NURS FPX 4010 Interview and Interdisciplinary Issue Identification Report
NURS FPX 4010 Interview and Interdisciplinary Issue Identification Report, hi need a 2-4 page report on an interview you have conducted with a healthcare 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 , must include reference page at the end of the plan, cite a minimum of 3 sources of scholarly or professional evidence that support central ideas, resources must be no more than 5 yrs old, and follow current APA style.
Assessment 2 Interview and Interdisciplinary Issue Identification
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.
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.
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.
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.
NURS FPX 4010 Interview and Interdisciplinary Issue Identification Report 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.
- 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.
NURS FPX 4010 Interview and Interdisciplinary Issue Identification Report Assessment 2: Interview Summary Example
The interview was with Ms. Decker (not her actual name). Miss Decker is a unit manager in the medical unit of a teaching and regional hospital in my state. She agreed to have the interview with me via zoom meeting due to convenience and time constraints. The healthcare organization in which Decker works is a big facility that offers inpatient and outpatient care in pediatric, medical, surgical, obstetric, oncological, dental, and psychiatric care.
Her unit, the medical unit, has the largest bed capacity and the number of nurses and other healthcare workers in the hospital. As a unit manager, she has leadership and management roles in the unit that involves both direct clinical and administrative duties. She oversees the quality improvement projects and answers directly to the chief nursing executive, the overall coordinator of care quality and patient safety in the healthcare organization.
More than 18 months ago, her healthcare organization was recording increasing incidences of medication errors despite having implemented Epic® electronic health records technology to improve patient safety and care quality more than six years ago. Therefore, the quality team convinced the hospital budgetary and administrative team to implement new technology, barcode medication administration (BCMA) systems.
Eighteen months after BCMA implementation, the healthcare organization still recorded a high number of medication errors. From the interview, she also said that the quality team of which she is a member plans to sit next month to discuss these quality outcomes and plan the next steps. Her organizational administrative culture encourages communication and collaboration between various healthcare professionals involved in direct care and those providing auxiliary services.
Whenever patient safety is at risk, healthcare professionals are allowed to report these incidences for immediate preventive action to their unit managers first before involving higher administrative personnel in the facility. Ms. Decker has had to communicate with other unit managers to compare implementation strategies and share ideas with other departments regarding patient safety and care quality. As a nurse leader, she is also a member of an interdisciplinary team that works with the office of the chief nursing executive to promote care quality.
The use of technology has been associated with improvement in care quality. However, not all time does this quality results after the implementation of these technologies. Other factors, both human, system, and medication-related, impact the quality outcomes, especially in medication error prevention. From this interview, the clinical issue concerned the lack of achievement of goals of patient safety improvement using additional technology. According to Al-Ahmadi et al. (2020), medication errors are usually multifactorial and multidisciplinary in etiology and risk factors in the same setting or the same patient situation.
The problem, being a multidisciplinary clinical issue, an interdisciplinary approach could offer better outcomes. From my interviewee’s practice setting, the medication use and treatment process involve not only nurses and doctors but also pharmacists, informaticists, and technologists. The patient still remains the chief stakeholder in medication use. Issues such as policy deviations, distractions, usability, and consistency in technology greatly affect the outcomes of technology in medication error prevention (Mulac et al., 2021; Rasool et al., 2020). Therefore, an interdisciplinary approach would be appropriate for this issue.
Change Theories That Could Lead to an Interdisciplinary Solution
Kotter’s Change Management Model is a potential theoretical model that would be used to develop and facilitate an interdisciplinary team in finding a solution to this issue. This theory emphasizes creating a sense of urgency and forming a coalition that would lead to short-term wins. This theory would be appropriate for this clinical issue because it would bring together all stakeholders by creating the need and urgency for a team approach.
Such intervention would incorporate the aforementioned human and system factors that lead to medication errors. A systematic review study by Harrison et al. (2021) assessed various change models and nursing and healthcare practice and found that Kotter’s model applied to both direct care and management situations in facilitating change. This source is peer-reviewed, current, and authoritative and provides relevant and reliable findings. Therefore, it is a credible source.
