care. They ensure that interdisciplinary care plans are made using input from multiple disciplines like nurses, physicians, case managers, pharmacists among others. The care plans are created and updated during rounds. Initially, the hospital utilized unstructured team meetings which hampered the team’s ability to develop a care plan but currently, the meeting occurs at the same time and in the same place every day. The teams also ensure that each provider’s responsibilities are clearly defined and respect and transparency maintained within the group. The key pillars of teamwork are leadership, person-centered practice, and communication. 

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NURS-FPX 4010 Assessment 3: Interdisciplinary Plan Proposal

Issue Identification 

An issue that can benefit from an interdisciplinary approach is medication errors. Interdisciplinary collaboration allows health professionals of different disciplines to share objectives, work together, display shared power and responsibility, and make decisions collectively to solve patient care problems.  Medication errors are defined as preventable events that can result in inappropriate medication use or patient harm while the medication is in the hands of the healthcare professional, patient, or consumer (Manias, 2018). Among healthcare professionals, medication errors occur due to lack of therapeutic training, inadequate drug knowledge, and experience, inadequate perception of risk, inadequate knowledge of the patients, fatigue, physical and emotional health issues as well as poor communication between providers and patients.  The interdisciplinary approach works because it incorporates communication through various tools, allows participation of pharmacists, ascertains collaborative medication review on admission and at discharge, and fosters collaborative conferences and workshops. 

Change Theory 

A change theory that can be adopted is Lippitt’s Seven-Step Change Theory. The theory has seven steps (Grol & Wensing, 2020). The initial step is problem diagnoses where one examines all possible consequences, determines those affected by the change, collects data from those affected by the change, and ensures that those affected by the change are committed to the initiative’s success. The second step covers the identification of financial and human resources capacity to assess motivation and capability for change. The third step is determining the change agent’s dedication, stamina, experience, resources, and motivation. The fourth step entails the selection of progressive change objectives while the fifth step explains the role of the change agent. The sixth step entails change maintenance while the last step entails the gradual termination of the helping relationship of the change agent. Grol and Wensing (2020) assert that the model is applicable because it generates a change in line with the four elements of the nursing process; assessment, planning, implementation, and evaluation. It also uses key concepts linked to systems like personalities, facility culture, and group interactions. Additionally, it emphasizes the role and responsibilities of the change agent.  

The article by Grol and Wensing (2020) is essential because it explains the elements of effective implementation of change in healthcare. It is peer-reviewed and currently published offering updated information on change management in healthcare.  

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. 

The article by Lee et al. (2018) is credible because it expounds on maximizing medication safety through a patient-centered approach. The authors evaluate interventions and explain how they can be reframed to reflect the patient perspective.  

Collaboration Approach 

 A collaborative culture is essential within an organization. It allows team members to overlook their failures and achievements, level of training and scope of expertise, and work jointly to optimize care. In the current project, it is essential to establish roles clearly. The roles should be based on team members’ strengths to ensure that any medication issues have a person designated to solve it using their skills (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 allows the team members to follow the goals outlined while open communication provides positive feedback and makes 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.  

The article by Morley and Cashel (2017) explains how team members can work in cooperative and coordinated ways. It offers insight into optimizing collaboration towards exceptional care.  

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 

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  

Sample Answer 2 for NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Interdisciplinary collaboration and teamwork are essential for healthcare organizations as they lead to common approaches to care delivery and quality outcomes (Sirimsi et al., 2022). Consequently, to get in-depth information on the interdisciplinary issues and identification of the importance of collaboration, the nurse manager at the local leading state health system was interviewed. The nurse manager also doubles as the quality improvement and assurance coordinator with roles ranging from managing nurses, supervising nurses, and overseeing patient care. She also makes management and budgetary decisions, sets work schedules, coordinates meetings, and makes personnel decisions. As the nurse manager, she recruits and trains nurses and other healthcare professionals while also maintaining the facility’s records.

According to the interviewee, the relevant issues at the organization include a robust safety culture and collaborative teamwork when handling patients with comorbidities. The nurse manager observed that the facility and its entire system lacked protocols for improved safety culture and this led to medical errors, near misses, and poor patient experience. The implication is that many nurses and other professionals do not report medication errors which only exacerbates the situation leading to more serious issues (Milella et al., 2021). The interviewee noted that recent organizational changes include a meeting convened by the different heads of departments to initiate an organizational culture focused on improving patient safety. According to her, such efforts are essential in addressing the present issues as collaboration and coordination will allow the team to work using a common approach and develop a safety culture based on certain protocols.

Issue Identification

Having an effective safety culture is critical for the better functioning of any healthcare setting or system. Developing a safety culture within the healthcare organization requires collaboration as the team will implement an evidence-based approach to reduce and prevent adverse events like medical and medication errors. An interdisciplinary approach helps organizations establish a working safety culture based on certain protocols like reporting measures and necessary actions (Harrison et al., 2021). Developing effective policies and protocols, like reporting, is a necessary step to attain positive changes and outcomes as it entails a collaborative approach among the various health and medical professionals in the organization and the health system.

