NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

This paper investigates the significant levels of nurse burnout within the diabetic care unit of Major City Hospital. An interview was conducted with the nurse leader at the hospital to explore potential factors contributing to the issue, including organizational culture, previous leadership styles, and interdisciplinary team collaboration. Additionally, a collaborative approach was suggested to address these organizational issues and improve the productivity of healthcare providers. NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Summary of Interview

During the interview with the nurse manager of the diabetic intensive care unit, factors contributing to nursing burnout were identified. The interviewee explained that caring for diabetic patients requires extensive and prolonged care from healthcare providers, which significantly increases the workload for nurses. Additionally, the limited number of diabetic specialist nurses (DSN) available to provide care to these patients further exacerbates the issue. Despite efforts by the previous leader to address the problem by hiring new staff, burnout rates remained high, and the quality of care provided by the new staff was inadequate.

NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Nurses also experienced high levels of compassion fatigue. The leader attempted to address the issue by providing bonuses for extra duty hours, but the nurses’ responded neutrally to this financial incentive. Additionally, the collaboration between interdisciplinary teams was limited due to communication gaps, further hindering effective teamwork.

Strategies to Gather Information

The questionnaire was designed to gather information from the interviewee to collect information on various factors affecting nurse burnout, including organizational culture and structure, previous leadership styles, and interdisciplinary team collaboration.  The culture and structure of the units were explored to understand the number of staff in each unit, the facilities available, and the implementation of ethical codes to ensure patient safety and achieve desirable outcomes. The previous leadership style was examined to understand the actions taken by the leader to address nurse burnout, such as hiring new staff or allocating resources to different units. Interdisciplinary collaboration was also investigated to identify any communication gaps or obstacles hindering effective teamwork among healthcare staff. Additionally, surveys were conducted to gather data on nurses’ burnout rates.

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Interdisciplinary Approach for Identified Issue

Interdisciplinary teams, consisting of physicians, nurses, DSNs, pharmacists, physician assistants, and social workers, play a vital role in providing quality care and improving patient outcomes. Nurse burnout and fatigue have been identified as a concern, as they can increase the likelihood of medication errors. To address this issue, an interdisciplinary approach has been implemented at the Joyce and Don Massey Family Foundation Emergency Critical Care Center, which opened on February 16, 2015, at the University of Michigan (Haas et al., 2020). The center’s primary goal is to deliver high-quality care to patients in the emergency department and intensive care unit through an interdisciplinary team. The center has a team of emergency medicine-trained physicians (with or without critical care fellowship training), house staff, physician assistants, nurses, and pharmacists. It is equipped with five resuscitation bays and nine patient rooms. This interdisciplinary approach facilitates communication and collaboration among healthcare providers, ultimately improving patient care and outcomes. In order to ensure the prompt delivery of ICU-level care in the emergency department, evidence-based patient care procedures, such as protocolized management, were established. This interdisciplinary approach has helped to provide high-quality care to the patient and helped to achieve desirable outcomes (Haas et al., 2020). Implementing a similar interdisciplinary approach in the diabetic intensive care unit can help alleviate the burden on the DSNs and enable them to deliver quality care to patients.

Reasons for Interdisciplinary Approach

The interdisciplinary approach aims to alleviate the workload on DSNs while simultaneously enhancing hospital productivity and delivering high-quality care to diabetic patients. This approach can provide a viable solution to organizational issues related to productivity and patient safety by fostering collaboration and communication among healthcare providers. Moreover, the interdisciplinary approach can be a cost-effective option for hospitals, making it a sustainable and practical solution for addressing challenges in the diabetic care unit.

Potential Change Theories and Leadership Strategies

Transformational leadership strategies involve incorporating new approaches to improve healthcare staff productivity and achieve organizational goals. Patient care, staff education on diabetes, and Quality Improvement (QI) projects are some strategies used in this leadership style. For instance, the QI processes are based on evidence-based practices for glucose management and involve assessing process metrics and glycemic control to evaluate intervention efficacy (Demidowich et al., 2021). Implementing this leadership strategy can help achieve desired outcomes, reduce the burden on DSN, and improve diabetes management by educating new staff on effective diabetes care. Improving nursing care for diabetic patients includes patient education, advanced care, and psychological support. The improvement is achieved through nursing training and education. It is critical to emphasize inpatient care and enhance nurses’ roles by removing barriers that prevent them from providing adequate, high-quality care (Nikitara et al., 2019). The nursing and training of the new staff will aid DSN in reducing workload and improving the quality of care.

The workforce of diabetes specialists in nursing is essential in hospitals for providing high-quality care to diabetic patients. DSNs not only directly care for patients but also educate patients and other healthcare workers, resulting in improved patient outcomes and experiences. Studies show that hospitals with DSNs have fewer hospital-acquired problems and injuries, shorter patient stays, and greater patient satisfaction (Lawler et al., 2019). 

NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Implementing a nurse champion model for change has significantly increased nurses’ knowledge and expertise in caring for diabetic patients, leading to improve patient outcomes (Wilson et al., 2019). This model provides guidelines for lower hemoglobin A1c levels, perceived Diabetes Distress Scale, higher weight loss in patients with diabetes, lower readmission rates, and improved hypoglycemic outcomes. Using nurse champion models in nursing practice greatly enhances patient outcomes and the standard of care, benefiting patients, hospitals, and nurses alike (Wilson et al., 2019).

Most Relevant Sources

Wilson et al. (2019), the nurse champion, provides the most relevant source. This model enables the DSN and new staff to improve the patient’s quality of care through increased knowledge and practices. Moreover, implementing the model is cost-effective and helps to achieve the organization’s goal.

Collaborative Approach for Interdisciplinary Teams to Address Organizational Issues

To prevent stress and burnout, professionals can utilize multidisciplinary therapy approaches. However, the success of an interdisciplinary team can be hindered by role conflict, blurring, and frequent changes in team composition. Therefore, it is essential to have a careful and professional member selection process, interdisciplinary education, group training in communication and conflict resolution techniques, and appropriate institutional support to ensure effective collaboration among the team members. Additionally, interdisciplinary collaboration can assist critical care nurses in developing their leadership skills, as high levels of collaboration amongst healthcare professionals are linked to nursing leadership ability (Yamamoto, 2022). By adopting this collaborative approach, the workforce and workflow of the interdisciplinary team in the diabetic intensive care unit can be improved. NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

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The American Diabetes Association (ADA) provides guidelines for hospital management to improve patient safety and achieve better outcomes. Adverse outcomes in hospitalized patients, including death, are linked to hyperglycemia, hypoglycemia, and glucose fluctuation. Hence, improved management of diabetic inpatients provides immediate and tangible advantages. Hospital diabetic management can be assisted by preadmission treatment of hyperglycemia, a dedicated inpatient diabetes program employing well-developed standards, and careful transition from the hospital to scheduled outpatient therapy. These measures can enhance patient outcomes while reducing readmission requirements and hospital stays (ADA, 2021).

Most Relevant Sources

The ADA (2021) provides the most relevant source to improve outcomes. The hospital diabetic management help to provide standard protocols to manage the glycemic level of the patient, which will help to reduce the hospital stays of the patients. This approach helps reduce the burden of hospitalization and the nurses’ workload in caring for diabetic patients in the intensive care unit.  

Conclusion

The DSNs in the diabetic intensive care unit are experiencing burnout due to inadequate interdisciplinary collaboration and insufficient training and education of new staff. In order to address this issue, a leadership style that emphasizes collaborative approaches can be implemented to enhance the productivity of the interdisciplinary team and reduce the workload on the DSNs. Additionally, hospital management can follow the guidelines provided by the ADA to improve patient outcomes and reduce readmission rates. This includes preadmission treatment of hyperglycemia, establishing a dedicated inpatient diabetes program with well-developed standards, and careful transition from hospital to outpatient therapy. NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

References

ADA. (2021). 16. Diabetes care in the hospital: Standards of medical care in diabetes—2022. Diabetes Care, 45(Supplement_1), S244–S253. https://doi.org/10.2337/dc22-s016

Demidowich, A. P., Batty, K., Love, T., Sokolinsky, S., Grubb, L., Miller, C., Raymond, L., Nazarian, J., Ahmed, M. S., Rotello, L., & Zilbermint, M. (2021). Effects of a Dedicated Inpatient Diabetes Management Service on Glycemic Control in a Community Hospital Setting. Journal of Diabetes Science and Technology, 15(3), 546–552. https://doi.org/10.1177/1932296821993198

Haas, N. L., Whitmore, S. P., Cranford, J. A., Tsuchida, R. E., Nicholson, A., Boyd, C., Gunnerson, K. J., Gianchandani, R. Y., & Bassin, B. S. (2020). An emergency department–based intensive care unit is associated with decreased hospital and intensive care unit utilization for diabetic ketoacidosis. The Journal of Emergency Medicine, 58(4), 620–626. https://doi.org/10.1016/j.jemermed.2019.10.005

Lawler, J., Trevatt, P., Elliot, C., & Leary, A. (2019). Does the diabetes specialist nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence. Human Resources for Health, 17(1). https://doi.org/10.1186/s12960-019-0401-5

Nikitara, M., Constantinou, C. S., Andreou, E., & Diomidous, M. (2019). The Role of Nurses and the Facilitators and Barriers in Diabetes Care: a Mixed Methods Systematic Literature Review. Behavioral Sciences, 9(6), 61. https://doi.org/10.3390/bs9060061

Wilson, M., Chen, H.-S., & Wood, M. (2019). Impact of nurse champion on quality of care and outcomes in type 2 diabetes patients. International Journal of Evidence-Based Healthcare, 17(1), 3–13. https://doi.org/10.1097/xeb.0000000000000156

Yamamoto, K. (2022). Association between interdisciplinary collaboration and leadership ability in intensive care unit nurses: A Cross-Sectional Study. Journal of Nursing Research, 30(2), e202. https://doi.org/10.1097/jnr.0000000000000483

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