NURS FPX 4900 Assessment 2 PS

Communication And Collaboration

Communication is an important part of safe, efficient, and quality health care provisions. The patient needs to communicate with the health care provider about the practices and knowledge of the previous practice. The intake of medicine, diet, and physical activity requires complete addressing of the issue and adherence to the provided guidelines (Esfahani, E. and Sadeghi, 2020). The language of communication is required for effective communication with the patients (Dickinson et al., 2017). The intervention of diabetes requires multiple sectorial involvements. It also requires interprofessional collaboration and communication to enhance health quality information. It will ensure safe, efficient, and quality health care (Snyder et al., 2020).  

NURS FPX 4900 Assessment 2 PS

Change Management

The change management theories describe that in the health care settings managers of change are nurses and they are responsible for it. They bridge the health care practices using the organizational resources, promote patient-oriented outcomes, and implement the strategies of change. They also make a coordinated, motivated, and positive workplace environment. Creating a long-term vision helps to change the culture of the organization (Campbell, 2008). Kotter’s model of change provides the basics of making a long-term change. The elements of the Kotters change are creating a sense of urgency, coalition guidance, development of a vision, communication of that vision, empowering the actions, creating short-term wins, consolidate the outcomes and formulate more change (Rajan and Ganesan, 2017).  The development of a vision is necessary for supporting a change. Making a clear strategic plan for the change causes promotion of the whole group. It incorporates positives change in the organization. It enhances interprofessional coordination and provides safe efficient health care. The patient-oriented care and family support in decision making also provide a supportive attitude for the patients (Small et al., 2016).   The involvement of stakeholders in the change incorporates the latest measures at the grassroots level (Rajan and Ganesan, 2017). 

Intervention Strategy

The national and international collaborative programs and policies help to identify the approach required for accurate patient care. The American Diabetes Association is a major organization working to prevent the risk of complications of diabetes and improve the quality of life of such patients. American Diabetes Association in assistance with the European Association has strongly advocated person-centered care with active self-care management activities approach. This requires the people having diabetes to learn about the knowledge of the disease, its progression, risk factors, and motivation and skill development to manage those disease implications. The outcomes have been found effective in improving the quality of life and HbA1C marker concentration in diabetics in a short term (Rutten et al., 2020).

NURS FPX 4900 Assessment 2 PS

Decision-making is a crucial part of health care therapy. The patient and their family members often find it difficult to decide in critical situations. The shared decision-making (SDM) process between the nurses and the patients enhances the coordination among them. It also builds the trust of patients and their family members. This approach promotes patient-centered care, medication, therapy, and coordination decisions. Evidence is necessary in case of making a clinical decision in a medicine provision. It also minimizes the risk of medication errors. The integrated consultation enhances the knowledge building and provisions of evidence-based health care practices. This method is deemed beneficial for diabetes care as it considers the patient’s preference and treatment options. It is the most accurate for the ethics of health care provisions as it is based on the shared opinion of the patient or the family. The health care and clinical settings diabetic care policies have advocated shared decision making as an effective and outcome-oriented approach (Tamhane et al., 2015).

National Standards for self-management and care have also established self-management education and support programs. This program provides diabetics education about the management of their condition in terms of glycemic control, cholesterol control, weight management. The psychological implications of diabetes may lead to behavioral changes. This program also addresses the behavioral aspects of diabetes. Several evidence-based studies have confirmed the applications and effectiveness of self-management awareness. It facilitates knowledge, skills, and diabetes care activities. The implementation requires


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