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Assessment 2: Change Strategy and Implementation

Learner’s Name

School of Nursing and Health Sciences, Capella University

NURS-FPX6021 Biopsychosocial Concepts for Advanced

Nursing Practice I

Instructor’s Name

Date
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Assessment 2: Change Strategy and Implementation

Use the following format to Develop a Data Table that Accurately Reflects the Current and

Desired States of One or More Clinical Outcomes. Identify Areas of Ambiguity or

Uncertainty Where Additional Data Could Help to Improve Clarity

The following data table accurately reflects the current and desired states of clinical

outcomes and identified areas of ambiguity or uncertainty. In healthcare, planned modifications

improve treatment approaches. The proposed change model of QI is the PDSA used to explore

the different ways of improving the service and healthcare, as detailed below. The patient was

identified with type 2 diabetes, a chronic illness that may cause health issues if unchecked,

during the first assessment. Type 2 diabetes may cause kidney failure, heart attacks, and death.

Thus, interventions that increase coordination and clinical results are needed to improve

healthcare quality.

Data Table

Current Outcomes Change Strategies (PDSA) Desired Outcomes

Elevated blood sugar levels Implement personalized treatment plans Achieve stable blood sugar levels

for diabetes management, addressing within the target range through

diet, exercise, and medication. effective treatment strategies.

Excessive weight gain and Provide nutritional counseling, and Achieve and maintain a healthy

poor weight management. education focused on a balanced diet and weight through proper nutrition and

portion control. lifestyle modifications.

Chronic fatigue and lack of Develop a comprehensive fatigue Improve energy levels and reduce

energy. management plan, including exercise, fatigue through effective

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stress reduction techniques, and adequate management strategies and life

rest. changes.

Lack of coordination and Implement interprofessional Enhance coordination and

cooperation among healthcare collaboration and communication cooperation among healthcare

providers. strategies to promote seamless care providers for improved patient

coordination. outcomes and treatment

effectiveness.

reas of Ambiguity or Uncertainty:

First, more data might clarify intervention and therapy options to improve results.

Secondly, more data might reveal the patient’s requirements and preferences, allowing

individualized treatment strategies. Thirdly, patient happiness and experience data might

measure the change strategies’ effectiveness in improving healthcare. Fourthly, information on

how technology and digital technologies help healthcare professionals communicate and

coordinate might improve change tactics. Lastly, data on the long-term effects of change tactics

on patient outcomes, such as fewer complications and increased quality of life, would inform

future improvements. Hence, healthcare practitioners may refine their change strategies,

personalize treatments to patient requirements, and improve outcomes by collecting and

evaluating more data in these areas of ambiguity or uncertainty.

Propose Change Strategies that Will Help to Achieve the Desired State of One or More

Clinical Outcomes. Recognizes Challenges and Discusses Solutions

Proposed Change Strategies

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The following QI model of the PDSA explains the following proposed change strategies.

1. Weight Control with Healthy Eating:

Plan: Create a type 2 diabetes weight-loss diet.

Do: Advise patients about nutrition and the significance of following the diet.

Study diet adherence and weight fluctuations.

Act: Adjust the diet plan depending on comments and keep supporting and educating.

2. Reduce Stress for Type 2 Diabetics:

Plan: Relaxation, mindfulness, and patient support programs reduce stress.

Do: Help patients handle stress.

Study: Stress reduction methods to reduce tiredness and improve well-being.

Act: Adjust stress-reduction measures depending on patient input and results.

3. Patient-Provider Collaboration:

Plan: Promote patient-provider dialogue.

Do: Involve patients in treatment choices and tell them of their alternatives.

Study: Examine how patient-provider cooperation affects medication adherence and patient

satisfaction.

Act: Use patient input to improve communication and share decision-making to increase patient-

provider cooperation.

4. Interprofessional Cooperation:
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Plan: Promote teamwork and coordination among healthcare providers treating Type II Diabetes

Mellitus and Acute Renal Failure patients.

Do: Hold interprofessional team meetings to review patient situations, establish objectives, and

create integrated treatment plans.

Study: Interprofessional cooperation affects care coordination, patient outcomes, and healthcare

service quality.

Act: Based on comments and identified improvements, strengthen interprofessional cooperation

methods.

5. Strengthening Nurse-Patient Relationships:

Plan: Add nurses to enhance nurse-patient interactions.

Do: Hire and train more nurses for patient care and engagement.

Study: Determine how more nurses affect nurse-patient communication, patient satisfaction, and

care quality.

