RMH4062 Leadership interventions of diabetes mellitus in Leicester Assignment Sample
Abstract
A brief description has been provided regarding the ways in which the significant issue namely Diabetes mellitus has been dealt in the past few years. Furthermore, it may be stated that certain reasons for Diabetes mellitus’ existence, endurance as well as causes have been discussed thoroughly in this essay. Moreover, a detailed description about a recent leadership intervention strategy for Diabetes mellitus as well as its valuation has been given precisely. On the other hand, a concrete plan for staffing, collaboration as well as funding in order to devise a leadership intervention strategy has been provided in detail.
Introduction
In this concise essay, a certain health issue namely Diabetes mellitus in Leicester will be discussed briefly and along with that, its existence, endurance as well as persistence are to be considered precisely. Furthermore, valuation of leadership intervention strategy and its methods, certain problems, as well as outcomes will be discussed thoroughly in this essay. Moreover, a concrete research methodology for the implementation of an innovative leadership intervention strategy is to be discussed in detail. Additionally, proper implementation of the leadership interventions strategy for certain improvement in the localized public health practice namely Diabetes mellitus will be considered precisely.
Diabetes mellitus in Leicester
Ways in which Diabetes mellitus in Leicester has been dealt in the recent past
It may be mentioned that Diabetes mellitus may be divided into two categories such as type 1 and type 2 and most of the Diabetes patients in Leicester possess type-2 diabetes that may never be cured completely. Furthermore, in the recent past, people with certain diseases such as Diabetes mellitus have been treated with safe and effective therapies to reduce mortality as well as morbidity effectively. In addition to that, concrete comprehension regarding Diabetes genotypes as well as Diabetes phenotypes has immensely helped in treating patients in a more specific way. However, it may be argued that in spite of certain effective therapies as well as understanding of certain facts such as diabetes phenotypes and genotypes there has still been a significant rise in the number of Diabetes mellitus patients in Leicester. In the last decade, a significant growth has been witnessed in the opportunities to collect health-related data from multiple resources that include administrative, device as well as primary care data (Zaccardi et al., 2020). In the last five years, the number of adults with type 2 diabetes has significantly gone up 33% which certainly indicates that leadership interventions strategy is required to put the increasing number on hold. In addition to that, it may be stated that most Diabetes mellitus patients in Leicester are above the age of 40 years and most of the patients who are around 25 years of age have type 1 diabetes.
Reason for its existence, endurance, causes, persistence
One of the main reasons for its existence is obesity; lack of a healthy diet as well as physical inactivity and lack of screening tests at the pre stage have resulted in Diabetes mellitus which is considered to be an incurable disease. On a contradictory note, it may be argued that due to poor leadership intervention strategy a significant rise has been witnessed in the total number of diabetes patients. In addition, the anti-obesity medication has not been effective to the expected degree which in turn caused diabetes for the people who are aged over 40 years in Leicester city. However, it may be stated that the management of Leicester Diabetes Centre has been constantly working on incorporating innovative leadership intervention strategies as well as incorporating innovative therapies to lessen the complication regarding Diabetes mellitus (Leicester Diabetes Centre. 2021) (Refer to Appendix). Furthermore, the endurance of the disease is certainly due to lack of focus on the glycaemic control which involves healthy diet as well as exercises which in turn ensured Diabetes mellitus’ endurance in a prominent way. On the other hand, if all the adults of Leicester put huge emphasis on the medication such as metformin then certain diseases may not be able to put a huge negative impact on the adults. Therefore, it may be considered that the major causes of the incurable disease are certainly lack of proper therapies, medication as well as negligence on glycaemic control such as healthy diet and exercise which in turn calls for a proper leadership intervention strategy.
It may also be mentioned that intensification of metformin medication along with glucose-lowering drugs as well as a few significant treatment persistence such as thiazolidinedione is certainly required to treat all the diabetes 2 patients in Leicester. Therefore, along with first line treatment such intensification of metformin, second line treatment for persistence such as thiazolidinedione is of utmost importance for all the Diabetes mellitus patients in Leicester city. On the other hand, diabetes self-management education (DSME) is certainly focussing on empowering people to lay its extreme focus on self-management behaviour as well as behaviour change to mitigate all the complications regarding Diabetes mellitus (O’Donnell et al., 2017). Furthermore, Semaglutude treatment has certainly been used for weight management specifically for the people who have gained a significant amount of weight and may be referred as obese mitigate complications regarding Diabetes mellitus.
