NURS-FPX6218 Assessment 3 Planning for Community and Organizational Change
Sample Answer for NURS-FPX6218 Assessment 3 Planning for Community and Organizational Change Included After Question
One of the most significant objectives that all healthcare providers would want to record is a positive change. Planning the community on any intervention to solve the identified problem is important in meeting the desired outcome. Nurses have a core role in ensuring that individuals and populations have positive healthcare outcomes and improved patient outcomes (Mathieson et al., 2019). The implication is that nurses have to engage in activities designed to foster positive patient outcomes and enhance organizational processes. This implies that nurses have to appropriately identify the problems and plan to use the most effective intervention for better outcomes. Therefore, the purpose of this assignment is to draft a change proposal to justify a recommendation for improving the health of the community and establish the change as a priority for the next budget cycle.
Benefits of Proposed Health Care System Changes and its Implications for a Community.
Over the years, new approaches have been introduced in the healthcare system to heighten disease prevention, better treatment, and adopt effective management of diseases. One of the most important approaches that have shaped healthcare recently is adopting modern technology (Mathieson et al., 2019). It has played a huge role in enhancing diabetic treatment. In the assessment of the Jordan community in Minnesota, diabetes has been discussed as the major problem affecting a wide range of patients in the healthcare system.
The technological strategy will be one of the most effective measures that can aid in reducing the number of diabetic cases in the community. The change would require all the nurses and the patient to adapt to the effect of the technological culture that will be adopted to solve the diabetic problem among the population (Fernandez et al., 2019). This will ensure that all patients have an equal chance to interact with the modern technology used to manage diabetes in the community.
Another benefit of the proposed healthcare changes is the reduced cost of treatment. The diabetic patient spends more funds on managing the disease and visiting the clinics more often for an injection which would be important in managing the disease for a few days. However, with the new technology, patients would have an automated system to control their insulin levels without visiting healthcare organizations. Diabetes is a condition where the body is incapable of producing enough insulin as required or fails to utilize the produced insulin as appropriate (Fernandez et al., 2019). Poorly controlled diabetes is one of the most chronic conditions. The identified population health problem relevant to the practice is poorly controlled diabetes among most patients receiving diabetes care. Diabetes is a condition where the body is incapable of producing enough insulin as required or fails to utilize the produced insulin as appropriate.
Currently, patients cater for the cost, such as insulin pumps provided by other organizations. If the clinic could procure these tools at a lower price and introduce them to diabetic patients after training on their use would improve the safety of diabetic patients (Fernandez et al., 2019). The current finances at the clinic do not allow it to apply better interventions that can significantly reduce the severity of diabetes in the increasing number of patients.
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Potential Barriers to Change in A Community
The successful implementation plan of this project in the Jordan community will be faced various barriers because it is always a norm that people do not like disruptive change. In most cases, changes involving the community face various barriers that might affect the desired change. One of the potential barriers is inadequate institutional support (Mathieson et al., 2019). The leadership at the clinic may fail to provide the optimum support needed for this project. Strategies such as aligning the missions of the organization and increasing the nurse participating in the project will be adopted to address these potential barriers.
The other barrier that might be experienced in this process is the need for more interest among nurses operating within community hospitals. Factors such as reduced awareness of the program may contribute to this barrier (Mathieson et al., 2019). The community will need to be involved in the program to ensure that the intervention is implemented as desired. The successful implementation of this project will have a positive patient outcome, especially in addressing issues related to the high number of diabetic cases recorded in the past three years in the community.
Strategies for Changing Barriers into Opportunities and Resolving Conflict.
The problem that the Jordan community has been facing is poorly controlled diabetes among most patients receiving diabetes care at the facility. Cases of diabetes have escalated, calling for effective intervention measures to solve the healthcare problem (Kerr et al., 2020). However, in the process of applying an effective intervention to address the problem, the implementation process often faces various barriers that need to be addressed.
Effective leadership is one of the aspects identified to affect the use of technology in managing diabetes in the organization. The leadership style focusing on meeting the desired patient safety would invest in better ways to incorporate modern technology in managing diseases (Kerr et al., 2020). As such, nurses and physicians in an organization need to incorporate better and more effective leadership that advocates the adoption of new technological strategies that meet their patient’s needs. The excellence in leadership has seen the organization have a high staff retention rate, innovation, and a highly motivated workforce. These elements define the increased ability of an organization to support change.
