NHS FPX 6004 Assessment 3 Training Session for Policy Implementation
NHS FPX 6004 Assessment 3 Training Session for Policy Implementation
Name
Capella university
NHS-FPX 6004 Health Care Law and Policy
Prof. Name
Date
Training Session for Policy Implementation
Hello everyone. My name is _______, and I welcome you to today’s training session on implementing proposed policy and practice guidelines within the Mercy Medical Center (MMC). This session was mainly developed for nurses, as they are one of the group members responsible for executing the proposal for diabetes screening.
Session Objectives
The objectives for today’s session are:
- Discuss the results of MMC’s performance dashboard evaluation against established benchmarks.
- Summarize the proposed policy and practice guidelines to improve underperformance in one of the benchmark metrics.
- Review evidence-based strategies for working with nurses to acquire their buy-in, ensuring seamless implementation.
- Elaborate the impact of new policy and practice guidelines on nurses’ work routines and duties.
- Describe how the policy and practice recommendations will enhance the quality of care and patient outcomes.
- Discuss nurses’ importance in implementing the proposal.
- Determine appropriate resources and content for training sessions.
- Conclude the training session.
Evaluation Results and the Proposal
This training session is based on an evaluation performed using dashboard data from MMC. The evaluation results reveal significant shortfalls in diabetes care metrics (eye exams, foot exams, and HgbA1c). However, we selected examinations due to substantial underperformance and the most significant potential to improve patient outcomes. MMC’s foot examination rates were 40.85% in 2019 and 41.7% in 2020, falling below the benchmark established by the Agency for Healthcare Research and Quality (AHRQ), which is 78.8% with at least one comprehensive foot examination in a year (AHRQ, n.d.). This underperformance highlights a critical area of improvement, as comprehensive foot exams are essential for early detection and prevention of severe complications in diabetic patients, enhancing patient outcomes and improving organizational performance.
Policy and Practice Guidelines
MMC is dedicated to delivering high-quality diabetic care, adhering to the American Diabetes Association (ADA) recommendations. The proposed policy mandates annual comprehensive foot examinations and risk factor screenings at each patient visit to meet AHRQ benchmarks and improve patient outcomes. To execute this policy, several stakeholder groups are essential. These include physicians, nurses, administrators, quality improvement teams, and patient advocacy groups. While physicians will perform detailed foot exams, assessing for skin changes, ulcers, infections, and neuropathy, and documenting findings for follow-up, nurses will play a crucial role by assisting with exams, educating patients on proper foot care, and emphasizing regular self-examinations to prevent complications. Administrators will ensure adequate resources and training, while quality improvement teams will review performance and enhance compliance. Patient advocates must educate the community, support policies, and advocate for comprehensive care.
Evidence-based Strategies to Work with Nurses
While all stakeholder groups are crucial for their diverse expertise and holistic application of the proposal, nurses, as frontline workers, are especially vital in implementing the policy and practice guidelines at the forefront. Thus, we present some evidence-based strategies to work with the responsible role group, engaging their participation and creating buy-in for the proposal.
- Nurse Engagement in Policy Development: Engage nurses early in policy development by involving them in planning and decision-making. This can be achieved through focus groups, surveys, and representation on policy committees (Inayat et al., 2023). By soliciting their input and addressing their concerns, nurses will feel valued and offer their interest in the proposal. This approach ensures the policy is patient-centered and tailored to real-world frontline situations, increasing the likelihood of successful implementation.
- Training Programs: Implement comprehensive training programs that equip nurses with the necessary knowledge and skills to execute the new policy and practice guidelines. These programs should include hands-on workshops, simulations, and continuous education credits on the importance of thorough foot examinations and provide clear protocols and checklists (Leonard, 2024). By ensuring nurses are well-prepared, the transition to new guidelines will be smoother, fostering better patient outcomes and higher quality care.
- Ongoing Support and Feedback: Provide ongoing support and establish feedback mechanisms to address challenges nurses face in implementing the new policy. This can include regular check-ins, mentorship programs, and access to resources such as updated protocols and educational materials. Encouraging open communication and creating a supportive environment helps nurses feel supported and reduces resistance to change. Evidence suggests that continuous support and the ability to provide feedback improve job satisfaction, adherence to new policies, and performance (Zhang & Li, 2023). This strategy will ensure nurses remain engaged and committed to delivering high-quality care.
