Team Success

Running Head: TEAM SUCCESS 1

TEAM SUCCESS

(Author’s Name)

(Institutional Affiliation)

TEAM SUCCESS 2

Assignment 1

I am trying to improve on follow up care and effective education of diabetic patients to

improve compliance as decrease and maintain the patients A1c at an appropriate number. In my

quest to achieve this, I used the appreciative inquiry model to engage different stakeholders in

my quest for self-determined change. I decided to invite the DNP (Doctor of Nursing Practice),

the Chief Nursing Officer and finally I invited the Doctor for Diabetes.

The meeting was not conducted between the stakeholders and myself. I chose to invite

my team as well who have been in the Diabetic section, including the interns, to be able to

benefit from the discussions. I was able to make this arrangement possible through our team

champion who was able to schedule the colloquium and have our colleagues handle duties on our

behalf. The session was done in the nursing board room and all the invited stakeholders were

there on time.

Notes Taken from Doctor of Diabetes

 Metabolic disorders are the principle causes of diabetes.

 Leading factors to the disease are sedan tar lifestyles, behavioral rich factors, and

notional changes.

 Lifelong self-care is mandatory since improved life quality and self-care is seen to be cost

effective (American Diabetes Association, 2015)

 The various objectives of the dietary treatment of diabetes include should be:

 Achievement of optimal blood glucose concentrations

 Achievement of blood lipid concentrations

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 Provision of energies for normal growth and development which includes

the periods of pregnancy and lactation

 Prevention, delay, and treatment of diabetes-related complications

 Improvement of health through balanced nutrition

 To be able to improve of follow up care, dietary education is principle in guiding your

patients while fostering treatment to them (Viana et al., 2016).

 Have a proper definition of the dietary guidelines such as:

 The carbohydrates consumed should be in the form of polysaccharides or

starch such as potatoes, bread, beans rice and maize.

 Refined sugars and honey should be avoided and should only be

consumed in episodes of hypoglycemia

 Selfcare therefore is seen as a principle that improves the quality of life and is effective as

a cost reduction mechanism.

 A patient should therefore be seen not only as being passive and a recipient of various

health services but a responsible, reliable, and strong individual with the power to make

decisions which may prove to give self-health care responsibility (Wong et al., 2015).

 Positive performance can be derived from this t include diabetes self-care principles.

 Public participation is essential in essential and should be continuous and dynamic.

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 Absence of education and public participation in patient self-care and education may lead

to increased and expensive health care costs thus leading to suffering of the quality of

life.

Notes from the Chief Nursing Officer

 The hospital is committed towards achieving its principle mission of being a center of

hope, and restoration through high quality and affordable health care.

 The initiative by nurses to improve their skill on various Evidence Based Practices are

supported by the hospital management and methodologies adopted are appreciated

(Wong et al., 2016).

 The management fully supports these initiatives and has a reservation budget for such

activities and can further reach out to create partnerships through exchange programs

where nurses can benchmark on adaptive ways of self care, education, and treatment

Notes from Doctor of Nursing Practices

 Diabetes is a disease that is handled by three practitioners who must work together to

ensure that there is care ad education to the patient. These are: Health educator or nurse, a

nutritionist, and a doctor.

 The principles of self care are balanced in the abilities to observe diet, to engage in

various physical activities and consequently in the taking of medication (Boone, 2017).

 Cases have been reported of patients who have died after discharge, yet they showed

potential to improve. It is out of these concerns that new want to dedicate ourselves to

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follow up and get familiar with their livelihoods as a way of conducting monitoring and

evaluation (Parker, 1994).

Reaction to the content

After the information was delivered by the Doctor of Diabetes, the Chief Nursing Officer

and the Doctor of Nursing Practices, the moderator for the session allowed the nurses to form

groups where they discussed the responses. They formed three groups and selected a group

representative who was going to react to the responses given by the professionals invited (Kaiser,

2011). This colloquium was very significant since it was going to lead to the production and

dissemination of a white paper.