Recent Undertaken strategy to tackle the issue regarding Diabetes mellitus
Leadership intervention strategy
It may be implied that one of the significant leadership intervention strategies to mitigate a public health issue namely diabetes is certainly Digital Health Interventions (DHIs) to provide a comprehensive idea to the people with chronic conditions. On a contradictory note, it may be argued that in the past few years certain strategies or development processes which have been undertaken by the health workers and local authority have not been described properly to the patients. However, DHIs certainly incorporate shared language and communicate a robust development of the self-management program for the people with Diabetes mellitus and aged above 40 years. Digital-based interventions such as websites, text-messaging as well as smart phones are the significant ways through which certain care and support may be facilitated to all the individuals in Leicester with chronic disease such Diabetes mellitus. Furthermore, DHIs have been estimated to be cost-effective and such cost-effectiveness of the digital psychological interventions has contributed in reducing behavioural stress as well as anxiety. Moreover, it may be stated that DHI may be able to provide sustained support and help in overcoming huge challenges associated with diabetes-related complications and inefficiency in glycaemic control (Pal et al., 2018).
Identified valuation
It may be mentioned that the identified leadership interventions strategy such as DHIs have put forth a prominent fact that it provides much more value to the significant cause namely Diabetes mellitus than other strategies. Moreover, digital-based intervention has certainly attracted a huge base of adults in Leicester with Diabetes mellitus as this innovative digital technology is certainly cost-effective. Along with that, intervention mapping which consists of six frameworks indicates that it will significantly guide all the individuals in development regarding health education as well as behaviour change interventions. Furthermore, it may be stated that DHIs developed a prominent process for face to face interventions on digital platforms with the people who are newly diagnosed with Diabetes mellitus.
In addition, the prominent face to face intervention is referred to as Diabetes Education and Self-Management for On-going and Newly Diagnosed (DESMOND) which is certainly cost-effective due to technological intervention which will in turn attract all the diabetes patients based in Leicester. On the contrary, it may be argued that the DIHs intervention strategy has in turn produced a theoretical framework which may have become somewhat unclear which may hamper the smooth running of procedures towards mitigating the effectiveness of the Diabetes mellitus to some extent. The local authority of Leicester have incorporated this significant strategy in order to lead all the diabetes towards being associated with the glycaemic control procedures to tackle morbidity and low mortality rate. Moreover, diabetes is a prominent medical condition which is certainly psychologically challenging which in turn develops another trouble, named Diabetes Distress (DD) (Ratnesh et al., 2020).
Concrete discussion regarding the methods, outcomes, problems as well as successes of the leadership intervention strategy by the local authority
The local authority in Leicester has certainly incorporated this particular strategy in order to make the procedure cost-effective and in the process, attract more patients towards this digital intervention in order to lend a great hand in self-management programmes. Furthermore, the Leicester Diabetes Centre has been closely working with all the adults especially who are aged over 40 years to incorporate certain behavioural changes and healthy diet in their daily life-style to mitigate Diabetes mellitus related complications. However, the outcomes have not been so overwhelming and because of that there has still been a huge spike in the number of Diabetes mellitus patients in Leicester city. In addition to that, DHIs included low level uptake in the population of Leicester which in turn resulted in high attrition rate and reduced engagement of all the patients after a certain span of time. Thus, it may be considered that low level of engagement or reduced engagement of diabetes patients is certain one of the problems of this leadership intervention strategy. Although due to its cost-effectiveness and easy comprehension of all the steps involved with DHIs have made the leadership intervention strategy to become successful in Leicester to a certain extent. Moreover, it needs to be stated that through innovative mobile internet as well as information technology the DHIs or Digital Health Intervention has been able to contribute significantly in the care of cardiovascular diseases (Jiang et al., 2019).
Research Methodology
Figure 1: Research Methodology
(Source: Saunders et al., 2015)
Research Methodology
Research philosophy holds a huge significance as two prominent factors such as epistemology ontology will certainly ensure that the implementation of the new leadership intervention strategy turns out to be effective. Furthermore, through ontological consideration all the collected data during the research procedures will be authentic and through epistemological consideration all the information will certainly be valid which will in turn lead towards developing a perfect leadership intervention strategy. Thus, both of these considerations will be incorporated while conducting this particular research to develop a perfect strategy to mitigate the issue regarding Diabetes mellitus and along with that, research philosophy also divided into two more factors such as positivism as well as interpretivism. Moreover, while conducting the research regarding diabetes mellitus in Leicester a huge focus is to be laid upon positivism as it will lead towards gathering independent knowledge about all the factors which need to be improved.
Along with that, the research will be based on interviews, surveys, as well as case studies to get down to determining a proper leadership intervention strategy for the Diabetes mellitus issue in Leicester. Certain procedures of collecting data are considered to be of major importance during a research as it will in turn help in producing a result of expected quality (Saunders et al., 2015). However, the research methodology will certainly consist of deductive as well as inductive approach as, deductive approach will be essential while going through case studies and inductive approach will help in developing strategies from the experience of current observations.
