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Develop a proposed evidence-based change-project plan specific to the environment you are using to implement your change project. Your environmental assessment will include a work breakdown structure, a budget plan, and a measurement tool.

You will design a plan that is at least four pages in length and includes all the information listed in the instructions below to discuss the elements of your proposed plan.

• Develop an environmental assessment of your change project area and its readiness for the specific change project you are going to implement.

o Include a work breakdown structure. For example, you could create a (timeline/task list/Gantt chart)-a hierarchical definition of the planned tasks and activities of a project that normally begins with the highest-level activities and works downward into the individual tasks.

o Include a proposed project budget (table or spreadsheet) for the project that addresses the needed personnel, equipment, and supplies that may have associated costs. Click this link for a sample budget template .

o Include your measurable evaluation methods (indicators/metrics). Include the actual measurement tool you will use and describe any of the following that are applicable to your project: cost savings, improved efficiencies, access to care (visits/procedures/admissions), patient/family satisfaction, associate satisfaction, associate engagement, retention, clinical outcomes, injury prevention, and risk reduction.

The project will take place in Sanitas medical center where patients will fill out a questionnaire

There is no budget needed, please address this in the paper.

The measurable tool is the DSMQ, which I have attached.

Project Title: Evaluating Diabetes Self Management to Improve HbA1c

Submitted by: Lisette Duque

MSN- Advance General Nursing Program

Program Anticipated dates for project

1.Who are the subjects involved in the research? How will their voluntary participation be obtained?

The participants of the research are patients of a primary care office. The participation will be obtained from a questionnaire.

2. How will informed consent be obtained from the subjects? Attach a copy of the consent form* if one
will be used. If no informed consent will be obtained, explain why.

Informed consent is attached

3.How will the subjects' rights to privacy and safety be protected?

The participants right to privacy and safety will be protected because the questionnaire will be anonymous. There will be no identifying information such as; name, date of birth, account number, or address.

4. Describe the study's purpose, design and procedures. Include an overview of the entire proposed project that clearly delineates every step of the project. Include who, what, why, when, where, & how.

World Health Organization estimated that more than 346 million people worldwide have diabetes, this is likely to more than double by 2030 without any intervention (WHO, 2017). There are several essential self-care behaviors in people with diabetes, such as a healthy diet, and being physically active. The needs of diabetic patients are not only limited to adequate glycemic control but also correspond with preventing complications.

The participants are from a primary care office with type II Diabetes. The self-management data will be collected form anonymous questionnaire. The purpose for the study is to evaluate effective self-management to improve HbA1c. The study will be conducted in Sanitas Medical centerfor 8 weeks. The American Diabetes Association released new research estimating the total costs of diagnosed diabetes have risen to $245 billion form $174 billion (ADA, 2015). The questionnaire measured patient understanding and self-care management of diabetes; improving diabetes self management will lead to improved compliance because itenables an efficient assessment of self-care behaviors associated with glycemic control and participants will be aware of the effectiveness of self-managementand the beneficial effect on HbA1c control. The data will be used by the health care providers to educate patients on the effective interventions of diet and physical activity to improve the HbA1c.

5. Name and describe any tests, questionnaires, opinionnaires, surveys, etc. that will be used. Attach copies if these are newly developed or not in common use. What risk, if any, is involved in their use?

The questionnaire will assess self-carebehavior, which can be related to the measure of HbA1c.

6. Describe any physical procedures that will be used. What risk, if any, is involved in their use?

No physical procedures are involved in the research.

7. Describe any equipment, special apparatus, drug or pharmaceutical that will be used in the study.
What risk, if any is involved in its use?

There is no equipment needed for the purpose of the research.

8. In your own judgment, what is the level of risk to human subjects? Give reasons.

Attachment:- Theoretical-Framework.rar

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