NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, And Policy Considerations

Problems in Healthcare Organizations

Diabetes is a complex, chronic health issue that has a profound impact on individuals, families, and populations. In contemporary healthcare settings, it has emerged as a significant challenge, necessitating comprehensive management and care. A patient health problem of immediate relevance to personal and professional practice is a 40-year-old lady diagnosed with diabetes. It is a global public health concern, impacting millions of individuals worldwide. Diabetes presents a multifaceted problem that requires a strategic and interdisciplinary approach, involving healthcare leaders, practitioners, and policymakers, as its consequences extend beyond individual health to economic and societal domains (Huang, 2019).

The relevance of diabetes as a health problem can be substantiated by examining its prevalence, consequences, and the need for comprehensive management. The lady in question is not an isolated case; her diagnosis is part of a larger trend. Moreover, it exacts a significant financial burden on healthcare systems, accounting for a substantial portion of healthcare expenditures. From a policy perspective, the need to address the growing diabetes epidemic is evident, making it a relevant and pressing health issue (Huang, 2019).

From a leadership standpoint, tackling diabetes requires visionary and innovative leaders who can drive changes in healthcare systems to enhance prevention and management. Effective collaboration among healthcare providers, patients, and communities is essential for holistic diabetes care (Huang, 2019). Communication must be patient-centered and culturally sensitive, fostering understanding and adherence to treatment plans. Change management strategies are critical to implementing evidence-based practices and promoting healthy lifestyles. Policies need to focus on prevention, early detection, and affordable access to treatment, aligning with global health goals (Huang, 2019).

Evidence-Based Approach

The evidence surrounding diabetes management is robust and well-documented in peer-reviewed literature and professional sources. Regular monitoring of blood glucose levels, adherence to a healthy diet, physical activity, and medication management is essential (Leena et al., 2021). Nurses play a pivotal role in patient education, empowering individuals and their families to self-manage their condition effectively (Leena et al., 2021). Peer-reviewed studies consistently advocate for a patient-centered approach, focusing on shared decision-making, ongoing education, and support.

Evaluating the evidence, it becomes evident that the sources referenced in diabetes management adhere to rigorous research methodologies and standards. They often feature randomized controlled trials, longitudinal studies, and systematic reviews, providing a strong foundation for nursing actions (Pitsillidou et al., 2020). The criteria for evaluating this evidence are the level of scientific rigor, the applicability of findings to diverse patient populations, and the practicality of implementing recommendations in clinical settings. Barriers to evidence-based practice may include healthcare systems with limited resources or insufficient staff training. However, the strength of the evidence and the well-defined theoretical guiding frameworks, such as the Chronic Care Model, empower nurses to advocate for system-level changes and foster a culture of evidence-based practice (Pitsillidou et al., 2020).

Despite the abundant evidence, barriers to evidence-based practice in diabetes management exist. Nurses may encounter resistance to change, both from healthcare organizations and patients who may be resistant to new recommendations. Limited access to current research, time constraints, and insufficient training can hinder the application of evidence-based practices (Awang Ahmad et al., 2020). Interdisciplinary communication and collaboration can sometimes be lacking, leading to fragmented care. To overcome these barriers, nurse leaders must facilitate ongoing education and training, advocate for resources, and foster a culture of openness to change. Furthermore, patients must be engaged as active participants in their care, and healthcare systems should embrace a holistic approach to diabetes management (Awang Ahmad et al., 2020).

Theoretical guiding frameworks, such as the Chronic Care Model and the Self-Management Support framework, play a critical role in structuring nursing actions and addressing the patient problem. These frameworks provide a structured approach to evidence-based practice by emphasizing patient education, self-management, and interdisciplinary collaboration (Awang Ahmad et al., 2020). They offer a roadmap for healthcare professionals to navigate the complexities of diabetes management and improve patient out