Method of Obtaining Approval for Any Project to Be Successful - Essay Example

? Developing an Implementation Plan Method of Obtaining Approval and Securing Support for the Solution For any project to be successful, the people carrying out the project must first seek the approval of leadership within the healthcare establishment that they work. In this respect, the conductors of the management of juvenile onset diabetes project must first obtain approval from the health establishment’s leadership. Leadership approval is vital because it enables researchers to obtain access to valuable organization resources, which will enable them to carry out the research conclusively. Such resources include funds, equipment, transport and official recommendations among many others. Obtaining approval for a new solution or project is not an easy task. The first task in this process is convincing the leadership that the solution is relevant and effective. First of all, I will request for a meeting with the relevant authorities for the purpose of presenting my solution to them. I will then prepare thoroughly before the meeting, ensuring that I am fully conversant with all matters regarding the solution so that I may be able to satisfactorily answer all questions asked and, therefore, provide a good impression. This will prevent the leadership from turning down the solution because of my failure to provide sufficient information about it, and proving to them that the solution is more effective than current solutions. During this meeting, I will confidently explain the solution to the hospital authorities while trying to keep the details as straightforward as possible. I will then provide them with an opportunity to ask questions, criticize the solution, or provide their own opinion which may help to improve it. After obtaining the approval of the healthcare authorities, the next task will be to obtain the support of fellow staff. This is necessary because fellow healthcare staff participates in the process of testing the solution to determine its effectiveness. Furthermore, they will be the ones to apply the solution if tested and accepted, to evidence-based practice. Its final application in evidence-based practice will not be fully successful if not all the staffs are convinced of its relevance to the self-management of juvenile onset diabetes. In order to obtain their support, I will approach them and explain the solution to them, and how it will benefit them in their practice, and their patients in the management of their condition. Afterwards, I will give them the opportunity to critique the solution and provide their opinion so as to improve it and eliminate any weaknesses that I may have overlooked. I will then modify the solution in accordance with suggestions which are relevant. Description of Current Problem Current methods of managing diabetes mellitus type 1 involve insulin replacement therapy, dietary management, and careful blood glucose monitoring using glucose monitors. Current methods of glycemic control are quite complicated and, therefore, juveniles with diabetes type 1 mellitus have to visit the hospital on a regular basis for accurate blood glucose level checks. Additionally, they have to visit a healthcare facility during cases of sudden hyperglycemia or hypoglycemia which may have adverse effects on health. Recent advancements in medical technology have considerably simplified glycemic control and reduced the need to visit a health facility for checkups. This is because these new technologies have simplified continuous glucose monitoring (CGM), making it possible for juvenile patients to manage effectively their condition without having to visit a healthcare facility. For this new solution to be successful, patients have to be thoroughly educated on the methods of glycemic control, self-administration of insulin, and dietary management. Detailed Explanation of Proposed Solution For juvenile patients to control their type 1 diabetes effectively, they need to make independent decisions on a daily basis concerning insulin intake, diet, and exercise. The new solution entails involving family physicians in the encouragement of patients manage their condition on a constant basis by teaching them techniques of tight glycemic control, through accurate and rapid adjustment of insulin dosages and changing their lifestyle in a manner that reduces the risk of developing complications. Physicians ought to provide patients with achievable goals regarding their blood glucose level. For the patient to achieve these goals, they need to learn the effect of insulin, food, and physical activity on their blood level. Physicians should also consider the need to refer some of their patients to a certified diabetes educator in the event that a patient has failed to meet his glycemic goals. Novel technology has emerged which enables real-time continuous glucose monitoring (CGM). This technology will prove extremely useful if physicians and medical personal take the initiative to educate type 1 diabetes mellitus patients, on how to use it for continuous and effective self-management of their disease. One of the devices that apply this technology is the Guarding RT, which provides users with constant glucose readings and has alarms for hypoglycemia and hyperglycemia. In addition, physicians