Change Strategy and Implementation
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Renal failure is one of the alarming diseases in the United States, with 37 million American suffering from it. In the US, around 810000 people suffer from renal failure, around 15% of the population (CDC, 2020). The center for disease control and prevention (CDC) highlighted that one of the leading causes of increased issues of renal failure is diabetes and high blood pressure. Moreover, it is considered one of the leading causes of mortality in the US (CDC, 2020). The bad condition required strategic healthcare initiatives to improve patient health outcomes suffering from this health issue.
Evidence-based practice plays a significant role in improving patient health outcomes suffering from renal failure. The research highlighted that evidence-based pharmacological and non-pharmacological medications for renal failure effectively enhanced the treatment outcomes. However, effective evidence-based practices improve health outcomes. However, nurses play a vital role in effectively implementing these evidence-based practices in designing a treatment plan and successfully implementing them. The nurses used effective treatment strategies such as treatment pan, medication, and therapies for patients to take necessary treatment plans such as self-care to improve health outcomes (Vaidya & Aeddula, 2019).
Data Table
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The data table below indicates the current and desired outcomes of the treatment plan for the patient suffering from renal failure due to diabetes. The table also includes change strategies that could be implemented for better health outcomes. The change strategies implementation effectively enhanced patient health outcomes from renal failure related to diabetes to attain desirable health goals.
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
| Current Stage | Desired Stage | Change Strategy |
| Diabetes increases the patient’s renal failure risk (CDC, 2021). | The alarming situation could be reduced by controlling high diabetes in patients (CDC, 2021). | In order to enhance the treatment outcomes of the patient self-management techniques is an effective strategy for controlling renal failure with diabetes (Zimbudzi et al., 2018). |
| The increased blood sugar level leads to a higher risk of renal failure (CDC, 2021). | Improving patient monitoring to maintain blood sugar significantly reduces this health issue. | The evidence-based practices such as insulin therapies significantly control blood sugar levels leading to less risk of renal failure (Triozzi et al., 2021). |
| The patient’s poor adherence to the proper medication increased diabetes (NIDDK, 2023). | Improve patient adherence for controlled diabetes and renal failure | The patient education and awareness programs on proper medication adherence. These activities improved patient knowledge of self-care for improved health outcomes (NIDDK, 2023). |
| Inadequate kidney monitoring test of the patient with diabetes (NIDDK, 2023). | Improved kidney monitoring tests for patients with debates (Buades et al., 2021). | The effective kidney monitoring test of the patient with renal failure due to diabetes. The kidney monitoring test, such as urine protein record and blood test. The albumin creatinine ratio ACR and glomerular filtration rate (GFR) improved treatment outcomes (Triozzi et al., 2021). |
| Lack of patient education and specialized care for patients suffering from renal failure related to diabetes (Buades et al., 2021). | Improved care and awareness of the patient with diabetes (Murad et al., 2022). | The effective implementation of evidence-based practices includes specialized care and patient education on self-management. These initiatives improved communication between nurses and patients, significantly improving the health outcomes of patients with renal failure and diabetes (Murad et al., 2022). |
Area of Ambiguity
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The treatment plan could better attain desirable health outcomes by involving clinical traits, focused group discussion, and other effective research methods. The data gathered from the involvement of healthcare professionals increased the research on the current and desired stages. Furthermore, their strategies and recommendations further provide effective ways to enhance treatment outcomes. Healthcare practitioners could further apply and recommend effective strategies to significantly improve health outcomes (Zacharia et al., 2021).
Propose Change Strategies
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Renal failure related to diabetes posted severe health consequences for the patient suffering from it. Different treatment measures are taken to reduce the consequences. However, the issue is still an alarming healthcare concern within the US. In order to effectively reduce the consequences, effective change strategies are proposed for nurses to adopt in the treatment plan for better health outcomes (Pugh et al., 2019). The effective treatment strategies are discussed below:
Effective Kidney Monitoring System
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
This change strategy successfully improved health outcomes by improving kidney monitoring of patients suffering from renal failure related to diabetes. The effective kidney monitoring of the patients using tests such as the albumin creatinine ratio ACR and glomerular filtration rate (GFR) to improve treatment outcomes. The blood and urine test further highlights the condition of the patients along with an insight into the relevant and effective medications to reduce the health consequences for improved patient outcomes (Triozzi et al., 2021).
