Implementation Plan Design

The proposed intervention plan aims to compare the effects of drug therapy and cardiovascular therapy on blood sugar control in patients with type 2 diabetes over a period of 1 month. The primary aim of this intervention is to identify which treatment approach is more effective at controlling blood sugar levels in this patient population. The design of this intervention is based on the PICOT question discussed in the previous assessments. It explores the potential benefits and risks of different treatment options for type 2 diabetes regarding blood sugar control. This intervention plan will include a range of appropriate delivery methods for implementing the interventions effectively and efficiently.

NURS FPX 6030 Assessment 4 Implementation Plan Design

Management and Leadership

To ensure successful inter-professional collaboration while implementing an intervention plan for managing type 2 diabetes, strategies must be proposed. To lead, manage, and put into effect professional nursing practices, these strategies should be based on relevant evidence and best practices and should address any conflicting data or perspectives that may impact the effectiveness of the intervention (Gifford et al., 2018).

Teamwork and Open Communication

One approach to leading and managing professional nursing practices in the context of inter-professional collaboration is to foster a culture of teamwork and open communication. This can involve promoting shared decision-making and encouraging nurses to collaborate with other healthcare professionals to identify and address any challenges or barriers that may arise during the implementation of the intervention (Schmutz et al., 2019).

Training for Nurses

Another strategy for implementing professional nursing practices in an inter-professional setting is prioritizing ongoing nurse education and training. This can include providing resources and support for nurses to stay current on the latest evidence-based practices in diabetes management, as well as training on effective communication and collaboration skills (Regmi & Jones, 2020).

Conflicting Data

There may be conflicting data or perspectives on the most effective strategies for leading, managing, and implementing professional nursing practices in an interprofessional setting. For example, some research suggests that promoting a culture of teamwork and open communication is the most effective approach. In contrast, other studies suggest that more hierarchical leadership models may be more effective in certain contexts. Similarly, there may be conflicting views on the best approaches to ongoing education and training for nurses, with some studies suggesting that more formalized programs are the most effective. In contrast, others may advocate for more flexible and individualized approaches (Yusra et al., 2019).

Implications of Change Associated with Proposed Strategies

The management of type 2 diabetes is an ongoing challenge for both patients and healthcare providers. New strategies may offer the potential for improved care for those involved in the care process. This includes the impact on patient care, healthcare providers, and the financial implications of these changes. It is important to carefully consider these implications and provide the necessary support and resources to ensure the success of any new interventions.

Impact on Patient Care

One potential implication of implementing proposed strategies for improving the quality and experience of care for patients with type 2 diabetes is the impact on patient care. New interventions or treatments may require patients to adjust to new approaches, which could affect their care experience and outcomes. It is important to consider these changes’ potential benefits and risks and ensure that patients are adequately educated and supported throughout the process (Hartmann-Boyce et al., 2020).

Impact on Healthcare Providers

Another implication of implementing new strategies for managing type 2 diabetes is the impact on healthcare providers. These changes require providers to adapt to new protocols or technologies, which could affect their work processes and workload. It is important to consider these changes’ impact on providers and provide the necessary support, as well as the resources to ensure they can effectively implement the new interventions (Alami et al., 2019).

Financial Implications

Implementing new strategies for managing type 2 diabetes may have financial implications for organizations. These changes require acquiring new resources or modifying existing ones, which could impact the overall cost of care. It is important to consider the potential financial implications of change carefully and to ensure that any investments are justified by the potential benefits of the new interventions (Kirtley & O’Mahony, 2020).

Knowledge Gaps

There are several areas where further information may be necessary to improve the analysis of the impact of change on various stakeholders in implementing interventions for managing type 2 diabetes. Some potential knowledge gaps, unknowns, or areas of uncertainty may include:

• The potential benefits and risks of new patient interventions, including how these may impact their care experience and outcomes.
• The impact of new interventions on healthcare providers, including any changes to work processes or workload that may be necessary.
• The financial implications of implementing new interventions, including the cost of acquiring new resources or modifying existing ones.
• The potential impact of external factors, such as healthcare policy or regulatory requirements, on the implementation of new interventions.
• The effectiveness of different strategies for supporting patients, healthcare providers, and organizations through change.

