Capella FPX 4010 full Course Assessments

Capella FPX 4010 full Course Assessments

Interview and Interdisciplinary Issue Identification

            Change is an important aspect that contributes to organizational success. Health organizations utilize change initiatives to improve on their existing systems and processes. Interventions such as interviewing the organization’s staff can provide crucial insights into organizational issues and need for change. Therefore, this paper examines an issue identified from conducting an interview with a nurse manager of a medical floor. It also examines change theories that can be applied and a leadership strategy to address the issue.

Summary of an Interview

            I conducted an interview with a nurse manager of a medical floor in our institution. The nurse manager was supportive in providing crucial insights and information on issues affecting the unit as well as the organization. The interview focused on safety, quality, and efficiency issues in the department and organization. The nurse manager identified some safety issues that have been rising over the past months. One of them is near-miss events. The nurse manager reported that the last quarter of the year witnessed a rise in near-miss events above the hospital benchmark in the medical and surgical department. She also noted the increase in the rate of hospital-acquired infections. In specific, she was concerned about the upward trajectory of catheter-associated urinary tract infections among hospitalized patients. The last issue identified from the interview was nursing shortage. The nurse manager noted that the number of patients being admitted to the medical floors have been rising over the past months. However, the hospital has been reluctant in increasing the number of staff, predisposing the existing nurses to high workload. Therefore, she expressed the need for these issues to be addressed for the enhanced safety, quality, and efficiency of care being given in the facility.

Collaboration Approaches

            Interdisciplinary teams are effective in addressing the above issues identified from the interview. Several collaboration approaches can be adopted to establish and improve interdisciplinary team efforts in addressing them. One of the approaches is active engagement of the interdisciplinary team members. The team members should be actively involved in exploring the factors that contribute to the identified issues and ways of addressing them. Their involvement should also include their role in strategy development, implementation, monitoring, and evaluation of outcomes. Active engagement contributes to outcomes such as their empowerment and satisfaction with the roles they play in the organization (Dellve et al., 2018).

            The other approach to collaboration for interdisciplinary teams for them to address the identified issues is open communication. Interdisciplinary team members require open communication for them to be informed about strategies needed in addressing the issues, their successes, and improvements that should be adopted. There should be two-way communication between leaders and managers of the teams and organization on issues related to the adopted change interventions. Open communication eliminates errors, misunderstandings, and strengthen teamwork among the members (Müller et al., 2018). The other collaboration strategy is providing feedback to the interdisciplinary team members. Regular assessments should be undertaken to determine the effectiveness of the adopted strategies to address the issues. The assessment findings should be communicated to the team members to raise their awareness levels on the changes needed for enhanced outcomes (Tun et al., 2019). Therefore, these strategies should be explored for the organization’s success in addressing the issues raised by the nurse manager.

Identified Issue

            The identified issue that can be addressed using evidence-based interdisciplinary approach is catheter-associated urinary tract infections. The nurse manager reported that catheter-associated urinary tract infections have been rising in the medical and surgical departments. The rise threatens the safety, quality, and efficiency of patient care in these departments. According to Werneburg (2022), catheter-associated urinary tract infections remain the most common health-care associated infection as well as cause of bloodstream infections among hospitalized patients. These infections occur in patients whose urinary bladder has been catheterized within last 48 hours or is catheterized (Werneburg, 2022).

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The statistics shows that catheter-associated urinary tract infections contribute to 1 million cases annually in the United States. The associated costs of treatment among the affected populations range between $115 million and $1.82 billion annually (Werneburg, 2022). The additional effects of catheter-associated urinary tract infections include premature mortalities in case of severe septicemia, increased costs of healthcare, and prolonged hospitalizations. Evidence-based practice interventions are effective in reducing and preventing catheter-associated urinary tract infections (McHugh, 2020). Therefore, nurses and other healthcare providers working in the medical and surgical units should collaborate to implement evidence-based strategies to address the problem.

Change Theories and a Leadership Strategy

            Change theories can be adopted to help develop an interdisciplinary solution to catheter-associated urinary tract infections in the medical and surgical departments. One of the theories is Kurt Lewin’s theory of change. Lewin developed a theory of change that asserts that changes occur in steps that include unfreezing, change, and refreezing. Lewin identified that for a change to occur, driving forces should overcome restraining forces (Salinas et al., 2019). The adopters of a change initiative such as that addressing catheter-associated urinary tract infection must undergo the three steps for them to embrace the change.

In the unfreezing stage, the adopters of the change may not aware of the need for change. They do not understand the negative effect of their current behaviors on their outcomes. As a result, strategies to raise their awareness about their current situations and need for change should be adopted. For example, healthcare providers should be informed about the negative effect of the current behaviors on the rates of catheter-associated urinary tract infections. Change stage occurs when the adopters of the change are willing to change their thoughts, feelings, and behaviors. The last stage is refreezing where the focus is to sustain the new behaviors and prevent relapse among the organizational staff (Agbi, 2022). The other change theory that can be used to address the issue is the transtheoretical model of change. The model recognizes that change occurs in six stages that include precontemplation, contemplation, preparation, action, maintenance, and termination (Mansuroğlu & Kutlu, 2022). Irrespective of the model adopted, the organization should provide an enabling environment for sustained change.

One leadership strategy that could help develop an interdisciplinary solution to the issue of catheter-associated urinary tract infections is training healthcare providers on translating evidence into practice. Nurses and other healthcare providers have the capacities to implement change initiatives addressing the issue. However, an effective approach will be training them on translating evidence into practice. The training should also focus on identifying best evidence applicable to the organization (Deenik et al., 2020). Training will equip them with the competencies to address the issue using evidence-based, sustainable approaches.

Conclusion

            An interview with a nurse manager was conducted to identify issues affecting patient care in the organization. The selected interview for this paper is catheter-associated urinary tract infections. Interdisciplinary collaboration strategies can be adopted to address it. In addition, change theories and effective leadership strategies may facilitate its management.

References

Agbi, B. E. (2022). The Impact of Increased Nursing Support on Early Initiation of Breastfeeding Practices [PhD Thesis]. Grand Canyon University.

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Dellve, L., Strömgren, M., Williamsson, A., Holden, R. J., & Eriksson, A. (2018). Health care clinicians’ engagement in organizational redesign of care processes: The importance of work and organizational conditions. Applied Ergonomics, 68, 249–257. https://doi.org/10.1016/j.apergo.2017.12.001

Mansuroğlu, S., & Kutlu, F. Y. (2022). The Transtheoretical Model based psychoeducation’s effect on healthy lifestyle behaviours in schizophrenia: A randomized controlled trial. Archives of Psychiatric Nursing, 41, 51–61. https://doi.org/10.1016/j.apnu.2022.07.018

McHugh, J. (2020). Evidence-based strategies for successful catheter-associated urinary tract infection reduction hospital-wide: Nurse-driven protocol. https://sigma.nursingrepository.org/handle/10755/21024

Müller, M., Jürgens, J., Redaèlli, M., Klingberg, K., Hautz, W. E., & Stock, S. (2018). Impact of the communication and patient hand-off tool SBAR on patient safety: A systematic review. BMJ Open, 8(8), e022202. https://doi.org/10.1136/bmjopen-2018-022202

Salinas, D., Johnson, S. C., Conrardy, J. A., Adams, T. L., & Brown, J. D. (2019). Sustaining Nursing Grand Rounds Through Interdisciplinary Teamwork and Interorganizational Partnership. AJN The American Journal of Nursing, 119(4), 41–48. https://doi.org/10.1097/01.NAJ.0000554547.03020.a2

Tun, K. S., Wai, K. S., Yin, Y., & Thein, M. K. (2019). Postoperative handover among nurses in an orthopedic surgical setting in Myanmar: A best practice implementation project. JBI Evidence Synthesis, 17(11), 2401–2414. https://doi.org/10.11124/JBISRIR-2017-004015

Werneburg, G. T. (2022). Catheter-Associated Urinary Tract Infections: Current Challenges and Future Prospects. Research and Reports in Urology, 14, 109–133. https://doi.org/10.2147/RRU.S273663