Interventions such as open communication and active involvement will be adopted to address the mentioned barriers. The leadership of the community and healthcare institutions Various stakeholders will be included in the project. The stakeholders will include nurses at the community clinics, finance officers, the community, nurse managers, and overall nurse managers in community clinics. Nurses will be involved actively in the implementation process. As a result, their role in the implementation process is essential. They will also reduce the risk of resistance from other nurses and the community (Kim, 2022). Nurse managers at the clinic will be involved in the entire coordination process. They will provide feedback on the successes, challenges, and opportunities to explore for the success of this project. The financial manager will determine the financial implications of the project and perform a cost-benefit analysis that will show whether the project is significant or not.
A Strategy for Helping Organizational Stakeholders Understand and Evaluate the Proposed Changes to an Existing Health Care System.
Training the nurses and the community in technological intervention in diabetes management is essential for the success of the program. This measure represents an excellent opportunity for nurses and patients to grow their knowledge base and improve their job skills to become more effective in the community. Despite the cost of training for the community and nurses, the return on investment is immense if it is consistent. Community training programs help improve the knowledge and skills of employees to match the various changes in healthcare (Fernandez et al., 2019). These improvements will positively affect the productivity of nurses, which can reduce problems related to the medical administration of diabetic patients. Training programs can also prepare the stakeholders to use modern technology that limits errors.
The proposed technological intervention in managing diabetes will equip healthcare professionals with modern skills in managing diabetes among patients. The training needs assessment process allows the organization to identify any gaps in its current training society and use the interest of the community in developing the desired change (Fernandez et al., 2019). These gaps should be analyzed, prioritized, and turned into the organization’s training objectives. The ultimate goal is to bridge the gap of poor diabetes management in the community.
It is also important to ensure that managers, trainers, and mentors deliver a consistent message during on-the-program training. Again, it is important to keep an eye out for obvious signs of a skills gap: poor performance reviews or employee incident reports, new technology or software adoptions, and staffing changes are all indicators of a gap needing to be addressed (Nilsen et al., 2020) These measures will ensure that the community learns about the new technology used in managing diabetes and the effect of the new technology in the future health of the community.
A Grant Proposal
The cost of the intervention might be high but does not level with its benefits for patients. While there are patients who can afford the technology in the community, many people would depend on the program’s funding from donations and other well-wishers. The budget for planned intervention will include various costs, as in the Table below.
Table 1
| Platform | Budget |
| Acquiring technology | $14000 |
| Software | $3000 |
| Hardware | $ 2500 |
| Nurse Training | $ 15000 |
| Community Training | $25000 |
| TOTAL | $59500 |
Conclusion
The successful implementation of the proposed community intervention relies on various parameters that focus on ensuring its success. The stakeholders, design, and addressing the potential barriers are clear paths that focus on meeting the desired success of a project. The increased focus on the management on the implementation would also aid in meeting the desired outcome.
References
Fernandez, M. E., Ruiter, R. A., Markham, C. M., & Kok, G. (2019). Intervention mapping: Theory-and evidence-based health promotion program planning: perspective and examples. Frontiers In Public Health, 209. https://doi.org/10.3389/fpubh.2019.00209
Haldane, V., Chuah, F. L., Srivastava, A., Singh, S. R., Koh, G. C., Seng, C. K., & Legido-Quigley, H. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PloS One, 14(5), e0216112. https://doi.org/10.1371/journal.pone.0216112
Kerr, D., Ostaszkiewicz, J., Dunning, T., & Martin, P. (2020). The effectiveness of training interventions on nurses’ communication skills: a systematic review. Nurse Education Today, 89, 104405. https://doi.org/10.1016/j.nedt.2020.104405
Kim, B. (2022). Commentary: Engaging healthcare staff and stakeholders in healthcare simulation modeling to better translate research into health impact: A systematic review. Frontiers In Health Services 982184. doi: 10.3389/frhs.2022.98218
Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed- studies review and qualitative synthesis. Primary Health Care Research & Development.https://doi.org/10.1017/S1463423618000488
Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses, and assistant nurses. BMC Health Services Research, 20, 1-8. https://doi.org/10.1186/s12913-020-4999-8