NURS FPX 4005 Assessment 3

Name

Capella University

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

Prof. Name

Date

Interdisciplinary Plan Proposal

Introduction

The increasing prevalence of Type 2 diabetes at St. Paul Regional Health Center necessitates a structured and interdisciplinary approach to patient education and care coordination. Many patients struggle with diabetes management due to a lack of education, inadequate nutritional guidance, and psychological barriers (Adhikari et al., 2021). To address these issues, this proposal suggests the implementation of a diabetes education program within the outpatient diabetes management department. This initiative will integrate an interdisciplinary team to enhance self-care behaviors, reduce complications, and improve long-term patient outcomes.

Objectives and Expected Outcomes

The primary objective of this program is to establish an interdisciplinary diabetes education initiative that involves primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists. This collaboration aims to enhance adherence to self-management strategies, ultimately improving glycemic control, reducing hospital readmissions, and lowering healthcare costs. Research highlights that an interdisciplinary approach leads to better patient outcomes and cost reductions in diabetes care (Nurchis et al., 2022).

Key questions guiding the program include assessing the impact of interdisciplinary collaboration on adherence to diabetes self-management and identifying barriers to implementation. It is expected that patient adherence to medication, diet, and exercise will increase by 20% within six months. Additionally, self-management improvements are anticipated to reduce diabetes-related hospital readmissions by 15% annually (Pugh et al., 2021). Despite potential initial resistance from both healthcare providers and patients, continued education and support will help integrate the program effectively. While the team may experience a 10% increase in workload, structured workflows are expected to enhance efficiency, leading to long-term cost savings and improved patient care (Haque et al., 2021).

Change Theories and Leadership Strategies

Kotter’s 8-step change model will guide the program’s implementation, focusing on creating urgency for better diabetes management, securing staff buy-in, and reinforcing the initiative’s importance through leadership support (Miles et al., 2023). Transformational leadership will be instrumental in motivating healthcare providers, fostering innovation, and encouraging collaboration. Open dialogue and shared decision-making will play a crucial role in ensuring continued team engagement and success (Ystaas et al., 2023).

Team Collaboration Strategy

The success of this program hinges on effective interdisciplinary collaboration. Primary care providers will assess patients, prescribe medications, and monitor progress, while nurses will educate patients, coordinate care, and serve as primary contacts. Dietitians will develop personalized meal plans, and behavioral health specialists will address emotional and psychological factors that impact diabetes management (Segal & Gunturu, 2024). Pharmacists will optimize medication regimens and educate patients on proper usage. Weekly interdisciplinary meetings will facilitate communication, ensuring cohesive care. Additionally, a shared electronic health record (EHR) system will support real-time data exchange, enhancing care coordination and reducing medication errors (Robertson et al., 2022).

Resource Requirements and Potential Impact

Implementing this program requires investments in staffing, training, and technology. Staff will need specialized training in diabetes education, motivational interviewing, and interdisciplinary collaboration (Ng et al., 2023). The program will require educational materials, blood glucose monitoring devices, and telehealth support for virtual consultations. An initial investment of $50,000 will cover training and technology setup, while long-term savings of approximately $100,000 annually are projected due to reduced hospitalizations and emergency visits. Collaboration with the hospital’s IT department will be necessary for EHR integration, and administrative approval will be required for budget allocation (Robertson et al., 2022).

Failure to implement this program may lead to ongoing patient non-adherence, increased hospital readmissions, and higher long-term healthcare costs. Without structured education and support, patients face greater risks of complications such as cardiovascular disease, kidney failure, and amputations—issues that significantly affect quality of life and healthcare expenditures (Nurchis et al., 2022). The proposed interdisciplinary diabetes education program presents a sustainable solution to improve patient care and alleviate the financial burden on St. Paul Regional Health Center.

Conclusion

This interdisciplinary diabetes education program aims to improve patient self-management, enhance collaboration among healthcare providers, and reduce healthcare costs. By integrating primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists, the initiative will deliver patient-centered education and support. Over time, the program is expected to generate cost savings and contribute to better health outcomes for diabetes patients at St. Paul Regional Health Center.

NURS FPX 4005 Assessment 3

Key Aspect	Description	Expected Outcomes
Objectives and Expected Outcomes	Establish an interdisciplinary diabetes education program to improve patient adherence to self-management strategies.	– 20% increase in adherence to medication, diet, and exercise (Pugh et al., 2021). – 15% reduction in hospital readmissions due to diabetes complications.
Change Theories and Leadership Strategies	Utilize Kotter’s 8-step model and transformational leadership to foster staff engagement and program implementation.	– Improved team collaboration and participation. – Enhanced leadership support for diabetes management initiatives.
Team Collaboration Strategy	Involve primary care providers, nurses, dietitians, behavioral health specialists, and pharmacists to provide patient-centered care.	– Coordinated diabetes management leading to better patient outcomes. – Reduced medication errors through EHR integration (Robertson et al., 2022).
Resource Requirements and Potential Impact	Train staff in diabetes education, motivational interviewing, and interdisciplinary collaboration. Invest in EHR and telehealth technology.	– $50,000 initial investment, but $100,000 in projected annual savings. – Enhanced patient engagement and improved long-term diabetes management.
Failure to Implement	Lack of structured education could lead to continued patient non-adherence, higher hospital readmissions, and increased healthcare costs.	– Higher rates of diabetes-related complications. – Increased financial strain on healthcare systems (Nurchis et al., 2022).

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