NURS FPX 4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Interview and Interdisciplinary Issue Identification

My Interview with a fellow nurse working at our facility’s intensive care unit (ICU)department was very informative. I understood the root cause analysis of the increased prevalence of ventilator-associated pneumonia (VAP). Throughout the Interview, the colleague demonstrated a high rise of the infection, and was attributed to the various Gram-negative bacteria, for example, the pseudomonas aeruginosa, Escherichia coli, and Klebsiella pneumonia. Research by Papazian et al. (2020), states that they causative pathogens and the rate of drug resistance pathogens may vary depending on the hospital and the data of microbial surveillance needed in that particular region. She further went and showed me the various data statistics of each year on the ventilator-associated pneumonia, and the case was very high, which made me furious. I inquired from her if at all they have sought ways to overcome it, and she stated that they have been incorporating various evidence-based measures in practice and also administering the patients with the required drugs NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification.

As one of the healthcare team members, I was keen to inquire about the best indicator of ventilator-associated pneumonia in their facility. She told me that they have been conducting portable chest radiography on all the patients at risk of developing the infection and those with the signs. Other healthcare team members that I will work with will include the Intensive Care Nurse, the physician, the occupational therapist, and the Nutritionist. The Occupational therapist will engage the patient in numerous respiratory activities such as chest exercises that will help ease the secretions and manual chest exercises. For the nutritionist, he will regularly conduct an assessment of the patient’s macro and micronutrient needs; fluid and electrolyte balance issues. The evaluation was of the infection was also assessed using microbial analysis of the respiratory secretions, for example, sputum. An aggressive surveillance of the causative agent of the disorder is essential in understanding the leading factors of the ventilator-associated pneumonia and also the microbial milieu in each unit of care. I retrieved all the necessary information needed to review the relevant interventions to be put into place. I later thanked her for her precious time and then proceeded with my work.

From the Interview, the issue raising the alarm is the increased rates of ventilator-associated pneumonia infections among the patients admitted to the Intensive care unit (ICU). Some of the relevant collaborative approaches from the literature that could aid in identifying the issue include the standardization of care using the SBAR approach and the use of E-consult coordination. According to Shahid and Thomas (2018), the Situation Background Assessment Recommendation tool helps the caregivers to communicate more effectively and accurately regarding the patient’s issues. This tool also facilitates the standardization of the communication process by guiding the interdisciplinary team to use the standardized forms and checklists when reporting on the various internal processes affecting them. The recommendation bit of the tool is now where all the healthcare teams will identify the potential solution to the issue that is occurring at the workplace.

The first step I will do with my other team members will be to adopt referral management software in practice to identify the person responsible for a particular patient problem. This is simply because each team member focuses on identifying patients’ needs and the care goals that need to be sorted. It is thus crucial for them to coordinate with the patient’s family members to ensure that they are educated on how to address the ongoing care and also how to prevent its recurrence (Karam et al.,2021). The team members can also engage in various activities such as physical exercise, hygiene measures, diet provision, and drug administration for prevention, especially for the patients on Mechanical ventilators. This care intervention ensures that the responsible care personnel is consulted on the most appropriate form of care to be implemented to overcome the issue at hand. Extensive education and training on the use of the approaches should be disseminated among the staff members and not solely reserved to be used by the top physicians and administrators NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification.

References

Karam, M., Chouinard, M. C., Poitras, M. E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review—i nternational journal of integrated care , 21 (1).

doi: 10.5334/ijic.5518

Papazian, L., Klompas, M., & Luyt, C. E. (2020). Ventilator-associated pneumonia in adults: a narrative review. Intensive care medicine , 46 (5), 888-906.

Shahid, S., & Thomas, S. (2018). A narrative review is a situation, background, assessment, and recommendation (SBAR) communication tool for handoff in health care. Safety in Health , 4 (1), 1-9.

NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Assessment 2 Instructions: 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.

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 NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification 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 NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification.

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.

Scoring Guide

Summarizes an interview focused on past or current issues at a health care organization. Notes strategies employed in the interview to ensure that sufficient information was gathered.

Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate, providing one or more specific reasons to justify this approach.

Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.

Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.

Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.

Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification