NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper

NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper In a 5-7 page written assessment, assess the effect of the patient, family, or population problem you’ve previously defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you’ve chosen to work with and, if desired, consulting with subject matter and industry experts. Report on your experiences during your first two practicum hours. NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper Organizational data, such as readmission rates, hospital-acquired infections, falls, medication errors, staff satisfaction, serious safety events, and patient experience can be used to prioritize time, resources, and finances. Health care organizations and government agencies use benchmark data to compare the quality of organizational services and report the status of patient safety. Professional nurses are key to comprehensive data collection, reporting, and monitoring of metrics to improve quality and patient safety. 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. Explain how a patient, family, or population problem impacts the quality of care, patient safety, and costs to the system and individual. Propose strategies to improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Competency 5: Analyze the impact of health policy on quality and cost of care. NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper Explain how state board nursing practice standards and/or organizational or governmental policies can affect a patient, family, or population problem’s impact on the quality of care, patient safety, and costs to the system and individual. Competency 8: Integrate professional standards and values into practice. Use paraphrasing and summarization to represent ideas from external sources. Apply APA style and formatting to scholarly writing. PREPARATION In this assessment, you’ll assess the effect of the health problem you’ve defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts. To prepare for the assessment: Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed. Conduct research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence. Review the Practicum Focus Sheet: Assessment 2 [PDF] , which provides guidance for conducting this portion of your practicum. Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking for feedback, before you submit the final version. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. INSTRUCTIONS Complete this assessment in two parts. Part 1 Assess the effect of the patient, family, or population problem you defined in the previous assessment on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Use the Practicum Focus Sheet: Assessment 2 [PDF] provided for this assessment to guide your work and interpersonal interactions. Part 2 Report on your experiences during your first 2 practicum hours, including how you presented your ideas about the health problem to the patient, family, or group. Whom did you meet with? What did you learn from them? Comment on the evidence-based practice (EBP) documents or websites you reviewed. What did you learn from that review? Share the process and experience of exploring the influence of leadership, collaboration, communication, change management, and policy on the problem. What barriers, if any, did you encounter when presenting the problem to the patient, family, or group? Did the patient, family, or group agree with you about the presence of the problem and its significance and relevance? What leadership, communication, collaboration, or change management skills did you employ during your interactions to overcome these barriers or change the patient’s, family’s, or group’s thinking about the problem (for example, creating a sense of urgency based on data or policy requirements)? What changes, if any, did you make to your definition of the problem, based on your discussions? NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper What might you have done differently? CORE ELMS Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form in CORE ELMS . REQUIREMENTS The assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence. Explain how the patient, family, or population problem impacts the quality of care, patient safety, and costs to the system and individual. Cite evidence that supports the stated impact. Note whether the supporting evidence is consistent with what you see in your nursing practice. Explain how state board nursing practice standards and/or organizational or governmental policies can affect the problem’s impact on the quality of care, patient safety, and costs to the system and individual. Describe research that has tested the effectiveness of these standards and/or policies in addressing care quality, patient safety, and costs to the system and individual. Explain how these standards and/or policies will guide your actions in addressing care quality, patient safety, and costs to the system and individual. Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of care quality, patient safety, and cost to the system and individual. Propose strategies to improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Discuss research on the effectiveness of these strategies in addressing care quality, patient safety, and costs to the system and individual. Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual. Use paraphrasing and summarization to represent ideas from external sources. Apply APA style and formatting to scholarly writing. Additional Requirements Format: Format your paper using APA style. Use the APA Style Paper Template . An APA Style Paper Tutorial is also provided to help you in writing and formatting your paper. Be sure to include: A title page and reference page. An abstract is not required. A running head on all pages. Appropriate section headings. NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper Length: Your paper should be approximately 5–7 pages in length, not including the reference page. Supporting evidence: Cite at least 5 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format. Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance. nursfpx4900_assessment_1.doc ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: DIABETES MANAGEMENT IN OLDER ADULTS Diabetes Management in Older Adults Jorge Lopez Capella University November, 2020 1 DIABETES MANAGEMENT IN OLDER ADULTS Diabetes Management in Older Adults A systematic approach to health care change projects is often required to ensure effectiveness of the nursing project plan. The practicum experience presents an opportunity for nurses to work with patient populations while focusing on a health problem to improve using evidence-based practices. A thorough problem assessment and understanding is required of any change project to reduce the potential adverse effects and boost health outcomes in the target population. This project plan thus focuses on preliminary problem assessment for effective care dissemination during the practicum. This paper presents an assessment of diabetes mellitus management in a recently-diagnosed community-dwelling older adult and presents the proposed leadership strategies to improve patient outcomes. Defining the Health Problem Diabetes mellitus also known as type II diabetes is a chronic condition characterized by high blood glucose. Patients with diabetes mellitus require corrective action to lower their blood glucose. Primarily, patients with diabetes require life-long care management which largely involves self-care such as adjustments in lifestyle and also self-administered medications and insulin. Diabetes self-care can be a challenge for recently-diagnosed patients because of the demands in lifestyle changes and the medications required for managing the condition. Poor glycemic control in diabetes mellitus increases the risk of related complications such as heart disease, retinopathy and vision loss, and lower extremity amputations (Dal Canto et al., 2019). Poor management of diabetes is also correlated with depression and low quality of life (Dal Canto et al., 2019). It is thus necessary to support patients diagnosed with diabetes to ensure effective management for optimal health outcomes and high quality of life. 2 DIABETES MANAGEMENT IN OLDER ADULTS 3 In the practicum, the author intends to work with community-dwelling older adults who have been recently diagnosed with diabetes. Older adults are at a higher risk of diabetes and diabetes-related complications due to comorbidities. More than 25% of adults 65 years and older in the United States have diabetes (Xu et al., 2018). In older adults, diabetes is linked to risk of institutionalization, increased risk of mortality, and poor functional status. Therefore, older adults are a high-risk population when dealing with diabetes. Research also shows that older adults are at higher risk of comorbidities especially if they have diabetes (Xu et al., 2018). This data shows that older adults require more attention in diabetes management. One of the desired goals of healthy aging is to reduce institutionalization. Community-dwelling older adults thus aim to remain functional and self-sufficient to prevent the move to older adults’ homes. Working with this group will reduce risk of institutionalization while also boosting health outcomes in general. This problem is relevant to baccalaureate-prepared nurses due to their role in population health. While most of undergraduate training focuses on care in acute settings, there is a general move towards empowering nurses to practice in population health and serve underserved communities. BSN-prepared nurse should consider vulnerable and high-risk populations in their implementation of care. Since the role of nurses is to provide the best environment for patients to enhance their health outcomes, the BSN-prepared nurse should assist diabetes patients in establishing best self-management practices to ensure better health outcomes. This problem presents focus on chronic conditions and population health, two topics that are essential to the baccalaureate-prepared nurse. DIABETES MANAGEMENT IN OLDER ADULTS 4 Literature Review The current literature presents a lot of analysis of diabetes and the required management. An article by Adu et al. (2019) investigated the barriers and enablers of diabetes selfmanagement. In this study, a multi-national approach was used with participants from Australia, Europe, Asia, and the United States. NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper The study found that the chronic nature of diabetes, work environment, financial burden, and unrealistic demands on patients were the common barriers (Adu et al., 2019). Nurses should thus work to address these barriers. This evidence is in line with observations in clinical work whereby some patients have been noted as poorly managing their conditions due to financial burden. The article is credible because it presents primary data collected by experienced researchers. Therefore, the findings can be used to implement care approaches to diabetes self-management. Moreover, the literature has focused on standards required for diabetes management in nursing. Diabetes self-management education and support (DSMES) is considered crucial for effective management of the chronic condition and producing the best health outcomes (Beck et al., 2018). One of the standards crucial for this patient population is the requirement to seek stakeholder input in the care process. This means nurses should seek the input of older adults when disseminating care and guiding them on diabetes self-management. Another standard to consider is that the care and education of patients should be individualized (Beck et al., 2018). The needs of each patient should be assessed individually and the nurse deliver care based on them. This article is published by Diabetes Care, the official diabetes journal and hence it is credible and evidence-based. Additionally, the nurse’s role in policy-making in general has been evaluated by Rasheed, Younas, and Mehdi (2020). The article reviews the extent of nurses’ involvement, barriers, and DIABETES MANAGEMENT IN OLDER ADULTS 5 impact in politics and policymaking. The article shows that power dynamics are the major challenges as nurses may face critical barriers through political power inequality (Rasheed et al., 2020). It was also concluded that nurses’ participation in policymaking is inadequate and nurses mostly work as policy implementers hence there is need for empowerment to involve nurses more in policy-making (Rasheed et al., 2020). The article is useful in showing the gap in practice and policies and implementing the necessary changes to improve nurse participation. It is also a review of current literature on the topic; it is a credible resource. Lastly, the article by Zhao, Suhonen, Koskinen, and Leino?Kilpi (2017) is a systematic review and meta-analysis on theory-based management of diabetes. This article reviews how theories have been used to manage diabetes by nurses. The authors find that mid-range nursing theories are the most used in dealing with diabetes management (Zhao et al., 2017). These theories amount to increased self-efficacy, diabetes knowledge, and glycemic control but have no significant effect on body-mass index (BMI). The authors conclude that more patient involvement is necessary for effective theory-based diabetes management (Zhao et al., 2017). The article is useful in reviewing how theory is transferred to practice in diabetes management. Effects of Standards and Policies Various agencies’ and organizations’ standards and policies affect diabetes management in older adults. One of the essential aspects is the health care coverage for diabetes testing and treatment. The current federal health coverage policies enhance access to diabetes material and supplies. Medicare Part B, under the Affordable Care Act (ACA), covers blood glucose testing, supplies such as medications and devices for injecting insulin, and some education and medical services (Fitzpatrick et al., 2017). This policy thus allows an almost holistic cover for diabetes DIABETES MANAGEMENT IN OLDER ADULTS 6 among older adults. The policy enhances access to healthcare by covering older adults hence making diabetes care more affordable. Moreover, the American Diabetes Association publishes standards for diabetes management annually and hence these standards can be used in enhancing the intervention to ensure older adults get access to the best diabetes care. The 2019 standards on older adults present crucial aspects of diabetes that the nurse and patients should consider when implementing an evidence-based intervention. A critical standard is the assessment of neurocognitive function in older adults to determine the relevant interventions alongside diabetes-related care for effective self-management of diabetes (American Diabetes Association, 2019). Other than neurocognitive function assessment, the standards recommend that glycemic control should maintain A1C test results below 7% or 8.0- 8.5% for older adults with coexisting chronic conditions and cognitive impairment (American Diabetes Association, 2019). NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper These standards guide the priorities of nursing care towards older adults with diabetes and hence should be considered when implementing the care process. There lacks state standards on diabetes hence the effectiveness of current standards is also less studied. Nevertheless, as mentioned in the literature review above, standards developed require the personalization of care and creation of collaborative interprofessional teams for effective diabetes management. Leadership Strategies Leadership is crucial in diabetes management and it affects the effectiveness of strategies implemented. The role of leadership in diabetes management is to manage change and ensure the integrative care for older adults. Implementation of diabetes interventions requires effective change management. Moreover, many older adults with diabetes mellitus have