Change Strategy and Implementation Essay

Change Strategy and Implementation Essay

The prevalence of diabetes in the United States is alarming, affecting 10.5% of the population (Lovic et al., 2020). High blood glucose levels, the hallmark of diabetes, can cause long-term damage to the body’s vital organs, such as the heart, nerves, lungs, liver, and brain. Diabetes develops when sugar levels are persistently high. The majority of people with diabetes have type II. Diabetes type II is characterized by inefficient insulin use. Type II can be treated with insulin or oral medicine, as well as with a healthy diet and regular exercise. Patients with diabetes need education on the disease and its consequences, as well as the encouragement of loved ones and medical professionals (Lovic et al., 2020). One of the most important aspects of managing diabetes is ensuring the patient is aware of the consequences of not doing so.

Diabetes Relationship with Acute Kidney Failure and Depression

Feelings of worry, grief, and frustration are common after finding out that one has diabetes. A depressive episode may result from these feelings. Depression is more common in those who have recently been diagnosed with diabetes, but it can also affect those who have had the disease for a long time. Poor diet, inadequate exercise, and increased blood glucose levels have all been linked to emotional distress. A higher rate of depression is seen in patients with diabetes compared to those without the disease (Sartorius, 2019). Furthermore, patients diagnosed with diabetes are likely to be affected by acute renal failure. A diagnosis of acute renal failure can be severe, leading to decreased life expectancy and diminished quality of life. When the kidneys are damaged, they can progress to renal failure and the necessity for dialysis or a transplant (Akhtar et al., 2020). Diabetics can lessen their risk of developing acute renal failure by carefully monitoring and controlling their blood glucose levels, eating healthily, and staying at a healthy weight.

Change Strategies

Patients with diabetes have special care requirements, and one of the most pressing is for their feet. Diabetic foot sores and limb loss could be prevented with proper footwear and foot care. Instructing on proper foot care might be provided by a nurse or physician. Diabetic education and the help of a dietitian are essential components of the group. Lots of diabetic foot cases are preventable through proper education. Diabetic patients are not given adequate education on proper care of their feet. Healthcare professionals need to play their part in health education to lower the disease burden. One of the most important things that these doctors do is instruct patients on how to monitor their blood sugar levels and take their medicine (Pourkazemi et al., 2020). The primary care provider and the patient will benefit from this group’s expertise in managing diabetes.

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Positivity about the diabetes diagnosis and the required lifestyle modifications can be increased by ensuring a support network and trust and commitment for the health professionals. The patient’s cooperation increases as a result of the help they receive. The complications of diabetes, including kidney disease, heart disease, vision loss, and amputation, are further exacerbated by patients’ failure to adhere to their treatment plans.

Patients can improve their health outcomes with education about how to monitor blood glucose levels, the significance of taking medications as prescribed, coping strategies, and general understanding and management of the condition. It is crucial to determine a patient’s educational background before beginning instruction and to regularly test the patient’s progress. A patient’s inability to comprehend instructions may cause complications. Educators, in such instances, must collaborate with patients to ascertain the most effective means of conveying and implementing educational material. Medication is an option for treating the patient’s depression (Lovic et al., 2020). It’s possible that psychotherapy could be beneficial as well. The same goes for support groups if you decide to join one. Just as important as how you feel physically is keeping your mind healthy if you have diabetes. It’s impossible to get everyone to confess they need help, and even fewer people take advantage of it. They could feel ashamed or unmotivated to talk about how they really feel. Since this is the case, seeking aid may prove difficult. Healthcare providers from various fields (e.g., primary care physicians, pharmacists, registered nurses, diabetes educators, nutritionists, and community health workers) collaborate closely to manage diabetes care, provide services, and refer patients to community programs under an interprofessional team model of care.

