Assessment 1: Collaboration and Leadership Reflection Video
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NURS-FPX 4010
Collaboration and Leadership Reflection Video
Hello, I am XYZ. In this reflection video, I will discuss interprofessional collaboration for emergency preparedness and response in a hospital setting. Effective interdisciplinary collaboration is critical in healthcare, particularly during emergencies where swift decision-making and coordination can save lives (Bendowska et al., 2023). Such teamwork has strengths and weaknesses, and the Hurricane Delta emergency brought that into focus for its strengths and weaknesses of adaptability, clear communication, and shared accountability. The successes, challenges, and successful strategies for improving collaboration among healthcare professionals are reflected in this video. Analyzing reflective practices, leadership approaches, and structured frameworks helps improve team performance with higher preparedness when things get tough in high-pressure situations.
Reflection on an Interdisciplinary Collaboration Experience
The experience within the interdisciplinary collaboration in emergency preparedness and response in a hospital setting can be reflected as several important successful factors in achieving the desired goals
Successes in Collaboration
Strengths of the interprofessional team in the case of the Hurricane Delta emergency were shown to be high adaptability and swift and immediate reaction. Lead emergency physician Dr. Niki Turner kept patients under rapid review and brought emergency medical interventions to bear so that it was diagnosed and managed when the need was critical. However, at the same time, nurse Izzy Rodriguez was vital in patient and family care and immediate emotional support (Capella University, n.d.). Together, they established triage areas and maintained continuity of care despite the evolving challenges posed by the flooding. This adaptability showed the team’s uniform strength in working cohesively despite pressure to deal with crises quickly in the near term. Further, the ability of the team to move the triage area multiple times because of water ingress demonstrated their shared emphasis on patient safety (Melnychuk et al., 2022). However, these collaborative efforts helped save lives by reducing delays in care and quick decision-making. Such successes highlight the possibility of well-coordinated interdisciplinary work leading to critical outcomes during emergencies.
Role of Reflective Practice
Reflective nursing practice is crucial in addressing such challenges and supporting professional growth. It enables healthcare providers to critically examine their actions and decisions, providing insights into areas for improvement. For example, reflecting on the confusion around evacuation protocols could guide the development of standardized processes to align actions across departments (DeVita et al., 2021). Nurse Rodriguez shared her experiences with resource shortages, which ultimately contributed to developing more inventory management strategies to prevent similar issues in future crises. Improving real-time information dissemination systems could help identify communication breakdowns like those described by Mr. Horowitz. Also, reflected frameworks such as Gibbs’ Reflective Cycle enable team members to systematically analyze their experiences and draw lessons learned so that they can become actionable solutions (DeVita et al., 2021). Enabling a culture of reflection can improve a team’s collaboration and individual and collective decision-making, thus improving patient outcomes in the emergency scenario.
Recommendations for Future Practice
Several targeted recommendations are needed to strengthen interdisciplinary collaboration during emergencies. Dr. Turner pointed out that standardized protocols should be practiced across departments to avoid confusion at critical moments when evacuating patients. Elendu et al. (2022) claim that regular training sessions can make all team members consistently understand and follow these protocols. Secondly, Mr. Horowitz points to communication challenges, which can only be tackled through investment in useful, real-time information systems. It could also help by assigning a coordinator to disseminate updates to alleviate confusion in communication. Nurse Rodriguez’s resource allocation problems further underlined the need to keep a well-stocked supply of essential supplies and perform regular audits to prepare for surges. Designated overflow areas can ease patient crowding during crises (Strandås et al., 2024). Finally, conducting a post-crisis debrief provides an opportunity for reflective discussions, identifying strengths, and recognizing areas for improvement. Implementing these strategies will help the team prepare and collaborate to respond better to future emergencies.
Poor Collaboration
Interdisciplinary healthcare teams that do not collaborate well can be inefficient in using time, money, and resources. As Dr. Luis Torres pointed out, resources elsewhere in the department must be reallocated to deal with emergencies, which would impede long-term projects and generally affect the hospital’s bottom line. Alderwick et al. (2021) assert that this often leads to duplicated efforts, mismanagement of staff workloads, and unaffordable delays in patient care, all of which harm the bottom line. For instance, during Hurricane Delta, the lack of standardized evacuation protocols resulted in confusion and delays and this inefficient use of time and human resources. Also, Nurse Izzy Rodriguez’s description of the shortage of IV fluids resulted from poor planning and allocation of resources that exacerbated the stress on the healthcare workers and impaired care for patients during the critical period.