comorbidities and are likely to experience complications (Xu et al., 2018). The leader should provide relevant DIABETES MANAGEMENT IN OLDER ADULTS 7 resources for effective integrated care whereby diabetes patients can access all relevant services in a centralized area. The project thus requires change management and integration of services. Furthermore, interprofessional collaboration and communication is crucial in enhancing care outcomes. Research on diabetes management has shown that using telemedicine in addition to standard care enhances glycemic control (McDonnell, 2018). Interprofessional collaboration is also useful in enhancing care coordination and hence health outcomes in patients with diabetes. Collaboration will thus require various professionals whose services are needed in caring for diabetes patients. These may include care nurses, physicians, pharmacists, and therapists. Using telemedicine to ensure effective communication is also an evidence-based strategy useful in coordinating care and providing support to patients to reduce the risk of complications and enhance care outcomes in general. Finally, change management strategies are required for effective intervention implementation and enhanced diabetes management among older adults. An important strategy for change management is addressing sources of resistance by gaining staff buy-in (Baloh, Zhu, & Ward, 2018). It is crucial to acquire staff support and engagement to ensure effective care implementation and ongoing support for the intervention. Moreover, change management will require a communication plan to all stakeholders. This communication plan will focus on updating relevant stakeholders on the progress and required corrections to enhance care outcomes. Diabetes management in older adults requires collaborative approach to ensure holistic care. Conclusion Diabetes management among older adults is a crucial care process for nurses to enhance the health outcomes of the population. Older adults face a higher risk of diabetes complications DIABETES MANAGEMENT IN OLDER ADULTS 8 and dependence on caregivers. The objective of this intervention is to increase self-management capacity and self-efficacy among community-dwelling older adults with diabetes mellitus and reduce the risk of institutionalization. These objectives will be achieved through collaborative care and will be based on the best evidence on diabetes management and care outcomes. This project will improve health outcomes for older diabetic patients and enhance their quality of life. DIABETES MANAGEMENT IN OLDER ADULTS 9 References Adu, M. D., Malabu, U. H., Malau-Aduli, A. E., & Malau-Aduli, B. S. (2019). Enablers and barriers to effective diabetes self-management: A multi-national investigation. PloS One, 14(6), e0217771. https://doi.org/10.1371/journal.pone.0217771 American Diabetes Association. (2019). 12. Older adults: standards of medical care in diabetes—2019. Diabetes Care, 42(Supplement 1), S139-S147. https://doi.org/10.2337/dc19-S012 Baloh, J., Zhu, X., & Ward, M. M. (2018). Implementing team huddles in small rural hospitals: How does the Kotter model of change apply?. Journal of Nursing Management, 26(5), 571-578. https://doi.org/10.1111/jonm.12584 Beck, J., Greenwood, D. A., Blanton, L., Bollinger, S. T., Butcher, M. K., Condon, J. E., … & Kolb, L. E. (2018). 2017 National standards for diabetes self-management education and support. The Diabetes Educator, 44(1), 35-50.NURSFPX 4900 Capella Diabetes Management in Older Adults Care Quality Research Paper https://doi.org/10.2337/dci17-0025 Dal Canto, E., Ceriello, A., Rydén, L., Ferrini, M., Hansen, T. B., Schnell, O., … & Beulens, J. W. (2019). Diabetes as a cardiovascular risk factor: An overview of global trends of macro and micro vascular complications. European Journal of Preventive Cardiology, 26(2_suppl), 25-32. https://doi.org/10.1177/2047487319878371 Fitzpatrick, S. L., Wilson, D. K., Pagoto, S. L., & American Psychological Association Society for Health Psychology and the Society of Behavioral Medicine. (2017). Society for Health Psychology (APA Division 38) and Society of Behavioral Medicine joint position statement on the Medicare Diabetes Prevention Program. Translational Behavioral Medicine, 7(2), 385-387. https://doi.org/10.1007/s13142-017-0468-2 DIABETES MANAGEMENT IN OLDER ADULTS 10 McDonnell, M. E. (2018). Telemedicine in complex diabetes management. Current Diabetes Reports, 18(7), 42. https://doi.org/10.1007/s11892-018-1015-3 Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, Extent of Involvement, and the Impact of Nurses’ Involvement in Politics and Policy Making in in Last Two Decades: An Integrative Review. Journal of Nursing Scholarship, 52(4), 446–455. https://doi.org/10.1111/jnu.12567 Xu, G., Liu, B., Sun, Y., Du, Y., Snetselaar, L. G., Hu, F. B., & Bao, W. (2018). Prevalence of diagnosed type 1 and type 2 diabetes among US adults in 2016 and 2017: population based study. BMJ, 362, k1497. https://doi.org/10.1136/bmj.k1497 Zhao, F. F., Suhonen, R., Koskinen, S., & Leino?Kilpi, H. (2017). Theory?based self?management educational interventions on patients with type 2 diabetes: a systematic review and meta?analysis of randomized controlled trials. Journal of Advanced Nursing, 73(4), 812-833. https://doi.org/10.1111/jan.13163 … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10