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NURS FPX 4005 Assessment 3

Student Name

Capella University

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

Prof. Name:

Date

Interdisciplinary Plan Proposal

The rising number of Type 2 diabetes patients at St. Paul Regional Health Center (SPRHC) demands a structured, coordinated approach to patient education and care management. Many patients struggle with self-management due to inadequate education, poor dietary guidance, and psychological challenges (Adhikari et al., 2021). To address these issues, this proposal introduces a comprehensive diabetes education program within the outpatient diabetes management department. The program will utilize a team-based approach to promote self-care behaviors, ultimately reducing diabetes-related complications and improving patient outcomes.

Objective

The primary aim of this initiative is to implement an interdisciplinary diabetes education program involving primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. This collaborative effort is expected to improve patient adherence to self-management strategies, leading to enhanced glycemic control, fewer hospital readmissions, and a reduction in long-term healthcare costs. Research supports that interdisciplinary care improves patient outcomes and reduces healthcare expenditures (Nurchis et al., 2022).

Questions and Predictions

The development and assessment of this program will be guided by several critical questions. First, how does interdisciplinary collaboration affect patient adherence to diabetes self-management? It is anticipated that adherence to prescribed medication, dietary guidelines, and exercise will increase by 20% within six months. A second question addresses potential challenges, including initial resistance from nursing staff and patients, which will be managed through continuous education and support.

Another question concerns the program’s impact on hospital readmissions. Studies predict a 15% decrease in readmissions within one year due to improved self-management (Pugh et al., 2021). Additionally, the program’s effect on the interdisciplinary team’s workload will be evaluated. While an initial 10% increase in workload is expected, efficient workflows will enhance productivity. Finally, the financial implications of the program will be considered. Though there will be upfront costs for training and technology, these will be offset by reduced emergency care utilization and fewer diabetes-related complications (Haque et al., 2021).


NURS FPX 4005 Assessment 3

CategoryDetails
ObjectiveDevelop an interdisciplinary diabetes education program with primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists to enhance patient self-management.
Expected OutcomesImprove glycemic control, reduce hospital readmissions by 15%, and decrease long-term healthcare costs.
Barriers & SolutionsResistance from staff and patients; addressed through continuous education and support.
CategoryDetails
Change Theories & LeadershipKotter’s 8-Step Change Model will guide the implementation process. Leadership will create urgency, provide resources, and ensure stakeholder engagement (Miles et al., 2023).
Transformational LeadershipEncourages collaboration and innovation, ensuring healthcare providers’ active participation and long-term commitment (Ystaas et al., 2023).
Team CollaborationPrimary care providers conduct initial assessments, nurses provide education, dietitians develop meal plans, behavioral specialists address mental health concerns, and pharmacists optimize medication use.
CategoryDetails
Organizational ResourcesInvestment in staffing, training, and technology, including educational materials, glucose monitors, and telehealth systems (Ng et al., 2023).
Financial ImpactInitial investment of $50,000; estimated long-term savings of $100,000 per year through reduced hospitalizations and emergency visits.
Technology IntegrationCoordination with IT for EHR integration and hospital administration for resource allocation (Robertson et al., 2022).

Conclusion

This interdisciplinary diabetes education program aims to improve patient self-management and health outcomes. By fostering collaboration among healthcare providers and leveraging technology for seamless care coordination, the initiative is designed to reduce hospitalizations, lower healthcare costs, and improve the quality of life for patients. Ultimately, this structured approach will lead to healthier patients and a more sustainable healthcare system at St. Paul Regional Health Center.

References

Adhikari, M., Devkota, H. R., & Cesuroglu, T. (2021). Barriers to and facilitators of diabetes self-management practices in Rupandehi, Nepal—Multiple stakeholders’ perspective. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11308-4

Haque, W. Z., Demidowich, A. P., Sidhaye, A., Golden, S. H., & Zilbermint, M. (2021). The financial impact of an inpatient diabetes management service. Current Diabetes Reports, 21(2). https://doi.org/10.1007/s11892-020-01374-0

Miles, M. C., Richardson, K. M., Wolfe, R., Hairston, K., Cleveland, M., Kelly, C., Lippert, J., Mastandrea, N., & Pruitt, Z. (2023). Using Kotter’s change management framework to redesign departmental GME recruitment. Journal of Graduate Medical Education, 15(1), 98–104. https://pmc.ncbi.nlm.nih.gov/articles/PMC9934828/

Ng, Y. K., Shah, N. M., Chen, T. F., Loganadan, N. K., Kong, S. H., Cheng, Y. Y., Sharifudin, S. S. M., & Chong, W. W. (2023). Impact of a training program on hospital pharmacists’ patient-centered communication attitudes and behaviors. Exploratory Research in Clinical and Social Pharmacy, 11, 100325. https://doi.org/10.1016/j.rcsop.2023.100325

NURS FPX 4005 Assessment 3

Nurchis, M. C., Sessa, G., Pascucci, D., Sassano, M., Lombi, L., & Damiani, G. (2022). Interprofessional collaboration and diabetes management in primary care: A systematic review and meta-analysis of patient-reported outcomes. Journal of Personalized Medicine, 12(4). https://doi.org/10.3390/jpm12040643

Pugh, J., Penney, L. S., Noël, P. H., Neller, S., Mader, M., Finley, E. P., Lanham, H. J., & Leykum, L. (2021). Evidence-based processes to prevent readmissions: More is better, a ten-site observational study. BioMed Central Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06193-x

Robertson, S. T., Rosbergen, I. C. M., Jones, A. B., Grimley, R. S., & Brauer, S. G. (2022). The effect of the electronic health record on interprofessional practice: A systematic review. Applied Clinical Informatics, 13(03), 541–559. https://doi.org/10.1055/s-0042-1748855

Segal, Y., & Gunturu, S. (2024). Psychological issues associated with obesity. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK603747/

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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