It also leads to financial inefficiencies and infrastructure and operational strain. Dr. Torres also describes the flooded hospital basement as a result of resource redirection, leading to delayed maintenance. Alderwick et al. (2021) claim that such inefficiencies lead to more immediate repair costs and take money away from preventative measures that could prevent future risks. Additionally, redundant or incorrect actions resulting from inadequate communication amid a crisis cause a waste of resources (Howick et al., 2024). For instance, paramedic Jake Horowitz pointed out delays in transmitting real-time updates to the hospital that staff did not value and complicated critical patient care processes. This shows the urgent need for better interdisciplinary collaboration to enhance resource utilization and financial and human resource management in healthcare settings.
Leadership Strategies
Supporting collaboration, clear communication, sharing responsibility, and best practice leadership strategies can help make interdisciplinary teams significantly more effective. One strategy is transformational leadership. Transformational leaders try to achieve a transformation, encourage innovation, and inspire trust (Ystaas et al., 2023). This approach ensures that the eclectic thought processes of interdisciplinary teams come to an alignment and result in working as a team for their common goals. In the case study, transformational leadership could potentially help overcome the fear of protocol ambiguity and fragmented communication when emergencies arise by unifying the team on a common and unified operational plan like the one represented by Dr. Niki Turner, the lead emergency physician, who said that lack of standardized evacuation protocols between departments used to cause confusion which added delay. Having a transformational leader may create a vision for cohesive protocols and help encourage department collaboration to get these processes streamlined and shared responsibility. As a result, Ystaas et al. (2023) highlight that transformational leaders also go a long way in empowering their team members, where every teammate has a sense of responsibility for achieving high-quality output, which would be critical in improving coordination during emergencies.
Another way to practice leadership is situational leadership, where leadership styles can be tailored to deal with the team and the situation as much as possible. Nonaillada et al. (2022) view situational leaders as leaders who change their approach depending on readiness and expertise, as they provide more directive guidance to the team during a crisis and a more collaborative approach during routine operations. In the case study, Jake Horowitz notes that situational leadership could help new paramedics get better training so that they would all adhere to updated protocols. Paramedics could be situational leaders who identify gaps in training, especially for new paramedics and provide targeted direction to be ready during emergencies.
McLaney et al. (2022) furthermore illustrated this collaborative decision-making by describing it as an avenue to encourage team members to come up with ideas and insights, to encourage standing with each other, and to encourage better problem-solving. It would resolve problems, including Dr. Naomi Kim’s public health official’s inability to coordinate resources with outlying agencies. By combining these best practice strategies, leaders can improve team cohesion and resource issues and improve interdisciplinary collaboration and patient outcomes.
Interdisciplinary Collaboration Strategies
Structured communication, role clarity, and continuous training enable best practices for interdisciplinary collaboration strategies around optimizing team performance and outcomes. Another critical strategy is using standardized communication frameworks, such as SBAR (Situation, Background, Assessment, Recommendation), as Etemadifar et al. (2021) suggested. This structured method ensures that essential information is conveyed clearly and concisely, reducing misunderstandings during high-pressure situations. In the case study, the challenges noted by Jake Horowitz, the paramedic, regarding inconsistent communication and delayed updates could have been mitigated by implementing SBAR. This communication framework will improve the certainty of critical patient information transported from paramedics to hospital groups and maintain consistency and evenness with diverse divisions during floods and hurricanes (Etemadifar et al., 2021). In a high-stress environment, communication is crucial to be sure everyone is on the same page and that patients get timely care.
Role clarity and mutual understanding of roles are also other important strategies. In particular, defining the role in an interdisciplinary team can avoid confusion and overlap, Melnychuk et al. (2022) said. As part of the case study, Dr Niki Turner, lead emergency physician, highlighted the inconsistent protocols utilized during a hurricane, between the cardiology and the emergency department having different lists. The role clarity, process standardization, and inconsistencies led to delays and ineffectiveness in patient care. Suppose this was a bigger issue with psychosocial care. In that case, a clear delineation of roles and responsibilities and regular interdisciplinary meetings would have fixed the problem of no one knowing their responsibility and when they should act. It also helps build interprofessional team cohesion and ensures members are well-informed about protocols (Elendu et al., 2024). Teams leading these exercises might do better in conducting usual spin-offs like evacuations or patient surge management to better prepare them for emergency scenarios and collaborate. If they follow these strategies, interdisciplinary teams should be able to work better to achieve the common goal and acquire high-quality patient care.
