NURS FPX 4010 Assessment 3 Attempt 1 Interdisciplinary Plan Proposal

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Interdisciplinary Plan Proposal

NURS FPX 4010 Assessment 3 Attempt 1 Interdisciplinary Plan Proposal

In a healthcare setting, there are a lot of challenges faced by healthcare workers. These challenges include shortage of staff, lack of resources, and a communication gap that exists between healthcare professionals. This assessment aims to form an interdisciplinary team and implement interdisciplinary approaches in the healthcare settings that will aid in improving the quality of care. This team will include technicians, and physicians or pharmacists. The goal is to target the shortage of nurses at Pine Meadows, a rehabilitation center in Canada. An interdisciplinary team will help in overcoming this issue and it will reduce the number of doubles shifts a nurse has to do on regular basis. Furthermore, the burden on the shoulders of nurses will lessen (Haddad et al., 2022).

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Objectives and Prediction Questions

The objective of this interdisciplinary plan is to help the nurse’s “understaffing issue”. The nurses are skilled and care for about 20 to 32 patients (per nurse). If this issue is not addressed, it will risk patient safety. For improving patient outcomes, the nurses should adhere to the best possible practices that are according to the organization’s policies. In other words, the objective is to test PDSA (plan-do-study-act) model and to evaluate, establish goals and find solutions for staffing shortages (Katowa-Mukwato et al., 2021). This will be based on the data obtained from the team members via surveys. This objective is aligned with the goals of the healthcare organization. If this plan is successful, it will improve outcomes by helping the burnt-out nurses. The interdisciplinary team will be in sync by arranging meetings and discussing any changes that will help the nurses and give them mental peace. The team will include nursing staff, administration, an executive wing that will make decisions, and clinical professionals.

Predictions 

The following are some of the predictions and questions

  1. How long will the PDSA model plan take to implement?
  2. Change is inevitable but it can not happen in a day or two. Firstly, a dry run will be conducted where information and data will be gathered by surveys and find out the problems related to understaffing of nurses. Then it will take about five months to implement the plan.
  3. How can an interdisciplinary team help to reduce understaffing of the nurses?
  4. The healthcare organization will be able to hire more nurses and prioritize the issue of concern. Regular meeting sessions for nurses and doctors will be conducted that will raise their knowledge. Secondly, promoting family-centered care approaches if implemented will help in reducing the workload of nurses and promote self-efficacy.
  5. What will be the use of resources for this plan?
  6. This plan will require a bit of budget as the basic requirement is to hire new staff and make them comfortable with the existing staff. The team will include IT, nurse informaticians, doctors, and nurses.

NURS FPX 4010 Assessment 3 Attempt 1 Interdisciplinary Plan Proposal

Change Theory and Leadership Strategies

The outcome of the plan is to help the nurses with understaffing issues in the rehabilitation center. The change theory that will be implemented is PDSA (Plan-Do-Study-Act) (Katowa-Mukwato et al., 2021). The initial step is to plan and design steps that will be required to address the problem and bring about change. These steps will be to conduct meetings and surveys with the nurses and figure out the problems nurses are facing and hire an expert Human resource manager and hire some expert nurses. The second stage is “do”. In this stage, the intervention will be tested. During the stage of the study, it is important to improve the quality of care by gathering information from the staff. The last stage is to act on this intervention, and it will result in overcoming the issue of concern. This plan will help the interdisciplinary team as well. They will be able to communicate better because they will have a plan to follow. They will know the drawbacks of the organization and how they should overcome them. The employees will be engaged in their specific roles, and it will be an effective strategy. For helping the burnt-out nurses. In the interdisciplinary team, the nurses should try to fill the communication gaps between the nursing staff and administration (Dyess et al., 2019). The team can train nurses and promote a positive work environment. If the team has effective leadership qualities, it will help in resolving the staff shortage issue effectively and medical errors will be reduced along with patient safety issues. For example, according to Barrient os‐Trigo, Vega‐ Vázquez, De Diego‐ Cordero, Badanta‐ Romero & Porcel‐ Gálvez, in the article “Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review” (Barrientos‐Trigo et al., 2018). The authors have mentioned that a good interdisciplinary team and a great nurse manager will reduce nurse burnout by applying PDSA for the quality improvement of an organization.

