NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Assessment 2 Interview and Interdisciplinary Issue Identification

Name

Capella university

NURS-FPX 4010 Leading in Intrprof Practice

Prof. Name

Date

Interview Summary

Interdisciplinary collaboration ensures smooth operations and delivery of quality healthcare to the patients. The report is based on an interview with my nursing school colleague Katy. In the interview, Katy discussed the pertinent healthcare issue – adverse drug events (ADEs)- encountered at her workplace and requires immediate actions to preserve patient safety and improve quality of care. I used a guiding strategy for the interview, using open-ended questions to prevent suggesting answers and gathering maximum information from Katy. A study by Connor Desai and Reimers (2019) mentions that using open-ended questions allows interviewees to provide detailed and holistic answers, which eventually helps the interviewer to develop a broad understanding of the concerns. Katy is a registered nurse at Miami Valley Hospital (MVH), a well-known tertiary care setting in Miami City. The organization covers all specialties of healthcare and has qualified healthcare professionals. As a registered nurse, Katy’s daily routine involves assessments, medication administration, interdisciplinary rounds, hygiene care, and addressing patient concerns. One of the affairs the hospital has recently encountered is the increased number of adverse drug events (ADE) due to medication administration, leading to several complications and eventually causing death. Some major factors of this issue in MVH are nurse shortages and workload, lack of proper hands-off communication, and inadequate training. She further detailed that administrators developed a zero-tolerance policy for negligence in medication administration three months ago. However, the policy is ineffective because of the nonexistence of an incidence reporting system and a blaming culture within the organization. Due to the fear of reprimand and legal penalties, nurses prevent themselves from reporting such incidences. Lack of leadership support and ineffective collaboration among the healthcare team are other reasons behind the futility of organizational reforms.

Issue Identification

Adverse Drug Events (ADEs) are pertinent issues in healthcare organizations worldwide, specifically due to medication administration errors. The World Health Organization defines ADEs as unsafe and damaging responses to a medication that can be life-threatening for the individual. These adverse events can result from preventable medication errors or any administered medication’s side effects (Khalil & Huang, 2020). Their potential to impact patient safety, increase healthcare costs, and pose negative results on organizational operations make them a significant healthcare issue. Therefore, an evidence-based interprofessional approach will be appropriate to eliminate these issues from the healthcare sector. This approach would bring diverse expertise from various healthcare disciplines, ensuring a comprehensive understanding of the issue, utilizing multiple skills to provide holistic patient care, leading to individual accountability, and helping develop effective solutions through multidisciplinary integration (Bendowska & Baum, 2023). Another key reason to apply an interdisciplinary approach is to prevent ADEs through effective communication among healthcare team members. As evident from our interviewee’s organization, lack of communication led to several adverse events within the setting; thus, an interdisciplinary team is essential to facilitate communication for efficient medication management, reducing the likelihood of errors and ADEs (Rodziewicz et al., 2023). Therefore, an interdisciplinary approach is appropriate to recognize, avoid, and manage adverse drug events competently, ultimately preserving patient safety and augmenting healthcare quality.

Change Theories That Could Lead to an Interdisciplinary Solution

The PDSA (plan-do-study-act) model is a credible and well-established quality improvement framework endorsed by the Agency for Healthcare Research and Quality (AHRQ), claiming that it is a cycle that permits the implementation of the change to resolve healthcare issues, continuously improving the healthcare environment (AHRQ, n.d.). Another study has proven the effectiveness of the PDSA model as it helps nurses improve their efficiency within healthcare practices by bringing effective reforms (Pan et al., 2022). In the “plan” phase, the organization must recognize the necessity of addressing ADEs by collecting data about incidences and associated complications, forming an interdisciplinary team, and developing measurable, realistic, and attainable goals. Further, a comprehensive plan should be developed, outlining the evidence-based strategies implemented in the “do” step. The results of the implementation step will be analyzed in the “study” stage to determine whether the changes have had the desired impact on reducing ADEs. Based on the data analysis, further steps will be planned. In the “act” stage, if the changes effectively reduce ADEs, stakeholders can make these best practices as standards. They can widespread the practices to maintain sustainability. The source presented by AHRQ is relevant and credible as it is a well-known organization, authorizing the use of the PDSA as a well-accepted model. AHRQ is a credible governmental organization valued in the U.S. for its contributions to healthcare research and improving the quality of care in the healthcare sector.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

