Interview and Interdisciplinary Issue Identification
Interview Summary
Throughout the interview, I interacted with Dr. John Smith, a physician working at Upper Rose Medical, a well-known tertiary care facility that is located in the metropolitan area. Dr. Smith serves as the head of the Emergency Department (ED). Dr. Smith provided insights into different problems lying within the organization and referred to the problems faced by the emergency unit, including those presented by the management of the overcrowding and the patient-keeping process. Dr. Smith explained how the current flow of patients into the ED frequently to some extent the capabilities of the available resources; thus, down the line, this may lead to the delay in serving the patient, compromising the quality of the care, and burnout among the staff. The issue was not solved during previous efforts to address it by introducing measures like optimization of procedures or redressing workflows; however, the current state of systemic issues, namely, the shrinkage of beds, the insufficiency of personnel, and delays in indigenous services, made it possible for it to continue.
As far as leader intervention, Dr. Smith mentioned there were few attempts by hospital administrators to mitigate emergency department overcrowding. However, maintaining these interventions has been a problem, he said. Limited stable long-term aid and lack of resources make such measures ineffective, which underlie the problems experienced by ED employees. As per Dr. Smith, the culture of institutional activity in Upper Ross Medical Center was also supported by the patient-oriented approach and constant refinement ideas, but he also accepted that he could not easily have achieved these goals in the presence of functional limitations of ED overcrowding.
Issue Identification
The interview enabled us to pinpoint the problem for which an evidence-based interdisciplinary approach would bear relevant results. The opposite example is the management of ED overcrowding and the patient flow at Upper Ross Medical Center. Given the complex characteristics of this issue, the context synergy should reflect the participants of different disciplines, such as physicians, intensive care unit nurses, ancillary personnel, administrators, and community associations functioning together. If the medical center manages to utilize experts in various disciplines and collaborate with each other, it will be able to develop workable solutions to substantially tackle the problem of ED overcrowding (Bittencourt et al., 2020).
Change Theories That Could Lead to an Interdisciplinary Solution
The theory of change that would help develop an interdisciplinary approach toward the levels of ED overcrowding is Kotter’s Change Model of Eight Steps. According to Barrow et al.’s (2023) critical aspects of sending signals of the imminent need to restore an organization with a coalition of confiding leaders and initiating the necessary action. Given that Kotter’s approach has been put into practice, the employees representing different departments of the Upper Ross Medical Center get involved in addressing the problem of the ED (Barrow et al., 2023). Also, the model supplies a standardized approach for setting up and maintaining a change program, thus assuring short-term and long-term success. Thus, the model is capable of achieving long-term change and success. The consolidation of this theory is substantiated by its ever-more widespread use in healthcare operations and worldwide application for the accomplishment of organizational change (Barrow et al., 2023). In addition to being current, this article is credible because it clarifies how a new idea moves through many stages of adoption by various participants or users, which is important in this research.
Leadership Strategies That Could Lead to an Interdisciplinary Solution
Leadership is another crucial aspect; servant leadership can enable finding an interdisciplinary solution to the problem of overcrowding at the ED. Servant leaders emphasize the interests of the team members, effectively build partners, and create an environment where their subordinates can accomplish their activities for joint achievements. According to Maninchedda et al. (2023) the servant leadership model, the hospital management, and the department heads can prompt frontline workers to come up with unique actions to solve the overcrowding crisis. Selecting integrated integration and strategy with a patient-centered culture-based approach underlines the value of teamwork and accountability shared in order for the organization to come up with better goals and objectives. This approach is credible because it is in harmony with ethical principles and has benefits on employees’ engagement as well as in organization performance (Maninchedda et al., 2023). The credibility of this article is seen in the teambuilding activities, and the clear delineation of functions proposed as part of the strategy is in line with modern healthcare practices. The credibility of the chosen sources can be measured through academic literature and research studies. For instance, scientific publications in reputable journals, which are often published in journals on healthcare management and leadership, can substantiate the value of transformational leadership by providing empirical evidence and conceptual frameworks that suit the needs of healthcare organizations. Furthermore, the information that authenticates its legitimacy comes from a reliable source, such as a well-known organization or subject matter expert.
Collaboration Approaches for Interdisciplinary Teams
The TeamSTEPPS concept is one teamwork technique that is used in interdisciplinary contexts. STS-AHRQ (Team Strategies and Tools, and Techniques to Enhance Strategic Performance and Patient Safety) is an evidence-based teamwork system developed by the Agency for Healthcare Research and Quality (AHRQ) (Veazie et al., 2020). According to Martin and Bryant (2022) is primarily intended to offer a set of tools and strategies that facilitate communication, collaboration, and patient care outcomes in various healthcare environments. The appropriate use of TeamSTEPPS precepts is likely to lead to an increase in mutual understanding between ED staff members and other departments, process flow improvement, and help patient flow to reach the highest rate (Martin & Bryant, 2022). This approach strongly relies on its huge number of research findings and successful performance in several healthcare systems that spread all over the globe. This article is credible since its publication is within 3-5, and it is in line with Collaboration Approaches for Interdisciplinary Teams. Furthermore, the information that authenticates its legitimacy comes from a reliable source, such as a well-known organization or subject matter expert.
Conclusively, by combining the change theories and leadership techniques mentioned above, leading strategically, and utilizing collaboration approaches, the medical care team at Upper Ross Medical Center can successfully overcome the issue of ED overcrowding, bringing teamwork and interdisciplinary cooperation to the hospital to practice better patient care.
References
Barrow, J. M., Annamaraju, P., & Toney-Butler, T. J. (2023). Change management. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459380/#:~:text=Kotter
Bittencourt, R. J., Stevanato, A. D. M., Bragança, C. T. N. M., Gottems, L. B. D., & O’Dwyer, G. (2020). Interventions in overcrowding of emergency departments: an overview of systematic reviews. Revista de Saúde Pública, 54, 66. https://doi.org/10.11606/s1518-8787.2020054002342
Maninchedda, M., Proia, A. S., Bianco, L., Aromatario, M., Orsi, G. B., & Napoli, C. (2023). Main features and control strategies to reduce overcrowding in emergency departments: A systematic review of the literature. Risk Management and Healthcare Policy, Volume 16, 255–266. https://doi.org/10.2147/rmhp.s399045
Martin, R. L., & Bryant, J. A. (2022). Collaboration. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK535400/
Veazie, S., Peterson, K., Bourne, D., Anderson, J., Damschroder, L., & Gunnar, W. (2020). Implementing high-reliability organization principles into practice. Journal of Patient Safety, Publish Ahead of Print (1). https://doi.org/10.1097/
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Question 
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.
Interview and Interdisciplinary Issue Identification
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Introduction
As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes of 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 healthcare 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.