In 750-1,000 words, develop a testing scenario and a testing mitigation plan to validate the functionalities of the propose

Data Gathering and Data Analysis

Baseline and Project-Specific Data

Data collection planning begins with identifying all the data required to answer the research questions and meet the objectives of the proposed project. The project aims to facilitate the use of communication boards on post-operative oral and neck flap patients with tracheostomy tube and determine its effect in the ease of communication and reduction of anxiety. The baseline data for the project is information of the patients based on the subject topic. This will constitute their demographic data and medical history. The patient's participation in this project is completely voluntary. The patient will be asked to sign the informed consent form before the intervention will begin. The participating patients should be 18-65 years of age, oriented to person, place, time, and situation, with no previous history of hearing and vision problems, and mental illness. One of the important data that needs to be in the inclusion criteria is that the patient must have had the oral and neck flap surgery tracheostomy tube placed. The requirement would be for them to use the communication board.

Steps in Gathering Data

For gathering data, two forms of the questionnaire will be used including a demographic info survey, and a questionnaire that assess the patient’s communication issues and associated anxiety. This questionnaire will be customized specifically for the post-operative oral and neck flap patient. The set of questions are influenced by both the Hospital Anxiety and Depression Scale – Anxiety (HADS-A), and the Ease of Communication Scale (ECS). The HADS-A is a brief measurement of generalized symptoms of anxiety including fear, tension, panic restlessness and difficulty relaxing. This scale was developed to assess patients who have medical problems for depressive symptoms and for clinically significant anxiety (Julian, 2014). Ease of Communication Scale (ECS) has been used to measure the communication difficulties of patients with mechanical ventilation or are intubated. The questionnaires will be administered individually using a pen/pencil and paper and can be given through self-report or by the interviewer. The data will then be documented in the spreadsheet with data analysis tools such as Excel or google sheets to plug in quantitative data and create comprehensive visualizations, charts, or graphs.

Subject Matter Experts Needed to Gather Data

A Subject Matter Expert (SME) is someone who has in depth understanding of a particular area and have real world experience. Since this project targets post-operative oral and neck flap patients with tracheostomy, the SME would be someone who provides direct care to these patients. These patients are considered critically ill as they underwent an intense major surgery. Post-operatively, the patients are typically expected to have several incisions which includes the tongue, neck, arm, and thigh. Aside from those incisions, several tubes are attached to them as part of the treatment process such as tracheostomy tube, PEG tube, Foley catheter, penrose drains, Jackson Pratt drains and wound vac. The post-operative care for these patients requires training as it demands constant monitoring of the flap site as often as every hour to assess if the anastomosed vessels in the new site are stable. Before providing care for these patients, the nurses were trained via classroom and in actual setting to have comprehensive knowledge and skills on the assessment and care. Although, the patient had pre-op screening and education on what to expect after surgery, they still experience anxiety due to myriad of things that they feel such as pain, loss of speech, fear, bodily image disturbance, etc. Therefore, these trained flap nurses are most competent and qualified SMEs for this project as they provide personal care in the bedside and constantly communicate to the patient to properly address their needs. Moreover, they can provide informative inputs and can share their perspectives on the data collection process.

Interprofessional Collaborative Practice Concepts and Principles of Team Dynamics

The main objectives of the proposed project are improving the quality of care and patient outcomes through resolving communication barriers and reducing anxiety of post-operative oral and neck flap patient. To achieve this objectives, multiple disciplines should work effectively together as a team to address the patient’s needs. Everyone has different observations, viewpoint and perception about the patient. As a team, they can have more holistic view and analysis of the patient. Hospitals nowadays promote team-based patient-centered rounds which includes physicians, primary nurse, and other significant part of the care team such as respiratory therapists, speech therapists, physical therapist, occupational therapists, social worker, etc. (O’Connor, 2020). As a researcher and a trained flap nurse, it is best to regularly collaborate with the interdisciplinary team during the data collection process and other aspects of the project. Arranging a meeting with the leaders of each team can encouraged members to be more engaged and proactive in the data collection and implementation of the project. The benefits of collaboration permit participants to realize collectively more than they can independently and expand on individual and organizational levels. These rudiments in the plan consist of accountability, liability, management, interaction, assistance, decisiveness, self-sufficiency, and mutual faith and respect.

Benincasa, R. (2020, November 18). Mutual respect is the foundation for your team’s extreme performance. Main. https://www.td.org/insights/mutual-respect-is-the-foundation-for-your-teams-extreme-performance

Julian, L. J. (2014). Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and hospital anxiety and depression scale-anxiety (HADS-A). Arthritis Care & Research, 63(S11), S467-S472. https://doi.org/10.1002/acr.20561

O'Connor, W. (2020, September 9). 5 benefits of interprofessional collaboration in healthcare. TigerConnect. https://tigerconnect.com/blog/5-benefits-of-interprofessional-collaboration-in-healthcare/

Richards, K. A. R., & Hemphill, M. A. (2018). A practical guide to collaborative qualitative data analysis. Journal of Teaching in Physical Education, 37(2), 225-231.

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