According to the literature, transformational leadership strategy, which is characterized by a leader who is inspiring, innovating, and fostering a shared environment using a clear vision and goals, is an effective strategy to maintain a safety culture within the healthcare setting and promoting coordination and commitment among the interdisciplinary team (Ree & Wiig, 2019). This leadership strategy will play a significant role in addressing the issue of ADEs. Transformational leaders can encourage and motivate team members toward patient safety. Moreover, they can instill medication management and safety within healthcare practices through interprofessional education. By facilitating proper communication, leaders can establish coordination among healthcare professionals involved in medication management. Lastly, they can promote teamwork, a blame-free culture, and constructive feedback methods to enhance incidence reporting within the organization. The relevance and credibility of the resource can be justified by its relevance with the focus (transformational leadership and patient safety), authority of authors and authenticity of the journal, and its credibility due to multiple scholarly support for the claims.

Collaboration Approaches for Interdisciplinary Teams

IPE is one of the effective approaches to bring together professionals from various disciplines in a shared learning environment to improve patient care and patient safety. Training and education about medication management and safety using IPE will enable healthcare professionals to recognize and learn from each other’s expertise which they can utilize in their clinical practices (Young et al., 2021). The aim is to foster teamwork and enhance collaboration. Another effective collaboration approach is establishing quality improvement teams, comprising members of various disciplines, responsible for recognizing the need and attending to organizational issues related to patient safety and quality of care. Lastly, a research study by Kalogiannidis (2020) advocates the promotion of effective communication among team members, which enables them to work as a team, share their concerns, and derive immediate solutions. These literature studies are credible and relevant as they directly explain the importance of these collaboration strategies to ensure effective communication, teamwork, and shared vision among interdisciplinary teams.

References

AHRQ. (n.d.). Plan-do-check-act cycle | digital healthcare research. https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/plan-do-check-act-cycle Bendowska, A., & Baum, E. (2023). The significance of cooperation in interdisciplinary health care teams as perceived by Polish medical students. International Journal of Environmental Research and Public Health, 20(2), 954. https://doi.org/10.3390/ijerph20020954 Connor Desai, S., & Reimers, S. (2019). Comparing the use of open and closed questions for Web-based measures of the continued-influence effect. Behavior Research Methods,51(3), 1426–1440. https://doi.org/10.3758/s13428-018-1066-z Kalogiannidis, S. (2020). Impact of effective business communication on employee performance. European Journal of Business and Management Research, 5(6). https://doi.org/10.24018/ejbmr.2020.5.6.631

NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Khalil, H., & Huang, C. (2020). Adverse drug reactions in primary care: A scoping review. BMC Health Services Research, 20, 5. https://doi.org/10.1186/s12913-019-4651-7 Pan, N., Luo, Y. Y., & Duan, Q. X. (2022). The influence of PDCA cycle management mode on the enthusiasm, efficiency, and teamwork ability of nurses. BioMed Research International, 2022. https://doi.org/10.1155%2F2022%2F9352735 Ree, E., & Wiig, S. (2019). Linking transformational leadership, patient safety culture and work engagement in home care services. Nursing Open, 7(1), 256–264. https://doi.org/10.1002/nop2.386 Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2023). Medical error reduction and prevention. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK499956/ Young, J., Zolio, L., Brock, T., Harrison, J., Hodgkinson, M., Kumar, A., Morphet, J., & Kent, F. (2021). Interprofessional learning about medication safety. The Clinical Teacher, 18(6), 656–661. https://doi.org/10.1111/tct.13430

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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