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Interview and Interdisciplinary Issue Identification

YOUR NAME

NURS-FPX4010

Capella University

MONTH DAY, YEAR

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Interview and Interdisciplinary Issue Identification

Interview Summary

This interview addresses the multidisciplinary quality improvement problem between

management and nursing personnel. I interviewed Steve Kuhlman, my prison's quality

improvement coordinator. He ensures that prison health care personnel provide and record

anticipated treatment for convicts. He has been focusing on ensuring that patients who need

prior authorization (PA) for their medications are able to fill their prescriptions before their

PA expires (Senaratne et al., 2021, October). I asked Steve how the issue arose and what he is

doing to fix it and avoid it. Steve and I also discussed the manner in which the Health Care

Administrator (HCA) is engaged in this situation and what he is doing to resolve it. Change

theories, leadership tactics, and cooperation methods for multidisciplinary teams will also be

discussed.

I took notes throughout the interview. I wanted to remember everything from the

conversation. It was also advised to pose open-ended questions to maximize responses and

produce a more detailed study report. I also listened more and talked less, allowing the

interviewee time to describe their response and demonstrate real interest in the issue.

Issue identification

The discussion with Steve revealed a problem that required an evidence-based

multidisciplinary approach. Multilateral systems that leverage the best available research,

medical knowledge, and patient characteristics characterize evidence-based practice. Steve

has sent informative emails to doctors and nurses in the past without success in resolving

expiration prior authorizations. Steve and I explored a suitable multidisciplinary strategy that

includes the Health Care Administrator and his role in fixing the situation. He supervises

healthcare providers and ensures they follow Ohio Department of Probation and Corrections
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rules while delivering medical services. Steve says the HCA is developing a binder with a list

of patients on PA-required drugs by month of expiration.

Physicians have failed to analyze patient needs, which affects prior authorization

expiry. Physician workload has increased dramatically owing to regulatory changes and

staffing shortages. The Canadian Journal of Clinical Psychology reports that health care

workers often hypothesize their cases privately and seldom examine their clients'

requirements, which might hinder patient treatment (Andrews et al., 2020).

Change Theories That Could Lead to an Interdisciplinary Solution

The ADKAR Change Leadership Model applies here. The five basics of

Understanding, Desire, Awareness, Abilities, and Incentives concentrate on the person and

what has to be addressed to attain the desired conduct and involvement. Knowledge is

information and education needed to change for expected outcomes. Steve told me that he

had been getting numerous informal complaints from jail prisoners that they were short of

their vital prescriptions, many of which needed prior permission. This insight inspired a

determination to improve and prepare for patient care success. Knowing that previous

authorizations were expiring and that patients' medical treatment was being jeopardized was

enough to adjust practices to meet Ohio's patient care requirements.

Nursing Outlook discovered this change hypothesis. Peer-reviewed papers in this

bimonthly publication include advanced nursing topics for leaders. The American

Association of Healthcare and Council for the Development of Nursing Science publish

Nursing Outlook.

Leadership Strategies That Could Lead to an Interdisciplinary Solution

Transformational leadership by Steve would help alter the expiring prior consent

problem. Transformational leaders create credulous environments and model nursing

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commitment via perceptibility, availability, and efficient engagement (Bergstedt & Wei,

2020). They motivate, engage, and empower employees to change. This would make health

care professionals feel less scared or stressed by new developments. They might ask

questions and provide suggestions to simplify things for the workers and reduce stress.

Because health care workers might burn out, this topic is significant. Due to the strategy and

attitude set by a transformative leader, they will be less stressed and more motivated.

Collaboration Approaches for Interdisciplinary Teams

This section discusses multidisciplinary team cooperation strategies for success and

achieving goals. Steve wants doctors and nurses to note which patients receive prior

authorization meds and renew them before they expire to prevent people from going without.

Interprofessional practice is considered to promote patient care, well-being, and clinical error

prevention. The factors that drive transformation success are also discussed. Steve's purpose

as the quality enhancement coordinator is to guarantee that medical professionals pay greater

attention to patient medicines and that patients don't go without them. This material is

genuine since it comes from The Journal of Academic Development, which was launched in

1983 and helps readers identify foundations for more study and academic and concrete

faculty development identifications.

Steve must employ transformational leadership to provide the groundwork for the

Healthcare Manager, doctors, and nurses to make the essential changes. As said above, this

strategy will create a judgment-free and non-biased foundation where all health care

practitioners feel adequate and competent. Leaders who convey change in a manner that

followers can handle are more likely to encourage it. A multidisciplinary conference of health

care professionals might support this shift. Discussed is the binder update that will include all

past authorizations by month of expiry. Staff might ask questions and recommend ideas that
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would work for all providers. Everyone would agree, improving teamwork. Health care

employees might be overburdened by their workload; therefore, this strategy would assist

establish a symbiotic interprofessional workplace.

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References

Andrews, C. J., Ellwood, D., Middleton, P. F., Homer, C. S. E., Reinebrant, H. E., Donnolley,

N., ... & Flenady, V. J. (2020). Survey of Australian maternity hospitals to inform

development and implementation of a stillbirth prevention ‘bundle of care’. Women

and Birth, 33(3), 251-258.

Bergstedt, K., & Wei, H. (2020). Leadership strategies to promote frontline nursing staff

engagement. Nursing management, 51(2), 48-53.

Senaratne, H., Kuhlmann, L., Ellis, K., Melvin, G., & Oviatt, S. (2021, October). A

multimodal dataset and evaluation for feature estimators of temporal phases of

anxiety. In Proceedings of the 2021 International Conference on Multimodal

Interaction (pp. 52-61).