Healthcare: 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. Retrieved from 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.
      • 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. 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 a 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.
    • 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.

How does your worldview influence your understanding of ethics?

Throughout this course, we have studied the nurse’s ethical role to protect and advocate for the patient. Does the health care organization have the same obligation to advocate and protect the nurse, especially when human error has devastating effects on the patient?

Journal Reflection #1

Does the health care organization have an ethical obligation to care for the patient, the employee, or both? Please defend your answer by citing at least one reference to the ANA code of ethics. (350 words, 10 pts)

Journal Reflection #2

If you made a medication error that did not harm the patient, is it unethical to not report it? (150 words, 10 pts)

Journal Reflection #3

Health care practitioners are exposed to an incredible amount of emotional turmoil as noted in the article, what means of support would you utilize for yourself to help deal with this emotional turmoil? (350 words, 10 pts)

Final Reflection (100 points)

Please write a three-to-five-page paper addressing the following questions:

• How does your worldview influence your understanding of ethics?

• Why is ethics important for health care? (Reference at least two ethical theories discussed in this course and their relevance to health care.)

• What does it mean to be a patient advocate, and why is that important?

• In your own words, what is compassionate nursing?

• How can you avoid burnout as a medical practitioner related to emotional turmoil?

Searching And Evaluating Scientific And/Or Mathematical/Analytical Resources

Search and Evaluate

This week, you will find three scholarly, peer-reviewed research articles on your topic. Remember that next week you will submit a paper on Scientific and/or Mathematical/Analytical perspectives of inquiry, so use this week’s assignment to prepare materials and collect information for that purpose.

Use articles that will help you explain and describe scientific issues and/or statistical data or economic information related to your topic. You will analyze and evaluate these articles in your submission, which should include:

  • A brief introductory paragraph.
  • Three separate paragraphs, one for each of the three articles, each presenting:
    • A brief 3–4 sentence summary of the article (use in-text citations)
    • An explanation as to what makes this source credible (in the WCU Library go to Research Guides > Research Basics > Evaluating Resources)
    • An explanation of why the article will be useful in addressing your problem or issue
  • A brief conclusory paragraph
  • An APA Style reference list on a separate page

Your paper should be 1–3 pages in length (including the References page). Adhere to APA Style throughout.

Review the rubric for further information on how your assignment will be graded.

Based off the topic that is uploaded in the file of paper written.

Nursing Care Plan

CONCEPT MAP

 

 

History of Present Illness (HPI)

 

 

 

 

 

Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (3)

 

 

 

 

 

 

 

 

 

 

 

 

Pathophysiology of Medical History (3)

 

 

 

 

 

 

 

 

Surgical History

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social History

Patient Info (1)

Name:

Age:

Gender:

Code Status:

DPOA:

Living Will:

Allergies:

 

 

 

Erickson’s Developmental Stage Related to pt. & Cite References (1)

 

Chief Complaint

 

 

 

 

Admitting Diagnosis

 

 

 

 

 

Concept Map

Student Name:

Instructor: Blackard

 

 

 

 

Medical Management/ Orders/ Medications & Allergies (2)

 

Name

Dose

RT

Freq.

MOA

RN Considerations

Onset/Peak/Duration

(Insulin)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medical Management/ Orders/ Medications & Allergies

 

Name

Dose

RT

Freq.

MOA

RN Considerations

Onset/Peak/Duration

(Insulin)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medical Management/ Orders/ Medications & Allergies

 

Name

Dose

RT

Freq.

MOA

RN Considerations

Onset/Peak/Duration

(Insulin)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medical Management/ Orders/ Medications & Allergies

 

Name

Dose

RT

Freq.

MOA

RN Considerations

Onset/Peak/Duration

(Insulin)

 

 

 

Cultural considerations, ethnicity, occupation, religion, family support, insurance.

 

Diagnostic Test/ Lab Results with dates and Normal Ranges

Test

Norms

Date

 

Current Value

WBC

4.40-11

 

 

Hgb

14.0- 16.0

 

 

Hct

36-42

 

 

Platelets

150-450

 

 

Na+

135-145

 

 

K+

3.5-5.0

 

 

Creatinine

0.6-1.3

 

 

Blood Glucose

76-106

 

 

BUN

8.0-30.0

 

 

Troponins

0.0-0.4

 

 

BNP

>125pg/mL

 

 

ALT

7 to 56

 

 

Ca+

8.5 – 10.5

 

 

Albumin

3.5 – 5.5

 

 

AST

10- 40

 

 

Blood cultures

 

 

 

Cholesterol

100 to 129

 

 

Triglycerides

 

 

 

HDL

40 – 59

 

 

LDL

100 -129

 

 

 

 

 

 

 

 

 

 

 

Neurological

 

 

 

Vital Signs (4)

 

 

 

 

 

Cardiovascular

 

 

 

 

Respiratory

 

 

 

 

 

 

Rest/Exercise

 

 

 

 

Nutrition/Hydration

 

 

 

 

 

Misc. (Ht/Wt)

 

 

 

Integumentary

 

 

GI

 

 

 

 

 

 

GU

 

 

 

 

Psychosocial (14)

 

 

 

 

Endocrine

 

 

 

 

 

Patient Education (In Pt.) & Discharge Planning (home needs )

Patient Education while in patient:

Discharge Planning/Education:

 

 

 

Priority nursing diagnosis #1

 

 

 

Priority nursing diagnosis #1

 

 

 

 

 

 

 

 

 

 

 

 

 

Outcome/Goal #1

 

 

 

 

Outcome/Goal #2

 

 

 

 

 

 

 

 

 

 

 

Interventions #1

 

 

Assessment/ Evaluation #1

 

Interventions # 2

 

 

Assessment/ Evaluation #2

 

 

 

 

 

 

PC Outcomes/Goal

 

 

.

 

PC Interventions

 

 

 

 

 

Potential Complications/ at risk for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PC Evaluation Plan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References: