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 highlighted that inadequate communication frequently resulted in missed crucial information (like delayed test results or medication adjustments), insufficient patient updates, and subsequently, 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, 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. One of the main goals of NURS FPX 4005 Assessment 2 is the successful operation of varied teams, which is attributed to strong leadership that holds team members accountable and encourages open communication between teams.
As part of the data collection procedure, semi-structured interviews were conducted using open-ended questions that were pre-planned and allowed for flexibility to follow up on issues
that came up during the conversation. Medical facilities can utilize this strategy to get accurate and thorough healthcare information in a collaborative healthcare team interview, despite its flexibility and reliability. Since semi-structured interviews enable participants to provide in-depth responses without deviating from the primary goals of the interview, they are utilized in healthcare evaluations (Altabtabaei & Alhuwail, 2023).Issue Identification
The main concern raised in this interview is Mercy General Hospital’s poor communication during patient handovers, representing a clear case of problem identification in patient care. The best solution for the issue would be an evidence-based, multidisciplinary approach to care delivery. According to Nuernberger et al. (2025), this is because a number of healthcare disciplines, such as nurses, physicians, case managers, and allied health workers, rely on successful handoffs and require fast and accurate patient data in order to coordinate care. In many trials, standardized handoff technologies like SBAR and I-PASS have been demonstrated to improve patient safety and lower adverse occurrences (Nuernberger et al., 2025). Developing and implementing handoff protocols with many team members promotes collaboration and ensures that critical patient information is shared throughout all shifts, which supports the goals of NURS FPX 4005 assessment 2.
Change Theories That Could Lead to an Interdisciplinary Solution
Lewin’s Change Management Model is a good framework for improving patient handoff communication since it consists of the processes of unfreezing, changing, and refreezing (Harrison et al., 2021). Employees are better able to comprehend the healthcare risks and resource waste that result from inadequate handoff communication when presentations of previous cases are given at meetings like the one that is led by a charge nurse. The transition
phase calls for an interdisciplinary team to apply SBAR or I-PASS standard handoff regulations through training and pilot projects. This emphasizes the identification of 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. To improve handoffs between the various medical specialties, the staff members will require thorough change preparation and transformational leadership, which will result in the reinforcement of new behaviors. This is why Lewin’s model is the main one used to address this issue. Harrison et al.’s study from 2021 supports the use of Lewin’s Model in hospital change management because it highlights how often it is applied, how effective it is in similar situations, and how important it is to have well-prepared staff and better leadership. These are the two factors that are crucial in NURS FPX 4005 Assessment 2.
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 the 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 Team
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.
The established approaches promote accountability, cooperation, and mutual understanding during critical patient transfer processes. By using the SBAR model, healthcare
professionals feel more at ease handling patient responsibility, team communication improves, and patient safety protocols are accepted (Nuernberger et al., 2025). Medical teams that use IPEC Core Competencies promote mutual respect by understanding roles and communicating effectively across professions (Ansa et al., 2020). As a result of the technology’s ability to improve group communication, nursing interdisciplinary team collaboration is encouraged, as all team members can decide on their next action responsibilities during handoff meetings following the adoption of the IPEC competency. While SBAR’s structured communication structure provides a simple solution to handoff problems, MGH recognizes it as the most effective approach.
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. Since patient safety is one of the main concerns of NURS FPX 4005 assessment 2, the techniques improve the provision of quality care and pursue it in this way.
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