Adequate Patient Education on Self-Care
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The second effective change strategy is adequate patient education on self-care for improved health outcomes. This change strategy would improve health outcomes by improving patient involvement in self-management activities. The patient will significantly adopt activities such as a healthy diet to control blood sugar levels which controlled their diabetics to reduce the risk of renal failure (Murad et al., 2022).
Proper Medication Adherence
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
This recommended strategy significantly guides healthcare practitioners to develop a patient-centered approach. This approach would significantly guide the nurses and the patient to properly assist them in improving their medication adherence. Effective medication adherence reduces the risk of renal failure with high diabetes leading to more adverse health outcomes (NIDDK, 2023).
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Evidence-Based Treatment Therapies
This recommended change strategy improved structural treatment guidelines for the nurses to enhance the treatment outcomes of patients suffering from renal failure related to diabetes. The evidence-based treatment therapies such as insulin therapy guide the healthcare practitioners such as nurses to guide the patient in their care behavior. Evidence-based therapy, such as cognitive behavior therapy, further guided the nurses to educate patients on managing their diet and healthy lifestyle. The CBT therapy educates the patient to take less sodium-containing food and intake fresh vegetables that maintain their blood sugar levels leading to less risk of renal failure due to diabetes (Zimbudzi et al., 2018).
Justification for Change Strategy
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The change strategy effectively improved the health outcomes of patients suffering from renal failure with diabetes. Effective strategies include patient education on self-management. The self-management activities such as a healthy diet plan, exercise, and proper medication significantly improved their health outcomes. The patient self-care improved their blood sugar level along with proper medication, which significantly controlled their renal failure infections and diabetes to reduce the risk of these diseases on their health outcomes (Buades et al., 2021). The evidenced-based change strategies such as treatment therapies such as insulin therapy along with CBT improved communication and coordination among nurses and patients. Adequate kidney monitoring maintains the updated record of the patient, which significantly guides the nurses to update the treatment plan for effective health outcomes (Murad et al., 2022).
How Change Strategy Leads To Quality Improvement
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The effective change strategy of adequate kidney monitoring and medication adherence significantly improved the quality of care for patients suffering from this health issue. Regular kidney monitoring using kidney tests such as blood and urine tests provides an update to the nurses on the patient’s condition, significantly improving medication procedures (Buades et al., 2021). The self-care strategy further improved the treatment quality and care activities by creating patient awareness of activities that improved care quality and health. The change strategy further improved the treatment outcomes and quality of care through proper medication adherence and evidence-based treatment plan through improved communication and care coordination. All these recommended strategies enhanced patient care quality through evidence-based practices to lower the risk of renal failure related to diabetes (Murad et al., 2022).
Assumptions
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The change strategies highlighted the assumptions associated with treatment outcomes. Effective kidney monitoring can improve the treatment plan for the patient’s health outcomes. Structured patient education on self-management to maintain blood sugar levels can help improve the health outcomes of patients suffering from renal failure. Nurses’ active involvement in evidence-based health practices can improve patient health outcomes by maintaining medication adherence and self-management practices (Navaneethan et al., 2021).
How the Change Strategies will Utilized Interprofessional Considerations
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
The change strategies will effectively utilize interprofessional considerations through the active involvement of interprofessional healthcare professionals. The structural educational programs on the effective adoption of care management plans involved nurses, nutritionists, and patients in an implementation plan. The active involvement of nurses with doctors and other care professional in guiding the patient with medication and diet plans will involve interprofessional considerations (Murad et al., 2022). Additionally, adequate medication adherence and kidney mentoring will also involve interprofessional considerations. The clinical staff, lab attendants, doctors, nurses, and the patient will discuss the treatment plan with regular monitoring in order to attain the desired goal. All these change strategies will improve care coordination and communication among interprofessional teams to attain desirable health outcomes for a patient suffering from renal failure related to diabetes (McLaney et al., 2022).
