NURS FPX 4010 Assessment 3 Stakeholder Presentation

Interdisciplinary Plan Proposal

NURS FPX 4010 Assessment 3 Stakeholder Presentation

The primary issue addressed previously was the increased risk of falls at the rehab center due to a lack of inter-professional collaboration. Falls are a traumatic event for both patients and caregivers, which can lead to injuries, deterioration, and in worst-case scenario, death. Furthermore, the costs associated with falls raise hospital expenses significantly and cause major distress to healthcare organizations. To prevent this, the proposed plan will enforce evidenced-based methods to reduce fall risk and efficient inter-professional collaboration within the healthcare team in the rehab center.   

Objective

  The plan’s objective is to use evidence-based methods to create a safe environment and reduce fall risks. Moreover, using Lewin’s change theory along with the Plan-Do-Study-Act (PDSA) cycle it will allow the healthcare team to enhance their communication skills and provide efficient patient-centered care. If achieved, this plan will minimize the number of risk fall by at least 65% and, as a result, reduce hospital expenses that emerge from fall risks.

Questions and Predictions

1. What are some evidence-based methods involved in the plan to reduce fall risk? 

-The rehab center should continue to use evidence-based strategies to prevent falls, such as using walkers, making sure all beds are operating well and are at the lowest position, use of railings, adequate lighting, bed exit alarm, and use of non-slid socks.

1. How will using inter-professional collaboration be implicated to the healthcare team?

-Management will provide an orientation about a collaborative work environment and evidence-based studies, including Lewin’s theory and PDSA, demonstrating proof of the desired outcome. Furthermore, a thorough fall risk assessment provided by the healthcare provider alongside the nurse during admission and discharge ——followed by weekly inter-professional meetings for all fall risk patients, will be incorporated. 

1. Who will be involved in the multidisciplinary collaborative approach?

-The fall risk assessments will involve the medical doctor, physical/occupational therapist, pharmacist, and nurse. Proceeding this implementation, the family and patient will be involved in care after being educated on fall risk prevention by each healthcare individual to continue care during and after discharge. 

NURS FPX 4010 Assessment 3 Stakeholder Presentation

Change Theories and Leadership Strategies

The change theory introduced previously was Lewin’s three-stage change model, “unfreeze, change and refreeze.” As part of the plan, the healthcare team, which includes nurses, doctors, physical/occupational therapists, and pharmacists, will be orientated by using this change theory along with the PDSA cycle. 

Firstly, management at the rehab center will take leadership by learning about the theories they plan to introduce to the healthcare team. Taking the initiative in learning and understanding these theories will allow for any concerns the team has and provide explanations or examples needed. As Burnes (2020) notes, the study’s outcomes mentioned in his article demonstrate that having a positive leadership style and involving employees in change is a positive step in the organization’s transition process. 

Additionally, setting up an orientation to enroll the unit’s team will allow them to comprehend why change is important and how to adapt to it.  They will recognize that change, such as better collaboration, is needed to decrease fall risks in their unit. The interdisciplinary team should be optimistic about change and be willing to adapt to it to help foster the team’s ability to implement the plan. 

Team Collaboration Strategy

Fostering communication and coordination among healthcare personnel will demonstrate partnership. Collaboration is the essential approach required to ensure effective implementation of changes, including high-quality patient care.

NURS FPX 4010 Assessment 3 Attempt 1 Stakeholder Presentation MS

During orientation, the “Plan Do Study Act” theory will also be introduced, which the interdisciplinary team can continue to use during ongoing fall risk assessments. As previously stated, the multidisciplinary team will meet weekly to discuss the current status and planned outcomes of fall risk patients. The collaboration studies discussed by Schott et al. (2020) will be implemented in this planning proposal. For example, each team member will play their designated role; however, they will transfer knowledge and share expertise to achieve a collaborative patient goal. 

Each staff member will consider not only their responsibilities, as stated below, but other staff members’ duties in order to communicate and report to each other. 

Physician: On admission, the physician will conduct a thorough fall risk assessment, including fall history, mobility, surgeries, mental status, and current medications. Use fall risk assessment tools, and discuss care plans and interventions with the nurse and physical therapist. Discuss fall risk medications with the pharmacist.  

Nurse: Alongside the physician, the nurse will document each patient assessment done by the medical doctor. Familiarize patient with the environment, re-enforce education of fall risks and medication. Ensure all lights, bed alarms, railings, and call bells work correctly, and anti-slid socks are properly worn. Nurses will work as a team and be aware of all patients, not just their assigned patients. 

NURS FPX 4010 Assessment 3 Attempt 1 Stakeholder Presentation MS

Physical Therapist: Will join physician and nurse on fall risk assessment to discuss ideas on a treatment plan later.  Educate interdisciplinary teams and patients on the best methods to prevent falls. 

Pharmacist: after fall risk is initiated and noted in the patient’s profile, the pharmacist will have access the patient’s list of medicines and be alerted of any new prescriptions. Pharmacist will also educate patient during rehab care and at discharge about medication. 

Required Organizational Resources

Being that inter-professional collaboration was the major issue identified. There would be a low cost involved since the rehab center already possess these resources. Some of the provided resources are: discussion room, screen/projector for any presentation during orientations, computers for research on evidence based practices. Aside from these, any additional cost would involve: red anti-slid socks to alert all on duty healthcare personnel about high fall risk patients (Robert Wood Johnson Foundation, n.d), additional staff needed to provide high-quality patient care including education to clinical and non clinical staff and replacement of any broken or malfunctioning devices. 

If the issue of increased risk fall is not solved, this can cause a greater cost to the healthcare organization. Also, causing an impact to not only healthcare professional but most importantly the patients at risk for falls. 

References

 Burnes, B. (2020). The Origins of Lewin’s Three-Step Model of Change. The Journal of Applied Behavioral Science, 56(1), 32–59. https://doi.org/10.1177/0021886319892685

Evert Schot, Lars Tummers & Mirko Noordegraaf (2020) Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration, Journal of Interprofessional Care, 34:3, 332-342, DOI: 10.1080/13561820.2019.1636007

NURS FPX 4010 Assessment 3 Attempt 1 Stakeholder Presentation MS

Robert Wood Johnson Foundation. (n.d.). Transforming care at the bedside: Empowering better nursing care [Video] | Transcript. https://www.youtube.com/watch?v=_CtXFdITU8w