NURS FPX 4005 Assessment 4: Stakeholder Presentation
In this presentation, the issue discussed is delays in implementation of the integrated diabetes education program of the St. Paul regional health center (SPRHC). The main reasons are the absence of communication and coordinated care that harms the cooperation between different professionals and deprives patients of effective utilization of self-management techniques. The proposed solution involves an interdisciplinary approach to treatment that aims at bettering the outcomes of managing diabetes, enhancing communication, and strengthening patient education which is also a focus of NURS FPX 4005 assessment 4.
Organizational Issue and Significance
One of the greatest organizational problems within SPRHC has to do with the idea that the introduction of the comprehensive diabetes education program is not implemented yet. Such latency leads to a low adherence rate and poor clinical results. All of these provide contributing factors to the lack of clearly defined standards, the ineffective split between working processes, and the unequal communication levels between the providers, all of which are described in this stakeholder presentation.
The results of these gaps are misaligned treatment plans, poor glycemic control, an increase in readmissions to hospitals, and higher costs in healthcare expenses. The care coordination problem also affects the staff morale and increases burnout and turnover risks. Furthermore, poor diabetes care can damage the hospital’s reputation by discouraging patient involvement and hindering efforts to hire new employees, highlighting the significance of NURS FPX 4005 assessment 4.
According to Tandan et al. (2024), team-based, organized interventions greatly enhance the management of chronic diseases, highlighting the value of a multidisciplinary approach,
which can be applied in stakeholder engagement examples. At SPRHC, a formal program’s implementation would entail uniform electronic health record (EHR) templates, shared decision-making procedures, and standardized protocols. Such measures would encourage patient compliance, allow an alteration of treatment in real-time, and improve provider cooperation. The objectives of SPRHC are to deliver full compliant evidence-based diabetes care and reduce readmission alongside increasing patient confidence. This effort supports that goal, aligning with the objectives of NURS FPX 4005 assessment 4.
Interdisciplinary Team Approach
Type 2 diabetes requires integrated interdisciplinary action in order to reduce and eliminate it successfully in SPRHC. In order to enhance cooperation, they will resort to the following tactics:
Table 1
Interdisciplinary Team Strategies
| Strategy |
Description |
| Standardized Communication Protocols |
To guarantee consistent exchange of data during handoffs, use SBAR (Situation, Background, Assessment, Recommendation). |
| Exchange of Data in Real Time |
Linkage of an EHR with a diabetes management system to give instant access to patient progress, medication compliance information, and test results, which is a focus of NURS FPX 4005 assessment 4. |
| Teamwork in Making Decisions |
Establishing care pathways that combine behavioral assistance, lifestyle modifications, and insulin management. |
| Multidisciplinary Education |
Regular education in shared decision-making, encouraging interviews, and diabetes control. |
Roles of Interdisciplinary Team Members
| Role |
Responsibilities |
| Leaders in Nursing |
Encourage interdepartmental cooperation, spearhead patient education programs, and facilitate the usage of SBAR. |
| Teachers of Diabetes |
Provide structured instruction on medication adherence, lifestyle modifications, and glucose monitoring, aligning with NURS FPX 4005 assessment 4. |
| Medicinal professionals |
Assist patients with insulin and oral hypoglycemia medications, and manage pharmacologic treatment. |
| Experts in Behavioral Health |
To promote self-management, eliminate psychological obstacles including stress and emotional eating. |
Implementation and Evaluation Plan
The implementation of the proposed program and its evaluation will use the Plan-Do-Study-Act (PDSA) approach.
Table 2
Implementation Phases
| Phase |
Actions |
| Make a plan |
Determine difficulties, design organized instruction, and produce patient education materials. |
| Do |
Integrate EHR functionality, have staff education, and test the application with a limited patient group, as outlined in the stakeholder management presentation. |
| Study |
Monitor key performance indicators (KPIs), analyze pilot data, and improve operations. |
| Act |
Establish quarterly interprofessional review meetings, extend hospital-wide, and continue staff training. |
Technology and Resource Management
Technology will be dependent heavily on the success of the initiative. By facilitating smooth information exchange, EHR integration will cut down on errors and redundancy, which is crucial when analyzing level of engagement stakeholders. Self-management will be supported by tools like patient portals (like MyChart) and continuous glucose monitoring (CGM) systems. Access to remote consultations, medication modifications, and lifestyle coaching will be increased via telehealth services (Dhediya et al., 2022), supporting the objectives of NURS FPX 4005 assessment 4.
Program implementation is expected to cost between $250,000 and $450,000 in the beginning, including staff training, educational materials, and EHR updates. Improved patient adherence, fewer prescription mistakes, and fewer readmissions will result in long-term savings, which can be illustrated through stakeholder engagement examples. Effective personnel distribution will guarantee that every discipline performs its function, with doctors supervising
treatment plans, nurses assisting with self-care, pharmacists guaranteeing the safety of medications, and behavioral health professionals attending to psychosocial requirements (Tamunobarafiri et al., 2024).
Outcome Evaluation
KPIs like these will be used to assess the success of the program:
- The management of glucose (A1C levels) is improved.
- Decreased readmissions to hospitals
- Higher rates of patient adherence
To promote continual improvement, staff and patient input will be incorporated into quarterly reviews. Improved coordination will enhance long-term, sustainable diabetes control, maximize resource use, and improve patient safety.
Conclusion
An organized, multidisciplinary strategy is needed to address SPRHC’s diabetes education delays, as outlined in this stakeholder presentation. With the help of technology and evidence-based tactics, the suggested approach will enhance glycemic control, lower hospital readmission rates, and increase patient adherence. Strong teamwork, resource allocation, and leadership are necessary for SPRHC to fulfill its goal of providing all-encompassing, patient-centered diabetic treatment. This conclusion reflects the key findings and recommendations of NURS FPX 4005 assessment 4.
References
American Diabetes Association. (2024). About diabetes. https://diabetes.org/about- diabetes
Colvin, C. L., Akinyelure, O. P., Rajan, M., Safford, M. M., Carson, A. P., Muntner, P., Colantonio, L. D., & Kern, L. M. (2023). Diabetes, gaps in care coordination, and preventable adverse events. American Journal of Managed Care, 29(6), e162–e168. https://doi.org/10.37765/ajmc.2023.89374
Dhediya, R., Chadha, M., Bhattacharya, A. D., Godbole, S., & Godbole, S. (2022). Role of telemedicine in diabetes management. Journal of Diabetes Science and Technology, 17(3), 193229682210811. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210114/
Nurchis, M. C., Sessa, G., Pascucci, D., Sassano, M., Lombi, L., & Damiani, G. (2022). Interprofessional collaboration and diabetes management in primary care: A systematic review and meta-analysis. Journal of Personalized Medicine, 12(4), 648. https://doi.org/10.3390/jpm12040648
Tamunobarafiri, G., Aderonke, J., Cosmos, C., Ajegbile, N. M. D., & Abdul, N. S. (2024). Integrating electronic health records systems across borders: Technical challenges and policy solutions. International Medical Science Research Journal, 4(7), 788–796. https://doi.org/10.51594/imsrj.v4i7.1357
Tandan, M., Dunlea, S., Cullen, W., & Bury, G. (2024). Teamwork and its impact on chronic disease clinical outcomes in primary care: A systematic review and meta-analysis. Public Health, 229, 88–115. https://doi.org/10.1016/j.puhe.2024.01.019
