NURS FPX 4010 Capella Interview and Interdisciplinary Issue Identification Presentation Assessments 2,3 & 4. Instructions are detailed in the attached docu

NURS FPX 4010 Capella Interview and Interdisciplinary Issue Identification Presentation Assessments 2,3 & 4. Instructions are detailed in the attached documents. Also each assessment comes with an example. Specific documents for each assessment are also attached. Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification
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.
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.).
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.
Reference
Institute for Healthcare Improvement. (n.d.). How to improve. Retrieved from
http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx
Demonstration of Proficiency
o 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.
o 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.
o 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.
o Competency 5: Apply professional, scholarly, evidence-based communication
strategies to impact patient, interdisciplinary team, and systems outcomes.
▪ Communicate with writing that is clear, logically organized, and
professional, with correct grammar and spelling, using current APA style.
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. 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.
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.
o Summarize an interview focused on past or current issues at a health care
organization.
o Identify an issue from an interview for which an evidence-based interdisciplinary
approach would be appropriate.
o Describe potential change theories and a leadership strategies that could inform an
interdisciplinary solution to an organizational issue.
o Describe collaboration approaches from the literature that could facilitate
establishing or improving an interdisciplinary team to address an organizational
issue.
o Communicate with writing that is clear, logically organized, and professional,
with correct grammar and spelling, and using current APA style.
Additional Requirements
o 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.
o 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.
o APA formatting: Make sure that in-text citations and reference list follow
current APA style.
Running head: INTERVIEW AND INTERDISCIPLINARY ISSUE
Interview and Interdisciplinary Issue Identification
Vicki Jahromi
NURS-FPX4010
Capella University
May 15, 2020
1
INTERVIEW AND INTERDISCIPLINARY ISSUE
2
Interview and Interdisciplinary Issue Identification
Interview Summary
The interviewee for assessment two is an Advanced Certified Oncology Nurse
Practitioner for a large cancer center. Due to the current situation with COVID-19, the interview
was conducted via telephone, and the list of questions provided for the assessment was used as a
basic guideline. The interview was performed in a semi-structured manner and was recorded.
The cancer center where the interviewee works is comprised of many different disciplines
such as; surgical, radiation and medical oncologists, pain management specialists, social
workers, psychologists, nurse practitioners, and nursing staff for each discipline. A vital aspect
of this practice is that it has been recently acquired by the Christian Care Health System and
went from being a stand-alone medical oncology practice to being part of an enormous
healthcare corporation. Naturally, there is an ongoing cultural change for the once
independent office.
The primary duties for the NP interviewed are coordinating between disciplines, writing
referrals and orders, managing chemotherapy, pain management, education, and follow up calls.
The most relevant issue from the nurse practitioner’s perspective is the various professions
overstepping their boundaries and interfering in the practice of other disciplines. She states there
has been a lack of strong motivational leadership in helping the oncology practice adjust
to its new role within the more massive corporation.
Additionally, collaboration on a large scale happens only when a patient is new to the
cancer center. Upon diagnosis, a meeting is held with the patient, medical oncology, radiation
oncology, surgical oncology, social work, nutrition, etc. After this initial meeting,
collaboration is on an as-needed basis. For example, when chemotherapy is no longer shrinking a
INTERVIEW AND INTERDISCIPLINARY ISSUE
3
patient’s tumor, the medical oncologist, surgical oncologist, and radiation oncologist will meet to
discuss alternative options. The organization promotes teamwork but not necessarily true
interprofessional collaboration. There is a silo mentality, and the physicians often exude a sense
of entitlement.
The interviewee attempted to work on a collaborative team. In one collaborative meeting,
Christiana Care indicated it had never used Oncology Nurse Practitioners, and it would need to
come up with a job description. Having thirty years RN and NP experience, the interviewee
volunteered to assist but was dismissed and told they would let her know when the job
description was completed. Hussain et al. (2015) suggests employee involvement is a crucial tool
for overcoming resistance to organizational change, and it increases members’ input into
decisions that affect the organization’s performance and well being.
