NHS 6004 Assessment 3

NHS 6004 Assessment 3

Training Session for Policy Implementation

Name

Capella University

NHS-FPX6004

Instructor’s Name

September 21st, 2024

Training Session for Policy Implementation

Slide 2

Hello! My name is_____, and In the presentation, I will focus on the training strategies used by the healthcare staff. The importance of policy and practice guidelines for increasing the quality of patient education for diabetic patients will be discussed. Moreover, approaches to managing relationships with and cooperation with the stakeholders and, therefore, to achieving the best outcomes for patients will be considered.

Policy on Managing Diabetes

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At Mercy Medical Centre it will follow the guidelines laid down by the American Diabetes Association. ADA indicated that hospitals should conduct an HgbA1c test three times a year and a foot exam once per year, Among them; Patients should also be provided with information concerning the self-management of their diabetes (Ronquillo et al., 2021). To resolve the issues of detecting glucose levels in patients, it is suggested to implement technology in work and ensure that the nursing staff is qualified to work with it. This is about the recent technological progression in the kind of technical assistance that is requisite for an organization, consideration has to be given to the individuals’ preferences.

The following are the optimal diabetes treatment strategies that nurses should employ:

  • The guideline adds Type II diabetes and hyperglycemia screening for individuals between the ages of 35 and 70 years.
  • Supporting or offering guidance to those who need to have their diabetes managed by teaching them how to go around their daily activities while controlling their carbohydrate intake

Need for Policy

Slide 4

In addition to being vital instruments for early intervention and management, the HgbA1c test and foot diagnostic examinations are crucial for tracking the development and consequences of diabetes. To reduce the dangers associated with diabetes, such as neuropathy and vascular problems, which can result in serious complications if left untreated, Mercy Medical Center (MMC) must continue to be watchful and efficient in these crucial areas (Dorwart et al., 2021). Given that 89% of Americans are at risk for pre-diabetes, it is critical to give self-care education and early risk assessment a priority. This calls for an organized strategy that incorporates regular testing, patient education about sustaining appropriate blood sugar levels, and individualized treatment programs that promote lifestyle modifications. MMC can considerably save long-term healthcare costs while simultaneously improving the quality of life for diabetic patients by funding these preventive initiatives. The center will be better equipped to provide comprehensive care and encourage patients to take an active role in treating their diabetes if it integrates cutting-edge technologies for continuous patient education and real-time glucose monitoring.

Evidence-based Strategies for Working with Selected Role Group

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There is convincing evidence that EBP in healthcare has provided healthcare workers with the basic tools for decision-making and patient safety. Some specific sources of information must be employed for EBP to achieve the best outcome meeting patients’ expectations and values (Tobias et al., 2023). Training initiatives should be adopted at the hospital to ensure the medical staff gets acquainted with the diagnosis and treatment process of diabetes, the medical staff embraces physicians, pharmacists, and healthcare support personnel.

The inclusion of transparency and accountability among fellow teammates in the healthcare system has its advantages. Leadership techniques can brightly instruct the team as well as motivate the proper performance and control the group’s actions (Saslow et al., 2023). Every organization should have a reliable and efficient feedback system to evaluate performance, determine achieved and missed objectives, correct adverse situations, and set strategic directions. Such metrics remain relevant because they help in the management of organizational performance as further supported by Research.

As such several approaches can used when trying to ensure that the nursing staff becomes more involved and committed to the healthcare system. It is possible by introducing collaboration among healthcare staff where nurse leaders will foster interdisciplinary collaboration (Ortiz et al., 2021). The nursing staff will be able to discuss the issues related to daily working practice and will be able to assist each other in giving better patient care. In addition, reward and appreciation are deemed to be the best strategies that should be practiced to increase the essence of commitment among the nurses. The nurses will be urging patients to take the HgbA1c screening test since they want to be compensated for rendering quality healthcare services. 

Efficacy of Strategies 

The strategies will enhance stakeholders’ awareness of the issue of using new policies and subsequent training sessions to promote efficient patient care (Myers, 2020). Also, the survey will effectively capture the effectiveness of the strategies and feedback from the nursing staff during training sessions. 

Measure for Early Indication of Success

Approximately, evaluating nurse engagement is one of the significant milestones in ensuring that training sessions are successful. The views of the nurse can be represented by the response toward the new practices or diabetic patient care standards (Melnyk et al., 2021). The buy-in from the stallholder, then, will be furthered by the better performance of the nursing staff and improved standards in patient care. From the Nurses’ sprite survey, people will know how successful the training session was if the nursing staff was happy or not.  

