NURS FPX 4010 ASSESSMENT 2

NURS FPX 4010 ASSESSMENT 2

Interview and Interdisciplinary Issue Identification

Name

Capella University

FPX4010: Leading People, Processes, and Organizations in Interprofessional Practice.

Instructor Name

29th May 2024

Interview and Interdisciplinary Issue Identification

The issue of staff burnout due to high patient-to-nurse ratios at Metro General Hospital poses a significant challenge to patient care quality and staff morale. This assessment explores interdisciplinary solutions by integrating change management theories, effective leadership strategies, and collaborative approaches. By interviewing Ms. Emily Johnson, a senior nurse administrator, the assessment identifies the critical need for better support systems and workload management. It emphasizes leveraging diverse expertise and evidence-based practices to develop sustainable solutions. This approach aims to enhance communication, teamwork, and overall organizational efficiency, ultimately improving staff well-being and patient outcomes at Metro General Hospital.

Interview Summary

The interview was conducted with Ms. Emily Johnson, a senior nurse administrator at Metro General Hospital, a large urban healthcare organization known for its comprehensive range of medical services and commitment to patient-centered care. Ms. Johnson’s role encompasses overseeing nursing operations, managing patient care quality, and leading interdisciplinary teams. She is also responsible for developing and implementing policies to ensure the highest standards of nursing practice. During the interview, she highlighted a significant issue regarding staff burnout due to high patient-to-nurse ratios, impacting patient care and staff morale. Ms. Johnson stressed the need for better support systems and workload management to alleviate these issues. Mohsen et al. (2021) emphasized advocacy for safer staffing ratios is essential to improve safety and nurse well-being. 

Ms. Johnson described various hospital leadership attempts to address the burnout problem, including hiring additional staff and implementing wellness programs. However, these measures have had limited success due to budget constraints and the high demand for healthcare services. She noted that the hospital’s culture generally supports collaboration, but there is room for improvement in interdisciplinary communication and teamwork. Ms. Johnson has experience working in interdisciplinary teams and finds that, when effectively managed, these teams can significantly enhance patient outcomes. Interdisciplinary teams in healthcare bring together professionals from diverse fields to collaborate on patient care, ensuring comprehensive and holistic treatment plans (Rowan et al., 2022). 

The interview revealed that Metro General Hospital has previously used interdisciplinary methods like team huddles and shared decision-making, but these needed to be more consistently applied and thoroughly evaluated. Ms. Johnson recommends a structured, evidence-based approach using Lewin’s Change Model and transformational leadership to address burnout better. The goal is to create a collaborative environment that sustainably improves staff health and quality of patient care. The main issue identified from the interview with Ms. Emily Johnson is staff burnout due to high patient-to-nurse ratios at Metro General Hospital. This issue has significantly impacted the quality of patient care and overall staff morale. 

 An evidence-based interdisciplinary approach is appropriate for addressing this problem because it leverages different healthcare professionals’ diverse expertise and perspectives, leading to more comprehensive and sustainable solutions. An evidence-based interdisciplinary approach enhances communication and collaboration among various departments, ensuring efficient and effective patient care management (Dietl et al., 2023). Involving nurse managers, physicians, human resources, and mental health professionals in developing workload management strategies can create balanced patient assignments and better support systems for staff. Additionally, integrating the latest research findings and best practices within an interdisciplinary team can inform interventions to reduce burnout and improve patient care. This approach fosters a culture of shared responsibility and support, which is crucial for maintaining staff well-being in a high-stress environment.

Interdisciplinary collaboration can achieve desired patient and system outcomes by ensuring that healthcare professionals from different specialties work together seamlessly (Shi et al., 2024). This leads to more holistic care, as team members bring their unique expertise to address complex patient needs comprehensively. Improved communication and shared decision-making within interdisciplinary teams can reduce errors, enhance patient satisfaction, and optimize resource utilization (Yamamoto, 2022). Metro General Hospital could hold regular meetings and workshops to share research on workload management and staff wellness. Clear communication and decision-making ensure effective team contributions (Hassan et al., 2024). These strategies foster a supportive work environment, enhancing staff satisfaction and patient outcomes. 

Issue Identification

The primary issue identified from the interview with Ms. Emily Johnson is staff burnout due to high patient-to-nurse ratios, significantly impacting patient care and staff morale at Metro General Hospital. An evidence-based interdisciplinary approach is suitable for addressing this problem as it leverages diverse expertise and perspectives, leading to more comprehensive and sustainable solutions.

An interdisciplinary approach is justified for several reasons. First, it can enhance communication and collaboration among various departments, ensuring patient care is managed more efficiently and effectively (Dietl et al., 2023). For example, involving nurse managers, physicians, human resources, and mental health professionals in developing workload management strategies can lead to more balanced patient assignments and better support systems for staff. Second, evidence-based practice within an interdisciplinary team allows for integrating the latest research findings and best practices from different fields, which can inform interventions designed to reduce burnout and improve patient care (Smye & Frangi, 2021). Lastly, interdisciplinary collaboration can foster a culture of shared responsibility and mutual support, crucial for maintaining staff well-being and resilience in a high-stress environment.

