NURS FPX4010 Assessment 3 Interdisciplinary Plan Proposal Change Theories and Leadership Strategies

NURS FPX4010 Assessment 3 Interdisciplinary Plan Proposal

Change Theories and Leadership Strategies

As the plan has the objective to reduce medication errors by implementing a new error reporting system, issues such as resistance to change and conflicts in health care professionals during interdisciplinary collaboration can pose barriers (Rishoej et al., 2017). The first change theory is Lewin’s theory of change, which has three stages namely unfreezing, moving, and refreezing. However, the theory does not include outcome evaluation and an approach to promote interdisciplinary collaboration stages. As a result, Lippitt’s theory of change was selected, which includes five primary stages including seven phases. The action plan starts from the process of assessing the issue in the problem identification stage, which includes three different phases of diagnosing the issue, assessing the capacity, motivation, and need for the change, evaluating change process, and motivation among the interdisciplinary team for the change process (White & Brown, 2019). The problem of medication error and its associated errors were analyzed in this stage based on its need and adverse effects of errors on patient safety (Rishoej et al., 2017). This stage helped in analyzing the perspectives of the interdisciplinary team to motivate them to adopt the change. 

The second stage of the theory is the planning stage, which includes selecting the progressive change objective phase. This phase was used to create an objective to implement an error reporting and computerized physician order entry (CPOE) with direct communication and root-cause analysis to reduce prescription, dispensing, and medication errors and increase interdisciplinary communication between nurses, physicians, nurse analysts, and pharmacists (Rishoej et al., 2017). The second phase is to assign roles to the interdisciplinary team and promote communication between them by using assertive communication techniques. The final phase in this stage is to prepare the team to implement the proposed intervention (White & Brown, 2019). The phase was used to train the nurses and provide resources to them to prepare the team to implement the change. The fourth stage is to implement the plan at a small scale by using the transformational leadership style as this style promotes interdisciplinary communication, demonstrating knowledge-sharing, shared responsibilities, and shared decision-making (White et al., 2021). The final stage is to evaluate the change by comparing errors at pre-and post-intervention to update the action plan if needed (White & Brown, 2019).

NURS FPX4010 Assessment 3 Interdisciplinary Plan Proposal

Team Collaboration Strategy

The roles are as follows

• Nurses will administer the medication, compares the dispensed medication with the patient’s EHR, report the errors to pharmacists, communicate with the physician, and readminister the medication after resolving errors (Rishoej et al., 2017). 
• The pharmacist will print the medication information with the patient’s record and dispense the medication, communicate with the nurse to inform about the change in packaging of medication and resolve any errors reported by nurses (Schiff et al., 2015). 
• The nurse manager will manage the resources and monitor the effectiveness of the intervention, budget management, and solve conflicts (Rishoej et al., 2017). 
• The nurse leader will administer the nurses, advocate them in shared decision-making, manage to schedule the work, manage work-load, and analyze error analytics. 
• Physicians will directly enter the medication details in EHRs and error reporting systems with dosage and purpose of medication (Schiff et al., 2015). 

The collaboration strategy includes role-based care, shared decision-making, and issue analysis using the root-cause analysis to reduce medication errors (Mahdizadeh et al., 2015). For example, role-based care help in identifying the unit where medication error caused, and as the role of the nurse is different from the role of pharmacist or nurse manager, this strategy is effective (Lashko, 2021). The root-cause analysis increases communication and shared decision-making and it also helps in preventing blame culture. 

Required Organizational Resources

The organization will require all the nurses who administer the medication, physicians who prescribe the medication, and pharmacists. Further, the nurse leader and manager for every unit will collaborate with informatics nurses to statistical outcomes of the intervention (Farzandipour et al., 2021). Further, IT technicians and software usage trainers will implement the error reporting system, train the health care professionals,