Impact of New Policy and Practice Guidelines

Slide 6

This means by following the Benchmark as defined above every healthcare setting can receive and provide the intended and predicted quality of patient care. The increase in diabetic patients can be regulated by timely evaluation of the disease by way of an HgbA1c and foot examination (Kitson et al., 2021). The session intends to explain new rules for managing and controlling diabetes. 

Recommendations for patient care could guide the prevention, early screening, evaluation, calculating, and monitoring of type II diabetes in people. In selecting treatment methods, information on Smbg is helpful. Diabetes self-management can also enhance healthcare quality adding to it, managing diabetes can help reduce very expensive ER visits (Dykes et al., 2023). The long-term illness section or department may be involved in working groups or panels, which the hospital governors formulate to provide a policy enforcement framework. 

Policy and Guidelines 

The diabetic patient screening will check the progress of the disease and the mortality rate among patients. That is why Medicaid Managed Care (MMC) provides the procedure for patients with diabetes. In the first guideline, the nurse should assess the patient’s foot sensations and it will be considered as a foot examination ( Khademianet al., 2020). Secondly, a patient will undergo an HgbA1c test after three months or every three months test. If the patient gets consistent readings of his/her diabetes tests that do not require a change of treatment, the test would be recommended to the patient every six months.

Additionally, it is the clinical healthcare staff should ensure timely diagnosis of diabetes. Another policy is Self-care management which allows patients to check their blood sugar levels each day while at home through a testing kit (Keim et al., 2020). It shall lower the associated risks of high diabetes since patients can receive timely treatment if their blood sugar level slightly rises consistently. The policy to encourage self-care will help shift the burden from the healthcare providers since there will be few diabetic patients because of proper assessment and management of the disease. 

Effect of Policy on Daily Work Routine and Responsibilities of Role Group

Slide 7

The management provides a schedule for the accomplishment of daily duties to the medical personnel. Mainstreaming formality can reduce organizational complexity, make the performance of compliance easier, and offer prescribed standards for action. Thus, such processes can also help to save time and effort for those stakeholders, as research stresses, focusing on the resolution of patient concerns (Janes et al., 2024). They also found evidence for the theory that physicians are getting more entangled in administrative diabetes tasks in their practice. On the other hand, the patients with diabetes who consult with the nurses will have a highly increased chance of making effective changes in their lifestyles and hence be keener in the management of diabetes. Patients rely on the nurses for the knowledge of how they should check their weight and blood sugar levels frequently as well as the use of the internet in developing self-management skills as suggested by the study.

Importance of New Policy and Practice Guidelines

Slide 8

Diabetes clinical practice recommendations are aimed at decreasing the incidence of acute and chronic complications and enhancing the quality of life of patients with diabetes mellitus. Regulations within this set define the important factors that diabetes education programs should address and allow healthcare providers to manage their patients’ disorders more effectively (Whitfield et al., 2024). They also help in establishing where training and education are still relevant and called for as research shows. These guidelines are helpful as a teaching tool to enable physicians to learn more about diabetes, which is likely to lead to better patient outcomes.

HgbA1c screening and foot examination are early screening exams that can ease the burden of healthcare personnel in diabetes diagnosis (Breneol et al., 2020). One such aspect addresses patient self-management strategies aimed at improving disease management by the patient without assistance from a healthcare practitioner; research has it that this is effective.

Role Group’s Importance in Implementing New Policy

Slide 9

Diabetes treatment and patient education are mainly the duties of nurses involved in diabetes treatment. The board members and the director of diabetes are to determine the best technique and reporting structure to apply. This policy should be formulated and implemented with the help of clinicians and patients’ involvement, as well as their relatives (Lashley et al., 2022). Promoting policies and practices on how diabetes should be managed will require senior administrators, nurses, and doctors. Such information will have to be collected from the staff members and clinicians to ascertain that the laid guidelines are being practiced. , and according to the findings of the study, nurses will be equally active in this process through attendance of workshops/training on matters regarding diabetes management. This approach will foster interprofessional collaboration and communication among healthcare professionals and thus improve clients’ outcomes.

