NURS-FPX4010 Assignment: Interview and Issue Identification Report

This report examines interdisciplinary collaboration within a healthcare organization, focusing on the issue of increasing nurse turnover. The report is based on an interview with a clinical coordinator, highlighting the challenges posed by high nurse-to-patient ratios and the resulting workload. It explores the negative impacts on patient and system outcomes, including poor communication and inadequate recognition. The report suggests that a change in leadership, improved communication, and the incorporation of evidence-based practice could address these challenges. Furthermore, it proposes the use of management theories and leadership strategies to empower staff and promote shared leadership, ultimately aiming to improve teamwork, communication, and patient outcomes within the organization. The report emphasizes the importance of creating a supportive and motivating environment to achieve organizational goals, including fostering creativity and innovation among staff members.

Running head: INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 1
Interview and Interdisciplinary Issue Identification
YOUR NAME
NURS-FPX4010
Capella University
MONTH DAY, YEAR

INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 2
Interview and Interdisciplinary Issue Identification
To provide the desired patient and systems outcomes in health care organizations,
interdisciplinary collaboration should be effectively used (Mattison, et al., 2017). The main aim
of interdisciplinary collaboration is to promote frequent, structured and documented
communication among staff. To deliver quality patient care and improve patient outcomes within
the health care organization that I interviewed, all nurses must work as a team together with all
other staff members in the organization. This means that they should be ready to work together
as a team, understand each staff’s education, and areas of their competence. Being aware of the
professional roles and obligations, communicating effectively with other nurses as well as
building connections to plan and actualize safe consideration results into desired patient and
systems outcomes.
The health care institution that I interviewed is based in St. Paul, Minnesota which is a
non- profit and Christian-based organization. The organization provides an expansive cluster of
great lodging decisions, care and administration choices for grown-ups. The organization has
6400 workers who serve 27,000 older adults via affiliated senior living communities in
communities in Minnesota, Wisconsin, and Iowa, and through Optage home and community
services.
According to the interview from the clinical coordinator of the organization, the current
issues that are facing the organization are the increasing rate of nurse turnover. According to the
clinical coordinator, the turnover has negatively affected his effectiveness of work since he has
to cover all the shifts that are opened if a staff leaves or calls in. As a result, he cannot effectively
finish his work at the required time.

INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 3
The main issue of why nurses leave the job is because of the workload that they face in
the organization. According to the clinical coordinator, the nurse to client’s ratio is too high as in
a shift one nurse is required to serve 30 residents where 22 are in long term care and 8 are in the
transitional care unit. Besides providing all nursing care, a nurse does the admission, provides
medication as well as follow up activities such as visiting the family to provide guidance and
counseling. A high turnover of nurses may also mean that nurses might be suffering from poor
communication within the management, they don’t receive enough recognition and rewards or
there are inadequate trust and collaboration between coworkers. Such issues have negatively
affected the outcome of the patient and systems outcome of the organization.
Collaboration approaches mean involving all team members from various disciplines to
work together towards the common purpose and set goals. The other idea of team members
working together is to share decisions, resources, and responsibilities together (Salas, Reyes &
McDaniel, 2018).
One of the collaborative approaches that could solve and improve the interdisciplinary
team in addressing the challenges being faced by the organization is the change in leadership. As
per the interview, the organization is being faced with poor leadership and management. This
remains one of the causes of the challenges being faced by the institution. According to (Creamer
& Austin, (2017), positive leadership and management provide clear direction and vision for the
staff via promoting an atmosphere of trust where everyone’s contribution is valued. Besides,
positive leadership and management provide clear direction and vision by ensuring that all
essential resources such as infrastructure, equipment, a mix of skills, competencies as well as
personalities are available. With such an approach, the organization can solve the issue of

INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 4
workload as every staff will be assigned to work in relation to his or her competencies. This
will, in turn, motivate nurses in doing their task thereby improving on turnover.
Another way is the use of good communication with management. According to (Dyess,
et al., 2020), many nurses suffer from poor communication with the management around critical
issues which is also evident from the interview case. Many nurses have left their job because
their issues are not met by the management. Management must all be visible and available to all
workers. The management should also solicit input from nurses on critical work issues that are
affecting them through the promotion of good communication. Effective interpersonal
communication in both professional and personal settings is considered to lower stress that
nurses go through, fosters wellness thereby improving the overall quality of life.
Evidence-based practice can also be incorporated within the organization to ensure it is
interdisciplinary within the organization that I interviewed. Evidence-based practice is one of the
significant elements and fundamental indicators of high-quality patient care. There are different
ways that the health care organization can utilize to incorporate evidence-based practice with its
interdisciplinary team. These ways include promoting teamwork, communication, and mutual
respect. According to Interprofessional Educational Collaborative, teamwork, communication
and mutual respect are vital competencies for interprofessional practice within any organization
(Brown, 2017). In incorporation of these core competencies, the organization needs to focus on
recruiting nurses with skills and behaviors that are most likely to improve patient outcomes.
Besides the incorporation of evidence-based practice in its interdisciplinary team, the
organization can use various management theories as well as leadership strategies that can enable
its interdisciplinary staff to achieve the desired outcome. One of these is the facilitation of shared
leadership where all team members within the organization are involved in decision making. The

INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 5
organization can also facilitate shared leadership by ensuring accurate information is provided to
all team members and empowering all team workers. With the incorporation of the practice, the
team workers such as nurses will be motivated to work towards quality outcome thereby helping
the organization in achieving its goals (Restivo et al., 2016).
Furthermore, transformation and change such as creating an environment where the staff
members are challenged, supported, rewarded and motivated can help in the achievement of
organizational goals. Also, the organization can promote creativity and innovation to its
members. This can be done by establishing a productive balance of harmony and debate which
will promote creativity (Crowell & Boynton, (2020).

INTERVIEW AND INTERDISCIPLINARY ISSUE IDENTIFICATION 6
References
Brown, J. M. (Ed.). (2017). Evidence-Based Practice for Nurses. Jones & Bartlett Learning.
Creamer, A. M., & Austin, W. (2017). Canadian nurse practitioner core competencies identified:
An opportunity to build mental health and illness skills and knowledge. The Journal for
Nurse Practitioners, 13(5), e231-e236.
Crowell, D. M., & Boynton, B. (2020). Complexity leadership: Nursing's role in health care
delivery. FA Davis.
Dyess, S. M., Prestia, A. S., Levene, R., & Gonzalez, F. (2020). An Interdisciplinary Framework
for Palliative and Hospice Education and Practice. Journal of Holistic Nursing,
0898010119899496.
Mattison, D., Weaver, A., Zebrack, B., Fischer, D., & Dubin, L. (2017). Educating social
workers for practice in integrated health care: A model implemented in a graduate social
work program. Journal of Social Work Education, 53(sup1), S72-S86.
Restivo, L., Apostolidis, T., Bouhnik, A. D., Garciaz, S., Aurran, T., & Julian-Reynier, C.
(2016). Patients’ non-medical characteristics contribute to collective medical decision-
making at multidisciplinary oncological team meetings. PloS one, 11(5).
Salas, E., Reyes, D. L., & McDaniel, S. H. (2018). The science of teamwork: Progress,
reflections, and the road ahead. American Psychologist, 73(4), 593.