NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification INTERVIEW & INTERDISCIPLINARY ISSUE IDENTIFICATION 3 

 

A semi-structured interview strategy was adopted to interview a nursing colleague to understand her organization, past and current problems, her role and duties in the organization, the effectiveness of interventions, effects of issues on a different population, the role of nurse leaders, leadership strategies, and interdisciplinary collaboration at the organization (McIntosh & Morse, 2015). She works in a private profit-based acute health care facility with 75 beds and different units. The organization is adopting advanced technologies such as automated EHRs, patient monitoring systems, telemedicine, error reporting software, data analytics for nursing informatics, and other technologies to increase the quality of care. 

She is working as an intensive care unit (ICU) nurse in the organization. Her primary duties include monitor, record, and report patient data, symptoms, and complications, order and interpret diagnostics tests, coordinate and consult with health care professionals, administering medication and intravenous fluids, reporting medication errors, treating wounds, maintaining equipment, and educating patients and family. 

After understanding the organization and role, the interview agenda was explained in a couple of sentences. The interview style was flexible as the interview was consistent throughout and the interviewee had full opportunity to explain her perspectives (McIntosh & Morse, 2015). However, open-ended questions were asked whenever needed to get better insights into current or past health care issues (Weller et al., 2018). More stress was given to statistics and benchmarks to understand the severity of the issues. 

She informed that past issues such as resistance to implementing advanced EHRs and telemedicine affected both patients and nurses. It was solved by training the nurses, implementing transformational leadership, and hiring specialized nurses to promote changes.

NURS FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

INTERVIEW & INTERDISCIPLINARY ISSUE IDENTIFICATION 3 

Past issues such as nurse burnout, workplace violence, and hazards, safety handling issues such as patient fall, and hospital-acquired infections (HAIs) such as VAP were prevalent. However, safety handling issues and HAIs were reduced to below the national benchmark of 3.44 falls per 1000 patient days and 2.4 per 1000 patent days respectively (Ahrq.gov, 2020). 

Nurse burnout is still an issue with other current issues such as medication errors, near misses and adverse events, and increasing health care costs. The interviewee was asked to prioritize the issues based on experience, severity, and impact on the patients and nurse. She explained that medication errors are at the highest priority as these errors lead to adverse events, increases cost, increases hospital stay, blame culture, demonstrates poor interprofessional collaboration, and increases nurse burnout (Manias, 2018). The nurses faced medication errors as discrepancies between prescription and medicine, dispensing errors, interferences in drug administration, delay in care due to delayed response from physician and pharmacists, and adverse effects of medication on the patient (Srinivasamurthy et al., 2021). 

Identifies an issue from the interview 

Almost all of the issues need an evidence-based interdisciplinary collaborative approach to mitigate issue. However, the issue of medication error is a major issue and require interdisciplinary collaboration approach as it includes nurses, physicians, lab technician, pharmacist, informatics nurse, and pain management nurses. As the issue includes more than two health care professionals, collaboration is critical (Srinivasamurthy et al., 2021). The second reason is the error can be generated at any end and it will be difficult to detect the error and find root causes if there is no interdisciplinary collaboration approach. For example, if a patient with allergies to a specific medication suffers complications due to the patient then it will be difficult to find the cause for adverse events (Tena et al., 2018).

INTERVIEW & INTERDISCIPLINARY ISSUE IDENTIFICATION 4 

Another reason is a delay in patient care leading to threats to patient safety and quality care. For example, if the pharmacy dispatches a wrong medicine and the nurse identifies the medicine, he or she has to report the error and wait for the response. This delays medication administration and may lead to complications in patients (Jember et al., 2018). Another reason is blame culture in the medication errors as different stakeholders are involved. For example, a physician can prescribe medicine with improper dosage, which might have an allergic reaction and a nurse administers the dosage sent by a pharmacist without verifying the patient information (Tena et al., 2018). 

Analysis of potential change theories 

Lewin’s change theory with three stages of unfreezing, mov