Persuasive Arguments Appealing to Role Group

The problems associated with the mortality rate of diabetics are connected with the excessive workload of the healthcare staff, as well as the lack of compliance with the established policies (Meyer et al., 2020). That is why the training sessions will assist nursing staff to realize and further appreciate the reasons behind new policies and guidelines developed within the organization, as well as the ways through which they should enforce these policies. Conducted training sessions in the hospital for nursing staff will increase satisfaction with clinical practices, linked to the patient’s needs. 

Learning Activities for a Training Session

Slide 10

Training strategy in a training session could encompass workstation review, Communication Skills, Seminars, Conferences, Dialogues, and Group activities such as Simulations, Practical examinations, etc. Studies emerged to create a 90-minute training that includes details on how to use a glucometer to check blood glucose levels and information about Diabetes, its symptoms, causes, and the ways to treat it among the medical staff (Dykes et al., 2023).  Regarding the overall goals, content, and structure of the training most of the participants felt content. The simulation technique in the classroom is very important and can give the experience to health care providers. Simulation-based group training can enhance clinical competencies hence benefitting the patient (Arsenault et al., 2021). M mimics clinical client care examining normal hyperglycemia as a typical symptom which allowed participants to deliver basic patient care in a simulated structure. Regarding the type of participants involved in the study, the findings of the study showed that nursing students’ learning abilities were boosted by instructional interventions that employed both HS and SPs.

Stakeholders’ Involvement and Collaboration Strategies

Slide 11

Collaborative care organizations are vested in articles about the management of diabetes. Some of the important stakeholders are representatives of the government, citizens, healthcare consumers and providers, chambers of commerce and industry, nurses, physicians, medical psychiatrists, and registered dieticians (Best et al., 2023). By accessing this information, diabetic patients get holistic, individualized care from stakeholders who offer their resources, knowledge, and assistance. The involvement, engagement, and consultation of stakeholders have now become more effective than before, due to the availability of video conferencing. Another strategy for managing stakeholders is communication. It is easy to update the stakeholders since the project requires weekly meetings with them.

Conclusion 

Slide 12

There is a need to initiate policies for lifestyle change programs that incorporate appropriate nutritional diets that the patients have to take and exercise regimes learned as a way of conquering diabetes. Diabetes can be managed, administered, and developed by all registered nurses with a focus on nutritional and lifestyle education  (Arsenault et al., 2021). Since stakeholders remind us of what is appropriate, what know of the market, and how to get to the target, they offer constant feedback and recommendations. This way stakeholders’ feedback can be used in the transformation of assessment results into information which can then be used.

References

Arsenault, É. N., King, B. J., & Steege, L. M. (2021). The realities of practice change: Nurses’ perceptions. Journal of Clinical Nursing, 30(9-10), 1417–1428. https://doi.org/10.1111/jocn.15693

Best, N. C., & McCabe, E. M. (2023). Learning from the past and moving forward: implementing school nursing research priorities. The Journal of School Nursing: The Official Publication of the National Association of School Nurses, 39(1), 3–5. https://doi.org/10.1177/10598405221143495

Breneol, S., Curran, J. A., Marten, R., Minocha, K., Johnson, C., Wong, H., Langlois, E. V., Wozney, L., Vélez, C. M., Cassidy, C., Juvekar, S., Rothfus, M., Aziato, L., Keeping-Burke, L., Adjorlolo, S., & Patiño, D. F. (2022). Strategies to adapt and implement health system guidelines and recommendations: a scoping review. Health Research Policy and Systems, 20(1), 64. https://doi.org/10.1186/s12961-022-00865-8

Dykes, P. C., Curtin-Bowen, M., Lipsitz, S., Franz, C., Adelman, J., Adkison, L., Bogaisky, M., Carroll, D., Carter, E., Herlihy, L., Lindros, M. E., Ryan, V., Scanlan, M., Walsh, M. A., Wien, M., & Bates, D. W. (2023). Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. JAMA Health Forum, 4(1), e225125. https://doi.org/10.1001/jamahealthforum.2022.5125

Dorwart, K., Rivera, T., & Schreyer, K. E. (2021). Implementation of the resident exposure to nursing and administration curriculum. AEM Education and Training, 5(3), e10642. https://doi.org/10.1002/aet2.10642

Janes, G., Chesterton, L., Heaslip, V., Reid, J., Lüdemann, B., Gentil, J., Oxholm, R. A., Hamilton, C., Phillips, N., & Shannon, M. (2024). Current nursing and midwifery contribution to leading digital health policy and practice: An integrative review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16265