Prior to the implementation of equitable care, diabetic patients are denied access to preventive care. This could result in an increased disease burden leading increase healthcare costs. Implementation of these change strategies will ensure equitable access to healthcare for every. With access to preventive care, the disease process could be altered, and the number of disease cases could be reduced in number. This will result in high-quality healthcare and better patient outcomes.

Current outcomes Change strategy Expected outcome
Diabetic patients receive sufficient information on renal disease and antidepressant treatment:

·         Patients often misunderstand the indicators of renal illness.

·         Low blood glucose control is linked to depression in a large proportion of diabetic individuals.

Certain criteria must be fulfilled to guarantee patients’ access to necessary medical attention:

·         The indicators of renal illness must be reviewed with individuals.

·         Support networks must be easily available to individuals who might learn from them.

·         Antidepressants and at-home drug testing kits for urine

People with diabetes will be able to easily get in touch with healthcare professionals and community resources that can improve their physical and emotional health:

·         Every two to three months, individuals will have blood collected to monitor their kidney health and average blood sugar levels (Akhtar et al., 2020).

·         Drugs, therapy, and community support groups will all be available to assist patients suffering from depression (Sartorius, 2019).


In conclusion, type 2 diabetes increases the risk of developing cardiovascular disease and kidney failure, as well as vision and limb loss and even death. Patients with diabetes have a better chance at a longer life span if they receive thorough education about the disease and its associated risks. Patient’s quality of life can be improved by treating depression brought on by the strains of living with diabetes. Irrespective of a person’s financial situation, they should be able to receive the quality medical treatment and education they need. Assuming a patient will not get therapy or medicine because of cost or lack of desire puts that patient at risk for more problems. Those with diabetes and its complications will benefit from care that is simple to obtain and comprehend.



Akhtar, M., Taha, N. M., Nauman, A., Mujeeb, I. B., & Al-Nabet, A. D. M. H. (2020). Diabetic kidney disease: Past and present. Advances In Anatomic Pathology27(2), 87–97.

Lovic, D., Piperidou, A., Zografou, I., Grasso, H., Pittaras, A., & Manolis, A. (2020). The growing epidemic of diabetes mellitus. Current Vascular Pharmacology18(2), 104–109.

Pourkazemi, A., Ghanbari, A., Khojamli, M., Balo, H., Hemmati, H., Jafaryparvar, Z., & Motamed, B. (2020). Diabetic foot care: knowledge and practice. BMC Endocrine Disorders20(1), 40.

Sartorius N. (2019). Depression and diabetes. Dialogues In Clinical Neuroscience20(1), 47–52.

Professional Context
One area in health care that it is necessary to consider is the environment in which nurses work. It is important that this environment evolves and changes so that all patients are adequately supported. For this assessment, you will develop a change strategy to improve the health care environment. These changes can be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug administration, or disease recovery rates. A key skill for master’s-level nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data to reach set goals.

Consider a current environment. This could be your current care setting, the care setting presented in the scenario Vila Health: Using Concept Maps for Diagnosis, or a care setting in which you are interested in working. For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course, a relevant data set that already exists (a data set from the case study you used as a basis for your previous Concept Map assessment or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.

Potential topics for this assessment could be:

Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your previous Concept Map assessment. As a starting point, you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point, you could ask yourself, “How could the care environment be changed to enhance coping?”
Once you determine the change you would like to make, consider the following:

What data will you use to justify the change?
How can the team achieve this change with a reasonable cost?
What are the effects on the workplace?
What other implementation considerations do you need to consider to ensure that the change strategy is successful?
How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?
Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation [DOCX] to better understand how each grading criterion will be assessed.

Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
Justify the specific change strategies used to achieve desired outcomes.
Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
Example assessment: You may use the assessment example, Assessment 2 Example [PDF], to give you an idea of what a Proficient or higher rating on the scoring guide would look like.

Submission Requirements
Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
APA formatting: The APA Template Tutorial [DOCX] can help you in writing and formatting your analysis. No abstract is required.

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