NURS FPX 4010 Assessment 4
Phillip September 15, 2023 No Comments

NURS FPX 4010 Assessment 4- Stakeholder Presentation

NURS FPX 4010 Assessment 4- Stakeholder Presentation

Student Name

School of Nursing and Health Sciences, Capella University

NURS-FPX 4010 Leading People, Processes, and Organizations in Interprofessional Practice

Prof. 

Date

Presentation for Stakeholders

Greetings, everyone! I am ______, and I am delighted to be here today to introduce the interdisciplinary proposal that was presented in assessment 3, addressing the pressing concern of interprofessional communication gaps. 

The primary goals of this presentation are as follows:

  1. Discuss the organizational issue of interprofessional communication gaps. 
  2. Explain the importance of a multidisciplinary team in resolving this issue. 
  3. Develop an evidence-based plan proposal using strategies to bridge communication gaps. 
  4. Discuss implementation and evaluation strategies so stakeholders can effectively carry out and assess the plan.

Organizational or Patient Issues

The worldwide healthcare industry encounters a significant challenge in the form of the interprofessional communication gap, particularly prevalent within hospitals. At the forefront of any healthcare system, nurses play a crucial role as they are the primary group responsible for interacting with patients. Therefore, maintaining a robust frontline workforce is essential for any organization. The reasons contributing to the interprofessional communication gap encompass various factors, including cultural and language barriers, inadequate interprofessional education, hierarchical structures, and a lack of clearly defined roles for nurses (Berry, 2019). 

Goals to Improve the Issue 

The issue at hand is the interprofessional communication gap within the nursing department, which poses significant challenges within healthcare settings. Effective and efficient communication is pivotal for the functioning of an interprofessional healthcare team and ultimately impacts patient care outcomes. Striving to improve this issue, the goal is to enhance collaborative practice, patient safety, and quality of care. An interdisciplinary team approach can immensely help to tackle this problem. By engaging members from diverse healthcare professions, such as nurses, physicians, administrators, and patients, a culture of shared learning and respect can be fostered (Haddad et al., 2021). 

Potential Consequences

Potential consequences of not addressing this communication gap are numerous. They include increased patient safety risks due to medical errors, delay in treatment, reduced patient satisfaction, decreased team morale and job satisfaction among nursing staff, and ultimately, high nurse turnover. In addition, such gaps could also impact the reputation of the healthcare organization negatively. Therefore, it is crucial for the audience, particularly healthcare stakeholders, to invest effort in resolving this issue. Ensuring a robust interprofessional communication system within the nursing department is central to delivering high-quality patient care and fostering a positive work environment (Brock et al., 2020).

Interdisciplinary Team Approach

An interdisciplinary team approach is highly critical in addressing the issue of interprofessional communication gaps due to the collaborative and comprehensive expertise it offers. A unified team composed of a diverse group of healthcare providers (chief of nursing, charge nurse, project manager, scheduling manager, human resource manager), can each bring unique skills and viewpoints to the table. This diversity enables tackling different aspects of the issues, thus providing comprehensive solutions. To address this issue, a collaborative team approach is suggested as a solution. 

  1. The Chief of Nursing should be able to identify challenges and make improvements based on the data presented to them. 
  2. Charge Nurses should regularly interact with every team member to identify and address any issues that may contribute to a negative work environment. They should also be equipped to handle staffing shortages effectively. 
  3. The project manager should use the PDSA methodology to oversee the creation and implementation of the on-call schedule rotation. 
  4. The scheduling manager should oversee employee satisfaction, scheduling, resource utilization, reviews, mentoring, and interviews. They must interpret the data to create relevant strategies. 
  5. The Human Resources department should analyze data to develop a budget proposal and predict the number of new hires required for the facility. They should also evaluate existing employee performance based on the data. 

