Capella University
NURS-FPX4010: Leading People, Processes, and Organizations in Interprofessional Practice
Dr. Evelyn Shinn
Februay 28, 2024
Interdisciplinary Plan Proposal
Nurse understaffing remains a serious concern for hospitals. The situation at Vitas Hospice reminds health leaders about the need for viable and sustainable interventions for ensuring safe staffing and consistent efforts to improve the quality, cost, and safety of patient care. Notable strategies for preventing high nurse turnover include, hosting job fairs, offering bonuses, referral bonuses, above market salaries. The dynamics of the health care sector also requires health leaders to emphasize the need for shared governance to enable nurses, physicians, clinical assistants, and other to collaborate in delivering evidence-based and patient-centered care. Jarsova (2019) discussed the need for hospitals to overcome understaffing challenges by encouraging coordinated and collaborative practices. The goal is to reduce the risk of readmissions, medication errors, prolonged hospitalization, and extra costs associated with nurse shortages.
Objectives
- To address the relevance of interdisciplinary rounds in making the care team responsive to patients’ demands. The objective reminds nurses, physicians, clinical assistants, pharmacists, and other to adopt team-based values, behaviors, and attitudes.
- To encourage the care team to embrace shared governance to overcome workload, compassion fatigue, and turnover intentions associated with nurse shortages.
- To use shared governance as a means of empowering nurses. The objective recognizes the nursing team’s relevance in making decisions that impact processes, policies, and procedures within the clinical environment. Nurses will utilize clinical expertise and knowledge share solution to understaffing.
Questions and Predictions
- How will nurses respond to calls for interdisciplinary rounds? The prediction is that the team will recognize the relevance of collaborative efforts in making everyone dedicated to improving the cost, safety, and quality of patient care (Tampa General Hospital, 2023).
- How will the care team react to calls for shared governance? The prediction is that nurses and other professionals will appreciate calls for a sense of ownership and engagement when making decisions across the continuum (He, 2022).
- Will interdisciplinary rounds and shared governance help reduce nurse turnover? The prediction is that the facility will make progress towards empowering nurses and motivating them to remain part of the workforce. This way, nurses will understand their influence on policies, practice standards, and decisions meant to optimize care outcomes.
Change Management
Lewin’s change model provides insights into the systematic framework for implementing changes. The first process is unfreezing by clarifying the intended change and implications on the organization, patients, and the care team. Health leaders such as nurse managers encourage collective buy-in for everyone to be part of the processes for implementing shared governance and interdisciplinary rounds (Wei, 2019). The second stage is moving, where the care team embraces new thoughts, beliefs, and values associated with team-based functions. The third step is refreezing, where the team reflects on progress made and embraces the change as a standard practice across the organization (Yoder-Wise, 2018). The nursing team and others understand acknowledge the negative implications of understaffing on the quality and safety of patient care. As such, everyone recognizes the impact of interdisciplinary rounds and shared governance in preventing disease exacerbations, detecting and intercepting errors and near misses, and making informed decisions.
Leadership Strategies
Team leaders understaffing as a serious challenge for hospitals, patients, and the care team. The leader dedicate themselves towards identifying viable and sustainable means of making nurses empowered and engaged in delivering quality, safe, and cost-effective services (Jennifer & Kirkpatrick, 2021). The transformational style is ideal for addressing staffing challenges. The leader uses a people-centered approach and team-based functions to encourage the care team to adopt interdisciplinary collaboration and shared governance (George & Massey, 2022). The leader understands staff needs, allows individuals to share suggestions on improvements, and focuses more on maximizing the team’s potential. This way, the transformational leader is appropriate for encouraged shared decision-making and interdisciplinary rounds necessary to prevent staff dissatisfaction, burnout, and turnover intentions in an understaffed clinical environment.
Team Collaboration Strategies
Interdisciplinary team work is a complex process in which different health care professionals share expertise, knowledge, and skills. The team has nurses, nurse manager, nurse educator, physicians, pharmacists, and clinical assistants. Everyone should collaborate regardless of titles, status, and educational levels. The aim is to create an open, honest, and transparent environment where everyone strives to achieve a shared vision and goal (George & Massey, 2022). Everyone will contribute their perspectives to allow others to have a better understanding of the framework for advancing interdisciplinary collaboration and shared governance. A nursing leader will delegate responsibilities to create a sense of ownership and engagement. Further, excellent communication between staff members is necessary to promote mutual interests (He, 2022). The practices make everyone responsive to calls for positive attitudes, behaviors, and values appropriate for sustaining interdisciplinary rounds and collective decision-making.
Organization Resources
Successful outcomes depend on available resources and ability to utilize them throughout the change process. The nurse manager and nurse educator will distribute notes describing interdisciplinary rounds, the standards for promoting shared governance, and steps for producing the intended outcomes. The training also calls for the use of a case study, video sessions, and role plays to enable everyone to acquire theoretical and practical knowledge on shared governance and interdisciplinary rounds designed to prevent nurse burnout and turnover intentions.
Table 1
Resources
| Item | Description | Cost ($) |
| Notes on interdisciplinary rounds | The nurse educator and nurse manager to distribute notes with evidence-based details about interdisciplinary rounds as a means of preventing adverse consequences of nurse shortages. | 300 |
| Nurse educator | Provide consultancy services including sharing experiences about the implications of shared governance and interdisciplinary rounds on the quality, safety, and cost of patient care. | 1,200 |
| Role play guides | Role plays will allow the care team to practice interdisciplinary rounding and understand the need for collaborative and coordinated efforts across the continuum. | 300 |
| Video sessions | Video sessions make the session more impactful in making everyone aware of the need for interdisciplinary rounds to overcome the adverse impacts of nursing staff shortages. | 700 |
| TOTAL | 2,500 |
References
George, V., & Massey, L. (2022). Proactive strategy to improve staff engagement. Nurse Lead, 18(6), 532-535. doi: 10.1016/j.mnl.2020.08.008.
He, M. (2022). Exploring the role of communication in missed nursing care: A systematic review. Journal of Advanced Nursing, 78(12), 4019.
Jarsova, D., & Zelenikova, R. (2019). Unfinished nursing care-The first pilot study in Czech Republic. Kontakt, 21(4), 388-394. doi: 10.32725/kont.2019.048
Jennifer, D., & Kirkpatrick, A. (2021). Addressing the perioperative nursing shortage via a perioperative nursing preceptorship for baccalaureate nursing students: The official voice of perioperative nursing. AORN Journal, 113(1), 52-63. https://doi.org/10.1002/aorn.13277
Tampa General Hospital. (2023). Shared governance. Tampa General Hospital. https://www.tgh.org/careers-at-tampa-general/nursing-at-tgh/shared-governance
Wei, H. (2019). Nurse leaders’ strategies to foster nurse resilience. Journal of Nursing Management, 27(4), 681. https://doi-org.library.capella.edu/10.1111/jonm.12736
Yoder-Wise, P. S. (2018). Leading and managing in nursing (7th ed.). Mosby.