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 increasing number of Type 2 diabetes patients at St. Paul Regional Health Center requires a comprehensive and coordinated interdisciplinary approach to patient education and care management. Many patients struggle with self-management due to insufficient education, poor dietary guidance, and psychological challenges (Adhikari et al., 2021). This proposal aims to introduce a structured diabetes education program within the outpatient diabetes management department. The program will follow a team-based approach to enhance self-care behaviors, ultimately reducing diabetes-related complications.

Objective

The primary goal of this initiative is to establish an interdisciplinary diabetes education program involving primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. This collaboration aims to enhance patients’ adherence to self-management techniques, which will improve glycemic control, reduce hospital readmissions, and lower long-term healthcare expenses. Research indicates that interdisciplinary diabetes care leads to better patient outcomes and decreased healthcare expenditures (Nurchis et al., 2022).

Questions and Predictions

Several critical questions will guide the program’s development and assessment. Firstly, how does interdisciplinary collaboration affect patient adherence to diabetes self-management? The program is expected to increase adherence to prescribed medication, dietary recommendations, and exercise by 20% within six months. Secondly, what challenges may hinder successful implementation? Initial resistance from both nursing staff and patients is anticipated; however, continuous education and support will help overcome these concerns.

Another key question is how the program will impact hospital readmission rates. Based on previous studies, a 15% decrease in readmissions due to improved self-management is expected within one year (Pugh et al., 2021). Additionally, the program’s impact on interdisciplinary team workload will be assessed. While an initial 10% increase in workload is predicted, structured workflows will enhance efficiency. Finally, the financial implications of the project must be considered. While initial expenses related to training and technology will be incurred, these costs will be offset by reduced emergency care utilization and fewer diabetes-related complications (Haque et al., 2021).

NURS FPX 4005 Assessment 3

Category	Details
Objective	Develop an interdisciplinary diabetes education program with 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 decrease 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 the implementation process. Leadership will create urgency, provide resources, and ensure stakeholder engagement (Miles et al., 2023).
Transformational Leadership	Encourages collaboration and innovation, ensuring healthcare providers’ active participation and long-term commitment (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; estimated 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).

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Conclusion

This interdisciplinary diabetes education program is designed to enhance self-management and improve patient outcomes. By fostering collaboration among healthcare providers and utilizing technology for seamless care coordination, the initiative aims to reduce hospitalizations, lower costs, and improve patients’ quality of life. 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