Introduction
In the realm of healthcare, baccalaureate-prepared nurses have a paramount responsibility that goes beyond providing care within hospital walls. Their ultimate objective is to enhance patient well-being by identifying and addressing complex healthcare issues. This article delves into the assessment of a patient named Karla, a 47-year-old woman who has battled diabetes for over a decade, and discusses the challenges faced by nurses at Prime Hospital in the United States in delivering optimal care to patients with chronic conditions. Get NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership Collaboration Communication Change Management and Policy Considerations
Selecting the Patient
Karla’s journey with Prime Hospital began a month ago when she presented with severe symptoms, including dizziness, headaches, increased urination, and chest pain—manifestations of her long-standing struggle with type 2 diabetes. Furthermore, her condition had taken a toll on her mental health, resulting in depression and anxiety. While her primary concern was managing diabetes, it became evident that the nursing staff lacked the necessary knowledge and mentoring skills. They struggled to provide Karla with the guidance she needed, both in terms of diabetes management and dietary recommendations.
NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership Collaboration Communication Change Management and Policy Considerations
Throughout this narrative, we will continually reference the framework of “NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations” to underscore its significance in Karla’s case and the broader context of nursing care at Prime Hospital.
Karla’s situation illuminated a critical aspect of this assessment, namely, the need for leadership within the nursing team. Effective leadership is essential for guiding nurses in providing the highest level of care, and it was clear that improvements were required in this regard.
Evidence-Based Approach Utilized
The criticality of this problem cannot be overstated, as it directly impacts the ability of baccalaureate-prepared nurses at Prime Hospital to provide the best care for type 2 diabetes patients, potentially averting life-threatening events such as strokes or heart attacks.
During the two-hour interview session with Karla, an evidence-based approach was employed to assess her condition comprehensively. It was clear that Karla’s dietary choices, especially a high-fat and oil-rich diet, were unsuitable for her diabetic condition. Research has shown that adherence to the American Diabetes Association (ADA) guidelines is pivotal in treating type 2 diabetes effectively. These guidelines emphasize the importance of managing cholesterol levels, especially in patients like Karla, who suffer from diabetes, hypertension, and heart issues.
Numerous studies have elucidated the multifaceted nature of type 2 diabetes and recommended interventions such as medication management, insulin therapy, and lifestyle modifications. The ADA’s recommendations offer a robust framework for nurses at Prime Hospital to educate patients like Karla on evidence-based practices and interventions.
One of the key strengths of the ADA is its focus on continually enhancing nurses’ knowledge to improve patient outcomes. These guidelines serve as the gold standard in the healthcare industry for addressing complex issues such as type 2 diabetes. Hospitals, including Prime Hospital, should prioritize adhering to these national standards to ensure top-notch community care services. Here is complete NURS FPX 4900 Assessment 1 Assessing the Problem.
In light of this, nurses must undergo rigorous training to familiarize themselves with the ADA guidelines, which cover crucial aspects such as insulin administration, symptoms of type 2 diabetes, glycemic targets, and patient education. Understanding glycemic targets is especially pivotal as it is a cornerstone in diabetes treatment. Equipping nurses with this knowledge empowers them to enhance the quality of life for patients like Karla.
Barriers to Implementation of Evidence-based Practices
The two-hour practicum session was very beneficial because it helped to understand and identify the barriers to the implementation of evidence-based practices. The most commonly reported and observed barriers or weaknesses in nursing were the frequency of diabetic education provision and the use of the right technology tools. For example, the analysis of barriers revealed that nurses in Prime Hospital needed some proper training and education related to knowing significantly about diabetes type 2 disease and interventions (Sorensen et al., 2020). This was a great barrier that acts as an obstacle in the delivery of the best interventions.
Moreover, some DSN nurses more commonly specialized in diabetes were also not in the vast majority in the healthcare organization. This was a huge issue because this increased the workload of the existing nurses and other doctors at duty who felt agitated and burned (Kantanen, 2017). This also adversely impacts the overall collaboration and communication in the night shift to treat diabetic and heart patients effectively. Unfortunately, the nurses were showing resistance or lack of motivation to receive diabetic training to enhance their knowledge which served as a hindrance or barrier to applying and using the evidence-based practices effectively.
NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership Collaboration Communication Change Management and Policy Considerations
Nursing and National Standards/Organisational-Based Policies and Guidelines in Improving Patient
Undoubtedly, more educated and informed nurses will contribute effectively towards treating diabetic patients like Karla well. If she further feels symptoms of stroke, it will be a result of her poor patient education and lifestyle (Humbles, 2017). Therefore, the ADA has provided standards for the self-management of diabetes that help nurses to apply special regulations to treat diabetes. It involves applying regulations in improve patients’ diet, exercise, insulin intake, and other physical activities such as yoga (Cronshaw, 2021). The standard also emphasizes insulin education and training so that nurses can resiliently utilize insulin without any negligence (Sugiharto, 2017).
Moreover, another vital body for diabetes standards is the National Diabetes Prevention Program which offers great research related to diabetes and also helps the nurses in Prime Hospital to gain adequate training related to using tools for preventing type 2 diabetes (Chamberlain et al., 2018). Finally, the Affordable Care Act of the United States (ADA) also ensures that poor patients get vital medical insurance to improve their health. The ADA also guides nurses regarding the psychological issues of diabetic patients. Researchers have tested the effectiveness of these standards and claim that using these standards can be ground-breaking for the professional expertise of nurses (Ueki, 2017).
Role of Nurses in Policy Making
The best healthcare organizations are helping nurses to be involved in leadership practices to form effective healthcare policy. There is a need to promote the widespread education and training of nurses regarding policy-making so they can become strong leaders and voice their reasons (Bramley, 2018). Researchers like Cavender (2015) argue that registered and qualified nurses should take more part in decision-making and policy-building. These strategies can be enhanced through policy education programs (Van Hecke, 2019).
Nursing Theory
King’s Theory for Goal Attainment is vital for nurses to enhance and boost their performances regarding effective diabetes patient care. For example, the research conducted by Bokhour (2018) used a quasi-experiment that took a sample of 60 diabetic patients. While studying the interventions, the improvement in many aspects of disease was found due to the strict adherence of patients to these goals. This means that the Theory of goal attainment is vital for nurses to improve their education and achieve the best patient care goals for treating type 2 diabetes. The above-mentioned theories and standards can play a pivotal role in improving the patient care outcomes related to Karla who was a type 2 diabetic patient (Velmurugan, 2017).
Leadership Strategies to Improve Outcomes for the Chosen Patient
Nowadays, healthcare managers should learn skills to become effective leaders because managers cannot create a vision of forming high-performing teams despite their ability to organize and plan (Alqatawenh, 2018). This shows that researchers significantly emphasize nurses and professionals to learn patient-centered collaborative leadership skills which can increase their overall impact on the organization and help them to become change agents and visionaries. Since nurses failed to provide Karla with adequate guidance related to type 2 diabetes, this showed their lack of leadership and motivational skills to educate the patient. This implies that leadership skills can help our nurses at Prime Hospital to manage the glycolic more and improve interdisciplinary communication (Wigert, 2014).
The most vital leadership skill is to learn to enhance patient-nurse communication. Moreover, leadership in nurses will allow them to provide timely and patient-focused health services. Leadership skills can be enhanced by educational sessions and professional training conducted by the hospital (“Affordable Care Act”, 2020). Nurses can learn from their senior leaders as well to adopt their behaviors. Since leaders are more rational than emotional, emotional intelligence skills of nurses can be enhanced through leadership to solve the particular issues of Karla in the emergency ward.
NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership Collaboration Communication Change Management and Policy Considerations
Change management is vital for healthcare professionals in our settings to develop the best interventions and strategies to handle type 2 diabetes patients and situations that require doing things resiliently. Change can be brought in the organizational culture that can enhance teamwork and collaboration among nurses. By using these resources, evidence-based approaches, and theories in addition to leadership and change management, nurses in Prime Hospital can incorporate safe and long-term practices. This means that change management can help to solve the weaknesses problems in nurses and allow decision-makers to take notice of every positive and negative event in the company (Adu, et al., 2019).
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