Need for a Collaboration Team Strategy

The PDSA model will help the interdisciplinary team on many levels. The medical errors will be reduced and the stress on nurses will be relieved (Haddad et al., 2022). The team includes:

  • Nurse manager – They will help in scheduling the shifts of the nurses and reducing their burden.
  • Human Resource (HR) manager- They will manage the team by hiring new experienced nurses.
  • Therapist- He will talk to overworked nurses and ask them about their issues which is understaffing in this organization.
  • Operation Manager- They will manage the entire interdisciplinary team and divide roles
  • Doctors- They will let the hiring committee know about the nurses they require.
  • Nurse Informatician- They will help the tired nurses by optimizing Electronic Health Records
  • Risk Management Specialist- He will critically analyze all the aspects of the plan and be given a green light if the plan is good enough.

Furthermore, the colored-coded system can be used as a means of collaboration. It can help in signaling other nurses when help is needed. A whiteboard can be installed in the patient’s room and the nurses can record their goals on it with their ease. For example, in Virginia purple color denotes do-not-resuscitate (Chew et al., 2020). Similarly, the system of color can be optimized according to the needs of the organization. The nurses can easily identify where they are needed. 

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The Need for Organizational Resources

If the plan is not successful, the organization will suffer financially because the organization would have invested in hiring new staff and implementing a color-coded system. The ratio of medical errors will not reduce. The budget will revolve around the hiring committee and HR department. If financial resources are available, they will help in the growth of the organization (Haddad et al., 2022). Staff meetings can help discuss the concerns of the nurses.  The budget used for this plan will be around 1000s of dollars. Two HR managers will be hired, and they will be paid 300$ per day. The workshops will be arranged, and they will cost 140$. The new nurses will be hired, and it will cost 200$ per shift. For meetings, they will need to prepare presentations and require monitors. Changing the system of the hospital will require 800$. Once implemented, this plan will change the lives of the nurses and patients. For example, if the plan is not implemented it can cost hospitals up to 500,000$.

Conclusion

Interdisciplinary approaches and teams can help in reducing the stress levels of the nurses. If the nurses are understaffed in a hospital, it can affect the quality of care. The PDSA plan will be beneficial in such circumstances. The collaborative approaches will help the organization as well by addressing the communication gap between nurses and administrative staff.

References

NURS FPX 4010 Assessment 3 Attempt 1 Interdisciplinary Plan Proposal

Barrientos‐Trigo, S., Vega‐Vázquez, L., De Diego‐Cordero, R., Badanta‐Romero, B., & Porcel‐Gálvez, A. M. (2018). Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review. Journal Of Nursing Management26(2), 94-107. https://doi.org/10.1111/jonm.12538

Chew, M. H., Koh, F. H., & Ng, K. H. (2020). A call to arms: a perspective on safe general surgery in Singapore during the COVID-19 pandemic. Singapore Medical Journal61(7), 378. https://doi.org/10.11622/smedj.2020049 

https://doi.org/10.1016/j.ijans.2020.100261

Dyess, S., Sherman, R., Pratt, B., & Chiang-Hanisko, L. (2019). Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today’s Practice Environment. OJIN: The Online Journal of Issues in Nursing, 21(1). https://doi.org/10.3912/ojin.vol21no01ppt04

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/

Katowa-Mukwato, P., Mwiinga-Kalusopa, V., Chitundu, K., Kanyanta, M., Chanda, D., Mwelwa, M. M., & Carrier, J. (2021). Implementing evidence-based practice nursing using the PDSA model: process, lessons, and implications. International Journal of Africa Nursing Sciences14, 100261.