Interview and Interdisciplinary Issue Identification

Interview and Interdisciplinary Issue Identification

I interviewed a nurse working in a medical-surgical ward. He performs various roles. To begin with, he monitors patients’ vitals and administers medication safely. Also, he assesses, plans, implements, and evaluates nursing care plans. Furthermore, he provided patient-centered care to pre-surgical and post-surgical patients. The nurse reported that he has worked at the facility for three years and is satisfied with this role. However, he reported that over the past five months, the unit has witnessed an increase in cases of central line-associated bloodstream infection (CLABSI). He attributes this to a decrease in the morale of healthcare providers resulting in inadequate interdisciplinary collaboration.

According to the nurse, various factors have contributed to the defective interdisciplinary collaboration. To begin with, the healthcare facility lacks a framework for recognizing and awarding teams that engage in meaningful collaboration. Secondly, the healthcare facility lacks a framework for performance evaluation and appraisal. Thirdly, the healthcare facility does not offer training on the strategies or importance of interdisciplinary collaboration. Fourthly, the healthcare facility lacks elaborate standard operating procedures that would promote interdisciplinary collaboration. According to the nurse, the organization has not taken significant measures to optimize interdisciplinary collaboration.

I embraced active listening and adequate preparation to gather adequate information from the nurse. Active listening allowed the nurse to acknowledge that his opinions were respected. This improved our interaction and information sharing. Adequate preparation before the interview enabled me to remain objective and to use well-structured questions.

Issue Identification

Central line-associated bloodstream infection (CLABSI) is a problem of concern. Various microorganisms, such as bacteria and fungi, cause this nosocomial infection. Examples of bacteria that have been implicated include Staphylococcus aureus, Klebsiella, coagulase-negative staphylococci, and Pseudomonas (Haddadin et al., 2022). CLABSI is associated with high morbidity and mortality rates. For instance, an average of 4 cases are reported per 1000 central line days (Haddadin et al., 2022). CLABSI develops within forty-eight hours of placement of central catheters (Park et al., 2020). Factors that increase the risk of LABSI include underlying medical conditions such as hypertension, diabetes mellitus, and malignancy (Park et al., 2020). Also, malnourishment, burns, and prolonged hospitalization increase the risk of CLABSI. The average cost of managing a case of CLABSI is approximately $46,000 in the USA ( Haddadin et al., 2022). An interdisciplinary approach is relevant in the prevention and management of CLABSI. Nurses and physicians involved in the insertion of central catheters should embrace hand hygiene and aseptic insertion techniques. Laboratory technologists perform a key role in providing results indicating the causative organisms. Pharmacists play a key role in enforcing rational drug use in the management of CLABSI.

Change Theories That Could Lead to an Interdisciplinary Solution

Lewin’s Change Management Model will be used to facilitate interdisciplinary collaboration to address CLABSI. This change model comprises three stages: unfreezing and change refreezing (Burnes, 2020). The unfreezing phase allows the organization to identify the existence of a problem that necessitates change (Burnes, 2020).  In this context, the unfreezing phase will enable the interdisciplinary team to recognize that CLABSI is a significant problem to be addressed promptly. The second phase entails implementing the change (Burnes, 2020). In this context, the interdisciplinary team will embrace evidence-based strategies to prevent and manage CLABSI. Examples include hand hygiene, aseptic insertion technique, and rational use of antibiotics (Haddadin et al., 2022). The third phase entails reinforcing the change in organizational culture (Burnes, 2020). During this phase, a standard operating procedure will be developed to guide the actions of the interdisciplinary team also, reward systems will be used to champion the adequate implementation of the change. This source is relevant because it is current and accurate and its purpose addresses the research topic.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

Effective leadership will enable the interdisciplinary team to address CLABSI. To begin with, leaders should delegate effectively (Samimi et al., 2022). Effective delegation will avert role ambiguity, promote accountability, and enable the team to remain committed to the prevention and management of CLABSI. Secondly, using reward systems will motivate the interdisciplinary team to implement strategies that minimize CLABSI (Samimi et al., 2022). For instance, the use of reward systems will enable team members to research and embrace evidence-based practices to address CLABSI. Thirdly, open communication will improve information sharing and enable the team to remain committed to the goal of addressing CLABSI (Samimi et al., 2022). This source is relevant because it is current and accurate, and its purpose addresses the research topic.

Collaboration Approaches for Interdisciplinary Teams

Interdisciplinary teams should embrace various approaches to achieve effective collaboration. Examples of these strategies include training, team building, and open communication (Ngangue et al., 2020). Training is relevant because it equips team members with key skills and knowledge needed to execute their tasks (Ngangue et al., 2020). In this context, training will enable the interdisciplinary team to learn aseptic insertion techniques and the rational use of drugs. Team building will enable the interdisciplinary team to bond, establish professional relationships, and increase the likelihood of information sharing and collaboration (Ngangue et al., 2020). Open communication will enable team members to share goals and objectives, seek clarifications, and work harmoniously toward their common goals. This source is relevant because it is current and accurate, and its purpose addresses the research topic

References

Burnes, B. (2020). The Origins of Lewin’s Three-Step Model of Change. Journal of Applied Behavioral Science, 56(1), 32–59. https://doi.org/10.1177/0021886319892685

Haddadin,Y., Annamaraju, P., & Regunath, H. (2022). Central Line Associated Blood Stream Infections. https://www.ncbi.nlm.nih.gov/books/NBK430891/

Ngangue, P. A., Forgues, C., Nguyen, T., Sasseville, M., Gallagher, F., Loignon, C., Stewart, M., Belle Brown, J., Chouinard, M. C., & Fortin, M. (2020). Patients, caregivers and healthcare professionals’ experience with an interdisciplinary intervention for people with multimorbidity in primary care: A qualitative study. Health Expectations, 23(2), 318–327. https://doi.org/10.1111/hex.13035

Park, S., Moon, S., Pai, H., & Kim, B. (2020). Appropriate duration of peripherally inserted central catheter maintenance to prevent central line-associated bloodstream infection. PLoS ONE, 15(6 June), 1–11. https://doi.org/10.1371/journal.pone.0234966

Samimi, M., Cortes, A. F., Anderson, M. H., & Herrmann, P. (2022). What is strategic leadership? Developing a framework for future research. Leadership Quarterly, 33(3), 101353. https://doi.org/10.1016/

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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 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:

Interview and Interdisciplinary Issue Identification

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.