NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations

Leadership, Collaboration, Communication, Change Management, and Policy Considerations

The purpose of this report is to assess the problem of improving patient outcomes and organizational processes from a leadership, collaboration, communication, change management, and policy perspective. As a nurse working to effect positive patient outcomes and improve organizational processes (NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations), it is important to identify and address the challenges that may arise in achieving these goals (Nardi et al., 2020). Therefore, this report will explore the problem in-depth and provide recommendations on how to address these challenges. Moreover, this research will examine the influence of leadership on enhancing health outcomes for individuals with diabetes, using the case study of Mr. Andrew, a fifty-nine-year-old male patient.

Problems in Healthcare Organizations

I have spent 2 practicum hours with a diabetic patient Mr. Andrew, who is facing the challenges of managing his diabetes. Type-2 diabetes is a prevalent chronic disease in the United States, affecting millions of individuals. According to the Centers for Disease Control and Prevention (CDC), over 34 million people in the US have diabetes, with approximately 90-95% of cases being type 2 diabetes (Thiruvengadam & Peter, 2021). This condition is more prevalent among older adults, individuals who are overweight or obese, and those with a family history of diabetes. Healthcare professionals, including nurses, play a crucial role in managing diabetes and preventing its complications by providing education and support to patients.

Moreover, the World Health Organization estimates that diabetes affects more than 400 million people globally, with type 2 diabetes accounting for about 90% of all diabetes cases (Sirdah & Reading, 2020). This chronic condition requires a complex management approach, including medication, lifestyle modifications, and regular monitoring of blood glucose levels.

In the case of Mr. Andrew, his diabetes diagnosis poses a significant health problem that affects his daily life and well-being. I understand that uncontrolled diabetes can lead to various complications, which can ultimately result in disability, reduced quality of life, and even premature death. As a nursing student, it is crucial to understand the impact of these complications and the importance of preventing them by managing diabetes effectively.

As a baccalaureate-prepared nurse, diabetes is highly relevant to my practice. With my education and training, I can provide effective care to patients with diabetes, prevent complications, and promote patient-centered care. Additionally, I can contribute to policy development and advocacy efforts related to diabetes prevention and management, reducing the burden on patients and their families.

In my personal experience as a nursing student, I have seen the impact of diabetes on patients’ lives and the challenges they face in managing their condition. For instance, some patients may struggle to adhere to their medication regimen, monitor their blood glucose levels regularly, or make lifestyle modifications, such as maintaining a healthy diet and engaging in physical activity. It is therefore important for healthcare professionals, including nurses, to provide education and support to patients like Mr. Andrew to help them manage their diabetes effectively and prevent complications.

Evidence-Based Approach

Several peer-reviewed sources provide robust evidence-based guidance for nursing actions related to diabetes management for patients like Mr. Andrew. According to the American Diabetes Association (ADA) Standards of Medical Care in Diabetes, nurses should prioritize patient-centered care, emphasizing individualized treatment plans, patient education, and self-management support (Goyal et al., 2020). To deliver effective diabetes care, nurses should collaborate with other healthcare providers and utilize evidence-based guidelines.

The literature also highlights the importance of patient education in diabetes management. Implementing this countermeasure, my healthcare center is educating diabetes patients about lifestyle modifications, such as diet and exercise, as well as medication adherence and self-monitoring. Education should be culturally appropriate, as cultural beliefs and practices can significantly impact diabetes management.

Potential Barriers

Despite the availability of evidence-based guidelines, potential barriers to evidence-based practice in diabetes management exist, including limited resources, time constraints, and resistance to change. Overcoming these barriers requires a systematic approach that emphasizes education and training for healthcare providers, a collaboration between stakeholders, and policy changes that support evidence-based practice (Sharma et al., 2020).

Theoretical Guiding Frameworks

In addition to evidence-based guidelines, theoretical guiding frameworks can inform nursing actions related to diabetes management. The Chronic Care Model (CCM) emphasizes a patient-centered, proactive approach to care that focuses on the entire care team working collaboratively to prevent and manage diabetes (Timpel et al., 2020). The Theory of Self-Care Management highlights the importance of patient education, self-monitoring, and empowerment in promoting effective diabetes management.

