Capella 4900 Assessment 4 State Board Nursing Practice Standards and/or Governmental or Organizational Policies on Guiding the Development of Proposed Intervention

Influence of Leadership and Change Management Strategies on Intervention Development

Transformational leadership strategy and change management strategies such as the ADKAR model of Awareness, Desire, Knowledge, Ability, and Reinforcement influenced the development of remote monitoring of medication adherence for Michael and the DSMES program for him. With the help of transformation leadership, I was provided with the decision-making ability where I could decide an intervention plan as my patient’s condition required. For this purpose, I collaborated with my health professional team and shared my intervention plan along with the patient’s condition that was approved by them.

The ADKAR model helped me develop this intervention for Michael as I raised awareness about the proposed intervention to my healthcare staff and patient and presented the potential benefits of these interventions which created a desire and knowledge in hospital administrators and authorities to bring change in management and reinforced the establishment of this technology by providing ongoing support and guidance to healthcare staff which enabled this technology in our hospital for Michael.

Influence of Nursing Ethics on Intervention Development 

Nursing ethics also informed the development of my proposed intervention which included patient autonomy, beneficence, and confidentiality. Through my collaboration with Michael, I discussed the potential benefits of this technology-based intervention and DSMES and acquired his decision which he approved and was willing to coordinate with me. Moreover, following the nursing ethical principle of beneficence, I developed this intervention to enhance Michael’s quality of life so that his family does not suffer from their loved one loss through diabetes. Through this intervention, the patient’s confidentiality can be maintained and his rights of privacy can be fulfilled.

Communication and Collaboration Strategies with Patient

Communication and collaboration with patients are necessary to provide patient-centered care in diabetes. Therefore, effective strategies promote communication and collaboration with patients in providing required care treatment. One of the evidence-based strategies that improve communication and collaboration with patients in healthcare systems includes engaging patients in shared-decision making (SDM) of their care treatment plans. Patients will feel valued and preferred and this can enhance their collaboration and improve communication in deciding on a care treatment plan (Roodbeen et al., 2020).

Another strategy to improve communication and patient collaboration is to use clear and culturally competent language and style so that patients’ cultural beliefs are not affected. As culturally sensitive patients often become barriers to effective care treatment when their cultural beliefs of particular norms and traditions are not valued (Brooks et al., 2019). These strategies can improve the outcomes associated with Michael’s case of diabetes by improving the quality of care and coordination of care.

The benefits of gathering patient input through communication and collaboration include providing better ideas to health professionals in developing care treatment plans for diabetes according to patients’ needs and preferences that promote patient-centered care. Moreover, the patient can be educated and guided on his condition to promote self-management of diabetes which can improve care treatment efficacy.

State Board Nursing Practice Standards and/or Governmental or Organizational Policies on Guiding the Development of Proposed Intervention

The American Nursing Association has provided several standards for nursing practices that guided me in the development of the proposed interventions for Michael. The primary ANA-provided standards that acted as guiding tools for me in developing this intervention plan for Michael are standards of care coordination and utilization of community resources (Brunt & Russell, 2019). The care coordination and community resources used can be practiced in providing the DSMES program to Michael where he will be educated on various skills to manage diabetes such as medication management, healthy diet intake, and engaging in physical activity.

In providing the DSMES program, a multidisciplinary team will be involved such as diabetes educators, dieticians, and exercise specialists. Care coordination in DSMES program will be practiced to provide adequate and proper education to Michael. Moreover, Michael will be connected to various community resources such as community groups that provide support to diabetes through motivation and success stories.

The HITECH Act of 2009 has provided a policy on the adoption and use of