To react to this presentation, the nursing team adopted a World Café Approach. This is a

flexible, effective, and simple method of hosting a large group conversation o a specific topic. In

this model, the setting was done in the hospital’s café with tables having a capacity of ten chairs

each (Weiss, 2018). These table arrangements represented the different groups in the nursing

team, which had been subdivided into three groups to match the number of professionals invited.

After the setting, the moderator shared the etiquette to be followed and made the team at

ease. Then the process begun with the small round table discussions based on the feedback they

had received. After 20 minutes of discussions, the members switched to a different table. The

tables chose to leave behind a table host who were the three invited guests. The purpose of this

exercise was to make them have a consolidated view and response to the feedback received

(Persily, 2013).

What dominated the round table discussions were questions from the nursing team in the

event a question had not been addressed. The questions could have been repetitive, but it gave

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the team a chance to interact with them. They were in the end guided by the responses given to

them. After the round table discussions several individuals were selected to share insights and

give results that arose from the conversations held together with the rest of the team. There was a

visual reflection of the results given using graphics recording (Silver & Bufanio, 1996).

Roles

In this instance, three personalities were invited. These three personalities are:

The DNP (Doctor of Nursing Practice) who is our team champion

The Chief Nursing Officer who is our team sponsor at the management level and

The Doctor for Diabetes who has been acting as our mentor in the profession.

Team Goal Setting

The main goal of the colloquium was: To determine monthly best care practices for improved

follow up care and effective education of diabetic patients to improve compliance while

decreasing and maintaining the patients A1c at an appropriate number

SMART:

Specific: Best care practices

Measurable: Diabetic patients; Monthly best care practices

Attainable: Nurses and the hospital resources

Relevant: Nurses, Diabetic patients; Better and quality health care

Timebound: Monthly

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References

Kaiser, R. B. (2011). The leadership pipeline: Fad, fashion, or empirical fact? An introduction to

the special issue. The Psychologist-Manager Journal, 14(2), 71.

Weiss, T. G. (2018). Humanitarian challenges and intervention. Routledge.

Persily, C. A. (2013). Team leadership and partnering in nursing and health care. Springer

Publishing Company.

Silver, W. S., & Bufanio, K. M. (1996). The impact of group efficacy and group goals on group

task performance. Small Group Research, 27(3), 347-359.

Prussia, G. E., & Kinicki, A. J. (1996). A motivational investigation of group effectiveness using

social-cognitive theory. Journal of Applied Psychology, 81(2), 187.

Hodges, L., & Carron, A. V. (1992). Collective efficacy and group performance. International

Journal of Sport Psychology.

Parker, L. E. (1994). Working Together: Perceived Self‐and Collective‐Efficacy at the

Workplace. Journal of Applied Social Psychology, 24(1), 43-59.

Boone, S. J. (2017). Chronic Care of Diabetes in the Rural Setting: A Quality Improvement

Project.

Wong, C. K., Wong, W. C., Wan, E. Y., Chan, A. K., Chan, F. W., & Lam, C. L. (2016).

Macrovascular and microvascular disease in obese patients with type 2 diabetes attending

structured diabetes education program: a population-based propensity-matched cohort

analysis of Patient Empowerment Programme (PEP). Endocrine, 53(2), 412-422.

Wong, C. K., Wong, W. C., Wan, E. Y., Wong, W. H., Chan, F. W., & Lam, C. L. (2015).

Increased number of structured diabetes education attendance was not associated with the

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improvement in patient-reported health-related quality of life: results from Patient

Empowerment Programme (PEP). Health and quality of life outcomes, 13(1), 126.

Viana, L. V., Gomes, M. B., Zajdenverg, L., Pavin, E. J., & Azevedo, M. J. (2016). Interventions

to improve patients’ compliance with therapies aimed at lowering glycated hemoglobin

(HbA1c) in type 1 diabetes: systematic review and meta-analyses of randomized

controlled clinical trials of psychological, telecare, and educational interventions. Trials,

17(1), 94.

American Diabetes Association. (2015). 13. Diabetes care in the hospital, nursing home, and

skilled nursing facility. Diabetes Care, 38(Supplement 1), S80-S85.

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