Student name
Capella University
NURS FPX 4005
Professor Name
Submission Date
Interview and Interdisciplinary Issue Identification
(c)Improve the concept of patient organization and experience in interprofessional teams of health care professions. Professional programs, such as the Capella Masters in Nursing or Capella Nursing Program are available to those seeking a career in the field who are able to work well within teams and communicate effectively. This essay identifies the communication and team work issues within Riverside Medical Center, recommendations, leadership style and actions to be undertaken to promote work environment, staff workers’ collaboration and patient safety.
Interview Summary
AMANDA, RN Amanda, a seasoned nurse with 8+ years in nursing on the Med-Surg floor at Riverside Medical Center caring for patients of all ages and conditions. She sees patients during the day, consults with specialists and manages admissions and discharges, making sure there are no loose ends on paper. One of the major problems also addressed during the interview is that there has been miscommunication between different departments, mainly at time of shift exchange. These miscommunications are a potential cause of inaccuracy in patient care and drug therapy, as well as indicators for an explanation behind the source of staff dissatisfaction. While EHRs are in place and some training provided, the sporadic nature of the same means that there has been very little enduring change.
Strategies Employed in the Interview
Inquiry questions, nominationative cues and narrative summaries provided Amanda with the opportunity to discuss her experience. The idea of working together already exists in the hospital, but closely walled departments and few regulations hinder interdisciplinary teamwork. Good teams work well together, something that good in the difficult discharges of care we will see demonstrated today -“Communication is central, Cavavo appears more upbeat. Do findings like these have implications for the course list in the Capella RN to BSN program?
Issue Identification
Continued lack of communication between shifts and departments was described as the primary gripe. Poor handoffs result in a lack of continuity, repeated transferring of the same information, delayed medication administration and disjointed treatment planning. It results in poorer patient safety and satisfaction and greater frustration among staff, who can feel deserted or unsupported. Nurses, doctors, case managers and pharmacists all will need to be part of the solution for these problems. Other communication strategies, such as using standardized handoff protocols and regular interdisciplinary team huddles in tandem with electronic systems have been used to create a culture of transparency and accountability to foster shared decision making. Assimilate Tutoring students from an LPN Tutor can also be helpful in skills and communication development.
Change Management and Leadership Theories
Affecting ineffective interdepartmental communication at Riverside Medical Center, Lewin’s Change Management Theory that provides a model for change within an organization. The model emphasizes three phases: the thawing stage, changing phase and re-freezing stage. Another, in the unfreezing stage, is a recognition by leadership of breakdown in care associated with communication. In the change phase, training is integrated for the team-based and standardised communication tools such as SBAR (Situation-Background-Assessment-Recommendation) are introduced. Re-freezing consolidates them in systems with feedback and TimeLREMq#BACKUP002B reinforcement.
Transformational leadership in particular is believed to promote this strategy as it galvanizes teams with a common vision that encourages novelty and psychological safety interlaced with personalized prescriptive resourcefulness (e.g., on-the-job). Riverside administrators and nurses, doctors and supportive employees could collaborate to break down barriers in communication and improve the wellbeing of patients. Research suggest that transformational leadership in health care is significantly related to communication, and patient safety. Dependable leaders such as these are a focus of Capella University IO psychology studies including organizational behavior and team dynamics within medical settings.
Collaboration Approaches
Task-related EBP ITs to successful IPT can thus be identified. The AHRQ’s team STEPPS is an evidence-based program and consists of structured tools such as briefs, huddles, debriefs, SBAR to improve teamwork and communication. Studies show that TeamSTEPPS enhances the accuracy of information exchange and results in fewer mistakes when multidisciplinary groups interact.
A second approach is the inclusion of IPEC competencies (role clarity, mutual respect and interprofessional communication). Adding these competencies to the training would option also improve team aspects and collaboration among health staff, which will understand the roles ad responsibilities of each other. Shared goals, leadership support and a culture of lifelong learning are also elements to great teamwork and better patient outcomes and staff satisfaction.
Most Credible Source
There can be no better evidence of what is needed to address communication breakdowns at Riverside Medical Center than that provided by the Agency for Healthcare Research and Quality (AHRQ) themselves. Team STEPPS provides standardized tools of communication to reduce inter-professional errors such as SBAR, briefings (griffin’), huddles and debriefing. The latter approaches have clear implications for improving the safety and teamwork of both individuals and teams within a hospital.
