Change Project Plan 4 By Lisette Duque West

Change Project Plan 4 Change Project Plan Lisette Duque West coast Univer

The evidence-based change project focuses on identifying the best current evidence through the integration of clinical expertise and patient’s values to guide effective decision-making regarding patients with diabetes. This plan will incorporate strategies and tactics relevant for the evaluation of diabetes self-management among patients to improve HbA1c. To assess the environment, this change project will outline the knowledge base by providing the participants who are from the primary care office with type 2 Diabetes with questionnaires concerning their level of Diabetes Self Management. The diabetes coordinators will select the participants in the facility in which the awareness level and knowledge of the current approaches to managing diabetes will be assessed.

This will help in barriers identification and enhance adjustments from the facility's approach. Efficiency will be evaluated by working together with the nurse and nurse practitioner at Sanitas Medical. The project lead will guide the team in the identification of the mission, vision, and objectives that will guide the change project. Theoretical frameworks that have been identified will be adopted, including Orem Self-care Deficit theory and social cognitive theory.

The outcomes will be identified and analyzed, ensuring all activities create value toward the aims of the change project. The project team will collect and analyze questionnaire results filled out by patients in the primary care office, which will then be presented at the next diabetic conference organized by the facility. Nurses involved will suggest changes to facilitate better self-care maintenance, such as dietary choices and physical activity, and propose ways to improve patients' self-awareness related to self-management. These evidence-based changes aim to improve HbA1c levels.

Feedback obtained from the conference will be reviewed and evaluated for consensus. Philis-Tsimikas and Gallo (2015) highlight that effective change programs should provide accessible, understandable information that accommodates socioeconomic, cultural, and literacy differences to promote self-management and reduce HbA1c. Weekly meetings will involve discussion of outcomes and ongoing challenges, with methodologies designed to analyze problems at their root, being cost-effective and adding value for patients.

Data collection will utilize anonymous questionnaires to protect patient privacy and rights. The Diabetes Self-Management Questionnaire (DMSQ), comprising 16 items covering five aspects of diabetes self-management, will be used (Schmitt et al., 2016). Patients will rate the extent each statement applies to them on a four-point Likert scale, with higher scores indicating desirable self-management behaviors. The questionnaire will be administered over eight weeks, during which patients will self-assess their management levels.

In the action phase, the team will review lessons learned during implementation, adjusting methodologies and proposals accordingly based on evaluation outcomes. If successful, strategies will be developed to sustain and further improve HbA1c levels and self-management behaviors. The project timeline includes presenting the proposal, participant and nurse identification, data collection, analysis, and refinement, scheduled from July 5, 2018, through July 28, 2018. The initiative requires no external funding.

The expected outcomes are improvements in diabetes self-management behaviors that contribute to lowered HbA1c levels, reducing the risk of long-term diabetes complications. Maintaining glycemic control is critical, as poor management correlates with increased complications. Identifiable, evidence-based behavioral changes are essential for long-term health outcomes.

In conclusion, effective diabetes management hinges on understanding and improving patient behaviors through evidence-based strategies. By involving patients in self-assessment, providing education tailored to their socioeconomic and cultural contexts, and implementing targeted interventions, clinicians can significantly impact long-term glycemic control and decrease diabetes-related complications.

References

• Schmitt, A. R., et al. (2016). Assessing Diabetes Self-Management with the Diabetes Self-Management Questionnaire (DSMQ). Pros, Gallo, A. P.-T. (2015). Implementing Community-Based Diabetes Programs: The Scripps Whittier Diabetes Institute Experience. PMC, doi:10.1007/s.
• Philis-Tsimikas, A., & Gallo, A. (2015). Implementing community-based diabetes programs: The Scripps Whittier Diabetes Institute experience. Journal of Diabetes Science and Technology, 9(2), 322-328.
• Schmitt, A. R., et al. (2016). Assessing diabetes self-management with the DSMQ. Diabetes Research and Clinical Practice, 113, 55-64.
• Gallo, A. P.-T., et al. (2015). Community-based diabetes programs: The Scripps Whittier Diabetes Institute experience. Journal of Diabetes Science and Technology, 9(2), 322-328.
• Andreas Schmitt, A. R., et al. (2016). Assessing Diabetes Self-Management with the Diabetes Self-Management Questionnaire (DSMQ). Pros, Gallo, A. P.-T. (2015). Implementing Community-Based Diabetes Programs. PMC.
• World Health Organization. (2016). Global report on diabetes. Geneva: WHO.
• American Diabetes Association. (2021). Standards of Medical Care in Diabetes—2021. Diabetes Care, 44(Supplement 1), S1–S232.
• Banthia, R., et al. (2015). Behavioral interventions for diabetes management: A systematic review. Patient Education and Counseling, 98(4), 406-418.
• Funnell, M. M., & Anderson, R. M. (2018). Patient empowerment: A look back, a look ahead. The Diabetes Educator, 44(1), 22-29.
• Chatterjee, S., et al. (2018). Improving diabetes management through patient-centered care. Journal of Clinical Medicine, 7(8), 193.