Change Theories That Could Lead to an Interdisciplinary Solution

Change is an inevitable part of any functioning and successful organization as it allows the entity to integrate innovative approaches and new ways of doing things to address identified problems. Consequently, the most effective change theory that would help to develop an interdisciplinary solution is Kotter’s eight-step change model (Ravi et al., 2021). The model provides a systematic approach to implementing change, especially in interdisciplinary settings like the current organization. According to the model, change entails an emotional and situational component that requires a systematic approach and involving all stakeholders. These steps include developing urgency for change, building a guiding team or coalition involving change agents, creating a vision for change, communicating to attain a buy-in, enabling action, and creating and celebrating short-term wins. The seventh step is to continue with the short-term wins and never let go while the final step is making the changes part of the organizational culture (Campbell, 2020).  As such, this change model is appropriate based on its steps like building a guiding coalition, creating a vision, and effective communication to attain buy-in from all stakeholders.

Many people dislike change and ensuring that the manager builds a coalition of change champions, creating a vision for change, and celebrating short-term wins are critical to entrenching change and ensuring that all people accept it to improve the present culture (Milella et al., 2021). The study by Campbell (2020) demonstrates that using change theories and philosophies like Kotter’s ensures that organizations realize their change vision since change entails emotional and situational aspects that impact its implementation. The source is credible because it is current and published in a peer-reviewed journal. The author utilizes a sound approach and integrates evidence from experts and past studies.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

Effective and inspiring leadership is essential in implementing change, including interdisciplinary solutions for issues identified in this case. Transformational leadership motivates followers to gain knowledge concerning new approaches and implement them for better results or outcomes. By adopting a transformational leadership approach, the nurse manager will help alter the perception and opinions of her colleagues. Transformational leaders implore subordinates to act based on moral values and think about others and not personal interests. The strategy will help develop an interdisciplinary resolution as it encourages professionals to share their vision and establish goals in a collaborative setting. Additionally, it influences power to inspire, influence, and empower others that are essential for effective communication among interdisciplinary teams comprising nurses, physicians, therapists, and patients and their families. Studies by Iqbal et al. (2020) and Seljemo et al. (2020) observe that the transformational leadership approach is important in implementing organizational changes in healthcare settings because of its benefits like empowering others. These sources are credible since they are from peer-reviewed journals and use appropriate methodologies.

Collaboration Approaches for Interdisciplinary Teams

Collaboration approaches for interdisciplinary teams require leaders who possess certain attributes and a transformational perspective. Imperatively, contingent leadership or situational leadership approach is appropriate to gain an interdisciplinary approach to the issue. Situational leaders are contingent and act based on the circumstances. Most situational leaders apply transformational and servant leadership models and encourage the participation of all people contributing to the sharing of ideas.  Studies by McLaney et al. (2022), and Buljac-Samardzic et al. (2020) observe that interdisciplinary and inter-professional collaboration are essential to attain positive patient outcomes. The studies observe that interdisciplinary teams and collaborative foundations require better communication and having a shared leadership approach and decision-making. These studies are relevant to the issue as developing an organizational safety culture requires a collaborative approach from all stakeholders. Organizations and their management can only attain this culture when they integrate views from all professionals.

Conclusion

The interview with the nurse manager at the local healthcare facility and organization reveals the need for a safe organizational culture to improve patient quality outcomes. The interviewee notes the current situation where medication and medical errors occur with minimal or no reporting due to an ineffective safety culture. As such, using appropriate change models, leadership styles, and collaborative styles, the organization can enhance the current culture and improve the working of its interdisciplinary teams.

References

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, 1-42. DOI: https://doi.org/10.1186/s12960-019-0411-3

Campbell, R. J. (2020). Change management in health care.  Health Care Management, 39(2),

            50-65. DOI: 10.1097/HCM.0000000000000290.

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 https://doi.org/10.2147/JHL.S289176

Iqbal, K., Fatima, T., & Naveed, M. (2019). The impact of transformational leadership on

nurses’ organizational commitment: a multiple mediation model. European Journal of Investigation in Health, Psychology and Education, 10(1), 262-275. DOI: 10.3390/ejihpe10010021

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022,

March). A framework for inter-professional team collaboration in a hospital setting: Advancing team competencies and behaviors. Healthcare Management Forum, 35(2): 112-117. https://doi.org/10.1177/08404704211063584

Milella, F., Minelli, E. A., Strozzi, F., & Croce, D. (2021). Change and innovation in healthcare:

            findings from the literature. ClinicoEconomics and outcomes research, 395-408.

DOI: 10.2147/CEOR.S301169.

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, DOI:10.1136/leader-2020-00037

Seljemo, C., Viksveen, P., & Ree, E. (2020). The role of transformational leadership, job

demands and job resources for patient safety culture in Norwegian nursing homes: a cross-sectional study. BMC Health Services Research, 20, 1-8. DOI: https://doi.org/10.1186/s12913-020-05671-y

Sirimsi, M. M., De Loof, H., Van den Broeck, K., De Vliegher, K., Pype, P., Remmen, R., &

Van Bogaert, P. (2022). Scoping review to identify strategies and interventions improving inter-professional collaboration and integration in primary care. BMJ open, 12(10), e062111. https://doi.org/10.1136/bmjopen-2022-062111