Methodological Framework
On the other hand, in order to devise a similar plan of leadership intervention strategy to mitigate the effectiveness of the disease in Leicester to some extent methodological framework holds a huge significance. Furthermore, in the methodological framework qualitative and quantitative methodology will be incorporated as certain questionnaires and surveys will be conducted which falls under quantitative methodology. Additionally, certain interviews will be conducted which falls under qualitative data analysis and these methodologies will certainly assist in devising a similar although more effective leadership intervention strategy. However, data collection procedures will also hold a huge significance in the methodological framework and during the research equal focus will be laid upon primary as well as secondary data collection to devise a perfect plan. Case studies which fall under secondary data collection will certainly help to provide knowledge about certain failures of the previous leadership intervention strategy and primary data collection such observation of the current scenario will certainly help in devising a similar strategy. Furthermore, it may be stated that complex intervention is certainly challenging for all the health researchers thus, it will in turn call for innovative approaches (Minary et al., 2019).
Plan of intervention for Diabetes mellitus in Leicester
| Funding | Extreme focus will be laid upon Angel investors and Venture capital or bank loans to implement an innovative plan of leadership intervention. On the other hand, crown funding will completely during the implementation of the leadership intervention strategy as crowd funding is certainly time consuming. |
| Staffing | Right staff will be recruited to work closely with people and provide them certain knowledge about glycaemic control as well as certain advanced medication to reduce weight |
| Collaboration | In terms of collaboration the local authority of Leicester may engage in certain communication with health workers from other cities. Furthermore, certain amounts of support will be sought from all the government agencies while developing a leadership interventions strategy for Diabetes mellitus issues in Leicester. |
Table 1: Plan of Leadership intervention for Diabetes mellitus in Leicester
(Source: Self-Created)
Advocate for change leadership in public health interventions
Change leadership in the public health intervention to mitigate a significant issue such as Diabetes Mellitus holds a huge significance as it will enable the authority to bring in certain changes to lead towards long-term sustainability. Furthermore, change in leadership will enable the local authority as well as all the health workers of Leicester to engage in incorporating certain innovative strategies to make people aware of the origin of this particular disease, named Diabetes mellitus. It may be mentioned that certain factors are going to be of utmost importance while incorporating certain changes and devising a similar although more effective leadership interventions strategy. Moreover, certain factors such as staffing, funding ways as well as collaboration will need to be planned with extreme focus as the innovative and effective leadership intervention strategy will need to be implemented within a less period of time. Additionally, with the help of change strategy the local authority and health workers of Leicester will be able to make all the diabetes patients become knowledgeable about glycaemic control and importance of certain medication such as metformin to mitigate such issues to a certain degree. Along with that, extreme focus will put on telemedicine with the help of change leadership which in turn save a certain amount of financial and personal resources as well as time for all the patients based in Leicester.
Moreover, it may be mentioned that during the Covid-19 pandemic situation, telemedicine is considered to be one of the essential strategies to provide care and support to all the patients with diabetes disease (Aberer et al., 2021). On the other hand, collaboration and funding is interrelated to some extent as collaboration with government agencies will in turn help in garnering a prominent amount of funding as it has certainly become an international issue. On the other hand, with the help of change leadership the local authority of Leicester will be able to engage in incorporating advanced technologies which will in turn lead all the therapies to be more efficient as well as effective. However, it may be argued that implementation of an innovative leadership intervention plan will be completely successful only if all the patients especially above 40 years of age engage in glycaemic control. Though awareness regarding the importance of leadership in healthcare is growing stronger the comprehension about the competencies regarding effective leadership is still limited in this dynamic world (Hargett et al., 2017).
Discussion regarding the implementation of leadership intervention which will lead towards long-term sustainability and certain ways that it may be evaluated in the near future regarding sustainability, needs assessment (commissioning), requirements for the area, budgeting, resource allocation
It may be implied that DHIs or telemedicine holds a huge significance for all the patients with Diabetes Mellitus though two to four times visit to the nearest health worker in Leicester holds a huge significance for the diabetes patients. Furthermore, it may be stated that with the help of funding certain vaccines will be developed or imported to conduct for the yearly vaccinations especially for the population who are above the age of 40 years. Moreover, all the recruited staff will work closely with all the patients to provide all the patients with a proper diet plan in order to stay away from obesity. Along with that, with the help of prominent funding ways such as Angel investors as well as Venture Capital the local authority as well as health workers of Leicester will be able to incorporate certain advanced technologies such as medication pen, insulin pump and fitness tracker. On the other hand, it may be mentioned that support and care for all the diabetic patients is undergoing radical change due to certain advancements in communication as well as information technology (Fatehi et al., 2018).
