NURS FPX 4005 Assessment 2
[Student Name]
Capella University
[Prof. Name]
August 2025
NURS FPX 4005 Assessment 2: Interview Summary
Bridget works as a nurse at Columbus, Ohio’s Mercy General Hospital (MGH). She has been employed there for almost six years and is currently a charge nurse in the medical-surgical unit. As a main emphasis of NURS FPX 4005 Assessment 2, she oversees patient care at Mercy General Hospital, assists nurses at the patient’s bedside, negotiates with hospital staff, and ensures that patients are given proper release plans.
Poor handover communication between nurses who transitioned from night to day shifts was a recurring problem at the medical center, according to Bridget, who brought up this interview and interdisciplinary issue. She explained that inadequate communication often led to inadequate patient updates, missed critical information (such postponed test results or medication changes), and ultimately, delays in patient care. Leadership’s usage of the standardized handoff tools, called SBAR (Situation, Background, Assessment, Recommendation), did not lead to consistent use because there were no active monitoring procedures in place.
She added that while the organization encourages interdisciplinary collaboration in theory, in fact this support isn’t always consistent. Bridget stated in the interdisciplinary healthcare interview that she has witnessed significant communication breakdowns during shift handovers, despite the fact that interdisciplinary rounding occurs at our facility. The success of varied teams, a major focus of NURS FPX 4005 Assessment 2, is attributed to strong leadership that holds team members accountable and fosters open inter-team communication.
The data was gathered using a semi-structured interview method that included open-ended questions that were pre-planned and allowed for flexibility to follow up on
subjects that came up during the conversation. Medical facilities can employ this strategy in a collaborative healthcare interview to get accurate and thorough healthcare information, despite its flexibility and reliability. Because they enable participants to provide in-depth responses without deviating from the primary goals of the interview, semi-structured interviews are utilized in healthcare assessments (Altabtabaei & Alhuwail, 2023).
Issue Identification
Inadequate communication during patient handovers at Mercy General Hospital is the main concern mentioned in this interview; this is an obvious example of problem identification in patient care. An evidence-based, multidisciplinary approach to care delivery would be excellent for the issue. This is because a number of healthcare disciplines, such as physicians, nurses, case managers, and allied health workers, rely on effective handoffs and require fast and accurate patient data in order to coordinate care (Nuernberger et al., 2025). Numerous studies have demonstrated that standardized handoff tools, including SBAR and I-PASS, improve patient safety and lower adverse events (Nuernberger et al., 2025). The goals of NURS FPX 4005 assessment 2 are furthered when many team members develop and carry out handoff protocols, which promote collaboration and ensure that critical patient data is shared throughout all shifts.
Change Theories That Could Lead to an Interdisciplinary Solution
Lewin’s Change Management Model, which consists of the stages of unfreezing, modifying, and refreezing, is an appropriate framework for improving patient handoff communication (Harrison et al., 2021). At meetings like the one led by a charge nurse,
presentations of previous cases help staff members comprehend the dangers to healthcare and waste of resources that result from inadequate handoff communication. The transition phase calls for an interdisciplinary team to apply SBAR or I-PASS standard handoff regulations through training and pilot projects, emphasizing the identification of the interdisciplinary solutions, so that nurses, physicians, and case managers can work together to practice this organized handoff technique through simulation exercises.
Thirdly, the importance of interview strategies in nursing practice is highlighted by the way policies and regular audits integrate the new communication methods into daily routines, making them standard operating procedures. After integrating SBAR checklists into electronic health records (EHR), leaders can start performing monthly Jackie audits to assess adherence. The Lewin model is the main one used to solve this issue because it shows that in order to improve handoffs between the various medical specialties, staff members will require thorough change preparation and transformational leadership, which will result in the reinforcement of new behaviors. Because it highlights Lewin’s Model’s frequent application and effectiveness in similar contexts, as well as the need for comprehensive staff preparation and enhanced leadership two important factors in NURS FPX 4005 assessment 2 the study by Harrison et al. (2021) supports the use of Lewin’s Model in hospital change management.