Conclusion
The interdisciplinary collaboration during the Hurricane Delta emergency highlighted both successes and challenges. Strengths were identified as flexibility, team cooperation, and emphasis on safety; weaknesses were poor communication, ineffective coordination, and lack of resources. Some are organized and communicate poorly, while others might be ambiguous or have conflicts of interest. Thus, reflective practices and leadership strategies such as transformational and situational leadership can be used to overcome such challenges and keep things clear and organized. Clear and uniform communication procedures, unambiguous roles, and systematic professional development lead to higher levels of cooperation. These measures help create better preparedness and timely response in future emergencies, improving patients and organizational performance.
References
Capella University. (n.d.). RN to BSN | Online Bachelor’s Degree | Capella University.
Www.capella.edu.
https://www.capella.edu/online-nursing-degrees/bachelors-rn-to-bsn-completion/
Alderwick, H., Hutchings, A., Briggs, A., & Mays, N. (2021). The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: A systematic review of reviews. BioMed Central Public Health, 21(1), 1–16. https://doi.org/10.1186/s12889-021-10630-1
Bendowska, A., & Baum, E. (2023). The significance of cooperation in interdisciplinary health care teams as perceived by polish medical students. International Journal of Environmental Research and Public Health, 20(2), 954. https://doi.org/10.3390/ijerph20020954
DeVita, T., Major, B. D., & Katz, R. (2021). How are healthcare provider systems preparing for health emergency situations? World Medical & Health Policy, 14(1). https://doi.org/10.1002/wmh3.436
Elendu, C., Amaechi, D. C., Okatta, A. U., Amaechi, E. C., Elendu, T. C., Ezeh, C. P., & Elendu, I. D. (2024). The impact of simulation-based training in medical education: A review. Medicine, 103(27), e38813. https://doi.org/10.1097/MD.0000000000038813
Etemadifar, S., Sedighi, Z., Sedehi, M., & Masoudi, R. (2021). The effect of situation, background, assessment, recommendation-based safety program on patient safety culture in intensive care unit nurses. Journal of Education and Health Promotion, 10(1), 422. https://doi.org/10.4103/jehp.jehp_1273_20
Howick, J., Weston, B. A., Solomon, J., Nockels, K., Bostock, J., & Keshtkar, L. (2024). How does communication affect patient safety? Protocol for a systematic review and logic model. British Medical Journal Open, 14(5).
https://doi.org/10.1136/bmjopen-2024-085312
Krzyżanowski, K. Ślęzak, D., Dąbrowski, S., Żuratyński, P. Wioletta, D. M. Buca, P., Paweł Jastrzębski, & Robakowska, M. (2021). Comparative analysis of the effectiveness of performing advanced resuscitation procedures undertaken by two- and three- person basic medical rescue teams in adults under simulated conditions. International Journal of Environmental Research and Public Health, 18(9), 4834–4834. https://doi.org/10.3390/ijerph18094834
McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Prospero, L. D. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2), 112–117. https://doi.org/10.1177/08404704211063584
Melnychuk, E., Sallade, T. D., & Kraus, C. K. (2022). Hospitals as disaster victims: Lessons not learned? Journal of the American College of Emergency Physicians Open, 3(1), e12632. https://doi.org/10.1002/emp2.12632
Nonaillada, J., & Martin, R. A. (2022). Applying situational leadership to redeployment duties during COVID-19. Quality Management in Health Care, 31(4). https://doi.org/10.1097/qmh.0000000000000350
Strandås, M., M, Moreno, V. Ingstad, K., Sepp, J., Linnik, L., & Mojtaba Vaismoradi. (2024). An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: A role theory perspective. Journal of Multidisciplinary Healthcare, Volume 17(17), 1385–1400. https://doi.org/10.2147/jmdh.s460194
Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The impact of transformational leadership in the nursing work environment and patients’ outcomes: A systematic review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108
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