Appropriate Delivery Methods to Implement Intervention

Several delivery methods could be considered appropriate for implementing the intervention plan, which aims to evaluate the effect of drug therapy compared to cardiovascular therapy on blood sugar control in patients with type 2 diabetes over 1 month. These include:

Individualized Consultations

One delivery method is through individualized consultations with healthcare providers. This could involve scheduling regular appointments with a primary care physician or specialist, such as an endocrinologist, to discuss treatment options and monitor blood sugar levels (Anderson et al., 2019).

Group Education Sessions

Another delivery method could be through group education sessions, such as diabetes self-management classes or support groups. These sessions could allow patients to learn from healthcare professionals and other patients about strategies for managing their condition and improving blood sugar control (Tsiamparlis-Wildeboer et al., 2022).

Telemedicine

Other delivery methods include telemedicine, online resources, and mobile health apps. They can provide patients with access to information and support for managing their condition remotely (Neubeck et al., 2020).

NURS FPX 6030 Assessment 4 Implementation Plan Design

Assumptions

When recommending suitable implementation strategies for carrying out an intervention plan, certain presumptions must be taken into account. These assumptions may include the target population’s preferences and needs, the availability of resources, and the feasibility of implementing the proposed methods. By considering these factors, it is possible to design a delivery plan that is effective, efficient, and aligns with the overall goals and objectives of the intervention (Anderson et al., 2019).

Evaluation of the Current and Emerging Technological Options

In evaluating the current and emerging technological options related to the proposed delivery methods for implementing an intervention plan for the management of type 2 diabetes, it is important to consider the potential benefits and drawbacks of each option. Some potential technological options include the use of telemedicine, mobile health apps, and virtual reality interventions.

Telemedicine

Telemedicine, or using telecommunication and information technologies to provide clinical health care services remotely, can improve access to care for patients with type 2 diabetes. By allowing patients to connect with healthcare providers remotely, telemedicine can help to reduce barriers to care, such as distance and transportation issues (Neubeck et al., 2020). However, there may be challenges related to the adoption of telemedicine, such as the need for training and support for healthcare providers and the potential for technological issues or security breaches.

Health Software

Mobile health apps or software applications that provide health-related information and services can also be useful for managing type 2 diabetes. These apps can provide patients with access to various resources, including educational materials, tracking tools, and support from healthcare providers. However, there may be challenges related to the usability and reliability of mobile health apps and potential privacy concerns (Wang et al., 2019).

Virtual Simulations

Virtual reality interventions, which use computer-generated simulations to create immersive environments, may also be useful for managing type 2 diabetes. These interventions can provide patients with engaging and interactive experiences that can help improve their self-management knowledge and skills. However, there may be challenges related to the availability and cost of virtual reality interventions and the need for training and support for patients and healthcare providers (Wang et al., 2019).

Potential Knowledge Gaps

Identifying any uncertainty that may impact the analysis is important to optimize the effectiveness of the proposed delivery methods for the intervention plan. To better grasp the available and developing technological options about the suggested delivery methods, this may entail performing additional research or collecting additional data. By identifying these areas of uncertainty, it may be possible to make informed decisions and improvements to the intervention plan to maximize the chances of success (Neubeck et al., 2020).

Stakeholders, Regulatory Effects, and Possible Support that Might Have an Influence on the Implementation

It is important to consider a variety of stakeholders, regulatory repercussions, and potential support that could influence the implementation process to carry out the training and skill development plan for managing Type 2 Diabetes successfully.

Stakeholders

The stakeholders may include patients, healthcare providers, organizations, and policymakers. Each of these groups may have different needs, concerns, and interests that need to be considered to ensure a successful implementation.

Regulatory Implications

Regulatory implications may include the need to comply with relevant laws and regulations, such as the HIPAA act and other privacy requirements, as well as the need to obtain necessary approvals or certifications to implement the intervention (CDC, 2018).