Leadership Strategies That Could Lead to an Interdisciplinary Solution
An efficient way to create a framework that can result in better interpersonal communication during patient transfers is to combine transformational leadership with
the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) paradigm (Kuriyan et al., 2020). When there is motivated leadership, teams adopt common goals for overall patient safety with improved handoff communication. The leader should set specific handoff communication protocols that highlight the role of interdisciplinary team while permitting interdisciplinary contributions and promoting recognition for improved handoff quality.
Using the TeamSTEPPS 12 paradigm and the cooperation and communication enhancement techniques of briefs, huddles, and debriefs, the interdisciplinary teams would be given standardized procedures. A transformational leader leads a launch workshop that helps nurses, physicians, and case managers practice using standardized handoff checklists and structured team meetings to support the process of identifying healthcare issues through interviews. TeamSTEPPS® demonstrates high relevance by addressing speech activation, accountability mechanisms, and communication gaps to directly solve optimal handoff disconnects (Kuriyan et al., 2020).
Collaboration Approaches for Interdisciplinary Teams
Two well-known methods used in the healthcare sector to improve the interprofessional transfer of patient information are SBAR (Situation-Background-Assessment-Recommendation) and IPEC Core Competencies for Interdisciplinary Collaborative Practice. The SBAR technique helps teams avoid careless information transmission errors by enabling medical staff to routinely exchange critical patient data. The interdisciplinary team employs a standardized communication tool called SBAR to produce consistent patient handoff information (Nuernberger et al., 2025). Teams can exchange information in real time by scheduling interdisciplinary talks
for the start and finish of shifts. One of the goals of NURS FPX 4005 assessment 2 is to ensure proper comprehension and prevent errors by establishing a communication loop within the team where members exchange and confirm important information.
Throughout critical patient transfer processes, the established protocols promote accountability, collaboration, and mutual comprehension. When the SBAR model is used, team communication improves, patient safety protocols are accepted, and healthcare staff feel more at ease handling patient responsibility (Nuernberger et al., 2025). Through role comprehension and successful interprofessional communication, medical teams that adopt IPEC Core Competencies promote respect for one another (Ansa et al., 2020). Nursing interdisciplinary team collaboration is promoted by the technology’s ability to enable group communication, which allows all team members to decide on their next action responsibilities during handoff meetings following IPEC competence deployment. The most effective option, according to MGH, is SBAR’s structured communication framework, which provides a simple solution to handoff problems.
Conclusion
MGH must adopt a systematic, multidisciplinary approach to enhance patient handoff communication. Lewin’s Model increases responsibility and fosters consistency and teamwork when paired with transformational leadership strategies and team communication tools like SBAR and TeamSTEPPS®. SBAR competencies can be used in interdisciplinary teamwork to create successful care transition outcomes. As one of the main concerns of NURS FPX 4005 assessment 2, the techniques thus improve the provision of quality-of-care and strive for patient safety.
References
Altabtabaei, R., & Alhuwail, D. (2023). Exploring the challenges and opportunities of adopting and using telemedicine for diabetes care and management: Qualitative semistructured interview study among health care providers and patients with diabetes. JMIR Human Factors, 10(1), e46324. https://doi.org/10.2196/46324
Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020).
Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8(3), 323. https://doi.org/10.3390/healthcare8030323
Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where do models for change management, improvement, and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of Healthcare Leadership, 13(2), 85–108. https://doi.org/10.2147/JHL.S289176
Kuriyan, A., Kinkler, G., Cidav, Z., Kang-Yi, C., Eiraldi, R., Salas, E., & Wolk, C. B. (2020). TeamSTEPPS to improve collaboration in school mental health: Protocol for a mixed- method hybrid effectiveness-implementation study. JMIR Research Protocols, 10(2). https://doi.org/10.2196/26567
Nuernberger, M., Lang, S., Maass, T., Lehmann, T., Brodoehl, S., & Jan-Christoph Lewejohann. (2025). The effects of an ISOBAR-structured patient handover conversation between rescue services and emergency department staff: The COPTER trial. Journal of the American College of Emergency Physicians Open, 6(1), 100011–100011. https://doi.org/10.1016/j.acepjo.2024.100011
