Evidence-Based Practice Proposal Discussion Paper
The subject for my evidence-based practice project reflects on the value of Self-Blood Blood Glucose monitoring in patients with diabetes mellitus to strengthen glycemic regulation. Diabetes mostly affects elderly people, and patients are prone to ignore the instructions given by doctors if there is no careful supervision by the adequate follow-up (Sheikh et al., 2015). Using a mobile app where patients can monitor their blood sugar levels before and after exercising, the improvement in their health, and any other problems of interest, is the approach recommended in this scenario. Healthcare services will be in a capacity to offer diabetic patients advice about how to regulate their blood glucose level on the main forums, instructions on the safest lifestyle, as well as foods that will guarantee that they remain healthy. "Cell phone apps have been proven to promote chronic illness self-management effectively." This would guarantee that diabetic clients are safe from risks when done properly and their wellbeing is under control Evidence-Based Practice Proposal Discussion Paper.
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Organization Culture
The organization has adapted well to technical growth and has introduced innovations including electronic medical records (EMRs). I agree this would make it simpler to get the diabetes application activated on any patient's phone (Jeffrey et al., 2019). A greater standard of productivity and patient consistency has been reached by organizations that have effectively adopted health information technology and are in a position to enhance diabetes patient treatment via the smartphone app Evidence-Based Practice Proposal Discussion Paper.
Expected Outcome
The application is intended to assist patients to maintain a record of blood glucose levels, present healthcare professionals with details regarding their health condition, pose questions if appropriate, and have a proper schedule for their activity and diet (Diviani et al., 2015). This would aim to reduce the elevated incidence of risks of individuals with diabetes and decrease the likelihood of infection for non-diabetes patients. Data on online wellness has the potential to enhance patients' wellbeing.
Method to Achieve Outcome
To make sure that it works correctly without any bugs, the application will be designed and reviewed. All people with diabetes will now be certified and updated about how to safely use the app to monitor their amount of blood glucose and engage with healthcare professionals. Some of the anticipated obstacles, though, involve a lack of adequate funds to release the app (Sheikh et al., 2015). It is, therefore, possible that adequate personnel would be required to teach patients to use the app. The key assumption is that all clients are educated and with no problems will be in a position to use the app.
Outcome Impact
The performance of the project would lead to the effective follow-up of people with diabetes, reducing the likelihood of any problems. In the care of individuals with diabetes, an increased standard of quality will be reached and it will be an accomplishment for the healthcare institution and a victory for diabetic patients (Jeffrey et al., 2019). The level of treatment will therefore be enhanced and client satisfaction will be boosted by this. The application of technologies will lead to innovative ideas being discovered in the management of diabetes and will relate to the professional experience of healthcare professionals Evidence-Based Practice Proposal Discussion Paper.
References
Diviani, N., Van den Putte, B., Giani, S., & Van Weert, J. C. (2015). Low health literacy and evaluation of online health information: A systematic review of the literature. Journal of Medical Internet Research, 17(5), e112. https://doi.org/10.2196/jmir.4018
Jeffrey, B., Bagala, M., Creighton, A., Leavey, T., Nicholls, S., Wood, C., Longman, J., Barker, J., & Pit, S. (2019). Mobile phone applications and their use in the self-management of type 2 diabetes mellitus: A qualitative study among app users and non-app users. Diabetology & Metabolic Syndrome, 11(1). https://doi.org/10.1186/s13098-019-0480-4
Sheikh, A., Sood, H. S., & Bates, D. W. (2015). Leveraging health information technology to achieve the “Triple Aim” of healthcare reform. Journal of the American Medical Informatics Association, 22(4), 849-856. https://doi.org/10.1093/jamia/ocv022
Before incorporating evidence-based practice (EBP) in an organization, a person should initially undertake an Organizational Culture and Readiness Evaluation. The outcomes will include recommendations on the culture and preparation of the EBP practice. A model instrument, proposed by Melnyk and Fineout-Overholt, was used to test the institution's culture and ability to adopt evidence-based practice (EBP). The scale-based study's findings revealed that in the medical environment, the organization was adequately equipped to incorporate EBP, obtaining a rating of 4, whereas five was the maximum (Melnyk et al., 2017). Management has taken strides within the organization to gradually teach nursing workers the value of EBP and its beneficial effect on care delivery. Facilitators' contribution to EBP and budgetary services used to sustain EBP ranked considerably higher. There is a program where administrators allow nurses to find issues in their organization and analyze and implement, with the consultant's help, an EBP approach while getting paid during the procedure.
