NURS FPX 4005 Assessment 3

Name

Capella university

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

Prof. Name

Date

Interdisciplinary Plan Proposal

The escalating prevalence of Type 2 diabetes at St. Paul Regional Health Center necessitates a comprehensive, team-based approach for patient education and care coordination. Many patients face challenges in managing their condition due to insufficient education, inadequate nutritional guidance, and psychological barriers (Adhikari et al., 2021). To address these issues, this proposal suggests implementing a structured diabetes education program within the hospital’s outpatient diabetes management department. This program will use an interdisciplinary approach, focusing on improving self-care behaviors to reduce the long-term complications of diabetes.

Objective

The goal of this plan is to establish an interdisciplinary diabetes education program involving primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. The program will aim to enhance patient adherence to diabetes self-management strategies. By improving patients’ knowledge and skills, the program will contribute to better glycemic control, reduced hospital readmissions, and lower long-term healthcare costs. Research supports that interdisciplinary care in diabetes management leads to improved patient outcomes and decreased healthcare expenditures (Nurchis et al., 2022).

Questions and Predictions

Several key questions will guide the program’s development and assessment. First, how does interdisciplinary collaboration influence patient adherence to diabetes self-management? It is anticipated that patients will show a 20% increase in adherence to medication, diet, and exercise recommendations after six months. Second, what obstacles might impede the program’s implementation? Resistance from both healthcare staff and patients is expected initially, but ongoing education and support should mitigate these challenges.

Third, how will the program impact hospital readmissions related to diabetes complications? Studies suggest that better self-management could reduce readmissions by 15% within a year (Pugh et al., 2021). Fourth, what additional workload will the interdisciplinary team incur? The team may face a 10% increase in workload, but more structured workflows will likely improve efficiency. Finally, what financial impact is expected from the program? While initial costs for training and technology support are anticipated, long-term savings are expected due to reduced emergency care usage and the prevention of complications (Haque et al., 2021).

Change Theories and Leadership Strategies

For effective program implementation, Kotter’s 8-step change model will be employed. The model emphasizes creating a sense of urgency for improving diabetes management through leadership support and securing staff buy-in (Miles et al., 2023). The first step will involve raising awareness among stakeholders about the inadequacies of current diabetes self-management approaches and the benefits of interdisciplinary collaboration. Leadership will play a crucial role in reinforcing the program’s importance and securing necessary resources.

Transformational leadership will be key to motivating healthcare providers to engage in this initiative. This leadership style encourages collaboration and innovation, fostering team commitment and involvement (Ystaas et al., 2023). Through open dialogue and shared decision-making, this approach will ensure ongoing participation and program success.

Team Collaboration Strategy

Collaboration among healthcare professionals is essential for the success of this program. The primary care provider will assess patients, prescribe medications, and monitor progress. Nurses will offer ongoing diabetes education, coordinate patient care, and serve as the first point of contact for patient inquiries. Dietitians will create personalized meal plans, providing guidelines to help patients manage their blood glucose levels. Behavioral health specialists will address psychological issues such as stress, depression, and emotional eating, which can affect adherence to self-management strategies (Segal & Gunturu, 2024). Pharmacists will optimize medication regimens and educate patients on proper medication use.

Weekly interdisciplinary team meetings will be held to review patient progress, adjust care plans, and share best practices. A shared electronic health record (EHR) system will facilitate real-time communication, improving care coordination and reducing treatment gaps. Studies show that EHR systems positively impact patient outcomes by enhancing coordination and reducing medication errors (Robertson et al., 2022).

Required Organizational Resources

For the program’s successful implementation, significant investments in staffing, training, and technology are required. Staff will need training in diabetes education, motivational interviewing, and interdisciplinary collaboration (Ng et al., 2023). The program will also require equipment, such as educational materials, blood glucose monitoring devices, and telehealth technology for virtual consultations.

The initial financial investment is estimated at $50,000, which will cover staff training, educational materials, and technology setup. However, long-term savings are expected to be approximately $100,000 annually, stemming from reduced hospitalizations, emergency visits, and diabetes-related complications. Coordination with the hospital’s IT department will be necessary for EHR integration, and approval from hospital administration will be required for resource allocation (Robertson et al., 2022).

Failure to implement this program thoroughly may result in continued patient non-adherence, higher hospital readmission rates, and increased long-term healthcare costs. Without structured education and support, patients face an increased risk of severe complications, such as cardiovascular disease, kidney failure, and amputations—conditions that significantly impact healthcare expenditures and quality of life (Nurchis et al., 2022). The proposed interdisciplinary diabetes education program offers a sustainable model for improving patient outcomes and alleviating the economic burden on St. Paul Regional Health Center.

Conclusion

This interdisciplinary diabetes education program is designed to improve patient self-management of diabetes. By bringing together a team of healthcare professionals, patients will receive tailored education and support, leading to better health outcomes and fewer hospital visits. Over time, this program will generate significant cost savings through reduced complications and hospitalizations. Ultimately, the initiative will foster healthier patients and create a more efficient healthcare system at St. Paul Regional Health Center.

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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/

NURS FPX 4005 Assessment 3

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

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

NURS FPX 4005 Assessment 3

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