NHS FPX 6004 Assessment 3 Training Session for Policy Implementation
- Early indications of success can be measured by monitoring several key metrics. These include increased compliance with foot examination protocols, as evidenced by higher documentation rates in patient records (Cooksey, 2020). Other indicators include patient outcomes, such as a reduction in foot-related complications and hospitalizations. Moreover, feedback from nurses through surveys and focus groups is a success measure, reflecting improved confidence and satisfaction with the new guidelines. Additionally, audit results showing adherence to standardized protocols and positive changes in patient education practices regarding foot care can provide early evidence of successful implementation. These metrics collectively signal progress and the effectiveness of the new policy.
Implementation Process and Impact of Proposal
By standardizing foot examinations, the policy and practice guidelines aim to improve early detection and management of foot-related complications, such as ulcers, infections, amputations, and death (Kuguyo et al., 2024). When adequately followed, these recommendations will enhance patient outcomes and reduce the incidence of severe complications and hospitalizations. Furthermore, this proposal will ensure MMC’s adherence to AHRQ benchmarks, improving compliance with regulatory standards, better performance ratings, and funding opportunities for the organization.
The implementation will begin with training programs for all nursing staff to ensure they understand the new guidelines and protocols. Then, we will introduce standardized checklists and documentation tools to facilitate consistent foot examinations (Leonard, 2024). We will conduct regular meetings and feedback sessions to address issues and gather input from nurses. Pilot programs in selected departments will allow for refining the process before a full-scale rollout, ensuring smooth implementation and minimizing disruptions. Simultaneously, quality improvement teams will monitor compliance and effectiveness, making necessary adjustments based on the dashboard data and feedback.
Nevertheless, implementing proposed policy and practice guidelines considerably influences nurses’ daily routine by adding precise steps for screening and documenting foot health (Zhao et al., 2023). This change will require nurses to allocate additional time for these examinations, potentially adjusting appointment schedules to ensure thorough assessments. Moreover, the additional role of patient education may initially increase workload and require adaptation. Yet, the long-term benefits include enhanced skills, improved patient outcomes, and greater job satisfaction. Effective training and support will facilitate this transition and ensure nurses can manage their expanded roles efficiently (Leonard, 2024).
Importance of Proposed Policy and Practice Guidelines
MMC’s new policy and practice guidelines are vital for enhancing the quality of care and improving patient outcomes, particularly regarding nursing practices. By standardizing foot examinations for diabetic patients, nurses will have a clear, evidence-based framework for assessing and managing foot health. This proactive approach enables early detection of complications, such as ulcers and infections, critical to preventing severe consequences like amputations (McDermott et al., 2023). Implementing these guidelines ensures that every patient receives consistent, high-quality care, reducing variability and improving patient outcomes.
Moreover, the guidelines emphasize the importance of patient education, empowering nurses to educate patients on self-care practices, further enhancing patient engagement and adherence to treatment plans (Tekir et al., 2023). Adhering to these guidelines will also streamline nursing workflows, reducing the uncertainty and stress associated with inconsistent practices. The ongoing support and training will ensure nurses feel competent and valued, increasing job satisfaction. Ultimately, this policy represents a commitment to excellence in nursing care, benefiting patients and nurses by promoting a culture of quality and accountability.
Nurses’ Role in the Execution of the Proposal
Nurses’ active involvement and buy-in are crucial for successfully implementing new policies and guidelines. Nurses are frontline healthcare providers who directly interact with patients and play a central role in delivering care (Leonard, 2024). Their buy-in ensures the new practices are embraced and effectively integrated into daily workflows, leading to better adherence and outcomes. Moreover, nurses’ input during the implementation phase can provide valuable insights into practical challenges and facilitate necessary adjustments to improve effectiveness. Nurses are crucial in the early detection and management of diabetic foot complications, leading to improved patient care and patient safety (Troisi et al., 2023).
In the future, nurses stand at the forefront of healthcare innovation and transformation. Empowered by their expertise and compassion, they deliver personalized, holistic care to patients worldwide. Nurses drive positive change through their dedication, advocating for preventive measures and early interventions to improve patient outcomes. Their unwavering commitment to excellence fosters a culture of collaboration and innovation, shaping a healthcare landscape where every individual receives compassionate, high-quality care. As leaders in their field, nurses inspire hope, healing, and resilience, leaving a lasting impact on the health and well-being of communities everywhere.
Educational Resources for Training Sessions
Instructional Content
The training session will cover the new policy and practice guidelines for diabetic foot examinations at MMC. It will include detailed information on the importance of foot examinations, standardized protocols for conducting exams, documentation requirements, and patient education strategies.
Learning Activities
Several learning activities, such as interactive case studies, role-playing exercises, and simulations, will be included in the training sessions. Participants will engage in case-based discussions to apply the new guidelines in real-life scenarios, enhancing critical thinking and problem-solving skills. Additionally, role-playing scenarios will simulate patient interactions, allowing nurses to practice communication skills and apply the guidelines in a simulated environment. Simulation demonstrations of foot examination techniques will provide nurses hands-on experience and reinforce proper procedures (Becnel, 2023).
Materials
We will use visual aids in the training session to summarize key points and guidelines for easy reference. We should prepare handouts containing tool kits to facilitate nurses with checklists and application of the procedures (Leonard, 2024). Lastly, we will need simulation tools, such as foot models or diagnostic equipment, for role-playing exercises to enhance realism and engagement.
Each proposed activity supports learning and skill development by providing opportunities for active engagement, application of knowledge, and hands-on practice. Interactive case studies and role-playing exercises allow nurses to apply the guidelines in practical scenarios, fostering critical thinking and decision-making skills. Hands-on demonstrations provide tactile learning experiences, reinforcing proper techniques and procedures. Additionally, visual aids and handouts aid in comprehending and retaining essential information. With careful planning and efficient time management, the training session can be completed within two hours while effectively achieving its objectives.
Conclusion
In conclusion, these policy and practice guidelines are essential for MMC to improve underperformance, patient outcomes, and organizational reputation. Nurses are crucial in implementing this proposal due to their frontline responsibilities. By engaging and empowering nurses through targeted training and support, MMC can enhance the quality of care and patient outcomes. Effective stakeholder collaboration, continuous feedback, and robust implementation strategies are essential for success. With dedicated efforts and the active involvement of all stakeholders, MMC can achieve compliance with AHRQ benchmarks, foster a culture of excellence, and ensure that every patient receives the highest standard of care.
References
AHRQ. (n.d.). National Healthcare Quality and Disparities Reports (NHQDR). datatools.ahrq.gov. https://datatools.ahrq.gov/nhqdr/?tab=state&dash=287
Becnel, K. T. (2023). Effectiveness of simulation-based case studies on knowledge acquisition and clinical judgment in undergraduate nursing students. Nurse Education Today, 132, 105994–105994. https://doi.org/10.1016/j.nedt.2023.105994
Cooksey, C. (2020). Strategies to improve annual diabetic foot screening compliance at a family clinic. Clinical Diabetes, 38(4), 386–389. https://doi.org/10.2337/cd20-0030
Inayat, S., Younas, A., Andleeb, S., Rasheed, S. P., & Ali, P. (2023). Enhancing nurses’ involvement in policy-making: A qualitative study of nurse leaders. International Nursing Review, 70(3), 297–306. https://doi.org/10.1111/inr.12828
NHS FPX 6004 Assessment 3 Training Session for Policy Implementation
Kuguyo, O., Mukona, D. M., Chikwasha, V., Gwanzura, L., Chirenda, J., & Matimba, A. (2024). Prevalence and risk factors for diabetic foot complications among people living with diabetes in Harare, Zimbabwe: a cross-sectional study. BMC Public Health, 24(1), 677. https://doi.org/10.1186/s12889-023-17610-7
Leonard, V. S. (2024). Increasing diabetic foot exam rates in primary care via a toolkit for registered nurses. Clinical Diabetes. https://doi.org/10.2337/cd23-0103
McDermott, K., Fang, M., Boulton, A. J. M., Selvin, E., & Hicks, C. W. (2023). Etiology, epidemiology, and disparities in the burden of diabetic foot ulcers. Diabetes Care, 46(1), 209–221. https://doi.org/10.2337/dci22-0043
Tekir, Ö., Çevik, C., & Özsezer, G. (2023). The effects of education on foot care behaviors and self-efficacy in type 2 diabetes patients. Nigerian Journal of Clinical Practice, 26(2), 138. https://doi.org/10.4103/njcp.njcp_690_20
Troisi, N., Bertagna, G., Juszczak, M., Canovaro, F., Torri, L., Adami, D., & Berchiolli, R. (2023). Emergent management of diabetic foot problems in the modern era: Improving outcomes. Seminars in Vascular Surgery, 36(2), 224–233. https://doi.org/10.1053/j.semvascsurg.2023.04.012
NHS FPX 6004 Assessment 3 Training Session for Policy Implementation
Zhang, T., & Li, M. (2021). Does feedback seeking help safety performance improvement? The role of consideration of future consequences. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.630669
Zhao, N., Xu, J., Zhou, Q., Hu, J., Luo, W., Li, X., Ye, Y., Han, H., Dai, W., & Chen, Q. (2023). Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: A cross-sectional study in Changsha, China. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-023-02027-3