The difficulties of improving staff nurses' involvement and gaining higher management consent to allocate resources relevant to EBP are potential project barriers. Shortage of the proper equipment and tools, inadequate resources, and lack of personnel were the obstacles to EBP enhancements rated by all respondents. There were no significant gaps amongst staff clinicians and healthcare leaders (Stenov et al., 2019). Experienced practitioners have also shown a lack of confidence in understanding and integrating EBP because they do not realize the need for improvement. The leader of the certainty does not express the need for reform and transition to the associated nurses. Without adequate expertise, human capital, instruments, and equipment required, the EBP cannot be enforced, so inadequate total funding and institutional involvement on behalf of higher management is a possible barrier. Therefore, nurse instructors, nurse leaders, and doctors will be the facilitators to reduce project obstacles. At the same time, they interact extensively with the vital nursing personnel who can connect up and down in the professional atmosphere to lobby for EBP (Stenov et al., 2019). In addition to management, health examination should be incorporated into the enterprise by enhanced preparation and instruction for caregivers at all stages. By recognizing the need for change, the organization is in the required direction. Nevertheless, by resolving the shortcomings with effective partners and drawing on the culture's assets, the institution can integrate the evidence-based practice Evidence-Based Practice Proposal Discussion Paper.
Section B: Proposal/Problem Statement and Literature Review
Diabetes is a debilitating but avoidable, severe health problem. Excessive blood glucose levels characterize it due to insulin output deficiencies, insulin response, or both. Obesity is a serious health problem in the United States demographic that is a significant risk variable for and influences diabetes-related diseases, particularly in African Americans. The management of weight gain is achievable and needs a modification of lifestyle (Hunt, 2015). According to Hunt (2015), above 30 million Americans suffer from diabetes, and a further 85 million people are prediabetic and at high risk of type 2 DM. The overall rate of poverty was 13%, and poverty scales differed greatly due to race. A new report suggests that in 8.6 percent and 8.7 percent of the populace, around one-third of African Americans are more prone to develop Type 2 diabetes relative to whites. A large and growing class difference between young adults' superior and inferior socioeconomic classes is mirrored in the current trend of youth obesity rates. The detrimental health consequences of unhealthy habits, including physical inactivity, micronutrient deficiencies, and smoking, are increased by the likelihood of diabetes, obesity, cancer, destitute cognitive performance, stroke, premature heart failure, and fatalities. The proposal for action by collective education and community health awareness campaigns has been motivated by recognizing the incidence of obesity in the low Socioeconomic demographic with diabetes-related diseases and prevention steps to reduce risks. The patient's healthcare condition can be enhanced by home treatment, information technology, mobile correspondence, telecare, telehealth, and electronic sharing of information Evidence-Based Practice Proposal Discussion Paper.
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Various elements are known to optimize the practical and clinical outcomes relevant to diabetes treatment. One is ensuring management of the health care sector to include leadership in organizing resources and eliminating obstacles to care. The second is promoting learning focused on expertise and encouragement for patients and self-management training. Another component is providing a decision aid to create direction on evidence-based treatment delivery. Moreover, establishing a design of the delivery framework helps in integrating treatment procedures.
The following PICOT statement was established and utilized to pinpoint evidence in the literature. The PICOT statement, P - African Americans diagnosed with Type 2 DM. I- Continuous Blood Glucose Monitoring. C - Self-Blood Glucose Monitoring. O - improved glycemic control. T- within four weeks Evidence-Based Practice Proposal Discussion Paper.
The Chronic Care Model (CCM) offers an efficient mechanism to increase the consistency of diabetes care (ADA, 2016). The educational group's public health awareness initiatives and activities would impact and strengthen strategies to eliminate African American inequalities. Diabetes self-management information helps increase patient awareness of the condition, empowers patients to control medical treatment, and prevents anxiety. It is cost-effective and has been shown to improve comprehension, moderately boost self-efficacy, interpersonal self-care skills, and glycemic regulation. Diabetes is a severe disease that involves the treatment of the illness through patient self-management (Chrvala et al., 2016). The practices involve blood glucose monitoring, drug adherence, a balanced diet, and physical exercise. For most people with diabetes, regular foot assessments are essential. Patients conform to the regulation of blood glucose concentrations and require adjustments to establish lifetime habits that allow them to regulate their diabetes.
This Evidence-Based Practice Program aims to refine the actions of clinicians and organizations, promote improvements in patient habits, strengthen the treatment system, and resolve differences. Providing education to mitigate the incidence of diabetes and self-monitoring guidelines and promoting access to and utilization of information and facilities is also crucial in diabetes management (Chrvala et al., 2016). This project also improves insulin usage efficacy, enhances sensitivity, increases glycemic results, strengthens patient and caregiver safety, improves the efficiency of cost control, and reduces post-op infection Evidence-Based Practice Proposal Discussion Paper.
References
Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016). Diabetes self-management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient education and counseling, 99(6), 926-943.
Hunt, C. W. (2015). Technology and diabetes self-management: an integrative review. World journal of diabetes, 6(2), 225.
Melnyk, B. M., Fineout‐Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence‐based practice, healthcare culture, and patient outcomes. Worldviews on Evidence‐Based Nursing, 14(1), 5-9.
Stenov, V., Wind, G., Vallis, M., Reventlow, S., & Hempler, N. F. (2019). Group-based, person-centered diabetes self-management education: healthcare professionals' implementation of new approaches. BMC health services research, 19(1), 1-11.
Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria: Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content
Evidence-Based Practice Proposal Discussion Paper