To incorporate evidence-based practice, the hospital could hold regular interdisciplinary meetings and workshops on workload management and staff wellness. Clear communication channels and decision-making processes ensure effective team contributions (Hassan et al., 2024). These strategies create a supportive and efficient work environment, enhancing staff satisfaction and patient outcomes.

Change Theories That Could Lead to an Interdisciplinary Solution

Implementing change management theories and leadership strategies is crucial to addressing staff burnout at Metro General Hospital. Lewin’s Change Model, a well-known change theory, consists of three phases: unfreezing, transitioning, and refreezing. This model is highly relevant as it provides a structured approach to managing organizational change (Shi et al., 2024). In addressing burnout, the unfreezing stage would involve recognizing the need for change and preparing the staff for new interventions. The changing stage would see the execution of plans such as improved workload management and wellness programs. Lastly, the refreezing phase would ensure these modifications are firmly embedded in the hospital’s routines.

The credibility of Lewin’s Change Model is well-supported in the literature, with Stoller (2021) highlighting its effectiveness in healthcare settings, making it a reliable source for developing interdisciplinary solutions.

In addition to change management theories, leadership strategies like transformational leadership can significantly enhance interdisciplinary collaboration. Transformational leadership involves inspiring and motivating staff to exceed expectations and work towards common organizational goals (Collins et al., 2020). This leadership style fosters a positive and collaborative culture. By encouraging transparent dialogue, fostering mutual respect, and involving everyone in collaborative decisions, transformational leaders enable interdisciplinary teams to thrive. Ystaas et al. (2023) provide substantial evidence of the beneficial effects of transformative guidance on team performance and organizational outcomes.

This approach is relevant to Metro General Hospital, as it addresses burnout by fostering a supportive work environment and improving staff morale. The effectiveness of transformational leadership in enhancing interdisciplinary collaboration is well-documented, making it ideal for tackling staff burnout (Geist et al., 2020).

Leadership Strategies That Could Lead to an Interdisciplinary Solution

To address the issue of staff burnout at Metro General Hospital, implementing effective leadership strategies is essential. One such strategy is transformational leadership, which focuses on inspiring and motivating employees to exceed their expectations and work towards common organizational goals.

Transformational leaders are pivotal in fostering a positive and collaborative organizational culture (Ee et al., 2020). They promote transparent dialogue, foster mutual respect, and involve everyone in decision-making, which are critical for the success of interdisciplinary teams. By promoting a supportive work environment, transformational leaders can help mitigate burnout and enhance job satisfaction among staff. 

Another effective leadership strategy is the implementation of shared leadership, where leadership responsibilities are distributed among team members rather than centralized in a single individual (Kuriyan et al., 2021). This approach empowers all interdisciplinary team members to take responsibility for their positions and participate in decision-making activities. Collaborative leadership has improved team cohesion, communication, and overall performance.

Franklin et al. (2020) demonstrate the effectiveness of shared leadership in fostering collaboration and enhancing team outcomes in various organizational settings. Leveraging the diverse expertise of team members, shared leadership can effectively address complex issues like staff burnout. Research supports its effectiveness in enhancing interdisciplinary collaboration, making it a suitable strategy for Metro General Hospital.

Both transformational and shared leadership strategies are highly relevant to the specific issue of staff burnout at Metro General Hospital. These strategies can create a more collaborative and supportive work environment, improving staff well-being and patient care quality. For instance, a study by Boamah (2022) in the “Journal of Nursing Management” found that transformational leadership significantly improved nurse job satisfaction and reduced burnout.

The credibility and relevance of these strategies make them effective for developing a comprehensive solution to the identified issue.

Collaboration Approaches for Interdisciplinary Teams

Structured team huddles are crucial to address staff burnout at Metro General Hospital.

These brief, regular meetings enhance communication, improve teamwork, and align goals. Research by Aldawood et al. (2020) shows that team huddles significantly improve patient safety and coordination, making this method highly relevant for addressing burnout.

Another collaborative approach is the implementation of shared decision-making processes. In shared decision-making, all team members, regardless of their role, have an equal voice in decision-making (Teixeira et al., 2024).

This method has been shown to improve job satisfaction, reduce burnout, and enhance the quality of care provided. According to Sucato (2020), shared decision-making can improve patient outcomes and increase staff engagement. By fostering a culture of inclusivity and mutual respect, shared decision-making can help establish a strong foundation for effective interdisciplinary collaboration. This approach is particularly relevant to Metro General Hospital’s situation, as it can address the root causes of weariness

by promoting a more helpful and collaborative professional environment.

Lin et al. (2022) found in the “Journal of Hospital Medicine” that team huddles significantly improved communication and patient safety outcomes. By adopting these approaches, Metro General Hospital can enhance its interdisciplinary team dynamics, leading to better management of staff burnout and improved patient care outcomes. The credibility and relevance of these strategies make them suitable for developing a comprehensive solution to the identified issue.

