Addressing Type 2 Diabetes Mellitus: An Organizational-based Intervention
Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval. This is based off 3 previous paper you completed on my father Bob being the diabetic patient.
Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources.
Incorporate relevant aspects of the following considerations that shaped your understanding of the problem:
Quality of care.
Costs to the system and individual.
In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following:
Power point presentation with speaker notes******
Submit your proposed intervention to your faculty for review and approval.
In a separate written deliverable, write a 5â€“7 page analysis of your intervention.
Summarize the patient, family, or population problem.
Explain why you selected this problem as the focus of your project.
Explain why the problem is relevant to your professional practice and to the patient, family, or group.
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.
Define the role of leadership and change management in addressing the problem.
Explain how leadership and change management strategies influenced the development of your proposed intervention.
Explain how nursing ethics informed the development of your proposed intervention.
Include a copy of the intervention/solution/professional product.
Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
Identify the patient, family, or group.
Discuss the benefits of gathering their input to improve care associated with the problem.
Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
Cite the standards and/or policies that guided your work.
Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
Cite evidence from the literature that supports your conclusions.
Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
Addressing Type 2 Diabetes Mellitus: An Organizational-based Intervention
Type 2 Diabetes Mellitus (T2DM) occurs when the pancreas fails to secrete enough insulin, the hormone that converts excess blood glucose into fats. An individual’s cells may also become insensitive to insulin, resulting in the inability to regulate blood glucose levels. Unregulated blood sugar increases the risk of developing cardiovascular disease, stroke, hypertension, atherosclerosis, and damage to kidneys and eyes. Additionally, one develops neuropathy and skin diseases.
The disease is ideal for solution development since medical researchers have yet to identify an exact cause. At best, they know that it is an autoimmune condition, and factors like age, genetics, obesity, inactivity, and pregnancy influence it. Almost half of all T2DM patients are at least sixty-five years old. (Bellary et al., 2021). Therefore, since the world population is gradually aging, the disease will increasingly become an essential healthcare problem. Comorbidities and loss of functionality are also important considerations when addressing T2DM. Next, the disease has a racial/ethnic disparity factor. For example, in the United States, it is more prevalent among African-Americans (13.2%), Hispanics (12.8%), and Southern Arizona Native American communities (24.1%) than in non-Hispanic whites (7.6%) (Rodríguez & Campbell, 2017). Additionally, cultural-specific health patterns, including health literacy levels, income, and access to healthcare services, mean that some communities, usually the minorities, bear a disproportionate burden of the disease. Therefore, healthcare professionals must integrate the available resources to develop solutions that enhance healthcare outcomes for T2DM patients.
The disease is relevant to nursing practice since it entails clinical and non-clinical aspects. In addition to administering the proper medication and other treatment interventions, the caregiver must also incorporate community resources. They must also exercise change management and leadership skills, communication, and collaboration to realize optimal care quality, patient safety, and low healthcare costs. Hence, T2DM requires developing a holistic intervention, making it relevant to developing nursing professionals.
Leadership and Change Management Strategies
Nursing leadership is integral to developing the intervention. First, organizational leaders must acknowledge the problem. They must accept that their facility can offer better outcomes to T2DM patients, thereby initiating the change process. Their primary focus of improvement would be the nursing staff. Effective leadership will ensure that all caregivers are sufficient skills and knowledge to facilitate positive outcomes. Leaders can facilitate this change by providing continuing education programs, training workshops, and recruiting established experts. Organizational leadership can also oversee the creation of interdisciplinary teams to amass all the necessary resources. Specifically, each team should consist of clinical and non-clinal professionals to acquire, organize, and disseminate information on community resources. The successful implementation of the new organizational format would allow T2DM patients to access all the care they need in one location.
Organizational change is hard to implement, hence the need for a sound change-management strategy. For instance, Lippitt’s seven-stage approach would allow the leaders to identify problematic areas. These could be challenges at the workplace or patient/community-based barriers. The leaders would then follow the other steps: evaluation of change motivation resource assessment, objective creation, role definition, change sustenance, and support termination for patients/community members (Hawkes & Hendricks-Jackson, 2017). Therefore, the change strategy allows patients and caregivers to realize better clinical and non-clinical outcomes.
Nursing Ethics was crucial to developing the intervention. For instance, one must consider maintaining patient privacy in an integrated healthcare team. Thus, it was necessary to incorporate cybersecurity protocols and practices, e.g., login pages and preferential reveal of patient identity. Other essential ethical considerations entailed patient autonomy, where the caregivers must acquire informed consent before exposing patients to the intervention. The patients would also have the freedom to decide the community resources and healthcare technology they would use. Hence, nursing ethical principles provided reliable guidelines to develop an effective intervention.