Act: Adjust staffing to preserve appropriate nurse-patient ratios and healthy nurse-patient

interactions.

Challenges and Solutions:

1. Lack of Mental Health Professionals: Nursing personnel may be taught to lead or assist in

CBT sessions. This may fill mental health treatment gaps and aid patients.
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2. Group Therapy Implementation: Group therapy requires careful planning, scheduling, and

resource allocation. Healthcare practitioners may collaborate to establish group therapy

programs.

3. Individualized Treatment Plans: Treatment plans should incorporate patient needs,

preferences, and comorbidities. Interprofessional teamwork and communication are essential for

patient-specific treatment plans.

Healthcare organizations may analyze these change efforts, solve problems, and enhance clinical

outcomes and care quality for Type II Diabetes Mellitus and Acute Renal Failure patients using

the Plan-Do-Study-Act (PDSA) paradigm.

Justify the Specific Changes and Strategies Used to Achieve Desired Outcomes. Impartially

Considers Other Perspectives

PDSA Justification:

1. Weight Control with Healthy Eating:

Plan: Type 2 diabetes studies support a carbohydrate-rich weight-loss diet (Vaseghi et al., 2022).

Do: Nutritional counseling and persistence in following the diet may help individuals lose weight

and manage diabetes.

Study: Healthcare practitioners may measure diet success in weight management and health

outcomes by monitoring and evaluating patient adherence.

Act: Based on the research, food changes may improve weight control and health.

2. Stress Reduction:
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Plan: Vaseghi et al. (2022) and others recommend stress reduction for type 2 diabetes

management.

Do: Relaxation, mindfulness, and patient support programs may help patients decrease stress and

improve their health.

Study: Stress reduction therapies reduce tiredness and enhance patient outcomes.

Act: Based on the research findings, stress reduction strategies may be optimized to manage

stress and tiredness.

3. Physician-Patient Communication:

Plan: Physician-patient communication improves patient understanding, engagement, and

treatment adherence.

Do: Improve patient satisfaction and treatment results by communicating well and involving

patients in treatment choices.

Study: Monitoring patient satisfaction and treatment adherence will evaluate physician-patient

communication tactics.

Act: The research results may improve patient-provider cooperation and healthcare outcomes by

refining communication tactics.

4. Interprofessional Cooperation: -

 Plan: Fekadu et al. (2019) found that interprofessional cooperation improves patient safety,

service quality, and outcomes.

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Do: Healthcare institutions may offer holistic treatment to patients by encouraging

multidisciplinary teamwork and coordination.

Study: Interprofessional cooperation affects care coordination, patient outcomes, and service

quality.

Act: The research findings may be used to improve interprofessional cooperation procedures and

patient care.

5. Enhancing Nurse-Patient Relationships:

Pla: Fekadu et al. (2019) found that more nurses increase patient care, engagement, and

satisfaction.

Do: Recruiting and training more nurses helps improve nurse-patient ratios and interactions.

Study: Patient happiness, communication quality, and care delivery will determine how

increased nursing personnel affects patient outcomes.

Act: Based on the research, staffing levels may be adjusted to ensure optimum nurse-patient

ratios and healthy interactions.

The PDSA model helps healthcare organizations justify and execute these adjustments

and tactics. The model organizes planning, execution, analysis, and data-driven modifications.

Clinical data, best practices, and healthcare unit needs to support the modifications.

Explain How Change Strategies Will Lead To Quality Improvement Concerning Safety

And Equitable Care. Identify Assumptions upon Which the Explanation is Based

Change tactics improve quality, especially safety, and equity. These tactics improve

healthcare customer service and patient safety. This explanation assumes that improving certain
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areas would increase the rate. Change tactics may significantly reduce drug errors. Matsunaga et

al. (2021) show that enhancing drug delivery improves quality management. Medication

mistakes may cost hospitals and kill patients. To prevent disastrous results, a patient who takes a

drug wrongly must be treated immediately. Medication error reduction improves patient safety

and quality (Vaseghi et al., 2022). Effective medication management is necessary for safe and

dependable treatment (Vaseghi et al., 2022).

Equitable treatment requires enough nurses. Inpatient care can be distributed fairly by

hiring adequate nurses. Giving each nurse a reasonable number of patients improves justice and

equity in service delivery. Nurses can deliver better care with fewer patients. Equitable care

requires adequate personnel to satisfy patient needs. These transformation tactics should improve

safety and equity in care. Medication errors and nurse-to-patient ratios are crucial to these gains.

