Video Reflection on Experience in Healthcare

Video Reflection on Experience in Healthcare

Assessment 1 Instructions: Collaboration and Leadership Reflection Video

Hello everyone. My name is XXX and welcome to my collaboration and leadership reflection video. In this video, I will:

1. Reflect on an interprofessional collaboration experience from my personal practice.
2. Explain how poor collaboration can result in inefficient management of human and financial resources.
3. Discuss best-practice leadership and interdisciplinary collaboration strategies that can help the interdisciplinary team achieve its goals.

Interdisciplinary Collaboration Experience

Background of the Problem

In my former healthcare organization, we noticed an increased incidence of adverse drug reactions (ADRs) among geriatric patients with comorbid chronic illnesses. ADRs had become a major cause of hospital admissions and emergency department visits in the facility.  The pharmacy department sought to identify the cause of the increased cause of ADRs in these patients and established that most of the patients who presented with ADRs were on multiple medications mostly 5-9 medications. The clinical pharmacists also established that some of the drugs the patients were taking caused harmful drug-drug interactions. Furthermore, patients reported that every time they were discharged or consulted a different specialist, they were added new medications, contributing to the polypharmacy.

The Plan

Based on the findings from the clinical pharmacists, the hospital created a pharmacist-led medication reconciliation program at admission and discharge. The program was designed to take an interdisciplinary collaboration approach with the following healthcare professionals:

• One clinical nurse leader (CNL) – The CNL was in charge of the team.
• Three Clinical pharmacists
• Four Clinicians including two physicians and two Nurse practitioners (NPs)
• Five Registered nurses (RNs).
• A medication reconciliation using a transition of care interdisciplinary team was proposed to minimize the number of medications with errors during hospital admission, discharge, and follow-up visit (Kreckman et al., 2018). This would identify unnecessary medications and those with interactions, thus mitigating ADRs caused by drug-drug interactions.

The interdisciplinary approach was successful since each member of the team was assigned clearly outlined laws preventing duplication of roles or confusion.

The interdisciplinary medication reconciliation process occurred as follows:

• During the admission of each geriatric patient, RNs carried out a two-step verification of prescribed medications, updated the electronic medical record, and informed the clinician to sign off on the list.
• At discharge, a patient’s medications were reconciled in the ward by the RNs, and the medication records were forwarded to a patient’s primary care provider.
• During follow-up visits, an RN and physician verified a patient’s medication list.
• RNs commenced the medication reconciliation at admission and reviewed the medication list within 24 hours of a patient’s discharge.
• The clinical pharmacists evaluated the list presented by the RNs, rectified medication issues like drug duplication and omissions, and proposed evidence-based therapies (Burgess et al., 2021).
• The clinical pharmacists also informed the clinicians of medication issues identified during admission and discharge.

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For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached. Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care. Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively. References Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402. Sullivan, M., Kiovsky, R., Mason, D., Hill, C., & Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54. Demonstration of Proficiency Competency 1: Explain strategies for managing human and financial resources to promote organizational health. Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature. Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes. Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes. Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together. Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals. Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals. Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes. Communicate in a professional manner that is easily audible and uses proper grammar.

Video Reflection on Experience in Healthcare

Format reference list in current APA style. Professional Context This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature. Scenario As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement. You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment. Instructions Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity. Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

OURSE

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.