Interdisciplinary Issue Identification

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Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification
• PRINT
• For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.
As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:
The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).
You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
Reference
Institute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx
Demonstration of Proficiency
• Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
o Summarize an interview focused on past or current issues at a health care organization.
o Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
• Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
o Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
o Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
• Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
o Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
o Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Professional Context
This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.
Scenario
This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.
Remember: this is just the first in a series of three assessments.
Instructions
For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.
Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
• Summarize an interview focused on past or current issues at a health care organization.
• Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
• Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
• Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
• Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.

 

Sample Solution

having a bidirectional property where a shift in the two bearings bring about comparative social aggregates, decline in neuronal intricacy in one mind region is repaid by a fortifying of one more region or one more pathway is prompted by narcotics which smothers spinogenesis (Lüscher et al.,2008; Ikemoto et al., 2007; Belin et al., 2008). Further examinations are expected to affirm these.

NAc can be sub-isolated into two districts: the center and the shell. The two locales have different info and result projections (Zahm, 2000) and remembered to assume various parts in remuneration pathway (Ito et al., 2004). Late examinations have additionally covered different dendritic compartments explicitly the proximal and distal (Spruston, 2008). Cocaine guideline of dendritic spines must be seen in slim, profoundly motile spine (Kasai et al., 2010) which were believed to be applicable to learning (Moser et al., 1994; Dumitriu et al., 2010) and dependence (Shen et al., 2009; LaPlant et al., 2010). Cocaine openness caused an expansion in spine thickness in the shell locale however a diminishing in proximal MSNs in the center district which supposedly is undeniably seriously persevering (Dumitriu et al., 2012). This getting through change in center responds the possibility that shell is engaged with compulsion improvement while center in the learning of the dependence or long haul potentiation (Di Chiara, 2002; Ito et al., 2004; Meredith et al., 2008). In a review done by Kourrich and Thomas (2009), notwithstanding, showed an expansion in center MSNs and a lessening in shell MSNs raising the likelihood that spine guideline might be remunerating the progressions in MSNs or spine guideline might be causing a homeostatic tuning of MSNs sensitivity. Scarcely any examinations showed homeostatic expansion in MSNs sensitivity following spine downregulation (Azdad et al., 2009; Ishikawa et al., 2009; Huang et al., 2011) supporting the last however the reasonable relationship between the two cycles is as yet unclear. A potential component behind the particular downregulation of center MSNs could be dopamine since cocaine withdrawal diminishes dopamine levels (Parsons et al., 1991; Dough puncher et al., 2003). Further help to this could be from the higher assembly of the double glutamatergic and dopaminergic pathways in the center (Zahm and Brog, 1992).

Other than that, an investigation has discovered that there is likewise primary pliancy in input districts to the core accumbens. These data sources incorporate the ventral tegmental region (VTA) which is believed to be significant for compensating upgrades, ventral hippocampus (vPHC) for encoding logical data, basolateral amygdala (BLA) for transferring profound setting and average prefrontal cortex (mPFC) offering functional benefit (Nestler, 2004, Russo and Nestler, 2013). There are two kinds of medium prickly neurons in the core accumbens explicitly dopamine receptor-1-communicating (D1-MSN) and dopamine-receptor-2-communicating (D2-MSN) where D1-MSN is liable for remunerating excitement contrasted with aversive in D2-MSN (Lobo et al., 2010). After cocaine openness, there was an expansion in spine thickness in BLA and vHPC neurons terminating to D1-MSN (Barrientos et al., 2018; Russo et al., 2010) and a reduction in spine projection in mPFC. Since BLA encodes close to home setting, the underlying expansion in spines after openness might be fundamental in shaping full of feeling reaction to cocaine. Then again, spines in vHPC just increment during challenge cocaine after delayed withdrawal to permit sufficient opportunity to fortify VHPC-NAc pathway to give logical portrayal of medication seeki

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