Potential Support

Potential support that could impact the implementation process may include funding or other resources, such as technology or staff, that may be necessary to support the implementation of the intervention (Wang et al., 2019).

Assumptions and Analysis

The analysis of these factors should be based on assumptions that consider the potential impact of these stakeholders, regulatory considerations, and support on the implementation process and that seek to identify any potential challenges or barriers that may need to be addressed to ensure a successful implementation.

Factors that Influence Policy and Promote the Adoption of the Action Plan

To support the implementation of an intervention plan for the management of Type 2 Diabetes, it is important to consider existing or new policy considerations that may impact the effectiveness of the intervention. This may include reviewing current federal policies and regulations related to diabetes management, such as the Affordable Care Act or the Centers for Medicare and Medicaid Services’ guidelines for diabetes care. It may also involve identifying any potential barriers or challenges that may arise during the implementation of the intervention and proposing new policies or regulatory changes that could address these issues (Affordable Care Act, n.d.).

It is also important to consider how existing or new policies might impair the implementation of the intervention plan. For example, certain policies or regulations may restrict access to certain treatments or resources or create financial burdens that could impact the feasibility of the intervention. By carefully evaluating the impact of policy on the implementation of the intervention, it may be possible to identify and address any potential challenges or barriers to success.

Timeline for Executing the Intervention Plan and Related Factors

To ensure the successful implementation of an intervention plan for managing Type 2 Diabetes, it is important to consider various factors that may influence the timing of the plan. One such factor is the availability of resources, including personnel, equipment, and funding. Ensuring these resources are in place before initiating the plan can help ensure its smooth implementation (Adu et al., 2019).

Another factor that may impact the timeline for implementing the intervention plan is the readiness of the target population. This may involve assessing the willingness and ability of patients with Type 2 Diabetes to participate in the plan and any potential barriers or challenges that may need to be addressed (Adu et al., 2019).

Timeline

Based on these considerations, a timeline of one month may be appropriate for implementing the intervention plan. These will include:

Week 1

• Examine current procedures and regulations for managing Type 2 Diabetes.
• Identify areas for improvement and potential new strategies to be implemented.
• Compile a list of necessary resources and tools for successfully implementing new interventions.

Week 2

• Inform relevant parties, including patients, healthcare providers, and relevant staff members, about the planned changes.
• Offer education and training on the new interventions, including how to use new technologies or follow new protocols.
• Set up a support system for any questions or concerns arising during implementation.

Week 3

• Start testing the new interventions with a small group of patients and healthcare providers.
• Observe the progress of the pilot and gather feedback from participants.
• Make any necessary changes to the interventions based on the results of the pilot.

Week 4

• Introduce the new interventions to a larger group of patients and healthcare providers.
• Continue to monitor progress and gather feedback to ensure the success of the implementation.
• Establish a system for ongoing evaluation and improvement of the interventions.

However, it is important to be prepared to revise the timeline if unforeseen factors could impact the plan’s implementation.

Conclusion

In conclusion, implementing new strategies for managing type 2 diabetes can have many implications for patients and healthcare providers. It is important to consider the impact on patient care, including the potential benefits and risks of new interventions, and to ensure that patients are adequately educated and supported throughout the process. The impact on healthcare providers may include adapting to new protocols or technologies. It is important to provide the necessary support and resources to ensure that they can effectively implement the new interventions. Financial implications may include acquiring new resources or modifying existing ones. It is important to carefully consider the potential financial implications of change and ensure that the potential benefits of the new interventions justify any investments. The delivery methods for implementing these interventions, including mobile health apps and virtual reality interventions, may also have potential challenges and limitations. Identifying any areas of uncertainty and conducting additional research or gathering additional data to understand better the current and emerging technological options is important. The implementation of the intervention strategy may also be impacted by policy considerations, including current or future federal laws and regulations. Considering these factors, it may be possible to identify strategies for overcoming any barriers or challenges that may arise during the implementation process and to optimize the effectiveness of the proposed interventions for managing type 2 diabetes.

