State Board Nursing Practice Standards/Organizational or Governmental Policies’ Impact on Diabetes

Considering Michael’s case, several practice standards by Diabetes specific organizations and governmental policies can impact diabetes and help Michael manage his diabetes. The California Board of Registered Nursing has developed the Nursing Practice Act (NPA) which provides nurses with standard guidelines on nursing practices. Some of these nursing practice standards are to provide safe patient care and improve the quality of life of patients. Furthermore, NPA has also provided regulations on nursing education and training programs that can improve nursing practices (California Board of Registered Nursing, 2019). These standard policies by the NPA guide nurses in providing the best care treatment to diabetics which improves their safety and efficacy of life.

Another policy that can impact Diabetes in Michael’s case is the governmental policy of the Affordable Care Act (ACA). This act covers the health insurance of patients suffering from chronic diseases like diabetes by preventing health insurers to charge diabetics extra and giving them access to insurance coverage. Furthermore, the Medicaid and Medicare expansion by ACA has ensured that diabetes patients access healthcare services easily such as diabetes management and treatment and diabetes self-management training which can help patients with diabetes better manage their condition (American Diabetes Association, n.d.).

Effect of Policies on Nursing Scope of Practice

These policies affect the nursing scope of practice as they create more opportunities for nurses to provide better care treatment to patients with diabetes. For example, training on acquiring practice standards for diabetes educators can enable nurses to become certified diabetes educators which opens ways for them to practice and help patients manage diabetes in a significant way by educating them on lifestyle and diet modification, etc. These policies also enable nurses to work according to the standards set so that evidence-based, authentic, and quality care is provided to the patients. 

Leadership Strategies to Improve Outcomes, Patient-Centered Care, and the Patient Experience in Diabetes 

 Leadership strategies are important in every healthcare department in order to improve treatment outcomes, provide patient-centered care, and enhance patient experience. In the case of Michael’s condition of diabetes, several leadership strategies can be employed which can improve his health outcomes, provide care tailored to his needs and preferences and improve his experience. These leadership strategies are as follows

  • The nurse leader can empower nurses by providing them with autonomy, responsibility, and decision-making authority. With the nurse leader’s insight and wisdom, task delegation can be done on the basis of each nurse’s individual strength and extent of expertise. This will lead to empowered health professionals which can lead to improved health outcomes (Mirhoseiny et al., 2019). For example, if some nurses are more proficient in counseling patients, the head nurse can delegate them to counsel and educate diabetics on their condition and ways to manage it such as self-management education, lifestyle and dietary modification, etc. This will lead to patient-centered care and improve patient experience of diabetes patients like Michael.
  • Setting a vision and goal by health professionals such as physicians and communicating about it with other staff is another leadership strategy that can improve health outcomes (Alrowwad et al., 2020). For example, physicians can act as leaders and propose a clear vision for obtaining achievable goals in the future of lowering and maintaining the blood glucose levels in patients with diabetes. They can collaborate with other healthcare staff of the hospital and discuss ways to achieve those goals. As a result, all healthcare professionals will be actively working towards obtaining improved health outcomes, providing patient-centered care for diabetes, and enhancing their experience of acquiring care treatment from healthcare professionals.

Need for Leadership, Communication, Collaboration, and Change Management

It is necessary to implement leadership strategies as leadership roles promote the delegation of tasks and effective working in healthcare. Therefore, it is necessary in achieving positive health outcomes, promoting patient-centered care, and improving the patient experience. Furthermore, leadership requires effective collaboration, communication, and change management to address diabetes in healthcare organizations.

As achieving diabetes-related goals requires some change management such as changing th


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