Moreover, commissioning and implementation of the innovative strategy will be based on budgeting, resource allocation as well as certain requirements in this particular area which concerns Diabetes Mellitus in Leicester. Budgeting will certainly be based upon collected funding through Angel investors, and Venture Capital or bank loans and certain resources such as insulin pump, medication pump, and fitness tracker will be allocated within a short span of time after budgeting. However, there are certain requirements in this area such as human resources also thus, right staff will be recruited to serve the purpose of mitigating this issue from Leicester city to lead towards long-term sustainability. Therefore, it may be considered that thorough research will also be essential to gain certain knowledge about existing resources as well as required resources to implement leadership intervention strategy with the help of change leadership to mitigate the issue regarding Diabetes mellitus in Leicester. Certain information may need to be provided to all the patients above 40 years of age as most of the patients lack the information about commercial application that contribute in handling certain outcomes diabetes (Veazie et al., 2018).
Conclusion
Considering all the information mentioned above, it may be concluded that the growing number of patients with Diabetes mellitus disease is certainly developing a huge concern for all the local authority of Leicester. Furthermore, it may be concluded that a recent leadership intervention strategy namely DHIs has not been able to mitigate the issue as per expectation. Moreover, there is a huge essence for developing a leadership intervention strategy to lead towards long term sustainability with the help of change leadership strategy. On the other hand, it may also be concluded that certain ways to implement leadership interventions to lead towards long-term sustainability also hold a huge significance as all the plans are to be executed within a short span of time.
References
Aberer, F., Hochfellner, D.A. and Mader, J.K., 2021. Application of Telemedicine in Diabetes Care: The Time is Now. Diabetes Therapy, 12(3), pp.629-639.
Fatehi, F., Menon, A. and Bird, D., 2018. Diabetes care in the digital era: a synoptic overview. Current diabetes reports, 18(7), pp.1-8.
Hargett, C.W., Doty, J.P., Hauck, J.N., Webb, A.M., Cook, S.H., Tsipis, N.E., Neumann, J.A., Andolsek, K.M. and Taylor, D.C., 2017. Developing a model for effective leadership in healthcare: a concept mapping approach. Journal of healthcare leadership, 9, p.69.
Jiang, X., Ming, W.K. and You, J.H., 2019. The cost-effectiveness of digital health interventions on the management of cardiovascular diseases: systematic review. Journal of medical Internet research, 21(6), p.e13166.
Leicester Diabetes Centre. 2021. Leicester Diabetes Centre. [online] Available at: <https://www.leicesterdiabetescentre.org.uk/> [Accessed 26 April 2021].
Minary, L., Trompette, J., Kivits, J., Cambon, L., Tarquinio, C. and Alla, F., 2019. Which design to evaluate complex interventions? Toward a methodological framework through a systematic review. BMC Medical Research Methodology, 19(1), pp.1-9.
O’Donnell, M., Horne, R., Carey, M., Davies, M. and Dinneen, S., 2017. Evaluation of goal-setting/action planning in a diabetes group self-management education programme for people with type 2 diabetes (DESMOND) in Ireland and England. International Journal of Integrated Care, 17(5).
Pal, K., Dack, C., Ross, J., Michie, S., May, C., Stevenson, F., Farmer, A., Yardley, L., Barnard, M. and Murray, E., 2018. Digital health interventions for adults with type 2 diabetes: qualitative study of patient perspectives on diabetes self-management education and support. Journal of medical Internet research, 20(2), p.e40.
Ratnesh, K.S., Kannan, S., Khadilkar, K.S., Sravani, G.V. and Raju, R., 2020. Identifying the burden and predictors of diabetes distress among adult Type 2 diabetes mellitus patients. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 45(4), p.497.
Saunders, M.N., Lewis, P., Thornhill, A. and Bristow, A., 2015. Understanding research philosophy and approaches to theory development.
Veazie, S., Winchell, K., Gilbert, J., Paynter, R., Ivlev, I., Eden, K.B., Nussbaum, K., Weiskopf, N., Guise, J.M. and Helfand, M., 2018. Rapid evidence review of mobile applications for self-management of diabetes. Journal of general internal medicine, 33(7), pp.1167-1176.
Zaccardi, F., Davies, M.J. and Khunti, K., 2020. The present and future scope of real‐world evidence research in diabetes: What questions can and cannot be answered and what might be possible in the future?. Diabetes, Obesity and Metabolism, 22, pp.21-34.
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