Conclusion

Addressing staff burnout at Metro General Hospital requires integrating change management theories, effective leadership strategies, and collaborative approaches. Implementing Lewin’s Change Model and transformational leadership fosters a positive culture and structured change management (Collins et al., 2020). Collaborative methods like structured team huddles and shared decision-making enhance communication and teamwork, leading to better patient care and reduced burnout (Boamah, 2022). These evidence-based strategies can generate a professional environment, promoting workforce health and optimal patient outcomes.

References

Aldawood, F., Kazzaz, Y., AlShehri, A., Alali, H., & Al-Surimi, K. (2020). Enhancing teamwork communication and patient safety responsiveness in a pediatric intensive care unit using the daily safety huddle tool. BMJ Open Quality, 9(1), e000753. https://doi.org/10.1136/bmjoq-2019-000753 

Boamah S. A. (2022). The impact of transformational leadership on nurse faculty satisfaction and burnout during the COVID-19 pandemic: A moderated mediated analysis. Journal of Advanced Nursing, 78(9), 2815–2826. https://doi.org/10.1111/jan.15198 

Collins, E., Owen, P., Digan, J., & Dunn, F. (2020). Applying transformational leadership in nursing practice. Nursing Standard: 1987), 35(5), 59–66. https://doi.org/10.7748/ns.2019.e11408

Dietl, J. E., Derksen, C., Keller, F. M., & Lippke, S. (2023). Interdisciplinary and interprofessional communication intervention: How psychological safety fosters communication and increases patient safety. Frontiers in Psychology, 14, 1164288. https://doi.org/10.3389/fpsyg.2023.1164288

Ee, C., Lake, J., Firth, J., Hargraves, F., de Manincor, M., Meade, T., Marx, W., & Sarris, J. (2020). An integrative, collaborative care model for people with mental illness and physical comorbidities. International Journal of Mental Health Systems, 14(1), 83. https://doi.org/10.1186/s13033-020-00410-6

Franklin, B. J., Gandhi, T. K., Bates, D. W., Huancahuari, N., Morris, C. A., Pearson, M., Bass, M. B., & Goralnick, E. (2020). Impact of multidisciplinary team huddles on patient safety: A systematic review and proposed taxonomy. BMJ Quality & Safety, 29(10), 1–2. https://doi.org/10.1136/bmjqs-2019-009911

Geist, R., Versloot, J., Mansfield, E., DiEmanuele, M., & Reid, R. J. (2020). The collaborative care model for patients with mental and medical conditions is implemented in hospital outpatient care settings. The Journal of Ambulatory Care Management, 43(3), 230–236. https://doi.org/10.1097/JAC.0000000000000332

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Kuriyan, A., Kinkler, G., Cidav, Z., Yi, C., Eiraldi, R., Salas, E., & Wolk, C. B. (2021). Team strategies and tools to enhance performance and patient safety (TeamSTEPPS) to improve collaboration in school mental health: Protocol for a mixed methods hybrid effectiveness-implementation study. JMIR Research Protocols, 10(2), e26567. https://doi.org/10.2196/26567

Lin, S. P., Chang, C. W., Wu, C. Y., Chin, C. S., Lin, C. H., Shiu, S. I., Chen, Y. W., Yen, T. H., Chen, H. C., Lai, Y. H., Hou, S. C., Wu, M. J., & Chen, H. H. (2022). The effectiveness of multidisciplinary team huddles in healthcare hospital-based settings. Journal of Multidisciplinary Healthcare, 15, 2241–2247. https://doi.org/10.2147/JMDH.S384554 

Mohsen, M. M., Allah, A. R., Amer, N. A., Rashed, A. B., & Shokr, E. A. (2021). Team strategies and tools to enhance performance and patient safety at primary healthcare units: Effects on patients’ outcomes. Nursing Forum, 56(4), 849–859. https://doi.org/10.1111/nuf.12627

Rowan, B. L., Anjara, S., De Brún, A., MacDonald, S., Kearns, E. C., Marnane, M., & McAuliffe, E. (2022). The impact of huddles on a multidisciplinary healthcare teams’ work engagement, teamwork, and job satisfaction: A systematic review. Journal of Evaluation in Clinical Practice, 28(3), 382–393. https://doi.org/10.1111/jep.13648

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Smye, W., & Frangi, A. F. (2021). Interdisciplinary research: Shaping the healthcare of the future. Future Healthcare Journal, 8(2), e218–e223. https://doi.org/10.7861/fhj.2021-0025

Stoller J. K. (2021). Building teams in health care. Chest, 159(6), 2392–2398. https://doi.org/10.1016/j.chest.2020.09.092 

Teixeira, M. J. C., Ahmed, R., Tehrany, R., Jaggi, A., & Ramanuj, P. (2024). Collaborative care model versus usual care for managing musculoskeletal and co-existing mental health conditions: A randomized feasibility mixed-methods study. BMJ Open, 14(2), e079707. https://doi.org/10.1136/bmjopen-2023-079707

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Yamamoto, K. (2022). Association between interdisciplinary collaboration and leadership ability in intensive care unit nurses: A cross-sectional study. Journal of Nursing Research, 30(2), e202. https://doi.org/10.1097/jnr.0000000000000483