Define a patient, family, or population health problem, and realistic goals, that are relevant to personal practice.
Diabetes is classified into type 1 and type 2 and is considered a significant health problem in the United States. More than 30 million people were diagnosed with diabetes in the country in 2015 (Xu et al., 2018). The disease is linked to various health complications. It also increases an individual’s risk of developing other chronic illnesses such as cardiovascular disease and cancer. Diabetes remains to be a significant financial and health burden in the United States, particularly among members of ethnic/racial minority groups who have the highest prevalence.
Mr. FZ is a 43-year old male and was newly diagnosed with type 2 diabetes. The individual is considered to have other underlying healthcare conditions such as hyperlipidemia, obesity, acid reflux, anxiety, fatty liver, and elevated liver function. The patient consumes alcohol and is a smoker. I am interested in the health problem since Mr. FZ is my brother. The patient can be reached through email or telephone.
Diabetes is among the leading cause of death in the United States. It is necessary to reverse the health condition. The appropriate intervention that can be used is diabetic surgery. The strategy limits the amount of food taken and absorbed by the body, thus limiting weight. The approach lies with my professional specialization, making it an ideal method.
Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem.
Diabetes surgeries (metabolic and bariatric) are considered as powerful tools used in the management of diabetes. The interventions work by reducing the amount of food that patients eat or the portion absorbed into the body. The procedures are effective in weighty patients. According to Cummings & Rubino (2018), bariatric surgeries are useful in the treatment of type 2 diabetes. Rubino et al. (2016) assert that besides treating diabetes, metabolic and bariatric surgeries reduce the chances of developing other chronic illnesses associated with the disease. Pareek et al. (2018) also indicated that metabolic surgery is the most effective intervention for the treatment of type 2 diabetes mellitus. According to the authors, the condition is linked to obesity, and weight loss is an appropriate tactic for managing the disease. A study conducted by Dr. Taylor of Newcastle University (UK), it shows provides evidence on the effectiveness of the 600-calorie-a-day diet experiments (Spero, 2016). The interventions have been found useful in reverse or turning of diabetes in obese individuals. However, Spero (2016) critics use diabetic surgery, indicating that the method has serious side effects. The scholar suggests that a third of people that undergo metabolic surgery develop gallstones. Thus, diabetic patients should adopt alternative interventions for surgery, such as self-management.
Propose potential strategies to improve patient or population outcomes related to a health problem.
The healthcare setting is characterized by constant changes and requires efficient operations in the delivery of high-quality patient care. Effective leadership is critical to driving the desired changes and implementation of healthcare reforms (Ayeleke, Dunham, North & Wallis, 2018). In the modern healthcare setting, patient-centered care is becoming a priority in the healthcare setting (Sladdin, Ball, Bull & Chaboyer, 2017). The strategy is recognized for improving patient-doctor relations and satisfaction and improved health outcomes. Other benefits of the intervention include decreased healthcare costs and hospital stay.
In the modern healthcare setting, patients need to be empowered. Healthcare professionals have to respect patient rights and consider their cultural and social needs when providing care. The adoption of patient preferences is linked to improved health outcomes. By adopting the intervention, patients feel empowered and determined to meet the healthcare needs of their target population.
Nurse leaders can contribute to improved health outcomes in the healthcare setting, using various approaches. It is necessary to develop effective and enhanced organizational performance (Van Dam & Ford, 2019). The individuals work by creating a healthcare environment that supports optimum patient-care and creating open communication to enhance efficiency. The individuals also promote positive relationships among staff, which is critical, especially with the increased popularity of interdisciplinary teams in the healthcare setting. Globally, healthcare organizations continue to face complex and multifaceted challenges that compromise the delivery of safe and optimal care. Nurse leadership is critical for health organizations to meet the needs of their patients.
Reflect on state board nursing practice standards relevant to a project related to a health problem.
The Nurse Practice Act (NPA) is critical and supports the selection of a team of qualified and highly competent registered nurses. The Florida Nurse Practice Act (FNPA) will have a significant impact to management of the health problem (The Health Law Firm, 2020). FNPA will help ensure that all nurses practicing in the State of Florida meet the minimum competency requirements. The document outline definition of the scope of practice for all the different three types of nurses. Healthcare practitioners practicing in the state have to understand and adhere to the stated definition. I was surprised to note that FNPA has a list of prohibition that can make the nurse to lose their license.
The local, state, and federal laws on nursing scope provide appropriate regulations to support safe and competent nursing practice. The various government agencies have a role in delivering relevant regulations, standards, and guidance on safe and proper nursing care (Marshall, 2016). At the federal level, the rules provided ensure that nursing practice meets the needs of society. At the state level, the legislation control standard of practice by defining boundaries and acceptable behavior. Overly, they focus on upholding patient safety and welfare.
Nursing ethics will be critical to my professional practice. The concept will inform my decision on health intervention selected and motive. Ethical values in nursing guide how nurses behave while at their working place and support optimal care delivery. Nurses have a responsibility to maintain the highest ethical principals, and ethics boards have a role in evaluating various moral concerns.
