NURS FPX 4005 Assessment 2 Interview and Interdisciplinary Issue Identification
Student name
Capella University
NURS-FPX4005 Nursing Leadership: Focusing on People, Processes and Organizations
Professor Name
Submission Date
Interview and Interdisciplinary Issue Identification
Effective, efficient, and patient-centered healthcare is the key to interprofessional communication and collaboration. The inability to coordinate different disciplines can lead to delays, and cost and quality of care can be compromised. This analysis is founded on a typical organizational problem-delays in discharge planning- that was identified during an interview with a manager at Riverbend Medical Center. This issue will be explored in the report, and it will provide evidence-based interventions to foster interdisciplinary collaboration and system performance.
Interview Summary
| Category | Details |
|---|---|
| Speaker | Maria Lopez, RN, MSN, Nurse Manager |
| Organization | Riverbend Medical Center, Portland, Oregon |
| Issue | Inability to coordinate patient discharge in many cases due to a lack of interdisciplinary communication |
| Example | Nurses frequently request physicians to report to them on cases at the last minute, but case managers struggle to get post-acute care set up in advance |
| Consequences | Increased length of stay, increased costs, and low patient satisfaction |
| Impact | Disrupts the flow of work and hinders the flow of care, undermining efforts to make the discharge process more collaborative and well-coordinated |
Strategies Employed in the Interview
The detailed and unlimited information was gathered in the form of a semi-structured interview, which consisted of open-ended questions. This approach helped the interviewee, Nurse Lopez, discuss her experiences and opinions whenever she wished. The open-ended questions would be particularly helpful in the research of healthcare since they facilitate learning about the intricate and real-life-based issues by both the researchers and the organizational leaders (Galura et al., 2022).
I was a good listener/paraphraser of her responses during the interview to make sure that I was comprehending her and could make her elaborate further. Follow-up questions, e.g., Could you give an example of a situation when ineffective communication slowed down the discharge of a patient? Helped to test specific situations. I also took field notes with the key points reflected at the end of the interview, and requested Nurse Lopez to elaborate or clarify about her answers. The measures enhanced the validity, richness, and dependability of the results.
Issue Identification
As the interview with Nurse Lopez at Riverbend Medical Center has demonstrated, the main issue is that it is impossible to establish a continuous and timely communication between the members of the interdisciplinary team during discharge planning. The outcome of such a communication gap is that there are usually delays in discharge, wastage of resources, and poor patient satisfaction.
One of the possible effective solutions to this problem is the use of an evidence-based interdisciplinary approach, as successful discharge planning is founded on successful collaboration among physicians, nurses, case managers, and social workers. As Kutz et al. (2022) support, the establishment of an interprofessional collaboration is organized into a significant aspect of effective and safe patient discharge. This interdisciplinary approach model will provide all team members with an opportunity to share their expertise whenever needed, and this will support the planning of the advanced process and the process of adjusting to the home environment after the hospital.
Change Management and Leadership Theories
The Lewin Change Theory provides a rational and systematic model of influencing an interdisciplinary change to reduce the late discharge planning in Riverbend Medical Center. Rousseau and Have (2022) note that the three levels of change, unfreezing, changing, and refreezing, can help healthcare teams realize that they must rely more on each other, implement new forms of communication, and ensure that these new practices become a new norm.
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Transformational Change Implementation
The unfreezing phase can be reached through engaging the staff in the data exchange and speaking openly about the negative impact of the current discharge delays. During change, the use of structured interdisciplinary checklists or discharge planning rounds can be implemented. Finally, one should refreeze by reinforcing these practices through updating the policies, training the staff, and specifying responsibilities.
The transformational leadership approach is required to overcome the challenges linked to the delays in discharge planning, as it prompts the team members to be geared towards a shared vision of enhanced patient outcomes and operational effectiveness. This leadership style encourages trust, transparency, and career growth. It is an inevitable part of the productive interdisciplinary work (Broome, 2024).
A transformational leader will have an opportunity to organize systematic interdisciplinary events, promote the review of the communication practices, and appreciate productive collaboration in Riverbend Medical Center. In this way, such leadership results in change resistance, encouragement of the sense of ownership of new processes by the team, and the long-term sustainability of improved discharge results and team performance in nursing, case management, and medical departments through the example of openness and inclusivity.
Most Credible Source
Rousseau and Have (2022) Change Theory analysis is an extremely valuable and helpful reference to make practice informed. Broome (2024), on the same point, provides strong empirical evidence (that can be utilized to raise the satisfaction of staff, patient safety, and interdisciplinary collaboration) using transformational leadership.