Issue Identification
The issue identified during the interview is one discipline going outside its scope of
practice and infringing on another discipline’s duties. For example, the medical oncology group
manages a patient’s pain until it feels the patient’s pain is no longer controlled. The patient is
then referred to the pain management group. Problems occur when a patient is having
uncontrolled pain and mentions this at a visit with his/her medical oncologist. Does the practice
adjust the pain meds? Or make the patient wait several days for an appointment with pain
management? Similar problems occur among other disciplines as well. A multidisciplinary
approach is appropriate for this problem, as it has the potential to disrupt patient care. Moreover,
evidence supports the use of interprofessional practice as it leads to improved patient care,
enhanced patient safety, and prevention of medical errors (Bosch & Mansel, 2015).
Change Theory
INTERVIEW AND INTERDISCIPLINARY ISSUE
4
The journals used to research change theory were all scholarly and peer-reviewed and
to ensure their relevance all were published in the last five years. Change theory offers methods
for understanding an organization, its groups, the values and beliefs they possess, and how this
set of beliefs influences the culture of the organization and its openness to change. Depending on
the particular theory, suggestions are made on how best to alter that belief system to motivate
change.
Kurt Lewin’s Field Theory offers a way of learning about group behavior by analyzing
the relationships of interrelated environmental factors such as; the internal structure of the
organization, its strategy, management and personnel, and external factors like policy or the
economy. Understanding these forces allows practitioners to comprehend why groups act as they
do and what forces need to be strengthened or diminished to bring about change (Hussain et al.,
2016). Lewin’s theory is relevant because the culture of Christiana’s organization needs to be a
target for change so that collaboration becomes the norm. This means thoroughly analyzing the
groups within the organization and targeting their beliefs about their practices and the particular
role they play in patient care and then presenting them with evidence supporting
intercollaboration.
Leadership Strategy
All journal articles used to research leadership were scholarly and peer-reviewed. Their
relevance was secured by ensuring all were published in the last five years. Leadership strategy
is an attempt to organize, guide, and maintain the sincere and ardent commitment of the people
carrying out a business strategy. The research has shown that the leadership style best suited for
driving change is the transformational style. These leaders are defined as charismatic and
inspirational; they possess effective communication skills, motivate, engage, and empower the
INTERVIEW AND INTERDISCIPLINARY ISSUE
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team (Bergstedt & Wei, 2020). The interviewee feels that the current leadership is weak, and
there is a lack of communication and transparency. A transformational leader will possess the
skills needed to move the cancer center towards an interdisciplinary approach.
Collaborative Approach
Throughout the literature, a familiar concept for driving successful intercollaboration is
putting the patient first. According to Tomasik et al. (2015), “Focusing on the patient from their
unique perspective serves as an equalizer in that patients’ interests supersede the potentially
competing interests of individual team members. It helps people “connect the dots” between their
role, patient care, and the mission of their organization” (p15). This is particularly true for the
cancer center as the physicians and individual practices tend to operate in a bubble, and it can be
disruptive to patient care.
Additionally, Tomasik and Flemming ( 2015) calls for the use of active and respectful
communication as a tool for building interprofessional collaboration. Healthcare professionals
often have their own ideas about what constitutes successful communication. The authors argue
that having a common language allows team members to avoid barriers to effective
communication. The healthcare facilities successfully using interprofessional practice have
uniform documentation, forums, emails, and meetings that involve all team members.
One example of standardized communication that is seen throughout organizations
successfully using collaborative practice is interprofessional rounding. This is seen as a highly
effective practice that allows individuals to understand both their own and others contributions to
the team. Open and respectful communication can contribute to problem- solving as a group, and
open discussion allows for different perspectives to be heard (Tomasik & Flemming, 2015).
Interprofessional rounding at Christiana Care would be beneficial as many of the professions are
INTERVIEW AND INTERDISCIPLINARY ISSUE
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often infringing on the practices of others. Daily collaborative rounding would alleviate this issue
as well as give a unique insight into how to prevent it from happening in the future.
Conclusion
Change theory, leadership, and collaborative practice are all tools needed to improve the
nature of healthcare, but none of these tools act independently. Change theory provides a
mechanism for examining the culture of an organization and determining what it will take to
produce change. However, change theory needs to be driven by effective leadership. The same is
true for intercollaboration. The organization must be inspired and motivated towards this method
of practice. Change theories might tell us how to get there, but ultimately it comes down to
leadership style and being able to stimulate the workforce into accepting the concept of
interdisciplinary practice.