Kitson, A. L., Harvey, G., Gifford, W., Hunter, S. C., Kelly, J., Cummings, G. G., Ehrenberg, A., Kislov, R., Pettersson, L., Wallin, L., & Wilson, P. (2021). How nursing leaders promote evidence-based practice implementation at point-of-care: A four-country exploratory study. Journal of Advanced Nursing, 77(5), 2447–2457. https://doi.org/10.1111/jan.14773

Khademian, Z., Kazemi, F., & Gholamzadeh, S. (2020). The effect of self-care education based on orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: A quasi-experimental study. International Journal of Community Based Nursing and Midwifery, 8(2), 140–149. https://doi.org/10.30476/IJCBNM.2020.81690.0

Keim, J., Moorman, L. P., Monfredi, O. J., Clark, M. T., & Bourque, J. M. (2022). Beyond prediction: Off-target uses of artificial intelligence-based predictive analytics in a learning health system. Learning Health Systems, 7(1), e10323. https://doi.org/10.1002/lrh2.10323

Lashley, M., & Stoltzfus, K. D. (2022). Protecting persons experiencing homelessness through a global pandemic. Public Health Nursing, 39(2), 456–463. https://doi.org/10.1111/phn.12984

Meyer, K. R., Fraser, P. B., & Emeny, R. T. (2020). Development of a nursing assignment tool using workload acuity scores. The Journal of Nursing Administration, 50(6), 322–327. https://doi.org/10.1097/NNA.0000000000000892

Myers C. R. (2020). Promoting population health: Nurse advocacy, policy making, and use of media. The Nursing Clinics of North America, 55(1), 11–20. https://doi.org/10.1016/j.cnur.2019.11.001

Melnyk, B. M., Tan, A., Hsieh, A. P., & Gallagher, L. (2021). Evidence-based practice culture and mentorship predict EBP implementation, nurse job satisfaction, and intent to stay: Support for the arc model. Worldviews on Evidence-Based Nursing, 18(4), 272–281. https://doi.org/10.1111/wvn.12524

Ortiz, M. R. (2021). Best practices in patient-centered care: Nursing theory reflections. nursing science quarterly, 34(3), 322–327. https://doi.org/10.1177/08943184211010432

Ronquillo, C. E., Peltonen, L. M., Pruinelli, L., Chu, C. H., Bakken, S., Beduschi, A., Cato, K., Hardiker, N., Junger, A., Michalowski, M., Nyrup, R., Rahimi, S., Reed, D. N., Salakoski, T., Salanterä, S., Walton, N., Weber, P., Wiegand, T., & Topaz, M. (2021). Artificial intelligence in nursing: Priorities and opportunities from an international invitational think-tank of the nursing and artificial intelligence leadership collaborative. Journal of Advanced Nursing, 77(9), 3707–3717. https://doi.org/10.1111/jan.14855

Saslow, L. R., Jones, L. M., Sen, A., Wolfson, J. A., Diez, H. L., O’Brien, A., Leung, C. W., Bayandorian, H., Daubenmier, J., Missel, A. L., & Richardson, C. (2023). Comparing very low-carbohydrate vs dash diets for overweight or obese adults with hypertension and prediabetes or type 2 diabetes: A randomized trial. Annals of Family Medicine, 21(3), 256–263. https://doi.org/10.1370/afm.2968

Tobias, D. K., Merino, J., Ahmad, A., Aiken, C., Benham, J. L., Bodhini, D., Clark, A. L., Colclough, K., Corcoy, R., Cromer, S. J., Duan, D., Felton, J. L., Francis, E. C., Gillard, P., Gingras, V., Gaillard, R., Haider, E., Hughes, A., Ikle, J. M., Jacobsen, L. M., & Franks, P. W. (2023). Second international consensus report on gaps and opportunities for the clinical translation of precision diabetes medicine. Nature Medicine, 29(10), 2438–2457. https://doi.org/10.1038/s41591-023-02502-5

Whitfield, M. M., Bleah, P., Concepcion Bachynski, J., Macdonald, D., Klein, T., Ross-White, A., Mimirinis, M., & Wilson, R. (2024). Capability as a concept in advanced practice nursing and education: A scoping review. JBI Evidence Synthesis, 22(9), 1789–1849. https://doi.org/10.11124/JBIES-23-00201