Interview and Interdisciplinary Issue Identification Essay

Interview and Interdisciplinary Issue Identification Essay

Interview and Interdisciplinary Issue Identification Essay

Implementing best practices in healthcare settings allows providers to enhance efficiency and improve quality care outcomes among patients. Baccalaureate-prepared nurses play a critical role through participation and leadership in interdisciplinary teams to enhance patient outcomes. The purpose of this paper is to identify an issue that can be improved through an interdisciplinary approach by interviewing a health professional in our facility.

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Interview Summary

The interviewed health professional is a staff nurse in the emergency room (ER) at Mcleod Health Dillon. Her name is Ashley Bailey and one of the nurses in the 20-bed ER unit at the hospital. Mcleod is a smaller hospital based off their main hospital Mcleod Health Florence. Ashley is responsible for the flow of emergency room as handling of concerns and complaints. Her roles and duties also include patient care, patient assessment, and medication administration. She works alongside the registration nurse whose duties include collecting correct patient data and recording in the system. The provider in the facility is Dr. Daniel Crabtree who assesses patients, gives order to the nurse and work alongside nurses in patient care provision. 

The ER is always a busy area that requires effective management of time. During the interview, Ashley discussed the issue of time management as critical. She mentions the time taken in getting a bed for patients with chest pain, registration time to have patients in the system and time used for order to be given to patients. Miss Bailey also mentioned the need for effective communication among the different healthcare workers in the facility. Communication between registration, nursing staff and provider needs to improve in the department because of its critical nature to care provision.

Asked about any actions by the organization or leadership in addressing the issue and their effectiveness, she opined that there was a meeting between the nursing staff, registration and providers to find the root cause of the problem from the interdisciplinary team. The nurse said that collection of information to offer a more efficient system in handling chest pain patients was explored as a way of addressing the issue. She also mentioned the need to collaborate to ensure that there is a best system for the ER unit.  She also suggested hearing of multiple concerns among staff and dealing with the issues and where ineffective communication starts as a well as getting a solution to alleviate the disconnect among the different providers in the facility, especially the interdisciplinary team.

The nurse also mentioned that the unit lacks an organizational culture related to collaboration. She mentioned the disconnect between the registration and nursing staff, and the disconnect between the nursing staff and provides. The implication is that the current organizational culture does not support effective collaboration in the interdisciplinary team due to ineffective communication and time management practices. According to the interviewee, the only relevant collaboration or interdisciplinary team experience she has had was when nursing staff and registration staff worked based on information and the need to get relevant detail. The nurse asserted that when a patient present with chest pain, the registration staff notifies the nursing staff immediately.

Issue Identification

The primary issue of concern in this unit is effective communication that will lead to efficient workflow and a reduction in patient wait times. Using an interdisciplinary approach, the nurse in charge can collaborate with the management to evaluate best communication approaches when the department is busiest. The use of interdisciplinary approach can help the organization develop an effective communication culture. Effective polices and developing a communication plan or model can lead to better collaboration among the providers, especially between the nursing staff and the primary care providers (Kagan et al., 2019). An interdisciplinary approach to solving the current issue in the ER will offer more benefits and improve overall care as the staff work together to share expertise, knowledge and skills to manage patient care in an effective manner.

Change Theories that Could Lead to an Interdisciplinary Solution

A host of change theories can lead to a better interdisciplinary solution to effective communication and workflow process in the ER department. The Five As Behavioral Change Model can be an effective in the analysis of the ER department. The model proposes five stages that comprise of assessing, advising, agreeing, assisting, and arranging (Lopez-Jeng & Eberth, 2019). The interdisciplinary team will assess the situation (ineffective communication) and advise on the benefits of or need for change.

In the third aspect, the team will agree, which entails establishing the need for effective communication and use of tools like SBAR (Situation, Background, Analysis, and Recommendation) (Haryono et al., 2019). The fourth stage entails assisting which will involve identification of appropriate approaches to institute change while also addressing barriers like resistance to change and the need to maintain status quo. Arranging is the final stage and implies the creation of a sound plan and integration into the organizational culture through an effective policy in the case study. The interdisciplinary team will use this model to develop a communication and patient safety policy to enhance workflow in the department. According to Lopez-Jeng and Eberth (2019), this change model is effective in attaining required objectives through an interdisciplinary team approach. The source is relevant since the article is current and published in a peer-reviewed journal. Further, the researchers use a sound methodology and appropriate sample size.

Leadership Strategies that Could Lead to an Interdisciplinary Solution

Effective leadership is a critical aspect of organizational change associated with developing a safety culture in any setting, especially in the ER department. Leadership support requires the deployment of a better leadership style to enhance interdisciplinary approach. In this case two leadership strategies can be used to attain a desired solution. These include transformational and democratic styles. Using these approaches, the organizational leaders will inspire participation and innovative ideas to change the way things are done in the ER department (Collins et al., 2020). The ER is busy and the professionals may feel overwhelmed with the tasks and duties and need to respond to emergencies which may lead to medication errors. Therefore, using these two styles will allow leadership of the organization and the interdisciplinary team to identity main communication issues and need for effective collaboration to attain better outcomes for patients. The sources referenced in this section are credible as they are published in peer-reviewed journals and are current as well as based on sound methodology.   

Collaboration Approaches for Interdisciplinary Teams

An inter-professional collaboration would the most suited type of collaborative model for the issue present in the organization. The nurse in charge can communicate with the manager and express the need for change in communication model or approach in the unit. The nurse can also communicate with the physicians on neutral basis concerning the issues like patient orders and delays in providing prescription. The nurse can also discuss the issue with the registration staff to ensure that they follow the established protocols. Inter-professional collaboration is the most effective way of providing quality care on ER units and allows professionals to have a common approach to a health issue emanating from the department. The approach also involves patients to ensure that they have their input concerning the direction of their treatment in the facility.  Accordingly, this source is credible since it is peer-reviewed and scholarly.

Conclusion

Interdisciplinary teams in ER are essential and require effective communication to offer quality patient care. Nurses in these units should collaborate and develop better communication tools to enhance efficiency and workflow among the providers leading to quality patient outcomes. The analysis demonstrates the need to effective leadership support to improve communication and time management in the ER unit or department.

References

Collins, E., Owen, P., Digan, J., & Dunn, F. (2020). Applying transformational leadership in

            nursing practice. Nursing Standards, 35(5), 59-66. DOI: 10.7748/ns.2019.e11408.

Haryono, M. H., Nursalam, N., & Hasinudin, M. (2019). Developing sbar effective

communication instrument in emergency handover at emergency department of hajj hospital in Surabaya. Indian Journal of Public Health Research and Development, 10(10), 688. DOI:10.5958/0976-5506.2019.02893.6

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, 21(6):918-925. DOI: 10.1177/1524839919840337.

Shahid, S., & Thomas, S. (2018). Situation, background, assessment, recommendation (SBAR)

communication tool for handoff in health care–a narrative review. Safety in Health, 4(1), 1-9. DOI: https://doi.org/10.1186/s40886-018-0073-1

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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. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Demonstration of Proficiency
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Professional Context
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 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.