The two articles can be considered trustworthy because they are based on sound research methods, which can be used in nursing leadership and published in credible peer-reviewed journals. Such materials can form an excellent foundation to support the proposed strategies to improve the discharge planning in Riverbend Medical Center.
Collaboration Approaches
Collaboration is one of the considerations made in solving the issue of late discharge planning in Riverbend Medical Center. One of the effective and practical strategies that may be employed to enhance collaboration is daily interdisciplinary huddles. These brief and focused meetings bring together nurses, physicians, case managers, and other interested individuals to talk about patient progress, readiness to discharge, and any existing obstacles at the moment (Ibrahim et al., 2022).
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Interdisciplinary Communication Strategies
Huddles enhance frequent communication, reduce fragmentation, interdisciplinary conformity, and active problem-solving. This will increase respect and accountability, which are among the elements of effective teamwork. Riverbend Medical Center may introduce daily huddles to speed up the discharge process since they will be able to guarantee the continuity of the communication process and identification of patient needs in advance.
Another evidence-based practice of interdisciplinary communication improvement is the Situation-Background-Assessment-Recommendation (SBAR) framework. It is a standardization of communication, and it is important to make sure that the necessary information is delivered effectively and efficiently throughout the healthcare sphere. SBAR has been established to lead to the improvement of communication quality and a decrease in the number of misunderstandings during the process of critical exchange (Albaharna et al., 2024).
SBAR can be applied during the discharge planning process to give nurses and case managers a chance to deliver the required information on the issues related to the discharge process to the physicians clearly and concisely, which will lead to quicker decision-making and a smoother transition. The introduction of the SBAR framework will enable Riverbend Medical Center to be more responsive and organize the efforts of the team when discharging patients.
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Most Credible
The researchers of the most credible study are Ibrahim et al. (2022) because they prove interdisciplinary discharge planning as a valid strategy. This research article includes empirical data that can be applied in practice to demonstrate that discharge delays can be decreased and the process of switching care can be improved by means of coordination in the form of both structured and team-based coordination.
The authors also note that the efficiency of multidisciplinary discharge teams has been measured by stating that productivity and patient outcomes have been measured. The study is an acceptable and feasible piece of knowledge for Riverbend Medical Center due to its elucidated methodology and its direct relevance to the problem of hospital discharge.
Conclusion
Among the principal organizational problems revealed in the interview process in Riverbend Medical Center is the case of delay in patient discharge in the center due to a lack of interdisciplinary communication. The solution to this issue is to have a multidisciplinary and evidence-based solution.
The application of the Lewin Change Theory and transformational principles of leadership can be successfully applied and make the implementation effective and sustainable. One of the evidence-based practices that may be applied to enhance collaboration, discharge efficiency, and patient outcomes is an evidence-based practice of daily interdisciplinary huddles and the SBAR communication model.
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References for NURS FPX 4005 Assessment 2
Albaharna, A. M., Aloqaili, A. A., Alshahrani, S. S., Aldilbah, F. A., Aljohani, O. A., & Aljohani, K. A. (2024). Journal of Healthcare Sciences, 04(12), 1031–1037. https://doi.org/10.52533/johs.2024.41252
Broome, M. E. (2024). In Google Books. Springer Publishing. https://books.google.com.pk/books?hl=en&lr=&id=DyQaEQAAQBAJ&oi=fnd&pg=PR7&dq=transformational+leadership+by+actively+listening
Frame of reference training for content analysis with structured teams (FORT‐CAST): A framework for content analysis of open‐ended survey questions using multidisciplinary coders. Research in Nursing & Health, 45(4). https://doi.org/10.1002/nur.22227
NURS FPX 4005 Assessment 2 Interview and Interdisciplinary Issue Identification
Ibrahim, H., Harhara, T., Athar, S., Nair, S. C., & Kamour, A. M. (2022).
Kutz, A., Koch, D., Haubitz, S., Conca, A., Baechli, C., Regez, K., Gregoriano, C., Ebrahimi, F., Bassetti, S., Eckstein, J., Beer, J., Egloff, M., Kaeppeli, A., Ehmann, T., Hoess, C., Schaad, H., Wharam, J. F., Lieberherr, A., Wagner, U., & de Geest, S. (2022). Journal of the American Medical Association Network Open, 5(9). https://doi.org/10.1001/jamanetworkopen.2022.33667
Rousseau, D. M., & Have, S. ten. (2022). Evidence-based change management. Organizational Dynamics, 51(3), 1–13. https://doi.org/10.1016/j.orgdyn.2022.100899
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Answer 2: NURS FPX 4005 Assessment 2: Identifying interdisciplinary discharge planning issues.