Conclusion
Patient Safety and Quality Care Concern at Riverside Medical Center as Communication and Teamwork Struggle. These issues can be addressed by inter-discipline resolution with the approaches of change management and transformational leadership. Organized communication instruments, repetitive feedback and staff participation are essential to break down these barriers and enable team work. For nurses who were trained through a Capella Masters in Nursing program, a Capella Nursing Program—including sliding fees and other sources of assistance from the Capella RN to BSN course list—the chances could be good that they can make clear moves along their career path toward accomplishing the dual goals of better patient care as well as improved organizational effectiveness.
References
Agency for Healthcare Research and Quality. (2023). TeamSTEPPS (Team Strategies & Tools to Enhance Performance & Patient Safety). Www.ahrq.gov. https://www.ahrq.gov/teamstepps-program/index.html
Al-Rashah, H. S. A., Asiri, A. A. B. S., Al-Rasha, I. A., Al ishaq, R. M. R., Alkhayawani, A. S. Y., Alrashah, A. A. M., al rashah, K. ali, Alrashah, S. M., Al Rashah, N. A. Y., & Al Rashah, A. A. M. (2024). Critical analysis of interdisciplinary healthcare delivery models, communication, and patient outcomes. Journal of Ecohumanism, 3(8), 5467–5477. https://doi.org/10.62754/joe.v3i8.5250
Fahs, I., Akel, M., Haddad, C., Sacre, H., Hajj, A., Zeenny, R. M., Iskandar, K., & Salameh, P. (2023). Working together for patient health: Assessing interprofessional competencies among healthcare professionals in Lebanon. Journal of Interprofessional Education & Practice, 32, 100630. https://doi.org/10.1016/j.xjep.2023.100630
Howick, J., Bennett-Weston, A., Solomon, J., Nockels, K., Bostock, J., & Keshtkar, L. (2024). How does communication affect patient safety? Protocol for a systematic review and logic model. British Medical Journal Open, 14(5), 1–8. https://doi.org/10.1136/bmjopen-2024-085312
Karimi, S., Malek, F. A., Farani, A. Y., & Liobikienė, G. (2023). The role of transformational leadership in developing innovative work behaviors: The mediating role of employees’ psychological capital. Sustainability, 15(2), 1267. mdpi. https://doi.org/10.3390/su15021267
Shi, Y., Miao, S., Fu, Y., Sun, C., Wang, H., & Zhai, X. (2024). TeamSTEPPS improves patient safety. British Medical Journal Open Quality, 13(2). https://doi.org/10.1136/bmjoq-2023-002669
Stanz, L., Silverstein, S., Vo, D., & Thompson, J. (2021). Leading through rapid change management. Hospital Pharmacy, 57(4), 422–424. https://doi.org/10.1177/00185787211046855
Syyrilä, T., Vehviläinen‐Julkunen, K., & Härkänen, M. (2020). Communication issues contributing to medication incidents: Mixed‐method analysis of hospitals’ incident reports using indicator phrases based on literature. Journal of Clinical Nursing, 29(13-14), 2466–2481. https://doi.org/10.1111/jocn.15263
White-Williams, C., & Shirey, M. R. (2021). Taking an interprofessional collaborative practice to the next level: Strategies to promote high performing teams. Journal of Interprofessional Education & Practice, 26(1), 100485. https://doi.org/10.1016/j.xjep.2021.100485
Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The impact of transformational leadership in the nursing work environment and patients’ outcomes: A systematic review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108
FAQs
Q1: What is the biggest challenge facing RMC regarding communication?
At the root of the chaos is a failure to communicate from shift to shift, and department to department — particularly when patients are handed off — leading to mistakes and delays in treatment.
Q2: How might tools of communication be designed and set up?
Clear, consistent communication through strategies such as SBAR, briefs, huddles and debriefs is how errors are reduced and the best patients safety attained.
Q3: What are Capella University master’s in nursing doing to Promote Interdisciplinary Collaboration?
These programs enable ANs with leadership, teamwork and the evidence-based practice (EBP) tools needed to use effective communication strategies within clinical nursing.
Q4: How can an LPN tutor assist me with improving my communication skills?
An LPN Tutor can provide individualized facilitation of improved communication skills for nurses.
Q5: How does transformational leadership improve team-level communication?
The human resource managers foster and involves the staff in the development of a working atmosphere that is conducive for collaboration and continual improvement, and which is associated with patient results as well as the experiences of staff.