Improvement in Diabetes Management System in Retirement Village Paper topic – How can the process of diabetes management be improved among elderly patients
Improvement in Diabetes Management System in Retirement Village Paper topic – How can the process of diabetes management be improved among elderly patients in the retirement village?
Attachment 304 – proposal submitted
requirements – attached pic 1 and 2( to do)
There were also other sections like introduction , literature review and research method that i have done. You need to covers sections mentioned in pic 1 and 2
Most of the requirements are covered in proposal. therefore proposal can be used for creating the report How can the process of diabetes management be improved among elderly patients
in the retirement village?
INTRODUCTION
A) History of Organisation
The report is a research proposal for the improvement of diabetes management in
elderly patient in XY Retirement Village. It was founded by John Ryder and Kevin
Hickman in 1984. It is perfectly located within walking distance of the Lunn Ave and
cafes, and across the road from Remuera Golf club. It is non-government
organization and sometimes patient are transferred from Auckland Hospital to this
retirement village. The retirement village follows Bureaucratic structure. The CEO is
at top of hierarchy followed by Board of director, Senior executive team, Clinical
director and administrative manager. The administrative manager assigned work to
team leader. The leader divides work among physicians, nurses and support worker.
CEO
CE
Senior Executive Team
Board Of Director
Administrative Manager
Team Leader
Physician
Nurses
Support worker
The Organisation has about 2100 caregiver and nurses. In total there are about 4700
employees in the company (Ryman Healthcare Ltd., 2018). It consists of number of
qualified staffs like Senior management team, specialised doctors, physiotherapist,
registered nurses, caregiver and support workers. Staff work towards a common
objective of providing standard of care.
B) Vision
The vision statement of the residential village is to deliver a high-quality
environment that allows all senior citizens living in the region to feel safe and
secured.
The village aims to retain the independence of elderly people and gains
support from several staff who are devoted and committed to ensuring and
maintaining optimal health and wellbeing of the residents (Ryman Healthcare
Ltd., 2018).
Goal
The Goal is to double its profit every 5 years
Building and upgrading existing villages
Service
The village provides independent living, assisted living in serviced apartments, along
with rest home, hospital, dementia care and Mental health disability services and
clinical support. It also had provisions of 12 hospital level rooms and 31 rest home
rooms that provide continuous care to the elderly. The organisation is providing
medical care, emergency treatment, community health services, mental health
treatment, dementia care, Diabetes treatment and clinical support services. The
doctors are available on call and during emergency.
C) This report is a Research Proposal for study and improvement of the existing
Diabetes management systems for the elderly in retirement home. The Report
consist of literature review on the management of the condition of diabetes in
elderly, need for change, relevance of management in healthcare and
employee resistance to change. The incidence of diabetes increases with
age; therefore, elderly is identified to suffer from substantial risks (like acute
and chronic complication) in long run. Hence there is need to implement
measures to control diabetes for elderly in resident village.
SECTION 1
A) Importance of Diabetes control in elderly based on scholarly research
article
According to Schmitt et al. (2014) diabetes is an important health condition for
elderly population. In case of elderly, aggressive glycaemic control has been
found to be central issue to prevent long term complications. Schmitt draw an
estimation between pertinent diabetes outcomes and inadequate diabetes
acceptance. On administering questionnaires to number of patients, in relation
to acceptance of diabetes, depression, self-management and coping with
illness, it was found that greater rates of non-acceptance for condition were
significantly correlated with less coping, decreased self-care and elevated
levels of HbA1c among patients. In addition, non-acceptance was also allied
with more signs and symptoms of depression, increased diabetes distress
thereby identifying the need to improve diabetes problem and quality of life in
elderly resident. Therefore, overall diabetes management can be improved by
training and awareness, establishment of screening test policy and upgrading
the technology
B) Change need in the organisation
In modern times, healthcare technology is growing, for a better healthy life
therefore need for change is utmost requirement to stable with others in this
globalized world. The selected organisation needs to establish the screening
test policy, upgrade its existing system of diabetes management to improve
the diabetes related illness among elderly resident. The incidence of diabetes
increases with age and lead to an increase in the resultant complications
associated with disease. Therefore, needs to carry out training method to
increase awareness, development of screening test policy helps to provide
adequate opportunities to reside in specific facilities, where the health needs
of elderly can be adequately addressed. Further, above mentioned needs
help in development of support facilities such as neurocognitive care which
would be required in advanced stages of diabetes in the elderly which can
lead to dementia
If these changes are not made on time elderly patient face substantial risks on
long run like acute and chronic complication. Further, health status of
residents will begin to deteriorate which will reduce client satisfaction and will
subsequently hamper the reputation of the retirement village (Lachin et al.,
2017).