NURS FPX 6030 Assessment 4 Implementation Plan Design

References

Adu, M. D., Malabu, U. H., Malau-Aduli, A. E. O., & Malau-Aduli, B. S. (2019). Enablers and barriers to effective diabetes self-management: A multi-national investigation. PLOS ONE, 14(6).

https://doi.org/10.1371/journal.pone.0217771

Affordable Care Act. (n.d.). U.S. Centers for Medicare & Medicaid Services.

https://www.healthcare.gov/glossary/affordable-care-act/

Alami, H., Gagnon, M.-P., & Fortin, J.-P. (2019). Some multidimensional unintended consequences of telehealth utilization: A multi-project evaluation synthesis. International Journal of Health Policy and Management, 8(6), 337–352.

https://doi.org/10.15171/ijhpm.2019.12

Anderson, R. J., Bloch, S., Armstrong, M., Stone, P. C., & Low, J. T. (2019). Communication between healthcare professionals and relatives of patients approaching the end-of-life: A systematic review of qualitative evidence. Palliative Medicine, 33(8), 926–941.

https://doi.org/10.1177/0269216319852007

CDC. (2018). Health Insurance Portability and Accountability Act of 1996 (HIPAA). Centers for Disease Control and Prevention.

https://www.cdc.gov/phlp/publications/topic/hipaa.html

Gifford, W. A., Squires, J. E., Angus, D. E., Ashley, L. A., Brosseau, L., Craik, J. M., Domecq, M.-C., Egan, M., Holyoke, P., Juergensen, L., Wallin, L., Wazni, L., & Graham, I. D. (2018). A systematic review of managerial leadership for research use in nursing and allied health care professions. Implementation Science, 13(1).

https://doi.org/10.1186/s13012-018-0817-7

Hartmann-Boyce, J., Morris, E., Goyder, C., Kinton, J., Perring, J., Nunan, D., Mahtani, K., Buse, J. B., Del Prato, S., Ji, L., Roussel, R., & Khunti, K. (2020). Diabetes and COVID-19: Risks, management, and learnings from other national disasters. Diabetes Care, 43(8), 1695–1703.

https://doi.org/10.2337/dc20-1192

Kirtley, J., & O’Mahony, S. (2020). What is a pivot? Explaining when and how entrepreneurial firms decide to make strategic change and pivot. Strategic Management Journal, 44(1), 197–230.

https://doi.org/10.1002/smj.3131

Neubeck, L., Hansen, T., Jaarsma, T., Klompstra, L., & Gallagher, R. (2020). Delivering healthcare remotely to cardiovascular patients during COVID-19. European Journal of Cardiovascular Nursing.

https://doi.org/10.1177/1474515120924530

Regmi, K., & Jones, L. (2020). A systematic review of the factors – enablers, and barriers – affecting e-learning in health sciences education. BMC Medical Education, 20(1).

https://doi.org/10.1186/s12909-020-02007-6

Schmutz, J. B., Meier, L. L., & Manser, T. (2019). How effective is teamwork? The relationship between teamwork and performance in healthcare teams: A systematic review and meta-analysis. BMJ Open, 9(9).

https://doi.org/10.1136/bmjopen-2018-028280

Tsiamparlis-Wildeboer, A. H. C., Feijen-De Jong, E. I., van Lohuizen, M. T., Tichelman, E., de Jonge, A., & Scheele, F. (2022). Self-management support by health care providers in prenatal Shared Medical Appointments (CenteringPregnancy®) and prenatal individual appointments. Patient Education and Counseling, 107, 107579.

https://doi.org/10.1016/j.pec.2022.107579

Wang, Y., Li, M., Zhao, X., Pan, X., Lu, M., Lu, J., & Hu, Y. (2019). Effects of continuous care for patients with Type 2 Diabetes using mobile health application: A randomized controlled trial. The International Journal of Health Planning and Management, 34(3), 1025–1035.

https://doi.org/10.1002/hpm.2872

Yusra, R. Y., Findyartini, A., & Soemantri, D. (2019). Healthcare professionals’ perceptions regarding interprofessional collaborative practice in Indonesia. Journal of Interprofessional Education & Practice, 15, 24–29.

https://doi.org/10.1016/j.xjep.2019.01.005

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