Capella University Interdisciplinary Proposal in Intensive Care Unit Discussion Paper

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For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

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Writing Feedback Tool Capella faculty use the Writing Feedback Tool to provide learners with supplemental writing feedback and information about writing resources to develop Writing Skills. The Writing Feedback Tool facilitates assessment of five core writing skills, aligned to Capella's Writing Standards. These writing skills are known as the POETS writing skills. 1. Address assignment purpose Related Competency: Compose a text that articulates meaning relevant to the main topic, scope, and purpose of the prompt. 2. Develop strong organization Related Competency: Develop text using organization, structure, and transitions that demonstrate understanding of relationship between main and subtopics. 3. Incorporate appropriate evidence Related Competency: Integrate into text appropriate use of scholarly sources, evidence, and citation style. 4. Use scholarly tone Related Competency: Apply in text the standard writing conventions for the discipline, including structure, voice, person and tone. 5. Develop grammatically sound sentence structure Related Competency: Produce text with minimal grammar, usage, spelling, and mechanical errors. Within your courses or related to specific assignments, you may have seen these five Writing Skills in the Writing Feedback Tool. You can use the information you receive from the tool to create a study plan and work towards your writing goals. Developing these five Writing Skills are important to your success. The tables below illustrate the performance levels associated with each Writing Skill. You may receive other feedback from your instructor in addition to the items below. • • • • • Purpose Organization Evidence Tone Sentence Structure Related Competency: Produce text with minimal grammar, usage, spelling, and mechanical errors. Performance Measurement Beginning Faculty Selection Feedback Text meaning is unclear due to errors in sentence structure, grammar, usage, word choice, spelling, or mechanics in 75% or more of text. The majority of the ideas in this text were not written in complete sentences. It will be important to participate in a grammar refresher and to study sentence structure guidelines Resources • • • Text meaning is interrupted due to sentence structure, grammar, usage, word choice, spelling, or mechanical errors in 25%-75% or more of text. Many of your ideas are communicated in grammatically unsound sentences. So that the meaning of your messages is communicated clearly, study sentence structure guidelines and practice sentence revision to strengthen your text. Skilled Text conveys clear meaning with minimal issues in grammar, usage, word choice, spelling, or mechanical errors in 10%-25% of text. The meaning of your text is clear due in large part to the sound grammatical structure of your sentences. I saw very few issues with grammar, usage, spelling, and mechanical errors. To increase readability and flow, consider the revision step in the writing process. Advanced Text complexity and concision conveys clear meaning, with The meaning of your text is clear due in large part to the grammar and mechanics of your sentences. Developing • • • • • Participate in a Grammar Refresher Revise Your Sentences Consider Sentence Structure and Variety Study Subject-Verb Agreement Revise Your Sentences Develop Sentence Variety Incorporate Revision Practices Master Active Voice Performance Measurement Faculty Selection Feedback grammar, usage, word choice, spelling, or mechanical errors in 10% or less of text. You communicated complex ideas with concision and with very few errors. Continue this skill mastery by fully understanding active voice. Resources 1 Interdisciplinary Plan Proposal Write a brief introduction (2 to 3 sentences) to your proposal that outlines the issue you are attempting to solve, the part of the organization in which the plan would be carried out, and the desired outcome. This will set the stage for the sections below. Objective Describe what your plan will do and what you hope it will accomplish in one or two succinct sentences. Also, comment on how the objective, if achieved, will improve organizational or patient outcomes. For example: Test a double-loop feedback model for evaluating new product risk with a small group of project managers with the goal of reducing the number of new products that fail to launch. This objective is aligned to the broader organizational goal of becoming more efficient taking products to market and, if successful, should improve outcomes by reducing waste. Questions and Predictions For this section ask yourself 3 to 5 questions about your objective and your overall plan. Make a prediction for each question by answering the question you posed. This helps you to define the important aspects of your plan as well as limit the scope and check its ability to be implemented. For example: 1. How much time will using a double-loop feedback model add to a project manager’s workload? a. At first, it will likely increase their workloads by 5 to 10 percent. However, as the process is refined and project managers become more familiar and efficient, that percentage will decrease. 2 Change Theories and Leadership Strategies For this section, you may wish to draw upon the research you did regarding change theories and leadership for the Interview and Interdisciplinary Issue Identification assessment. The focus of this section is how those best practices will create buy-in for the project from an interdisciplinary team, improve their collaboration, and/or foster the team’s ability to implement the plan. Be sure that you are including at least one change theory and at least one leadership strategy in your explanation. Always remember to cite your sources; direct quotes require quotation marks and a page or paragraph number to be included in the citation. Another way to approach your explanations in this section is to think through the following: • What is the theory or strategy? • How will it likely help an interdisciplinary team to collaborate, implement, and/or buy in to the project plan? o Make sure to frame this explanation within the organizational context of the proposed plan, that is, your interviewee’s organization. Team Collaboration Strategy In this section, begin by further defining the responsibilities and actions that represent the implementation of the plan. One strategy to defining this is to take a “who, what, where, and when” approach for each team member. For example: • Project Manager A will apply the double-loop feedback model on one new product project for a single quarter. 3 • Project Manager B will apply the double-loop feedback model on all new product projects for a quarter. Vice President A will review the workloads of project managers using the double-loop feedback model every Thursday for one quarter. After you have roughly outlined the roles and responsibilities of team members, you will explain one or more collaborative approaches that will enable the team to work efficiently to achieve the plan’s objective. As with the change theories and leadership strategies, you may draw on the research you conducted for the Interview and Interdisciplinary Issue Identification assessment. However, you are being asked to give a more in-depth explanation of the collaboration approaches and look at how they will help the theoretical interdisciplinary team in your plan proposal. Another way to approach your explanations in this section is to think through the following: • What is the collaboration approach? • What types of collaboration and teamwork will best help the interdisciplinary team be successful? • How is the collaboration approach relevant to the team’s needs and will it help drive success? o Make sure to frame this explanation in terms of the subject of the plan proposal; that is, your interviewee’s organization. 4 Required Organizational Resources For this section, you will be making rough estimates of the resources needed for your plan proposal to be successful. This section does not have to be exact but the estimates should be realistic for the chosen organization. Items you should include or address in this section: • What are the staffing needs for your plan proposal? • What equipment or supplies are needed for your plan proposal? o Does the organization already have these? • ▪ If so, what is the cost associated with using these resources? ▪ If not, what is the cost of acquiring these resources? What access (to patients, departments, and so forth) is needed? o Are there any costs associated with these? • What is the overall financial budget request for the plan proposal? o Staff time, resource use, resource acquisition, and access charged? ▪ Remember to include a specific dollar amount in your request. After you have detailed your budget, make sure that you explain any impacts on organizational resources that could happen if your plan is not undertaken and successful. In other words, if the issue you are try to solve through your plan proposal persists or gets worse, what will be the potential costs to the organization? 5 References For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment. The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a culture of ownership and shared responsibility (Berkow et al., 2012). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality. You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded. Demonstration of Proficiency • • • Competency 1: Explain strategies for managing human and financial resources to promote organizational health. • Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan. Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes. • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes. • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature. Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals. • Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan. • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes. • Communicate the interdisciplinary plan with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style. Reference Berkow, S., Workman, J., Aronson, S., Stewart, J., Virkstis, K., & Kahn, M. (2012). Strengthening frontline nurse investment in organizational goals. JONA: The Journal of Nursing Administration, 42(3), 165–169. Professional Context This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment. Scenario Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue. Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee's organization. Instructions For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview. The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome. Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end. Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. • • • • • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes. Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan. Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature. Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made. Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style. Additional Requirements Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan. • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old. • APA formatting: Make sure that in-text citations and reference list follow current APA style. Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing • feedback in the Scoring Guide for the assessment, once your work has been evaluated. Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course. Running head: INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION Interview and Interdisciplinary Issue Identification Student’s Name Institutional Affiliation Date 1 INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 2 Interview and Interdisciplinary Issue Identification My interview with a fellow nurse working in the intensive care unit (ICU) department in our facility showed shocking figures about the prevalence and epidemiology of Staphylococcus infections in inpatient population at the facility. Through the interview the colleague demonstrated the rise of the infection of this strain of bacteria as a hospital acquired infection among patients with weak immunity. The colleague was categorical that this rise illustrated the need for the administration and health professionals un the facility to do something apart from strict adherence to the set precautions and strategies to reduce infections. The standard practices like hand hygiene, utilization of personal protective equipment and safe injection as well as etiquettes when coughing and handling contaminated equipment were not enough to curb the rising numbers. The increase in the infections requires collaboration of all health care providers and practitioners to implement evidence-based practices. All the healthcare teams in the facility were concerned about the safety of patients, which is a core aspect of quality patient outcomes. Collaboration is essential as it allows various teams to share knowledge, experiences, and evidence-based practice interventions to reduce the infections and enhance patient safety and delivery of quality outcomes (Power, 2016). The interdisciplinary collaboration implores all providers, right from physicians to nurses and pharmacists as well as laboratory technicians to collaborate and work together to implement solutions and reduce the prevalence of such infections. Integration of Evidence-Based Practice in Issue Identification The problem of infections needs the establishment of quality improvement team to use present or update evidence-based practice interventions. A practice becomes evidence-based INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 3 when meet three equally assessed factors that include its contribution to relevant research knowledge, entails clinical expertise and patient values as well as preferences. The selected quality improvement team needs to develop precise goals, objectives, and roles at their start of their sessions to attain a sense of direction concerning their efforts (Leming-Lee & Watters, 2017). For instance, the team can be led by a nurse leader and carry out extensive studies through literature reviews of relevant and reputable journal articles on how organizations tackle hospital-based infections. Through this approach, the team will understand the most appropriate way and practices to address the identified issues. Upon collecting evidence, the team needs to have a session and discuss the implications of the evidence to various stakeholders. These include patients, health professionals in the facility and the management as well as health care agencies. The team needs to conduct extensive discussions with various care providers that will implement and be impacted by the changes. The team must also consider the resources it needs, especially human and financial resources to implement the changes. The team can also benchmark with other organizations implementing similar changes and facing same problem. The Role of Change Management Theories Implementing changes in health care organizations is challenging, particularly if relevant stakeholders do not participate or get involved in the entire process. The team mandated with the change process should ensure that they get a buy-in from all stakeholders and implement measures that will minimize or mitigate potential resistance since many people resist change and want the status quo (McNicholas et al., 2019). The team must select change management theories that facilitate communication among the various stakeholders. INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 4 Change management theoretical perspectives explain the change process, offer the best means of assessing the process, cultivate a sense of accountability and enhance confidence. For instance, the team can implement the changes to minimize hospital acquired infections through the Plan-Do-Study-Act (PDSA) model. The approach comprises of four stages which are used mainly to improve a certain process and bring the desired changes. for the model to work effectively, the team should consider feedback from all stakeholders, both internal and external users and targeted populations (Donnelly & Kirk, 2015). The model also allows researchers to evaluate changes on a smaller level, and build on information before executing a project. Through the model, stakeholders can be positioned better in determining the success rate of the proposed change and respond adequately if something goes wrong. The model is viewed to be much safer and less disruptive to all professionals. Role of Leadership Strategies in the Process The leadership style used by leaders in an organization impacts to a significant level the implementation of evidence-based practice interventions. For instance, democratic leadership style leads to better implementation of change projects when compared to authoritarian approach. Further, transformational leadership inspires hope and success in employees and other stakeholders and their abilities to tackle a problem (Aarons et al., 2015). Through these two leadership, views of all stakeholders are considered when implementing organizational changes through EBP interventions. The implication is that by using these models, change implementers reduce potential resistance to change in organizations. Collaborative Approaches Inter-professional collaboration is a core component of change implementation and EBP interventions to enhance patient outcomes. Imperatively, members of interdisciplinary team INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 5 should work as a unit to ensure that the identified problem is addressed sufficiently. Effective collaboration occurs when clear-cut roles and responsibilities exist in a team (Reeves et al., 2017). Collaborative approaches in change management and implementation include formation of coalitions with other sectors and facilities, having formal and informal connections, developing strategic alliance and formation of public-private partnerships (Webster, 2016). The selection of the appropriate collaborative approach depends on several factors that include resources availability, types of services provided by the health care organization and the goals of the interdisciplinary team. INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 6 References Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(1). doi:10.1186/s13012-014-0192-y Donnelly, P., & Kirk, P. (2015). Use the PDSA model for effective change management. Education for Primary Care, 26(4), 279-281. doi:10.1080/14739879.2015.11494356 Leming-Lee, S., & Watters, R. (2017). Quality Improvement Processes and Evidence-Based Practice. Evidence-Based Practice in Nursing. doi:10.1891/9780826127594.0014 McNicholas, C., Lennox, L., Woodcock, T., Bell, D., & Reed, J. E. (2019). Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. BMJ Quality & Safety, 28(5), 356-365. doi:10.1136/bmjqs-2017-007605 Power, B. (2016). New Ways to Collaborate for Process Improvement. Retrieved from https://hbr.org/2011/05/new-ways-to-collaborate-for-pr Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Inter-professional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.cd000072.pub3 Webster, A. (2016). The Health of Collaborations. Collaboration across Health Research and Medical Care, 217-226. doi:10.4324/9781315572611-11
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Running head: INTERDISCIPLINARY PROPOSAL PLAN