C) Relevance of change management to Healthcare
In case of change management towards improving the diabetes management in
retirement villages, effective change management policies have to be utilized in
order to develop a system for Diabetes Management in the elderly. Change may be
continuous, spontaneous, randomized or rare. Predictable change gives time for
planning and management whereas irregular change is more difficult to respond to
effectively. Transformational change would help the system to develop an ethos of
patient-focused care. This can be carried out using Lewins 3-step model. According
to this model, a three-step sequence of change: unfreezing, moving, and refreezing
is actualized in the process of implementation of organizational change (Kritsonis,
2005). In case of selected organisation, this would involve removal of old practices
for Diabetes Management and the overhaul of the existing behaviours of the
caregivers towards elderly patients suffering from Diabetes and adopting the new
behaviours through a process of training and management.
D) Resistance to change in Healthcare
Healthcare professional must encounter several challenges in recent days, in
relation to delivery of care services. Therefore, some of the barriers to change
management might include lack of skills, absence of change leadership, prioritization
issues, poor communication and lack of resources for change management (R.
Jadhav, Mantha & Rane, 2014). Hence, with the aim of formulating a successful
change management strategy, the barriers must be addressed. Some of the other
consequences of poor change management in the residential village might include
financial loss, decline in work quality, poor staff morale, poor client satisfaction and
wastage of time.
Part B
E) Role of senior manager in managing change in Healthcare
Senior managers are responsible for preparing and guiding the job chores of several
healthcare professionals. They are also entitled with the duty of taking corrective
actions and monitoring the delivery of services They act as communicator, teacher,
instructor, supervisor according to the situation. They communicate directly with
individuals regarding change, explain reasons and encourages people to support
and accept change. Further, they provide necessary education and training to the
employees for reinforcing change in an organisation. Senior Mangers engage
themselves in the activities and inspires other to learn working in new environment
with positivity and identified barriers to change and make strategies to manage the
change resistance factors
F) Research Question
How can the process of diabetes management be improved among elderly
patients in the retirement village?
SECTION 2
Research Model
a) Qualitative Research will be conducted for the project that will focus on
gaining an insight into the underlying opinions, motivations and reason behind
the problem of poor glycaemic control among elderly resident. I have selected
secondary qualitative research since it will facilitate assortment of information
from already existing data, to draw relevant answers to the research
phenomenon being investigated. For this research project, we will use text
analysis. Just like the literature review, the information we get from wellknown sources needs to be understood and analysed. They have previously
researched and established information about the problems faced by the
organization and analysed it, which will provide good input and insights (Pope,
Van Royen, & Baker, 2002).
b) The primary data collection involves a range of techniques such as, surveys,
face-to-face interviews, fax, emails and self-administered questionnaires.
Secondary research involves collection, assortment and synthesis of already
existing evidences of primary research. Hence, this project will draw
inferences from usage of existing data that have been collected for the
objective of a prior study. Collecting information from findings of other
investigators will facilitate gaining an alternative perspective on the efficacy of
Lewins 3-step change model in bringing about the change management
procedure (Cheng & Phillips, 2014).