INTERVIEW AND INTERDISCIPLINARY ISSUE
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References
Batras, D., Duff, C., & Smith, B. J. (2015, November 14). Organizational change theory:
Implications for health promotion practice. Health Promotion International, 31, 231-241.
http://dx.doi.org/10.1093/heapro/dau098
Bergstedt, K., & Wei, H. (2020, February ). Leadership strategies to promote frontline nursing
staff engagement. Nursing Management, 48-53.
http://dx.doi.org/10.1097/01.NUMA.0000651204.39553.79
Bosch, B., & Mansel, H. (2015, July). Interprofessional collaboration in healthcare: Lessons to
be learned from competitive sports. CPJRPC, 176-179.
http://dx.doi.org/10.1177/1715163515588106
Dyess, S. M., Sherman, R. O., Pratt, B. A., & Hanisko, L. C. (2016, January 14). Growing nurse
leaders: Their perspectives on nursing leadership and today’s practice environment. The
Online Journal of Issues in Nursing, 21().
http://dx.doi.org/10.3912/OJIN.Vol21No01PPT04
Hussain, S. T., Lei, S., Akram, T., Haider, M. J., & Hussain, S. H. (2016, July 14). Kurt Lewin’s
change model: A critical review of the role of leadership and employee involvement in
organizational change. Journal of Innovation & Knowledge, 3, 125-127.
http://dx.doi.org/10.1016/j.jik.2016.07.002
Tomasik, J., & Flemming, C. (2015). Lessons from the field: Promising interprofessional
collaboration practices. Retrieved from
www.rwjf.org/en/library/research/2015/03/lessons-from-the-field.html
Running head: INTERVIEW & INTERDISCIPLINARY ISSUE IDENTIFICATION
Interview and Interdisciplinary Issue Identification
YOUR NAME
NURS-FPX4010
Capella University
MONTH DAY, YEAR
1
INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION
Interview Summary
Summarize your interview in this section. Be sure to relate concise information about:
•
the health care organization that was discussed in the interview.
•
the interviewee’s role and duties.
•
the relevant issues at the organization.
•
any relevant comments on the actions taken by the organization or leadership previously
and their effectiveness.
•
the organizational culture related to collaboration.
•
any relevant collaboration or interdisciplinary team experience you interviewee has had.
The goal of this section is to convey what was discussed at the interview and identify an issue to
pursue throughout the rest of this assessment (and future assessments in this course), as well as
have enough information to relate theories, strategies, and approaches to the situation at the
organization.
Issue Identification
Identify the issue from the interview for which you consider an evidence-based interdisciplinary
approach appropriate. Provide one or more specific reasons why an interdisciplinary approach
would be appropriate for the issue.
Change Theories That Could Lead to an Interdisciplinary Solution
For this section, look to the literature and describe one or more change theories that would help
to develop an interdisciplinary solution to the identified issue. Also, you should briefly note the
relevance and credibility of the sources that you cite.
Another way to think through this section is:
•
What is the change theory?
2
INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION
•
How could it help create an interdisciplinary solution?
•
How relevant is the theory to the specific identified issue?
•
How credible is the source?
Leadership Strategies That Could Lead to an Interdisciplinary Solution
This section is similar to the previous one, except you will be looking to the literature to help you
describe one or more leadership strategy that would help you develop an interdisciplinary
solution to the identified issue. Also, you should briefly note the relevance and credibility of the
sources that you cite.
Another way to think through this section is:
•
What is the leadership strategy?
•
How could it help create an interdisciplinary solution?
•
How relevant is the strategy to the specific identified issue?
•
How credible is the source?
Collaboration Approaches for Interdisciplinary Teams
Again, this section will be similar to the previous once, except that the focus will be on
collaboration approaches. Depending on whether or not your interviewee’s organization uses
interdisciplinary teams frequently, your focus in this section may be on how to establish
interdisciplinary teams and a collaborative foundation or how to improve the collaboration
within an already established teams. You should also briefly n…
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