As a baccalaureate-prepared nurse, utilizing evidence-based guidelines and theoretical frameworks can promote effective diabetes management for patients like Mr. Andrew. By overcoming barriers to evidence-based practice, nurses can ensure that patients receive high-quality, patient-centered care that is tailored to their individual needs. Additionally, theoretical guiding frameworks such as the CCM can inform nursing actions to promote effective type 2 diabetes management (Timpel et al., 2020).

Organizational or Governmental Policies 

State board nursing practice standards and organizational or governmental policies play a critical role in shaping the scope of nursing practice and, therefore, the management of Mr. Andrew’s diabetes problem. For instance, the state nursing practice standards may require nurses to have specific qualifications, such as certification in diabetes management or continuing education in diabetes care. Compliance with these standards may be necessary for the provision of optimal care to patients with diabetes, including Mr. Andrew.

Effect of Organizational Policies

Organizational policies can also affect nursing practice in managing diabetes (Powers et al., 2020). For example, policies related to staffing, training, and resource allocation can affect the provision of adequate diabetes care. Adequate staffing levels can ensure that nurses have sufficient time to provide comprehensive patient education and promote self-management. Policies that allocate resources towards diabetes management tools and technologies, such as continuous glucose monitoring devices and insulin pumps, can improve diabetes management outcomes for patients.

Effect of Government Policies

Government policies such as reimbursement policies can also influence nursing practice in managing diabetes. For instance, policies that allow for reimbursement of diabetes self-management education can encourage nurses to engage in education provision to patients with diabetes (Davis et al., 2022). Policies that provide financial incentives for healthcare providers to achieve certain diabetes management targets, such as glycemic control, can encourage nurses to provide comprehensive care and promote better outcomes for patients like Mr. Andrew.

Policies Affecting Nursing Scope of Practice

Policies at the organizational, governmental, and state board levels can have a significant impact on the nursing scope of practice by defining the boundaries of what nurses can and cannot do in their clinical practice. Also, policies impact a range of activities, procedures, and interventions that nurses are legally authorized and competent to perform (Aljohani et al., 2022). They may restrict or expand this scope of practice depending on the policy’s intent.

For example, state-level policies may require nurses to obtain additional certifications or training before performing certain procedures or administering certain medications, thereby limiting their scope of practice. On the other hand, some policies may expand the scope of practice by allowing nurses to perform tasks traditionally performed only by physicians, such as prescribing medications or ordering diagnostic tests. So, it is crucial for nurses to stay informed and advocate for policies that promote the evidence-based nursing practice and optimal patient care.

Leadership Strategies to Improve Outcomes

Leadership strategies are critical to improving outcomes in healthcare settings because they provide a framework for guiding change and promoting patient-centered care. Effective leadership can help to ensure that healthcare professionals are working together collaboratively and efficiently while also empowering patients to be active participants in their own care. By implementing evidence-based leadership strategies, healthcare organizations can enhance patient safety, quality of care, and overall patient satisfaction. To improve outcomes, patient-centered care, and the patient experience related to Mr. Andrew’s diabetes problem, several leadership strategies can be implemented. 

Firstly, a team-based approach can be adopted, where a collaborative team of healthcare professionals including nurses, physicians, dietitians, and diabetes educators, works together to develop a comprehensive care plan for Mr. Andrew. This team-based approach will ensure that all aspects of Mr. Andrew’s care are addressed and that the plan is patient-centered and tailored to his specific needs. 

Moreover, motivational leadership can encourage and support ongoing education and training for healthcare professionals to ensure they are up-to-date on the latest diabetes care guidelines and best practices. This can include regular training sessions and professional development opportunities. 

Finally, transformational leadership can support the use of technology, such as telehealth or mobile apps, to facilitate communication between healthcare professionals and patients, provide education and self-management support, and monitor patients’ progress. By implementing these leadership strategies, Mr. Andrew’s diabetes problem can be addressed in a comprehensive and patient-centered manner, leading to improved outcomes and a better patient experience. 

Role of Leader and Need for Collaboration

Effective leadership is critical in addressing patient, family, or population problems because it sets the tone for the entire healthcare team. Collaboration is an essential component of effective leadership. Leaders who foster a collaborative team environment, communicate effectively with their team and patients and proactively manage change can help ensure positive patient outcomes, patient-centered care, and a positive patient experience. Without strong leadership, healthcare teams may struggle to address patient needs and achieve desired outcomes.

