Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations


I want to write  this paper about Diabetes Type II. I interviewed my co-worker and I will attach a file here.  Please add anything you want to it. The file I will attach contains only information from my interview. If you need to add or delete something from it please do. We will use the same patient/problem  for other papers for this class. This is just the first part of it.

There are instructions for paper:
In a 5-7 page written assessment, define the patient, family, or population health problem that will be the focus of your capstone project. Assess the problem from a leadership, collaboration, communication, change management, and policy perspective. Plan to spend approximately 2 direct practicum hours meeting with a patient, family, or group of your choice to explore the problem and, if desired, consulting with subject matter and industry experts.

The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.

Define a patient, family, or population health problem that’s relevant to your practice.
Summarize the problem you’ll explore.
Identify the patient, family, or group you intend to work with during your practicum.
Provide context, data, or information that substantiates the presence of the problem and its significance and relevance to the patient, family, or population.
Explain why this problem is relevant to your practice as a baccalaureate-prepared nurse.
Analyze evidence from peer-reviewed literature and professional sources that describes and guides nursing actions related to the patient, family, or population problem you’ve defined.
Note whether the authors provide supporting evidence from the literature that’s consistent with what you see in your nursing practice.
Explain how you would know if the data are unreliable.
Describe what the literature says about barriers to the implementation of evidence-based practice in addressing the problem you’ve defined.
Describe research that has tested the effectiveness of nursing standards and/or policies in improving patient, family, or population outcomes for this problem.
Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your practicum.
Explain how state board nursing practice standards and/or organizational or governmental policies could affect the patient, family, or population problem you’ve defined.
Describe research that has tested the effectiveness of these standards and/or policies in improving patient, family, or population outcomes for this problem.
Describe current literature on the role of nurses in policy making to improve outcomes, prevent illness, and reduce hospital readmissions.
Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of this problem.
Propose leadership strategies to improve outcomes, patient-centered care, and the patient experience related to the patient, family, or population problem you’ve defined.
Discuss research on the effectiveness of leadership strategies.
Define the role that you anticipate leadership must play in addressing the problem.
Describe collaboration and communication strategies that you anticipate will be needed to address the problem.
Describe the change management strategies that you anticipate will be required to address the problem.
Organize content so ideas flow logically with smooth transitions.
Apply APA style and formatting to scholarly writing.
Additional Requirements
Format: Format your paper using APA style. Be sure to include:
A title page and reference page. An abstract is not required.
Appropriate section headings.
Length: Your paper should be approximately 5-7 pages in length, not including the reference page.
Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.



Allison is a 44-year-old women who had weighted 235 pounds and is 5’7 tall. She is a former smoker and denies any alcohol use. Last month Allison was diagnosed with Diabetes Type II. She also has a history of high cholesterol level and hypertension . She is currently on statins, blood pressure medication and insulin. Allison states that she often forgets taking her medications. Allison often has of severe weakness, dizziness, and sleepiness. She was with Diabetes after she was  admitted to emergency room  last month for vague abdominal pain while doing house work. She appeared pale, dehydrated with dry mucous membranes, and deficient skin turgor. She also reported generalized tiredness. She has shortness of breath and dehydration. Her respirations were rapid. Blood pressure was high. She stated that she had a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision before coming to the emergency room. A random glucose test performed was 386mg/dl. Allison denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough, or fevers.

Now Allison is on blood sugar checks and Insulin injections. She says that sometimes she forgets to check her blood sugar. Allison also states that she knows that she has to lose weight and eat healthier, but she struggles with it. Allison is a single mother. She is very busy with her children and work so she has no time for cooking and often eats frozen meals or take outs. When she get take outs she says that usually it is fast food like burgers and pizza because it is cheaper than other food options.

I chose this patient for my project because Allison needs help with her treatment compliance. I think as a single mother, Allison is also overwhelmed and maybe depressed. She has two wonderful children and they need a healthy mother that can take a good care of them.

The barriers that I may face when presenting the problem to the patient is probably long term compliance with healthy eating habits, exercise and medication management.

To overcome this barriers I may consider reaching the goal slow. I wound consider seeing the dietitian. Also I would consider a lot of support from relatives and family members.






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