Interdisciplinary Proposal Plan

Student’s Name

Institutional Affiliation

Date

1

INTERDISCIPLINARY PROPOSAL PLAN

2

Interdisciplinary Proposal Plan
As highlighted during the interview with a colleague in the intensive care unit (ICU),
compliance to better and evidence-based practice interventions in reducing hospital acquired
infections requires interdisciplinary collaboration among the professionals and patients.
Noncompliance to standard practices like hand hygiene for patients and providers and utilization
of personal protective equipment for health care providers increases the susceptibility to hospital
acquired infections in the ICU department despite its critical role in care provision (Root, 2016).
This plan focuses on developing interdisciplinary collaboration among professionals in the
facility to use hand sanitizers and personal protective equipment to reduce hospital acquired
infections, especially strains of Staphylococcus infections, among inpatients in the ICU
department and other units.
Objectives
Interdisciplinary collaboration is essential in evaluating improvements focused on
reducing Staphylococcus infections as one of the rising hospital acquired infections in the
facility. The prediction is to address personal barriers for professionals and patients that may
affect the ICU setting. The main objective is to implement two interventions at the same time for
both providers and patients to assess if they will reduce the rates of infections in the ICU
department. Further, the proposed plan will also assess how increased interdisciplinary
collaboration among different departments can improve working relationships among the
providers.
Questions and Prediction
1. What decision-making issues can interdisciplinary professionals identify in
successfully reducing hospital acquired infections in acute care environment?

INTERDISCIPLINARY PROPOSAL PLAN

3

It is essential to recognize any perceived personal barriers like feelings which may impact the
implementation of recommended actions towards use of PPEs and hand sanitizers for hand
hygiene. This action will help in addressing perceptions and assist to foster new behaviors.
Secondly, it will help in involving the management in allowing the use of evidence-...


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