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 prevalence of Type 2 diabetes at St. Paul Regional Health Center necessitates a structured and collaborative interdisciplinary approach to patient education and care management. Many patients experience difficulties in self-management due to inadequate education, poor dietary habits, and psychological barriers (Adhikari et al., 2021). To address these challenges, this proposal recommends implementing a structured diabetes education program within the outpatient diabetes management department. The initiative will focus on a team-based approach to improve self-care behaviors, ultimately reducing diabetes-related complications and hospitalizations.

Objective

The primary goal of this initiative is to establish an interdisciplinary diabetes education program incorporating primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. This collaboration aims to enhance patient adherence to self-management strategies, leading to improved glycemic control, reduced hospital readmissions, and lower long-term healthcare costs. Research suggests that interdisciplinary diabetes care enhances patient outcomes and reduces 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? The expectation is a 20% improvement in adherence to prescribed medication, dietary modifications, and physical activity within six months. Second, what challenges may arise during implementation? Anticipated obstacles include resistance from both nursing staff and patients; however, continuous education and support will help mitigate these issues.

Another critical question concerns the program’s impact on hospital readmission rates. Based on existing studies, a 15% reduction in readmissions is expected due to improved patient self-management (Pugh et al., 2021). Additionally, the effect on the interdisciplinary team’s workload will be evaluated. While an initial 10% increase in workload is projected, structured workflows will ultimately enhance efficiency. Finally, the financial impact must be considered. Although initial expenses related to staff 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).

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Table: Key Components of the Interdisciplinary Diabetes Education Program

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 improve patient self-management and health outcomes. By fostering collaboration among healthcare professionals and integrating technology for seamless coordination, the initiative aims to reduce hospital admissions, lower healthcare costs, and enhance patients’ quality of life. Ultimately, this structured approach will contribute to better patient care 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/

NURS FPX 4005 Assessment 3

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