However, other variables might affect quality improvement (Vaseghi et al., 2022). Culture,

personnel training, and resources are examples. The recommended change initiatives are

expected to contribute to quality improvement, but sustainable improvement requires a

multifaceted approach.

Explain How Change Strategies Will Utilize Inter-Professional Considerations To Ensure

Successful Implementation. Identify Assumptions upon Which the Explanation is Based

Inter-professional factors can help transformation efforts succeed. Doctors, nurses,

nutritionists, and other healthcare professionals must collaborate and make decisions throughout

the shift (Gantayet-Mathur et al., 2022). This collaborative approach ensures patient-centered

care and informed decision-making by incorporating varied opinions and expertise. Using the

PDSA (Plan-Do-Study-Act) model, let me explain how change initiatives will use inter-
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professional factors for success. Plan, Do, Study, Act is the PDSA paradigm. These steps apply

to interprofessional considerations:

Plan: The inter-professional team will create a transformation plan in this stage. They will set

goals, roles, and actions to attain them. Physicians, nurses, dietitians, and other healthcare

experts will participate to guarantee interdisciplinary planning.

Do: Implement the plan. The inter-professional team will implement transformation initiatives.

This may involve coordinating diabetes treatment, enhancing communication, and using

professional experience. Each team member will use their talents and expertise to help change

projects succeed.

Study: The inter-professional team will assess the transformation initiatives’ results. They will

examine data to determine how the interventions affect patient outcomes, healthcare processes,

and interprofessional cooperation. This analysis will provide strategy efficacy and enhancement

opportunities.

Act: The inter-professional team will modify and optimize transformation initiatives based on

research results. This may include changing the plan, communication procedures, or resource or

training demands. The team will utilize input and data to steer PDSA cycle iterations.

Inter-professional concerns will be included in the change process throughout the PDSA

cycle. Healthcare workers must collaborate, communicate, and make decisions to plan,

implement, evaluate, and improve change efforts. This approach understands that successful

implementation depends on the inter-professional team’s experience and views to handle all

elements of diabetes treatment. Healthcare organizations may collaborate, maximize resource

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use, and enhance Type II Diabetes Mellitus and Acute Renal Failure treatment by adopting the

PDSA model and inter-professional considerations.

Conclusion

Finally, planned modifications improve healthcare. Inter-professional considerations

guarantee healthcare providers work together to solve health challenges. Lowering blood sugar,

supporting weight control, decreasing prescription mistakes, increasing inter-professional

cooperation, and boosting nurse-patient interactions all improve healthcare outcomes. These

tactics emphasize inter-professional collaboration to improve patient care and healthcare quality.
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References

Castro Natal, R. S. (2022). An interprofessional prediabetes and diabetes self--management

education quality improvement project among vulnerable populations at a tuberculosis

hospital. Doctor of Nursing Practice. 104. https://athenaeum.uiw.edu/uiw_dnp/104

Fekadu, G., Bula, K., Bayisa, G., Turi, E., Tolossa, T., & Kasaye, H. K. (2019). Challenges and

factors associated with poor glycemic control among type 2 diabetes mellitus patients at

Nekemte Referral Hospital, Western Ethiopia. Journal of multidisciplinary healthcare,

963-974. https://doi.org/10.2147/JMDH.S232691

Gantayet-Mathur, A., Chan, K., & Kalluri, M. (2022). Patient-centered care and interprofessional

collaboration in medical resident education: Where we stand and need to go. Humanities

and Social Sciences Communications, 9(1), 1-24. https://doi.org/10.1057/s41599-022-

01221-5

Matsunaga, M., Horiuchi, S., Kataoka, Y., Igarashi, Y., Porter, S. E., & Fukui, T. (2021).

Continuous interprofessional collaboration for women with gestational diabetes mellitus:

A cross‐sectional survey in Japan. Japan Journal of Nursing Science, 18(4), e12438.

https://doi.org/10.1111/jjns.12438

Trout, K. K., McCool, W. F., & Homko, C. J. (2019). Person‐Centered Primary Care and Type 2

Diabetes: Beyond Blood Glucose Control. Journal of Midwifery & Women’s

Health, 64(3), 312-323. https://doi.org/10.1111/jmwh.12973

Vaseghi, F., Yarmohammadian, M. H., & Raeisi, A. (2022). Interprofessional collaboration

competencies in the health system: A systematic review. Iranian Journal of Nursing and

Midwifery Research, 27(6), 496. https://doi.org/10.4103%2Fijnmr.ijnmr_476_21