NURS FPX 4005 Assessment 4

NURS FPX 4005 Assessment 4

Name

Capella University

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

Prof. Name

Date

DEI and Ethics in Stakeholder Presentation

Organizational Issue

At St. Paul Regional Health Center (SPRHC), delays in implementing an integrated diabetes education program have impacted patient adherence to self-management strategies. These delays stem from fragmented care coordination and inconsistent communication among interdisciplinary teams. Additionally, a lack of structured workflows for patient education further exacerbates the issue. The absence of real-time collaboration between primary care providers, nurses, dietitians, pharmacists, and behavioral health specialists leads to misaligned treatment plans, ultimately creating gaps in diabetes management.

These inefficiencies contribute to poor glycemic control, increased hospital readmissions, and higher long-term healthcare costs. Furthermore, inadequate interdisciplinary coordination affects staff morale, as healthcare professionals struggle with unclear roles and ineffective workflows, leading to burnout. The reputation of SPRHC could also suffer, as ineffective diabetes management may deter future patients and hinder the hospital’s ability to attract top healthcare talent. According to Tandan et al. (2024), a systematic review and meta-analysis of team-based interventions in primary care showed significant reductions in systolic blood pressure, diastolic blood pressure, and HbA1C levels when multiple teamwork components were involved. These findings highlight the importance of a structured, interdisciplinary approach to improving diabetes management at SPRHC.

Importance of the Issue

Addressing gaps in diabetes education and interdisciplinary practice at SPRHC is crucial to providing high-quality, patient-centered care. Implementing a structured diabetes education program will enhance workflow efficiency by establishing standardized protocols, shared decision-making, and common electronic health record (EHR) templates. These changes will enable real-time treatment adjustments through weekly interdisciplinary rounds. Improved coordination among primary care providers, nurses, dietitians, pharmacists, and behavioral health professionals will optimize clinical outcomes while fostering a culture of teamwork.

Effective communication and minimized treatment variability will ensure that healthcare providers deliver evidence-based care while enhancing job satisfaction. This initiative aligns with SPRHC’s mission to provide comprehensive diabetes care, build patient trust, and encourage long-term patient engagement. Ultimately, these improvements will contribute to reduced hospital readmissions, decreased healthcare expenses, and enhanced organizational effectiveness, ensuring sustainable excellence in diabetes care.

Importance of an Interdisciplinary Team Approach

Improved care coordination among primary care providers, endocrinologists, diabetes educators, dietitians, pharmacists, and behavioral health professionals is critical to optimizing Type 2 diabetes care. A formalized interdisciplinary approach at SPRHC will include several key strategies:

1. Standardized Communication Protocols – The use of the SBAR (Situation, Background, Assessment, and Recommendation) framework for patient handoffs will enhance communication, ensuring that care plans are consistently followed and adjusted according to patient progress.
2. Real-Time Data Sharing and Integration – Integrating EHR systems with a dedicated diabetes management platform will allow healthcare providers to access real-time patient data, lab results, and medication adherence. This will enable immediate adjustments to treatment plans, ultimately improving glycemic control.
3. Collaborative Decision-Making and Care Pathways – Developing interdisciplinary care pathways, including personalized insulin management, lifestyle interventions, and behavioral support, will facilitate a seamless transition from diagnosis to long-term diabetes management, reducing complications such as neuropathy, nephropathy, and cardiovascular disease.
4. Training and Cross-Disciplinary Education – Ongoing training programs focusing on diabetes management, motivational interviewing techniques, and shared decision-making strategies will enhance collaboration among team members. Joint rounds and interdisciplinary workshops will strengthen communication, improve patient education, and support adherence to self-care behaviors.

Nurchis et al. (2022) found that interprofessional collaboration significantly improved patient satisfaction, psychological well-being, and self-care behaviors. By fostering interdisciplinary teamwork, SPRHC can enhance diabetes care outcomes, improve provider communication, and reduce patient complications.

Table Format Representation

References

American Diabetes Association (ADA). (2024). About diabetes. Diabetes.org. https://diabetes.org/about-diabetes

Colvin, C. L., Akinyelure, O. P., Rajan, M., Safford, M. M., Carson, A. P., Muntner, P., Colantonio, L. D., & Kern, L. M. (2023). Diabetes, gaps in care coordination, and preventable adverse events. The American Journal of Managed Care, 29(6), e162–e168. https://doi.org/10.37765/ajmc.2023.89374

Dhediya, R., Chadha, M., Bhattacharya, A. D., Godbole, S., & Godbole, S. (2022). Role of telemedicine in diabetes management. Journal of Diabetes Science and Technology, 17(3), 193229682210811. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210114/

NURS FPX 4005 Assessment 4

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

Tamunobarafiri, G., Aderonke, J., Cosmos, C., None Mojeed Dayo Ajegbile, & None Samira Abdul. (2024). Integrating electronic health records systems across borders: Technical challenges and policy solutions. International Medical Science Research Journal, 4(7), 788–796. https://doi.org/10.51594/imsrj.v4i7.1357

Tandan, M., Dunlea, S., Cullen, W., & Bury, G. (2024). Teamwork and its impact on chronic disease clinical outcomes in primary care: A systematic review and meta-analysis. Public Health, 229, 88–115. https://doi.org/10.1016/j.puhe.2024.01.019