The relevance of an interdisciplinary team approach in developing a plan is evident from literature. Each professional contributes their skills and knowledge, thus potentially finding more broad-ranging and creative solutions, compared to one profession. Working as a unified team can foster better communication as the team members understand each other’s roles, learn to respect each other’s viewpoints, and build a common language, thereby ,reducing misunderstandings and communication gaps (Cannon et al., 2020). Interdisciplinary teams are better equipped to offer holistic and patient-centered care as they can collectively address the diverse needs of the patients, inclusive of their physical, mental, and social aspects.Research shows that interdisciplinary teams can help in achieving improved healthcare outcomes. It helps to reduce medical errors, improve patient safety, increase patient satisfaction, and decrease hospitalization time (Balasundram et al., 2023). The collaborative effort of the team members in an interdisciplinary approach can lead to shared goals, improved communication, and, ultimately, enhanced patient care and better clinical outcomes.

Evidenced-based Interdisciplinary Plan 

An evidence-based interdisciplinary plan to address interprofessional communication gaps might include components such as implementing a standardized communication tool, education and training sessions, and a feedback and evaluation process. It builds upon multiple sources of recent evidence showing that structured communication can enhance team collaboration, decrease communication errors, and improve patient outcomes (Hanson & Brinton, 2020). The success probability of the plan relies on stringent implementation, active participation, continuous feedback, and diligent assessment. It is informed by studies showing that improved interprofessional communication correlates with better healthcare outcomes and reduced errors.The plan is highly likely to succeed, considering its evidence-based nature and precedent success stories. 

To successfully implement the evidenced-based strategies presented, it is significant for an interdisciplinary team to use the collaborative approach of Deming’s cycle also called the PDSA cycle. The PDSA stands for plan, do, study, and act. The purpose of this cycle is to pilot an intervention on a specific group of people and after evaluating the results of the study it can be applied on a larger level (Dougali et al., 2021).

Implementation of the Plan

The application of the PDSA (Plan-Do-Study-Act) cycle in executing an evidence-based interdisciplinary plan, aimed at tackling interprofessional communication gaps and improving care management efficiency. Considering the supporting evidence for the effectiveness of interdisciplinary collaboration and the PDSA cycle in healthcare (Nugus et al., 2020), it is highly probable that this approach will yield positive results.

Planning Stage

 The interdisciplinary team, including physicians, nurses, pharmacists, and other healthcare professionals, would gather to identify the communication gaps, their root causes, and potential solutions. 

Doing Stage

Implement designed communication measures, such as regular interdisciplinary meetings to discuss patient care, standardizing handoff practices, and using electronic health records for clear documentation and communication.

Study Stage

Regular assessments of communication effectiveness, patient outcomes, and staff satisfaction would be conducted using surveys, focus groups, and direct observation.

Act Stage

Revise and fine-tune the interventions based on findings. Instituting regular feedback sessions can promote continuous improvement.

Management of Human and Financial Resources 

The interdisciplinary plan can be implemented to mitigate the communication gap and help in the management of human and financial resources available within the hospital. Each member of the healthcare team should have a good understanding of their role and responsibilities, as well as those of their team members to encourage effective communication. Regular interdisciplinary meetings should be held to discuss patient care, task delegation, and resolution of communication issues. These meetings create a platform for understanding expectations and planning collaboratively. At Mayo Clinic, an evaluation of their interdisciplinary teams led to the realization of the importance of clear role definitions and regular team meetings in ensuring effective team communication and collaboration (Mayo Clinic, 2019). Healthcare technology such as Electronic Health Records, digital dashboards, and secure messaging platforms can be utilized to share patient data and other relevant information quickly, accurately, and securely. 

 Training programs can be initiated to improve communication skills and encourage teamwork within the interdisciplinary team. This optimizes human resource utilization by preventing misunderstandings, improving staff morale, and reducing turnover. The financial resources should be managed in a way that all communication-enhancing activities, be it training programs or technology, are identified, budgeted and tracked. A specific portion of the budget should be allocated to these activities to ensure efficient communication in the organization. Addressing communication gaps can improve patient outcomes, reduce medical errors, and enhance overall productivity, justifying the resource allocation. NURS FPX 4010 Assessment 4- Stakeholder Presentation. Increased staff satisfaction can further reduce turnover and training costs. Investing in communication training and technology can also lead to significant savings in the long run by reducing costly communication mishaps. Intermountain Healthcare in Utah invested in a training program that helped their interdisciplinary teams improve their communication, resulting in a significant decrease in adverse events (Agency for Healthcare Research and Quality, 2020). 

