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 rising incidence of Type 2 diabetes at St. Paul Regional Health Center requires a well-coordinated interdisciplinary approach to patient education and care management. Many patients face difficulties in self-management, often due to a lack of sufficient education, inadequate dietary guidance, and psychological barriers (Adhikari et al., 2021). To mitigate these challenges, this proposal outlines the development of a comprehensive diabetes education program within the outpatient diabetes management department. The program will adopt a team-based approach aimed at enhancing self-care practices, ultimately reducing complications related to diabetes.

Objective

The main goal of this initiative is to create an interdisciplinary diabetes education program that includes primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. By working together, this team will enhance patient adherence to self-management strategies, which is expected to improve glycemic control, reduce hospital readmissions, and lower long-term healthcare costs. Evidence suggests that interdisciplinary care for diabetes leads to better patient outcomes and reduces healthcare expenses (Nurchis et al., 2022).

Questions and Predictions

The success of this initiative will depend on addressing several key questions. First, how does interdisciplinary collaboration affect patient adherence to diabetes self-management? The program is anticipated to boost adherence to prescribed medication, dietary guidelines, and physical activity by 20% within six months. Second, what potential barriers might impede the program’s implementation? Initial resistance from both staff and patients is likely, but ongoing education and support are expected to alleviate these concerns.

Another important question concerns the program’s effect on hospital readmission rates. Previous studies suggest that a 15% reduction in readmissions can be expected, resulting from better self-management practices (Pugh et al., 2021). Additionally, the impact on the interdisciplinary team’s workload will be examined. A 10% increase in workload is expected initially, but structured workflows are predicted to improve overall efficiency. Finally, the financial implications will be considered. Although initial expenses for training and technology will be incurred, these costs are expected to be offset by reduced emergency care utilization and fewer diabetes-related complications (Haque et al., 2021).

Interdisciplinary Plan Proposal – Summary Table

Category	Details
Objective	Develop an interdisciplinary diabetes education program involving primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists to enhance patient self-management.
Expected Outcomes	Improve glycemic control, reduce hospital readmissions by 15%, and lower long-term healthcare costs.
Barriers & Solutions	Resistance from staff and patients; addressed through continuous education and support.

Category	Details
Change Theories & Leadership	Kotter’s 8-Step Change Model will guide implementation, ensuring stakeholder engagement and resource allocation (Miles et al., 2023).
Transformational Leadership	Encourages collaboration and innovation, ensuring active participation and long-term commitment from healthcare providers (Ystaas et al., 2023).
Team Collaboration	Primary care providers conduct initial assessments, nurses provide education, dietitians develop meal plans, behavioral specialists address mental health concerns, and pharmacists optimize medication use.

Category	Details
Organizational Resources	Investment in staffing, training, and technology, including educational materials, glucose monitors, and telehealth systems (Ng et al., 2023).
Financial Impact	Initial investment of $50,000; projected long-term savings of $100,000 per year through reduced hospitalizations and emergency visits.
Technology Integration	Coordination with IT for EHR integration and hospital administration for resource allocation (Robertson et al., 2022).

Conclusion

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

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