Analysis of Evidence from the Literature and Professional Sources.
Use a provided template to develop a 3-5 page proposal for an intervention and implementation plan related to the health problem you defined in the first assessment.(SEE ATTACHED) For this assessment, you will be designing and planning the implementation for the intervention to improve the health problem you defined in the first assessment. You will also examine implications of interprofessional collaboration, technology, and organizational and governmental policies for your intervention and implementation plans.Analysis of Evidence from the Literature and Professional Sources.
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Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care. Propose an intervention plan that references relevant processes to improve quality and safety, and reduce costs in the context of a chosen health problem. Competency 4: Apply health information and patient care technology to improve patient and systems outcomes. Analyze technology within a chosen health care practice context to support a proposed plan. Competency 5: Analyze the impact of health policy on quality and cost of care. Explain the ways in which existing governmental or organizational policies could impact the proposed plan. Competency 6: Collaborate interprofessionally to improve patient and population outcomes. Explain strategies for communicating and collaborating with patients and interprofessional teams to improve health outcomes. Competency 8: Integrate professional standards and values into practice. Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style. Important: Complete this assessment second. Professional Context As a professional nurse, you perform a critical role in solving a host of health care problems. In this assessment, you will use the literature to plan best-practice strategies to foster positive health outcomes for your chosen patient or population.Analysis of Evidence from the Literature and Professional Sources. Preparation Your intervention and implementation plan should be carried out in an interprofessional context, aligned to your topic, and based on the work you did in the first assessment. You should find collaborators as soon as possible so you can solicit their feedback about intervention and implementation plans to inform your approach. Instructions Having identified a health problem relevant to your current or future nursing practice and reviewed the literature to support nursing standards, decision making, and improvement strategies, you should now plan an intervention to address the chosen health problem based on the research you conducted. Construct a plausible plan that leverages the best practices and research collected to date as well as additional research into similar projects that you find in the literature. Be sure to frame your plan within the context of the health care setting in which you are completing your practicum hours. Incorporate relevant site-specific processes and policies into your implementation plan. Use the Plan Proposal Template [DOC] to complete this assessment. As you develop your plan, be sure to address the following: Remote collaboration and communication with patients and colleagues to improve health outcomes.Analysis of Evidence from the Literature and Professional Sources. The patients and colleagues can be friends and family. Governmental or organizational policies that could affect the plan. Quality and safety improvement strategies. Technology at the site that could be leveraged. Scoring Guide Criteria Your submission will be assessed based on the following criteria: Propose an intervention plan that references relevant processes to improve quality and safety, and reduce costs in the context of a chosen health problem. Analyze technology within a chosen health care practice context to support a proposed plan. Explain the ways in which existing governmental or organizational policies could impact the proposed plan. Explain strategies for communicating and collaborating with patients and interprofessional teams to improve health outcomes. Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style. Additional Requirements Length of submission: Use the provided template. Most submissions will be 3 to 5 pages. You do not need to include a title page. Be sure to complete the reference page at the end of the template. Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. APA formatting: Make sure that in-text citations and reference list follow current APA style.Analysis of Evidence from the Literature and Professional Sources.
Type 2 diabetes is among the leading cause of death in the US and contributes to significant healthcare costs. The direct costs include costs associated with hospitalization, glucose monitoring supplies, drugs, and utilization of healthcare services, while the indirect costs include lost productivity due to morbidity/mortality, decreased quality of life for patients and their family, as well as costs allied to absenteeism (Stenov et al., 2019). Therefore, implementing an evidence-based project (EBP) like a self-management education (DSME) program is projected to improve healthcare outcomes for individuals with type 2 diabetes.Analysis of Evidence from the Literature and Professional Sources.
The proposed plan is to implement a DSME project aimed to assist individuals withdiabetes to attain and maintain healthy blood glucose levels. The project will also empower people with diabetes to learn regarding the condition and the associated complications (Stenov et al., 2019). The DSME project will target adults with diabetes mellitus visiting the healthcare organization. The potential participants will be chosen randomly from the electronic patient database utilizing a variable of A1C over 8%. The selected participants will be contacted through telephone conversations to discuss their participation. Informed consent will be sought from all participants before the beginning of the program.Analysis of Evidence from the Literature and Professional Sources.
