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Interview and Interdisciplinary Issue IdentificationBrittany ChaneyCapella UniversityNURS-FPX4010: Leading People, Processes, and Organizations in Interprofessional PracticeDr. Abigail MitchellMarch 17, 2021Interview and Interdisciplinary Issue IdentificationI chose a fellow nurse and old classmate of mine for the interview. Calea is a prep and recovery registered nurse in the Cath Lab at Houston Methodist (HM). Calea has been a registered nurse for eight years and has worked in the Cath Lab at HM for three. Calea’s duties include: focusing on patient safety, delivering personalized service using Houston Methodist standards of care, prepping and recovering patients for intended procedures, verifying informed consents and ensuring consents have been properly filled out. Houston Methodist is a 187 bed large hospital specializing in multiple disease processes. HM is nationally ranked in eleven specialties and awarded Best Hospitals U.S. News Honor Roll. Calea believes in her hospitals core values and believes she is a part of a unique and remarkable team. Calea is a member of the Unit Based Counsel for her department which consists of a multidisciplinary group of team members in her department that meets monthly to discuss staff concerns, unit goals and shortcoming, and methods to solving issues that arise. Calea has identified consents being improperly filled out from inpatient units as the biggest interdisciplinary issue her department is facing at this time. According to Calea having to redo consents waste valuable time, delays patient care, confuses patients and angers physicians.Issue IdentificationConsents not being filled out adequately is the interdisciplinary issue to be discussed. When the consents are not complete it causes unnecessary delays in patient care, which is crucial in Cath Lab. These delays cause added stress on the nursing staff and angers physicians. Using the PDSA Cycle, Plan Do Study Act, is a great way Calea’s team produce a solution that works for the whole interdisciplinary team. What makes this model a good tool in this scenario is that it will allow leadership to examine the problem, why it is occurring, and implement a solution. The Study part of the cycle will give insight to how effective the change was and if it needs to be tailored to staff member and patient needs.Change Theories that Could Lead to an Interdisciplinary Solution Lewin’s Change Theory Three-Step Model can be applied to help with implementing the solution leadership implements. Lewin has been regarded as the father of planned change. (Bakari, H. 2017) His Three-Step Change Theory Model has been considered the gold standard for implementing change in many organizations internationally. The three steps include: Unfreezing, Changing/Moving, and Refreezing. Unfreezing is the process of finding a method that allows people to abandon the old counterproductive habits. Changing/Moving involves adopting new thoughts, feelings and behavior that is more productive. Refreezing is making the change the new standard. Without refreezing it is easy to return to the old counterproductive habits. Leadership Strategies that Could Lead to an Interdisciplinary SolutionLeadership should start by collecting input from staff members and team leaders to determine what obstacles staff members are facing that is causing the problem. What they’ve spoken with staff members about in each department they should then conduct a meeting with interdisciplinary stakeholders to develop a plan of action. Calea’s Unit Based Counsel should be apart of this meeting because they have a broad knowledge of the obstacles being encountered by staff members due to their monthly meetings. Collaboration Approaches for Interdisciplinary TeamsA common mistake leadership makes is not collaborating with staff members when implementing change. The staff members are the ones confronting the problem on a regular basis and know why the problem is occurring and many times have valuable input or plans to fix the issue. Leadership needs to collaborate with the nurses on the inpatient units to determine what problems they are facing with filling out the consents properly. Leadership also needs to include staff members in planning the solution to the problem. This method will yield the best result and make staff members feel valued and heard. Physicians should be included in this collaboration so they better understand the problem and that a solution is being considered. ReferencesBakari, H., Hunjra, A.I., Niazi, G. (June 2017) How does authentic leadership influence planned organizational change? The role of employee’s perceptions, integration of theory of planned behavior and Lewin’s three step model. Journal of Change Management (2) 155-187 , C., Scherb, C., Kircher, R., Kohler, C., Christopher, M., Ferrier, J. (May/June 2016) Leadership strategies, an interdisciplinary team, and ongoing nurse feedback: ingredients for a successful BCMA project. Nursing Economics (34) 117-125 , E., Pearsall, T., Murphy, P., French, E., (May 2016) A case review: integrating Lewin’s Theory with Lean’s System approach for change. Online Journal of Issues in Nursing (21) ................
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