Interview and Interdisciplinary Issue Identification

Interview and Interdisciplinary Issue Identification

With the pursuit for quality and safe healthcare delivery gaining pace, the healthcare system is implored to employ innovative measures that ensure quality and safety in their care operationalizations. The interdisciplinary approach in care delivery shifts the paradigm from individualistic approaches to collaborative care. Nurses are integral to interdisciplinary team operationalization. Their position in healthcare and role makes them invaluable to interdisciplinary healthcare teams. This paper reports an interview with a hospital nurse focusing on current issues affecting healthcare organizations that may be addressed through an interdisciplinary approach. Do you need urgent assignment help ? Reach out to us. We endeavor to assist you the best way possible.

Interview Summary

Ms. Wendy is the lead nurse at the diabetic clinic of Eastern Hospital. She has over 30 years of experience in nursing and over 10 years of experience in leadership. Her role includes making hiring and firing decisions, fostering professional nursing development, overseeing nursing units within the clinic, and organizing staff training. On the issues affecting the hospital, Ms. Wendy noted that coordinating the care continuum for diabetic patients transitioning to home-based care continues to be challenging for the hospital. She mentioned that the hospital has been at the forefront of monitoring diabetic patients enrolled in the hospital’s enrollment registry as a strategy to enhance care processes during the care continuum. With healthcare information technologies being available for healthcare utilization, the hospital is currently employing health information technologies such as telehealth to monitor their patients. On leadership role, Ms. Wendy noted that the healthcare leadership at the hospital has been at the forefront of coordinating care approaches for diabetics under the care continuum. She added that the hospital’s leadership trains their employees on healthcare technologies to enhance care delivery within the hospital clinics. Ms. Wendy also noted that the Eastern hospital has had a positive history with collaborative paradigms in its mainstream care provision. She mentioned that the diabetic clinic is slowly integrating this approach into patient monitoring and surveillance.

Issue Identification

The issue identified during the interview, as recounted by Ms. Wendy, was the coordination of care continuum services for patients transitioning to home-based care. The care continuum for patients with chronic disorders remains challenging for healthcare organizations. Fragmented care and poor care coordination among the available staff are challenges to the effective continuum of care for patients under long-term care. Fragmented care has been implicated in significant quality compromises in the care continuum, with therapeutic errors, avoidable hospital readmission, escalated healthcare costs, and unwarranted hospital visitations being the consequence (Pierucci et al., 2021). Care coordination through interdisciplinary teams remains critical during the care continuum for patients with chronic disorders transitioning to home-based care.

Change Theories that Could Lead to an Interdisciplinary Solution

Change theories provide the groundwork for initiating and executing organizational changes effectively. Lewin’s change management model is an example of a change management theory that could inform an interdisciplinary solution for the issue identified. This change theory divides the organization’s change process into three basic steps: unfreeze, change, and freeze. In the unfreezing step, organizational members are prepared for the change by communicating the change process to them. This is followed by the actual implementation of the change process. In the refreeze step, a monitoring strategy is developed to prevent the organization from reverting to the older system of care operationalization. This theory provides an effective framework for integrating interdisciplinary approaches in care continuum services. Lalani et al. (2020) note that Lewin’s theory of change provides a framework for initiating and sustaining changes in care that integrate interdisciplinary approaches in care provision. The source used seems credible as it meets the currency, relevance, authority, purpose, and accuracy criteria.

Leadership remains essential for all healthcare changes. Effective leadership strategies that inform an interdisciplinary to the identified organizational issue include; effective communication to enhance organizational members’ awareness of the change process, working with a change model to execute a change process in healthcare, and sustaining the change by empowering members to abide by the provision of the change. Effective organizational leadership oversees successful change processes by inspiring the change process to organizational members. They enhance their members’ anticipation of the change and increase their functional capacities to initiate and sustain the necessary change (Litz & Blaik-Hourani, 2020). It is for this reason that leadership remains important in all healthcare change processes.

Collaborative Approaches

Several collaborative approaches facilitate the establishment or improving interdisciplinary teams seeking to address poor care coordination. Defining the collaborative approach remains key in collaborative paradigms. This process entails establishing a communication framework and outlining the expected clinical outcomes. Role delegation is another approach to fostering collaborative approaches. This step involves limiting team members to the respective health cadre that defines their skill set. Assigning responsibilities and duties to team members is another strategy that could foster interdisciplinary approaches. Fundamental in this step is responsibility sharing and cooperation (Shirey et al., 2019). These approaches will enhance healthcare collaborations and steer the care organizations towards effective coordination of care processes for care continuum processes for patients transitioning to home-based care.

The interdisciplinary team approach remains an effective strategy in comprehensive care. These approaches may prove effective in curtailing poor care coordination for people with diabetes transitioning to home-based care during the care continuum. As demonstrated in the interview, the care continuum remains a challenge in these patients, with therapeutic errors and avoidable readmission being apparent. Implementing changes integrating interdisciplinary teams into mainstream care operationalization requires effective leadership and change theories. Lewin’s Change theory is an example of a theory that maintains effectiveness in change management processes.

 References

Lalani, M., Bussu, S., & Marshall, M. (2020). Understanding integrated care at the frontline using organisational learning theory: A participatory evaluation of multi-professional teams in East London. Social Science & Medicine, 262, 113254. https://doi.org/10.1016/j.socscimed.2020.113254

Litz, D., & Blaik-Hourani, R. (2020). Transformational leadership and change in Education. Oxford Research Encyclopedia of Education. https://doi.org/10.1093/acrefore/9780190264093.013.631

Pierucci, P., Santomasi, C., Ambrosino, N., Portacci, A., Diaferia, F., Hansen, K., Odemyr, M., Jones, S., & Carpagnano, G. E. (2021). Patient’s treatment burden related to care coordination in the field of respiratory diseases. Breathe, 17(1), 210006. https://doi.org/10.1183/20734735.0006-2021

Shirey, M., White-Williams, C., & Hites, L. (2019). Integration of authentic leadership lens for Building High Performing Interprofessional Collaborative Practice Teams. Nursing Administration Quarterly, 43(2), 101–112. https://doi.org/10.1097/naq.0000000000000339

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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.

Interview and Interdisciplinary Issue Identification

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.