Initially, a comprehensive community assessment will be performed to identify the present diabetes education resources as well as the self-perceived needs of individuals with diabetes. Additional activities will include organizing material, human and financial resources necessary to establish a DSME project, engaging key stakeholders and partners, as well as assessing techniques of the DSME program.Analysis of Evidence from the Literature and Professional Sources.
Educational materials will be based on culturally relevant standards of care, available in the English language. The proposed topics include symptoms of diabetes complications; appropriate lifestyle modifications with exercise and diet; measuring glucose levels; adherence to the treatment regimen; regular follow-up and preventative care; as well as coping behavior (Powers et al., 2016). Therefore, the education program will help the target population to maintain the required blood glucose levels and thus avoid complications; this will improve patient safety, reduce morbidity and mortality, as well as reduce the healthcare costs associated with treating the complications.
A multidisciplinary team will collaborate to implement the project. The team will consist of aphysician, nurse, pharmacist, dietician, physical therapist, and a podiatrist. The nurse and physician will educate about the audience about several aspects of diabetes care; the pharmacists will educate about medications; dietician about the appropriate nutrition modifications; podiatrist about foot care; while the physical therapists will provide information about appropriate exercises and physical activities (Golden et al., 2017).Analysis of Evidence from the Literature and Professional Sources.
According to Pereira et al (2015),the Internet-based provision of DSME is an effective means to overcome barriers of limited access, distance, and scheduling logistics. The internet has been used widely to provide health education and disseminate health information. The provision of health education via the internet is done through information sharing, downloadable written instructions and brochures, and computerized questionand answer websites (Hunt, 2015). The internet enables individuals to access up-to-date suitable diabetes information about disease processes, medications, glucose monitoring, treatment, lifestyle modifications, and complication prevention. However, even though patient education via the internet is convenient, cost-effective, and addresses barriers associated with distance, it is associated with barriers such as lack of adequate skills and knowledge to handle the technology, especially among the older adults (Heitkemper et al., 2017).Analysis of Evidence from the Literature and Professional Sources.
The Impact of Governmental or Organizational Policies
The purpose of the National Standards for Diabetes Self-Management Education is to outline quality DSME, support, and help diabetes educators to provide self-management support and evidence-based education to people with diabetes (Beck et al., 2017). Nurses are required to support the provision of comprehensive education to people with diabetes to delay or prevent complications, help in adhering to treatment, and implement appropriate lifestyle modifications. Therefore, nurses are required to provide self-management support and evidence-based educationregarding the National Standards for Diabetes DSME. The National Standards encouragenurses to provide DSME to address the whole panorama of every patient and ensure regular communication among the multidisciplinary team to facilitate the provision of effective and high-quality education (Beck et al., 2017).Analysis of Evidence from the Literature and Professional Sources.
DSME has been demonstrated to improve knowledge and skills on self-management behavior for people with diabetes. The improve self-management improves health outcomes such as control of glycemia, cholesterol, blood pressure, avoidance of complications, and improved quality of life (Greenwood et al., 2017).Analysis of Evidence from the Literature and Professional Sources.
Strategies toCommunicate and Collaborate to Improve Health Outcomes
The relevant stakeholders who will be actively involved and updated about this project include the administration, all members of the multidisciplinary team, and the patients. When implementing quality improvement projects, it is important to seek input from all relevant stakeholders. For example, while seeking input from the relevant stakeholders about the project, it was surprising to discover that patient input is among the most aspect of ensuring project success. Patients proposed their preferred method of teaching, where some even suggested that they would require training about the planned technology for education provision.Analysis of Evidence from the Literature and Professional Sources.
