Nurs fpx 4005 assessment 3

Student Name

Capella University

NURS-FPX4005 Nursing Leadership: Focusing on People, Processes, and Organizations

Prof. Name

Date

Interdisciplinary Plan Proposal

Introduction

The rising prevalence of Type 2 diabetes at St. Paul Regional Health Center necessitates a structured and collaborative interdisciplinary approach to patient education and care coordination. Many patients struggle with self-management due to a lack of education, poor nutritional guidance, and psychological barriers (Adhikari et al., 2021). This proposal aims to establish a comprehensive diabetes education program within the outpatient diabetes management department. A team-based approach will be employed to enhance self-care behaviors and minimize diabetes-related complications.

Objective

The primary goal of this plan is to design an interdisciplinary diabetes education program involving primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. By improving patient knowledge and self-care abilities, this initiative aims to enhance glycemic control, decrease hospital readmissions, and reduce healthcare costs. Research indicates that interdisciplinary diabetes care improves patient outcomes while lowering overall healthcare expenditures (Nurchis et al., 2022).

Key Components of the Plan

Component	Description
Education Program	Provides structured diabetes education to enhance self-care skills.
Interdisciplinary Collaboration	Involves physicians, nurses, dietitians, pharmacists, and behavioral health specialists working together.
Technology Integration	Uses electronic health records (EHR) for improved communication and monitoring.
Financial Considerations	Initial investment of $50,000, with expected annual savings of $100,000.
Expected Outcomes	Improved adherence to self-management, reduced readmissions, and lower healthcare costs.

Nurs fpx 4005 assessment 3

Questions and Predictions

Several critical questions will guide the program’s implementation and assessment:

1. How does interdisciplinary collaboration affect adherence to diabetes self-management?
   • It is anticipated that patients will show a 20% improvement in adherence to medication, diet, and exercise within six months.
2. What barriers might hinder successful implementation?
   • Resistance from both patients and staff may arise, but continuous education and support can mitigate these concerns.
3. How will this program reduce hospital readmission rates?
   • A projected 15% decrease in diabetes-related hospital readmissions within a year is expected (Pugh et al., 2021).
4. What impact will the program have on the workload of the healthcare team?
   • A temporary 10% workload increase is expected, but structured workflows will improve efficiency.
5. What are the financial implications?
   • While initial costs will be significant, long-term savings will result from reduced emergency care needs and diabetes-related complications (Haque et al., 2021).

Change Theories and Leadership Strategies

To facilitate smooth implementation, Kotter’s 8-Step Change Model will be used. The approach emphasizes building urgency, securing leadership support, and fostering employee buy-in (Miles et al., 2023). Awareness will be raised about diabetes management deficiencies, and an interdisciplinary approach will be advocated.

Nurs fpx 4005 assessment 3

The transformational leadership model will drive motivation among healthcare providers. Transformational leaders inspire teams by promoting collaboration and innovation (Ystaas et al., 2023). Open discussions and shared decision-making will encourage long-term commitment to the program.

Team Collaboration Strategy

Effective teamwork is essential for the program’s success. The roles and responsibilities of each healthcare professional are outlined below:

Healthcare Provider	Role in the Program
Primary Care Providers	Conduct initial assessments, prescribe medication, and monitor progress.
Nurses	Provide ongoing education, coordinate care, and serve as patient liaisons.
Dietitians	Develop personalized meal plans and educate patients on nutrition strategies.
Behavioral Health Specialists	Address psychological barriers, including stress, depression, and emotional eating (Segal & Gunturu, 2024).
Pharmacists	Optimize medication regimens and provide patient education on proper medication use.

Required Organizational Resources

Successful implementation will require investment in staffing, training, and technology. Training will include diabetes education, motivational interviewing techniques, and interdisciplinary collaboration (Ng et al., 2023). Essential equipment includes educational materials, blood glucose monitoring devices, and telehealth tools for virtual consultations.

Resource	Requirement
Staffing	Training for healthcare professionals to enhance diabetes education skills.
Technology	Integration of EHR for improved care coordination.
Financial Support	Estimated initial cost of $50,000, with projected savings of $100,000 annually.
Administrative Approval	Coordination with hospital administration and IT for EHR implementation.

Potential Consequences of Non-Implementation

Failure to implement this plan may lead to persistent non-adherence, increased hospital readmissions, and higher long-term healthcare costs. Without structured education and support, patients remain at risk for severe complications, including cardiovascular disease, kidney failure, and amputations (Nurchis et al., 2022). Addressing these issues proactively through interdisciplinary collaboration will ensure better patient outcomes and financial sustainability for the hospital.

Conclusion

Implementing an interdisciplinary diabetes education program at St. Paul Regional Health Center will significantly enhance patient self-management, improve health outcomes, and reduce costs. A dedicated healthcare team will support patients through structured training and technology-driven solutions. The program’s long-term benefits outweigh initial investments, making it a sustainable and effective approach to diabetes care.

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/

Nurs fpx 4005 assessment 3

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

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. BioMed Central Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06193-x