Collaboration is also essential in achieving successful outcomes. It involves working with team members, patients, families, and other stakeholders to identify solutions to problems and make decisions that benefit everyone involved. Collaboration fosters shared decision-making, which leads to more comprehensive solutions and better outcomes. Leaders must create an environment that encourages collaboration by valuing input from all stakeholders and promoting teamwork. They should also be proactive in addressing any conflicts that may arise and facilitate the resolution of these conflicts in a respectful and productive manner.

Conclusion – NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations

In conclusion, nursing leadership plays a vital role in improving patient outcomes and promoting patient-centered care, especially for patients with chronic conditions such as type 2 diabetes. Evidence-based nursing practice, policy, and organizational support are crucial in addressing the challenges that nurses face in managing patients with chronic conditions. Furthermore, leadership strategies that involve collaboration, communication, and change management are essential to ensure optimal patient care and positive patient experiences.

Through effective leadership and collaboration with interdisciplinary teams, nurses can provide quality care and achieve better health outcomes for patients like Mr. Andrew, while also addressing the systemic issues that affect healthcare delivery. It is essential for nurses to remain informed, advocate for policies that support evidence-based nursing practice, and continue to improve their leadership skills to ensure patient-centered care and positive patient outcomes.

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References

 NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Aljohani, K. A., Alamri, M. S., AL-Dossary, R., Albaqawi, H., Hosis, K. A., Aljohani, M. S., Almadani, N., Alrasheadi, B., Falatah, R., Almazan, J., & Alharbi, J. (2022). Scope of nursing practice as perceived by nurses working in Saudi Arabia. International Journal of Environmental Research and Public Health, 19(7), 4220. https://doi.org/10.3390/ijerph19074220 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Davis, J., Fischl, A. H., Beck, J., Browning, L., Carter, A., Condon, J. E., Dennison, M., Francis, T., Hughes, P. J., Jaime, S., Lau, K. H. K., McArthur, T., McAvoy, K., Magee, M., Newby, O., Ponder, S. W., Quraishi, U., Rawlings, K., Socke, J., & Stancil, M. (2022). 2022 National standards for diabetes self-management education and support. The Science of Diabetes Self-Management and Care, 48(1), 44–59. https://doi.org/10.1177/26350106211072203 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Goyal, A., Gupta, Y., Singla, R., Kalra, S., & Tandon, N. (2020). American Diabetes Association “Standards of medical care—2020 for gestational diabetes mellitus”: A critical appraisal. Diabetes Therapy, 11(8), 1639–1644. https://doi.org/10.1007/s13300-020-00865-3 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Nardi, D., Waite, R., Nowak, M., Hatcher, B., Hines‐Martin, V., & Stacciarini, J. R. (2020). Achieving health equity through eradicating structural racism in the United States: A call to action for nursing leadership. Journal of Nursing Scholarship, 52(6). https://doi.org/10.1111/jnu.12602 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report of the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), dci200023. https://doi.org/10.2337/dci20-0023 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Sharma, M., Jain, N., Ranganathan, S., Sharma, N., Honavar, S., Sharma, N., & Sachdev, M. (2020). Tele-ophthalmology: Need of the hour. Indian Journal of Ophthalmology, 68(7), 1328. https://doi.org/10.4103/ijo.ijo_1784_20 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Sirdah, M. M., & Reading, N. S. (2020). Genetic predisposition in type 2 diabetes: A promising approach toward a personalized management of diabetes. Clinical Genetics. https://doi.org/10.1111/cge.13772 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Thiruvengadam, S., & Peter, P. R. (2021). Management of type 2 diabetes without insulin: An update for the PCP. Disease-a-Month, 101290. https://doi.org/10.1016/j.disamonth.2021.101290 

NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations: Timpel, P., Lang, C., Wens, J., Contel, J. C., Schwarz, P. E. H., & CARE Study Group, O. behalf of the M. (2020). The Manage care model – Developing an evidence-based and expert-driven chronic care management model for patients with diabetes. International Journal of Integrated Care, 20(2), 2. https://doi.org/10.5334/ijic.4646

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