To improve communication and collaboration, the multidisciplinary team, along with representatives from other stakeholders will hold regular meetings to update about the project’s activities and milestones. Secondly, a social-media platform will be opened for all stakeholders where a WhatsApp group will be opened where stakeholders can interact with each other and share opinions. This will promote collaborative communication and assist stakeholders to understand their role and freely talk about their views, roles, and teamwork (Wang et al., 2018). Analysis of Evidence from the Literature and Professional Sources.
Analysis of Evidence from the Literature and Professional Sources
All the studies that will be included should be peer-reviewed journal articles, published after 2015 to ensure only the current studies are included, and they will be critically critiqued using the Critical Appraisal Skills Programmed (CASP) appraisal tool.
Diabetes is a chronic metabolic disease typified by microvascular and macrovascular complications because of high glucose levels. Diabetes is the topmost cause of morbidity and among the largest healthcare problem within the US, in terms of cost, prevalence, and the burden placed on people and the country as a whole (Powers et al., 2016).Analysis of Evidence from the Literature and Professional Sources.
A study performed by Mphil et al (2016) to examine the impact of diabetes self-management skills indicated that lack of knowledge on the proper diet and low level of self-management skills leads to poor control of blood glucose levels. As Whittemore et al (2019) explain, due to the chronic nature of diabetes, the condition needs continuous attention to ensure that blood pressure and blood glucose levels are maintained at near-normal levels and lower diabetes-related complications. A study performed by Golden et al (2017) indicated that an interdisciplinary self-care education intervention based on best practices guidelines equipped people with diabetes with the appropriate skills to effectively monitor blood glucose levels, adopt healthy lifestyles, and promptly identify possible complications. However, some patients with diabetes lack the skills to self-management their condition leading to deteriorating conditions and possible complications.Analysis of Evidence from the Literature and Professional Sources.
Rosswurm and Larrabee Model is a suitable model for the diabetes education initiative. The model includes six steps that focus on improving health outcomes. The first step of the model involves assessing the need for change; identifying potential interventions to address the problem; evidence synthesis; designing practice change; implementing and evaluating the change practice; and the last step is integrating and maintaining the change practice (Parkosewich, 2015). The model is easy to use, organized and allows constant monitoring of programs and this it is appropriate for diabetes self-management education.
Strategies to Improve Outcomes
The proposed initiative aims to improve the participation of patients with diabetes in self-management care. The current standards on self-management of diabetes will be implemented to equip patients with the appropriate diabetes self-management skills. An interdisciplinary team consisting of nurses, nurse manager, nutritionist, physical therapist, social worker, podiatrist, and nurse educator will provide a self-care education based on best practices guidelines to patients with diabetes (Golden et al., 2017). The leadership component supporting the program and the multidisciplinary approach is facilitating collaboration among team members to improve care outcomes.Analysis of Evidence from the Literature and Professional Sources.
Therefore, this proposed initiative will initiate a culture of evidence-based practice that integrates patient needs, preferences, values, and life experiences. The evidence-based working setting will allow translation of the clinical standards of self-management education into daily practice as per the American Diabetes Association (ADA). The education intervention will empower patients with diabetes to make appropriate health decisions. Moreover, the integration of patient needs and preferences will ensure the provision of patient-centered care.
Relevant State Board Nursing Practice Standards
According to the board of nursing, nurses are required to ensure patient safety, maintain health, and use a systemic approach to provide goal-directed and personalized care (Ortiz et al., 2018). Therefore, the proposed patient education on diabetes self-management aims to ensure patient safety and maintain health by ensuring the target population has the required skills and knowledge to self-manage their condition and avoid possible complications.
Throughout the program, it will be important to ensure that an informed consent of patients is sought before providing education. This will ensure that the appropriate ethical principles are upheld (Dankar et al., 2019).Analysis of Evidence from the Literature and Professional Sources.
The following is a guide to organize your assignment. Please be sure to remove the guiding questions and comments for each section. You are expected to write in a professional and academically appropriate manner, including using correct APA style and citations throughout.Analysis of Evidence from the Literature and Professional Sources.