Leadership Strategies That Could Lead to an Interdisciplinary Solution
Leadership strategies that would help in developing an interdisciplinary solution are open communication and collaboration, provision of education and training, encouraging team diversity and inclusivity, and shared decision-making. These strategies promote a team approach by bringing together all stakeholders with a common goal. Utilizing Kotter’s change model would be possible when these strategies are employed by the nurse leader.
Creating a sense of urgency in the coalition would be facilitated by communicating, sharing, and setting goals among a diverse group from relevant disciplines. According to Caulfield and Brenner (2020), engaging patients and their families require that health professional deliver education with objectives targeting medication error prevention. Involving a group of different professionals provides multidisciplinary prevention. This source was from a retrospective clinical research published in a peer-reviewed journal called BioMed Central. This source is also credible because it is current and relevant.
Collaboration Approaches for Interdisciplinary Teams
Interdisciplinary rounding, case conferences, and shared decision-making are three approaches that would be useful in creating and improving interdisciplinary teams. Interdisciplinary rounding would promote face-to-face interaction between nurses, pharmacists, and prescribers to discuss specific patient cases and implement together strategies to prevent medication errors.
During these rounds, shared decision-making can be made possible. At higher leadership levels, it is advisable to use case conferences to promote patient-centered care by focusing on patient-specific strategies in interdisciplinary meetings. Implementing Shared decision-making for this during conferences and interdisciplinary rounding would ensure that the process for transition between the prescriber, the dispenser, and the medication administrator is name possible through direct physical communication.
Chances of medication errors are therefore reduced by timely and effective communication. According to a qualitative study by Salar et al. (2020), some of these strategies promote professional actions and presenting technical strategies among interdisciplinary teams. This source interviewed healthcare professionals and is peer-reviewed. The content and findings relate to what we see in practice today and are thus valid. Overall, it is a credible source.
Medication error prevention using technology may not be foolproof. Consideration of different factors requires the incorporation of interdisciplinary actions. In this healthcare issue, the problem was the underachievement of medication prevention goals despite using technology. The interdisciplinary approach would promote the finding of a solution through Kotter’s change management model, communication and collaboration, provision of education and training, encouraging team diversity and inclusivity, and shared decision-making in nursing leadership. Interdisciplinary rounding, case conferences, and shared decision-making are approaches that would promote interdisciplinary collaboration. Credible sources have been used to back up the argument for these strategies because these sources are current, authoritative, relevant, accurate, and purposeful.
Al-Ahmadi, R. F., Al-Juffali, L., Al-Shanawani, S., & Ali, S. (2020). Categorizing and understanding medication errors in hospital pharmacies concerning human factors. Saudi Pharmaceutical Journal: SPJ: The Official Publication of the Saudi Pharmaceutical Society, 28(12), 1674–1685. https://doi.org/10.1016/j.jsps.2020.10.014
Caulfield, J. L., & Brenner, E. F. (2020). Resolving complex community problems: Applying collective leadership and Kotter’s change model to wicked problems within social system networks. Nonprofit Management & Leadership, 30(3), 509–524. https://doi.org/10.1002/nml.21399
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, 13, 85–108. https://doi.org/10.2147/JHL.S289176
Manias, E., Street, M., Lowe, G., Low, J. K., Gray, K., & Botti, M. (2021). Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. BMC Health Services Research, 21(1), 1025. https://doi.org/10.1186/s12913-021-07033-8
Mulac, A., Mathiesen, L., Taxis, K., & Gerd Granås, A. (2021). Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ Quality & Safety, 30(12), 1021–1030. https://doi.org/10.1136/bmjqs-2021-013223
Rasool, M. F., Rehman, A. U., Imran, I., Abbas, S., Shah, S., Abbas, G., Khan, I., Shakeel, S., Ahmad Hassali, M. A., & Hayat, K. (2020). Risk factors associated with medication errors among patients suffering from chronic disorders. Frontiers in Public Health, 8, 531038. https://doi.org/10.3389/fpubh.2020.531038
