Capella 4005 Assessment 3

Capella 4005 Assessment 3

Student Name

Capella University

NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations

Prof. Name

Date

Interdisciplinary Plan Proposal

This initiative addresses communication breakdowns between nursing and medical personnel, especially during patient transitions and emergencies at St. Michael’s Medical Center. The proposal focuses on standardizing handoff procedures and improving interdisciplinary collaboration throughout the emergency and inpatient departments. By doing so, the institution aims to promote patient safety, reduce delays in treatment, and create a sustainable model for consistent and effective communication among clinical staff.

Objective

The central objective of this plan is to implement standardized communication practices through the SBAR (Situation, Background, Assessment, Recommendation) framework for nurse-physician exchanges, particularly during emergencies and patient handovers. This implementation is intended to improve clarity and efficiency in clinical interactions. Once successfully integrated, the hospital expects to experience a notable decline in medical errors, faster treatment initiation, and overall improved patient outcomes.

Questions and Predictions

The following table outlines anticipated inquiries and projections regarding the SBAR implementation:

Question	Prediction
How will SBAR influence nurse-physician communication?	It will enhance clarity, reduce misinterpretation, and ensure more reliable patient information transfer.
Will additional training be necessary for staff adoption?	Yes, initial education will be required, but it will ultimately streamline workflow and improve efficiency.
How will effectiveness be evaluated?	By tracking error rates, reviewing response times, and collecting staff feedback on communication processes.
What challenges are expected?	Staff resistance to change and inconsistency in use may arise, needing reinforcement and support.
How will improved communication affect patient care?	It will contribute to more timely decision-making and reduce the likelihood of medical errors.

Change Theories and Leadership Strategies

Kurt Lewin’s Change Management Model is applicable for guiding the adoption of SBAR in a multidisciplinary healthcare setting. In the “unfreezing” phase, staff are made aware of the existing communication inefficiencies and the associated safety risks. During the “change” phase, training programs are introduced to integrate SBAR into routine practice. Finally, in the “refreezing” stage, consistent use of the protocol is reinforced through leadership endorsement, supportive systems, and regular monitoring (Ahaiwe, 2024). This structured approach assists in overcoming resistance while fostering lasting improvements in communication.

Transformational Leadership plays a pivotal role in securing team commitment and encouraging cohesive collaboration. Such leadership fosters open communication, promotes shared decision-making, and facilitates continuous learning opportunities. By supporting SBAR implementation through engagement and active participation, transformational leaders help staff develop trust, ownership, and accountability, which collectively enhance care quality and patient safety (Ystaas et al., 2023).

Team Collaboration Strategy

The successful implementation of SBAR requires clearly defined responsibilities for each team member involved in the communication process:

Team Member	Responsibility
Nurse Educator	Delivers SBAR-focused training sessions for staff over a two-month period to ensure protocol readiness (Toumi et al., 2024).
Unit Manager	Oversees integration, ensures compliance, and facilitates weekly meetings for progress checks.
Nurses and Physicians	Apply SBAR during critical handoffs and emergency interactions to ensure clear, consistent communication.
Quality Improvement Team	Evaluates SBAR’s impact on safety, communication, and error reduction; provides monthly reports.
Hospital Leadership	Offers strategic backing, funds training, and oversees quarterly evaluations to ensure continuity.

To further support the communication initiative, the TeamSTEPPS model will be used to promote interdisciplinary teamwork. This includes structured team training, defined roles, and consistent evaluation. Real-time coaching and feedback mechanisms will enhance communication effectiveness. Respectful dialogue will foster trust and shared understanding among team members, ultimately reducing errors and optimizing patient outcomes (Trujillo & Ann, 2022).

Required Organizational Resources

Effective SBAR integration necessitates dedicated personnel, technical tools, space, and funding. Joint training for nurses, physicians, and administrators will be facilitated through SBAR and TeamSTEPPS curricula (Hassan et al., 2024). A project coordinator will guide implementation, monitor outcomes, and gather team insights. Essential infrastructure like EHR systems, communication platforms, and training venues are already available within the facility.

Resource	Details
Staffing	Trainers, coordinators, and clinical teams participating in implementation.
Equipment	Existing training spaces, communication tools, and EHR platforms support SBAR execution.
Financial Investment	Covers training materials, software for tracking progress, and external consultant fees if needed.
Accessibility	Program access ensured in patient care zones, staff areas, and team collaboration rooms.
Risk of Non-Implementation	May result in increased medical errors, legal consequences, and workforce burnout.

Although external consultancy may increase costs, in-house training remains affordable. Overall, the long-term benefits—fewer errors, enhanced patient safety, and improved teamwork—justify the investment. Failing to act may elevate patient risk, increase readmissions, and lead to higher operational costs due to inefficient collaboration.

References

Ahaiwe, L. (2024). The impact of Intervention to Reduce Acute Care Transfer (INTERACT) for Heart Failure (HF) patients in the Skilled Nursing Facility (SNF). ProQuest. https://www.proquest.com/openview/982a82bf043e43c31c72dd9ff0267ee9/1?pq-origsite=gscholar\&cbl=18750\&diss=y

Hassan, A. E., Mohammed, F. A., Zakaria, A. M., & Ibrahim, I. A. (2024). Evaluating the effect of TeamSTEPPS on teamwork perceptions and patient safety culture among newly graduated nurses. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01850-y

Toumi, D., Dhouib, W., Zouari, I., Ghadhab, I., Gara, M., & Zoukar, O. (2024). The SBAR tool for communication and patient safety in gynaecology and obstetrics: A Tunisian pilot study. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05210-x

Capella 4005 Assessment 3

Trujillo, & Ann, L. (2022). Implementation of TeamStepps communication tools to improve communication and decrease hypoglycemic events. ProQuest. https://www.proquest.com/openview/f5f5c6ce2d5b3078e171d9245e6d3e53/1?pq-origsite=gscholar\&cbl=18750\&diss=y

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