and support medical personnel should educate and encourage type 1 diabetes mellitus patients to use rapid-acting insulin instead of regular insulin. Rapid-active insulin, which is used after every meal, is more effective than regular insulin in the control of postprandial blood glucose levels and also brings about fewer episodes of postprandial hypoglycemia than regular insulin. Rationale for Selecting Proposed Solution I selected the proposed solution because numerous scientific studies have established that it is more effective and reliable than current methods. In addition, it is quite easy for patients to learn the proposed solution, and for medical personnel to implement it through evidence-based practice. Literature Review Evidence to Support Proposed Solution Donner, T. & Havas S. (2006). Tight Control of Type 1 Diabetes: Recommendations for Patients. American Family Physician, 74(6):971-978. The article talks about the measures that patients with type 1 diabetes can take to achieve tight control of their blood glucose level, in order to minimize the risk of cardiovascular disease. The study determined that tight self-management of blood glucose level is effective at reducing the prevalence rate of diabetes-related cardiovascular disorders. In addition, the research established that the use of physiologic insulin replacement regimens plays a more significant role in the prevention of hypoglycemia than previous techniques. This helps to lower the number of hospital visits for clinical interventions, freeing up medical personnel to deal with other serious medical conditions. Allen, N.A. (2009). Continuous glucose monitoring improved glucose control in adults and young adults or children with type 1 diabetes. Evid. Based Nurs.12 (2):44. This study provides evidence that continuous blood sugar regulation has a high efficacy at improving glucose control in both adults and juveniles with type 1 diabetes. Virtually 99% of the participants demonstrated improved blood glucose regulation due to tight glycemic control. Joslin, E. P. & Kahn, C. R. (2005). Joslin’s Diabetes Mellitus. Boston: Joslin Diabetes Center. In this book, Joslin and Kahn provide conclusive information about the methods of managing type 1 diabetes mellitus, including clinical-based practices and self-management procedures. The authors explain the procedures of managing juvenile onset diabetes through tight glycemic control, listing down the advantages of achieving this through real-time continuous glucose monitoring and rapid-acting insulin. Santiprabhob, J. et al (2012). Glycemic control, quality of life, and self-care behavior among adolescents with type 1 diabetes who attended a diabetes camp. Southeast Asian J Trop Med Public Health 39(1). 176 – 181. This study focused on the effects that diabetes camp has on glycemic control, self-management behavior, and quality of life on adolescents with type 1 diabetes mellitus. The findings indicated that diabetes camp has no effect on the quality of life, but leads to improved self-management behavior which ultimately leads to tight glycemic control. Implementation Logistics After the solution has gone through all the processes necessary for it to be accepted as relevant and effective, it has to be implemented successfully. The implementation team will integrate the change into the current structure, culture, and workflow of the organization a short period after staff has been trained on how to use it. The whole implementation process will be government by a change management plan, which will be designed and implemented by long-serving middle level leadership within the healthcare setting, who are thoroughly familiar with the organization’s culture and structure. In order to achieve successful integration with the current culture, structure, and workflow of the organization, the implementation team will disseminate information regarding the new procedures to staff through the current information system. In addition, new policies created to support the new procedures should not contradict any existing policies which influence the healthcare establishment’s workflow. Resources Required for Implementation The primary resources required for implementation of the new self-management education intervention for glycemic control are sample equipment for training staff in their use. The implementation team will train staff by use of information provided through pamphlets and PowerPoint presentations. When staff is sufficiently skilled in the use of these new materials and equipment such as Guarding RT continuous glucose monitoring device, they will be able to educate juvenile type 1 diabetes patients on how to use them. Family physicians and nurses will be the primary groups responsible for educating patients in the use of these resources. The implementation team will obtain feedback from patients who will participate in the initial implementation process through surveys to determine whether the change is effective. The total costs of the implementation process include $200 for producing pamphlets, $1500 for training staff, $2500 for conducting the survey and analyzing data by use of IT technology, and $6000 for service provided by the implementation team. References Zuckerman, A. M. (2012). Healthcare Strategic Planning. New York: Health Administration Press. Read More