Salar, A., Kiani, F., & Rezaee, N. (2020). Preventing the medication errors in hospitals: A qualitative study. International Journal of Africa Nursing Sciences, 13(100235), 100235. https://doi.org/10.1016/j.ijans.2020.100235
Interview and Interdisciplinary Issue Identification Scoring Guide
|Summarize an||Does not||Discusses an||Summarizes an||Summarizes an|
|interview focused on||summarize an||interview, but the||interview focused on||interview focused on|
|past or current issues||interview focused||focus of the interview,||past or current issues||past or current issues at|
|at a health care||on past or current||the issues addressed,||at a health care||a health care|
|organization.||issues at a health||or the specifics of||organization.||organization. Notes|
|care organization.||health care||strategies employed in|
|organizational context||the interview to ensure|
|are unclear or||that sufficient|
|Identify an issue from||Does not identify||Identifies an issue||Identifies an issue||Identifies an issue from|
|an interview for which||an issue from an||with an unclear||from an interview for||an interview for which an|
|an evidence-based||interview for which||connection to the||which an evidence-||evidence-based|
|interdisciplinary||an evidence-based||interview or for which||based||interdisciplinary|
|approach would be||interdisciplinary||an evidence-based||interdisciplinary||approach would be|
|appropriate.||approach would be||interdisciplinary||approach would be||appropriate, providing|
|appropriate.||approach seems||appropriate.||one or more specific|
|inappropriate.||reasons to justify this|
|Describe potential||Does not describe||Identifies change||Describes potential||Describes potential|
|change theories and||potential change||theories and||change theories and||change theories and|
|leadership strategies||theories and||leadership strategies||leadership strategies||leadership strategies|
|that could help||leadership||that are unclear,||that could help||that could help develop|
|develop an||strategies that||incomplete, or||develop an||an interdisciplinary|
|interdisciplinary||could help develop||irrelevant to||interdisciplinary||solution to an|
|solution to an||an interdisciplinary||developing an||solution to an||organizational issue.|
|organizational issue.||solution to an||interdisciplinary||organizational issue.||Notes which sources|
|organizational||solution to an||seem most credible or|
|issue.||organizational issue.||relevant to the specific|
|Describe||Does not describe||Identifies||Describes||Describes collaborative|
|collaborative||collaborative||collaborative||collaborative||approaches from the|
|approaches from the||approaches from||approaches from the||approaches from the||literature that could be|
|literature that could||the literature that||literature but the||literature that could||relevant in establishing|
|be relevant in||could be relevant||relevance to||be relevant in||or improving an|
|establishing or||in establishing or||establishing or||establishing or||interdisciplinary team to|
|improving an||improving an||improving an||improving an||address an|
|interdisciplinary team||interdisciplinary||interdisciplinary team||interdisciplinary team||organizational issue.|
|to address an||team to address||to address an||to address an||Notes which sources|
|organizational issue.||an organizational||organizational issue||organizational issue.||seem most credible or|
|issue.||is unclear or||relevant to the specific|
|Organize content so||Does not organize||Organizes content||Organizes content so||Organizes content with a|
|ideas flow logically||content for ideas.||with some logical flow||ideas flow logically||clear purpose. Content|
|with smooth||Lacks logical flow||and smooth||with smooth||flows logically with|
|transitions; contains||and smooth||transitions. Contains||transitions; contains||smooth transitions using|
|few errors in||transitions.||errors in||few errors in||coherent paragraphs,|
|word choice, and||word choice, and||word choice, and||grammar/punctuation,|
|spelling.||spelling.||spelling.||word choice, and free of|
|Apply APA formatting||Does not apply||Applies APA||Applies APA||Exhibits strict and|
|to in-text citations||APA formatting to||formatting to in-text||formatting to in-text||flawless adherence to|
|and references||headings, in-text||citations, headings||citations and||APA formatting of|
|exhibiting nearly||citations, and||and references||references, exhibiting||headings, in-text|
|flawless adherence to||references. Does||incorrectly and/or||nearly flawless||citations, and|
|APA format.||not use quotes or||inconsistently,||adherence to APA||references. Quotes and|
|paraphrase||detracting noticeable||format.||paraphrases correctly.|
|correctly.||from the content.|