SECTION 3
The duration for the research completion is 16 weeks. The scheduled of the
research with detailed time frame and activities is given below
Timeline for research project
Submission
16
Research presentation delivery
15
Research presentation
14
Recommendation and report
13
Conclusion
12
Feedback based changes
11
Discussion
10
Result interpretation
9
Data Analysis
8
Secondary Data collection
7
Final Submission
6
Proposal Discussion
5
Research proposal writing
4
Literature Review
3
Back ground study
Topic selection
2
1
Figure 1 timeline for research project
References
Cheng, H.G., & Phillips, M.R. (2014). Secondary analysis of existing data:
opportunities and implementation. Shanghai archives of psychiatry, 26(6), 371.
Lachin, J. M., Bebu, I., Bergenstal, R.M., Pop-Busui, R., Zinman, B., & Nathan, D. M.
(2017). Association of glycemic variability in type 1 diabetes with progression of
microvascular outcomes in the Diabetes Control and Complications Trial.
Diabetes Care, 40(6), 777-783.
Kritsonis, A. (2005). Comparison of change theories. International journal of
scholarly academic intellectual diversity, 8(1), 1-7.
Pope, C., Van Royen, P., & Baker, R, (2002). Qualitative methods in research on
healthcare quality. BMJ Quality & Safety, 11(2), 148-152.
Ryman Healthcare Ltd. (2018). Governance. Retrieved April 2, 2019, from
https://www.rymanhealthcare.co.nz:https://www.rymanhealthcare.co.nz/aboutus/investors/governance
Schmitt, A., Reimer, A., Kulzer, B., Haak, T., Gahr, A., & Hermanns, N. (2014).
Assessment of diabetes acceptance can help identify patients with ineffective
diabetes self-care and poor diabetes control. Diabetic medicine, 31(11), 14461451. https://doi.org/10.1111/dme.12553
SECTION 3: Research Findings and the Role of Senior Managers in Change Management
(10 marks) (Learning Outcome 2)
In this section, you are required to report your findings and include the following:
a) present a summary of the main findings; (5 marks)
b) based on your findings, evaluate the significance of current and future roles of senior
managers in managing change in healthcare organisations as relates to your selected
topic (e.g., absenteeism, occupational stress). (5 marks)
SECTION 4: Techniques for change (5 marks)
(Learning Outcome 5)
This section should include the following:
Identify and evaluate the techniques for embedding change within your chosen
organisation. (5 marks)
SECTION 5: Managing Resistance to Change (10 marks)
(Learning Outcome 3)
This section should include the following:
Discuss the resistance to change in your selected organisation. (5 marks)
Identify ways to negotiate, propose, and resolve/reduce resistance to change in your
selected organisation based on current research. (5 marks)
SECTION 6: Implementation Plan (5 marks)
(Learning Outcomes 3 and 4)
In this section, you are required to:
Develop an implementation plan to facilitate strategic change in your selected
organisation. Your implementation plan should include a detailed timeline.
SECTION 7: Strategies for Cultural and Ethical Issues (10 marks) (Learning Outcome 6)
In this section, you are required to:
Identify and discuss some potential cultural and ethical issues that may be prevalent in
your selected organisation and in the health and social care sector in general. (5 marks)
Based on literature, identify and discuss some strategies to address the identified cultural
and ethical issues in your selected organisation and in the health and social care sector in
general. (5 marks)
SECTION 8: Implications of the Treaty of Waitangi (10 marks)
(Learning Outcome 7)
In this section, you are required to include:
Identify and discuss the practical implications of the Treaty of Waitangi in the health and
social care sector. (5 marks)
Identify and discuss the practical implications of the Treaty of Waitangi in in your selected
organisation in relation to your selected topic. (5 marks)
CONCLUSIONS/RECOMMENDATIONS (10 marks)
(Learning Outcomes 1 to 7)
In this section, you are required to include:
A conclusion of your research: State FIVE key points based on your findings and literature
reviewed. (5 x 1 marks each = 5 marks)
Recommendations: State FIVE key recommendations based on your conclusions and
literature reviewed. (5 X 1 mark each = 5 marks)
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