NURS FPX 4010 Assessment 1 Attempt 1 Collaboration and Leadership Reflection Video

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 Collaboration and Leadership Reflection Video

NURS FPX 4010 Assessment 1 Attempt 1 Collaboration and Leadership Reflection Video

Hello, everybody! My name is Dayanny Quintana Alvarez and this is my collaboration and leadership reflection video. Today I will discuss a topic of utmost importance in the practical nursing field: interdisciplinary collaboration. let us begin by looking at the term interdisciplinary collaboration and what it entails. 

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Reflection and Evaluation of Interdisciplinary Collaboration

Healthcare is like a game of soccer. It requires many different professionals from various healthcare fields to work as a team so that the patient can receive the best possible quality of care. With there being multiple specializations in healthcare fields in today’s age, teamwork between all medical staff has become a necessity. Only with teamwork can a hospital or healthcare facility function efficiently. 

Interdisciplinary collaboration requires communication between healthcare professionals, effective communication with the patient, leadership, a supportive environment, common goals, and other such aspects. This concept has been around for some time and is thought to have been popularized by the Institute of Medicine in 1972. Then, the Interprofessional Education Collaborative (IPEC) was formed in 2009 as the brainchild of various healthcare institutions from all over the country (Dyess et al., 2019). IPEC has since then defined a clear and concise approach to achieving interdisciplinary collaboration in healthcare. IPEC lists three main competencies required for interdisciplinary collaboration and they are as follows: the most crucial aspect is the code of ethics, then fulfilling responsibilities as per each team member’s roles, interdisciplinary communication, and lastly, team formation. There are also numerous benefits of interdisciplinary collaboration in healthcare, and they range from preventing medication errors, decreasing readmissions, reducing mortality rates, and a better healthcare plan for the patient (Brashers et al., 2019). 

Background and Scenario

I have worked as an anesthetist in an operation theatre, and it is the one area where immense teamwork by everyone present in the room is required and without it, surgery can fail drastically. Our patient that day was the first patient to be undergoing surgery. She required heart surgery. As it required general anesthesia, I had to stay the entire time in the operation theater to monitor her heartbeat, blood pressure, breathing, and so on. In a surgery room, the healthcare professionals present include a surgeon, surgical techs, scrub person, assistant surgeon, and biomedical technicians, amongst others. 

Everything was going smoothly, with the surgeon doing his job, and the assistants helping dress the wound and handing over surgical instruments. Then, the lights suddenly flickered, and the surgeon faced confusion, which caused him to nick an artery. In doing so, accidentally nicked an artery. It caused sudden, uncontrollable bleeding. The team responded quickly, with the sterile team quickly placing a cloth over the bleeding to staunch it. As the anesthetist, I also quickly responded and applied specialized techniques to lower her blood pressure in an effort to stop the bleeding. Our arid response as a team ensured that the blood loss was managed and controlled almost immediately, and the patient faced no further harm. The rest of the surgery proceeded as usual, and the patient’s safety was well taken care of. This situation required each professional in the surgery room to work as one and respond quickly so as to ensure the patient’s safety which was at risk had the situation not been taken care of rapidly.

Role of Poor Collaboration in Inefficient Management of Human and Financial Resources

It can be easily deduced from the above story that communication between a team is the number one most crucial aspect of interdisciplinary collaboration. In case a miscommunication had occurred in that situation, the patient’s life would have been threatened. If a team lacks effective ways of communication, it will fail to respond quickly. This will endanger patients and also cause distrust between the team members. If one team member, such as the anesthetist, fails to conduct his/her duty as per his/her role, then that would be a violation of IPEC competencies and would result in a failed instance of interdisciplinary collaboration. Miscommunication will lead to low morale n the team, power struggles, and an inability to fulfill responsibilities (Graham, 2019). Most studies show that mortality rates, unhappy patients, burnout and stress in the staff, and medical and surgical errors, are caused due to miscommunication. To limit the adverse effects of miscommunication in the healthcare field, interdisciplinary collaboration is the only way forward (Brashers et al., 2019).