Evidence Based Evaluation Criteria

The successful outcome of a project addressing a communication gap would be enhanced interdisciplinary teamwork, improved flow of information, reduced misunderstandings, and increased job satisfaction among team members. The Team Climate Inventory (TCI) is a validated tool that evaluates the extent of teamwork and communication. Successful communication can be measured by tracking the decrease in communication-related errors (Jeong et al., 2020). Job satisfaction can also serve as an indirect measure of improved communication. Tools like the Job Satisfaction Survey (JSS) can be used for this purpose. Time taken for tasks can be tracked pre and post intervention to measure efficiency improvements due to better communication (Wami et al., 2020). The degree of success can be quantified by set percentages of improvement in these areas. 

Conclusion

In conclusion, addressing communication gaps of nurses in HCA healthcare organization through the lens of a PDSA (Plan, Do, Study, Act) cycle in an interdisciplinary team context can lead to substantial improvements in team coordination, patient care, and overall morale in a healthcare setting. The introduction of the PDSA cycle as an evidence-based intervention is a testament to the possibility of continual improvement in communication. NURS FPX 4010 Assessment 4- Stakeholder Presentation. This iterative, four-step problem-solving method is designed to test solutions in a controlled environment and measure their effectiveness. The plan encourages the use of specific and tangible metrics which not only allow us to measure success but also point towards areas that require further amendments in the subsequent PDSA cycles. Following the PDSA cycle can lead to a constructive feedback loop resulting in sustained improvements. Therefore, the implementation of the PDSA cycle can lead to the systematic resolution of communication gaps, enhancement of team collaboration and the optimization of overall healthcare delivery.

References

Agency for Healthcare Research and Quality. (2020). TeamSTEPPS 2.0: Module 6. Mutual Support. https://www.ahrq.gov/

Balasundram, S., Holm, A., Benthien, K. S., Waldorff, F. B., Reventlow, S., & Overbeck, G. (2023). Increasing the chance of dying at home: Roles, tasks and approaches of general practitioners enabling palliative care: a systematic review of qualitative literature. BMC primary care24(1), 77. https://doi.org/10.1186/s12875-023-02038-0

Berry, L. (2019). “Healthcare communication: Wiley. https://doi.org/10.1111/eje.12734

Brock, D., Abu-Rish Blakeney, E., Hammer, D., & Tools, M. (2020). Understanding Interprofessional Education and Practice in Improving Healthcare. Journal of Nursing Education, 59(1), 3-6. https://doi.org/10.3928/00220124-20200115-06

NURS FPX 4010 Assessment 4- Stakeholder Presentation

Cannon, B., Li, J., Shir, A. L., Abir, G. (2020). Using simulation to assess the impacts of breaks in the continuity of primary care. Medical Care Research and Review, 77(7), 710-719. https://doi.org/10.1016/j.mpsur.2020.07.005

Dougali, M. K., Fraser, A. N., Martin, L., McPeters, L. (2021). The effects of interprofessional SBAR communication implementation on adult medical-surgical nursing units. Journal of Nursing Care Quality, 36(3), 262-267. http://doi:10.1097/NCQ.0000000000000515

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2021). Nursing Shortage. Treasure Island (FL): StatPearls Publishing. https://doi.org/10.3390/ijerph18084347

Hanson, R., & Brinton, J. (2020). Enhancing interprofessional communication. Canadian Journal of Nursing Leadership. https://doi.org/10.3390/ijerph182010775

Jeong, S. H., Kim, M. J., Kang, H. Y., Kim, E., & Yoo, M. S. (2020). Communication skills training for nurses to improve patient satisfaction in the emergency department: A randomized controlled trial. International journal of nursing studies, 102, 103515. https://doi.org/10.1016/j.ijnurstu.2019.103515

NURS FPX 4010 Assessment 4- Stakeholder Presentation

Mayo Clinic. (2019). Mutidisciplinary Team Approach. https://www.mayoclinic.org/

Wami, S. D., Demssie, A. F., Wassie, M. M., & Ahmed, A. N. (2020). Patient safety culture and associated factors: A quantitative and qualitative study of healthcare workers’ view in Jimma Zone Hospitals, Southwest Ethiopia. BMC Health Services Research, 16(1), 495. https://doi.org/10.1186/s12913-016-1757-z