Assumptions
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Interprofessional teams in healthcare settings aim to improve treatment outcomes through open-line communication and collaborative team-based activities to implement effective evidence-based strategies for attain of desirable health goals. These interprofessional teams can enhance treatment outcomes for patients suffering from renal failure related to diabetes by implementing pharmacological and non-pharmacological interventions (Buljac et al., 2020).
Conclusion
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Change strategies are effective evidence-based practices in the healthcare industry to improve the health outcomes of patients suffering from renal failure related to diabetes. Effective strategies such as adequate kidney monitoring, medication adherence, and structural education on self-management activities improved the health outcomes. These strategies enhanced treatment quality and improved interprofessional collaboration to enhance treatment outcomes.
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
References
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https://doi.org/10.3390/jcm10132943
Buljac, M., Doekhie, K. D., & van Wijngaarden, J. D. H. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(1).
https://doi.org/10.1186/s12960-019-0411-3
CDC. (2020). Chronic kidney disease basics: Chronic kidney disease initiative. Cdc.gov.
https://www.cdc.gov/kidneydisease/basics.
CDC. (2021). Diabetes and chronic kidney disease. Cdc.gov.
https://www.cdc.gov/diabetes/managing/diabetes-kidney-disease.html
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Mayo Clinic. (2021). Diabetic nephropathy – Symptoms and causes. Mayoclinic.org.
https://www.mayoclinic.org/diseases-conditions/diabetic-nephropathy/symptoms-causes/syc-20354556
McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for inter professional collaboration in a hospital setting: Advancing team competencies and behaviors. Healthcare Management Forum, 35(2).
https://doi.org/10.1177/08404704211063584
Murad, O., Orjuela Cruz, D. F., Goldman, A., Stern, T., & van-Heerden, P. V. (2022). Improving awareness of kidney function through electronic urine output monitoring: A comparative study. BMC Nephrology, 23(1).
https://doi.org/10.1186/s12882-022-03046-5
Navaneethan, S. D., Zoungas, S., Caramori, M. L., Chan, J. C. N., Heerspink, H. J. L., Hurst, C., Liew, A., Michos, E. D., Olowu, W. A., Sadusky, T., Tandon, N., Tuttle, K. R., Wanner, C., Wilkens, K. G., Lytvyn, L., Craig, J. C., Tunnicliffe, D. J., Howell, M., Tonelli, M., & Cheung, M. (2021). Diabetes management in chronic kidney disease: Synopsis of the 2020 KDIGO clinical practice guideline. Annals of Internal Medicine, 174(3), 385–394.
https://doi.org/10.7326/m20-5938
NIDDK. (2023). National Institute of Diabetes and Digestive and Kidney Diseases. Niddk.gov.
http:///health-information/diabetes/overview/preventing-problems/diabetic-kidney-disease
NURS FPX 6021 Assessment 2 Change Strategy and Implementation
Pugh, D., Gallacher, P. J., & Dhaun, N. (2019). Management of hypertension in chronic kidney disease. Drugs, 79(4), 365–379.
https://doi.org/10.1007/s40265-019-1064-1
Triozzi, J. L., Gregg, L. P., Virani, S. S., & Navaneethan, S. D. (2021). Management of type 2 diabetes in chronic kidney disease. BMJ Open Diabetes Research and Care, 9(1), 002300.
https://doi.org/10.1136/bmjdrc-2021-002300
Vaidya, S. R., & Aeddula, N. R. (2019). Chronic renal failure. Nih.gov.
https://www.ncbi.nlm.nih.gov/books/NBK535404/
Zacharia, B., Pai, P. K., & Paul, M. (2021). Focus group discussion as a tool to assess patient-based outcomes, practical tips for conducting focus group discussion for medical students—Learning with an example. Journal of Patient Experience, 8.
https://doi.org/10.1177/23743735211034276
Zimbudzi, E., Lo, C., Misso, M. L., Ranasinha, S., Kerr, P. G., Teede, H. J., & Zoungas, S. (2018). Effectiveness of self-management support interventions for people with comorbid diabetes and chronic kidney disease: A systematic review and meta-analysis. Systematic Reviews, 7(1).