Best Practice Leadership Strategies

Effective and positive leadership is the key to ensuring communication between team members so that the aforementioned errors linked to miscommunication can be avoided and IPEC standards can be applied (Watson, 2020). Moreover, the intensity of a surgery room causes extreme stress and burnout in the staff. In order to keep the team motivated and moving towards a common goal, a good leader ensures that morale remains high so that the goal can be fulfilled. The aim of the surgery must be clearly communicated to all team members, and they must all be aware of their roles and responsibilities so that no error occurs on their part. This will also make sure that all steps in the surgery are followed as per the guidelines (Zechariah et al., 2019). Moreover, the team leader must ensure that each member is motivated. Without motivation, the team members will fail to carry out their responsibility. In a surgery room, it is the surgeon who leads each team member and guides them on what to do. Good surgical leadership requires the surgeon to make decisions rapidly, be honest, be professional, and recognize the impact of his/her own actions on the other team members (Ansa et al., 2020). 

NURS FPX 4010 Assessment 1 Attempt 1 Collaboration and Leadership Reflection Video

Interdisciplinary Collaboration Strategies

One of the most effectively recognized strategies in producing solutions in the healthcare field is by applying the PDSA model, which stands for Plan, Do, Study, Act. In the above situation, it was applied as follows. The plan was discussed in the presence of the hospital chief of surgery, as well as all members of the surgery room team for that patient. A timeline of events was then created, and the issues were highlighted. The entire team agreed that due to the brief light flickering, the surgeon’s focus had been monetarily lost, which is why he made the mistake. The action decided upon by the team was the changing of the lights as they often flickered in the surgery room, and this caused confusion in many instances. The surgeon could not see what he was doing at that brief moment and was prone to making mistakes. This could also cause a delay in handing over surgical instruments due to the darkness caused by faulty lights. All of this meant that patient safety was compromised. Therefore, a decision to replace the lights was undertaken. 

After the lights were changed, surgeries were monitored to check if there was a decrease in the number of surgical errors caused. We learned that surgical errors such as the one caused above did decrease and the surgical room team was able to conduct surgeries effectively without such mistakes disrupting the procedure. After the plan was studied and errors were monitored, the team also decided that additional lights should be placed in the surgery room in case of any further disruption, so that the room could still have adequate lighting. Backup lights were then placed and the number of technicians in the surgery room was also increased to assist with any lighting issues so that they could be fixed on the spot. Moreover, constant monitoring of the lights, as well as all surgical machines, was agreed upon to reduce any errors that could be caused.

Other general interdisciplinary strategies which can be easily applied consist of prioritizing patient safety, communication, further training, and constant development of each professional, having a supportive environment, giving value to each team member’s viewpoint, and so on. If these methods are implemented, interdisciplinary collaboration in a team will occur in a higher quality of healthcare, guaranteed patient safety, lower mortality rates, and a decrease in medical and surgical errors (Walton et al., 2019).

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References

Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020, September). Attitudes and behavior towards interprofessional collaboration among

            healthcare professionals in a large academic medical center. In Healthcare (Vol. 8, No. 3,

            p. 323). MDPI.

Brashers, V., Haizlip, J., & Owen, J. A. (2019). The ASPIRE Model: Grounding the IPEC core competencies for interprofessional collaborative practice within a foundational framework. Journal of interprofessional care.

Folkman, A. K., Tveit, B., & Sverdrup, S. (2019). Leadership in interprofessional collaboration in health care. Journal of Multidisciplinary Healthcare, 12, 97.

Graham, C. D. (2019). Preparing Social Workers for Interprofessional Practice: Conceptual

Interprofessional Education (IPE) Competency-Based Model.

NURS FPX 4010 Assessment 1 Attempt 1 Collaboration and Leadership Reflection Video

Walton, V., Hogden, A., Long, J. C., Johnson, J. K., & Greenfield, D. (2019). How do

interprofessional healthcare teams perceive the benefits and challenges of

interdisciplinary ward rounds. Journal of multidisciplinary healthcare, 12, 1023.

Watson, B. M. (2020). Communication accommodation theory as an intervention tool to improve

interprofessional practice in healthcare. In Professional communication (pp. 169-189).

Zechariah, S., Ansa, B. E., Johnson, S. W., Gates, A. M., & Leo, G. D. (2019, October). Interprofessional education and collaboration in healthcare: an exploratory study of the

            perspectives of medical students in the United States. In Healthcare (Vol. 7, No. 4, p.

            117). MDPI.