References
Ayeleke, R. O., Dunham, A., North, N., & Wallis, K. (2018). The Concept of Leadership in the Health Care Sector. Leadership, 83-95.
Cummings, D. E., & Rubino, F. (2018). Metabolic surgery for the treatment of type 2 diabetes in obese individuals. Diabetologia, 61(2), 257-264.
Marshall, B. (2016). The role of federal and state government in advanced practice nursing. J Preg Child Health, 3, 239.
Pareek, M., Schauer, P. R., Kaplan, L. M., Leiter, L. A., Rubino, F., & Bhatt, D. L. (2018). Metabolic surgery: weight loss, diabetes, and beyond. Journal of the American College of Cardiology, 71(6), 670-687.
Rubino, F., Nathan, D. M., Eckel, R. H., Schauer, P. R., Alberti, K. G. M., Zimmet, P. Z., … & Amiel, S. A. (2016). Metabolic surgery in the treatment algorithm for type 2 diabetes: a joint statement by international diabetes organizations. Surgery for Obesity and Related Diseases, 12(6), 1144-1162.
Sladdin, I., Ball, L., Bull, C., & Chaboyer, W. (2017). Patient‐centred care to improve dietetic practice: an integrative review. Journal of Human Nutrition and Dietetics, 30(4), 453-470.
Spero, D. (2016, June). Is diabetes surgery for you? Retrieved from https://www.diabetesselfmanagement.com/blog/diabetes-surgery-you/
The Health Law Firm, (2020). The Florida Nurse Practice Act and the scope of nursing. Retrieved from https://www.thehealthlawfirm.com/uploads/Ch-6%20Florida%20Nurse%20Practice%20Act%20and%20Scope%20of%20Nursing-revised.pdf
Van Dam, P. J., & Ford, K. M. (2019). Nursing leadership learning in practice: A four stage learning process. International Archives of Nursing and Health Care, 5(3), 1-8.
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.
NURS 4900 Assessment 3 Professional Product
Develop a professional product (2 pages) to improve care or the patient experience related to the identified health problem with a 2-3 page summary of intervention findings, evidence, and best-practice basis for the professional product. For this assessment, you will develop and deliver a professional product to address the health problem defined in your first assessment (first assessment problem chosen “Diabetes self-management”) to improve care and the patient experience. This will be delivered remotely rather than face-to-face to the individual or group that you have identified. Appropriate examples include development of a community education program focused on a particular health issue or a handout to help the elderly and their families understand their Medicare and Medicaid options. The product must be useful in a practice setting, relevant to your project, and designed to improve some aspect of care or the patient experience that can be used in your own practice, with your family or community. A brief summary of the findings of your intervention and evidence-based support for your professional product should accompany your product. For the first assessment I chose diabetic self-management and since my brother is obese before trying any surgical procedures, learning about food selection/carbohydrates is a good start to educate diabetic patients. For the product I was thinking a dietary teaching plan for diabetic patients. This can include examples of meals and carbohydrates to make it easier for the patient, at the time of making food selection. Also include a step by step guidance on how to perform finger prick to check blood sugar levels during the day. I am open to any suggestions. Feel free to switch if you need to and add more info to the professional product doing 3 pages instead of 2 and 2 pages instead of 3 for the brief APA summary of interventions Thanks.
Relevant products include but are not limited to:
• Patient education handout (such as a medication sheet).
• Patient safety plan.
• Process improvement in-service.
• Medicaid/Medicare patient coverage and finance guide.
• Teaching plan handouts
Your submission will consist of two parts: an APA-formatted paper providing your rationale and supporting evidence, and the professional product.
For the brief APA-style paper, one organizational option is:
• Summary of intervention and implementation:
o What did you do?
o How did you lead in terms of the processes used in the project?
o With what participants? (FZ patient)
o Who were your interprofessional collaborators? You can add a Registered Dietitian Miss Yang, and Dr. Patel
o How did you lead them in this project?
o What were your key findings?
• Evidence-based rationale for professional product development:
o What professional product did you develop?
o Why did you choose this type of product?
o How does it align with your intervention?
o How will the product help improve outcomes?
o How will the product enhance the patient experience?
o How does the product improve a process related to quality, safety, and/or cost of care?
o How do relevant research, evidence, and best practices support your choice of professional product and approach?
For your professional product, you may choose to develop a deliverable that could be used in your care setting to communicate and sustain relevant improvements related to the intervention you carried out. The key is that the professional product is useful to the target audience (such as a large-print Medicaid/Medicare patient coverage and finance guide that is easy for the elderly and their families to use, or an easily implemented process improvement in-service for home care nurses).
Your brief paper and professional product will be assessed according to the following scoring guide criteria: Make sure to address each point.
Explains thoroughly ways in which leadership of people and processes was utilized while designing an intervention and implementation plan. Notes how the leadership approach contributed to improved outcomes, or could be modified to address challenges.
Demonstrates process improvements in the quality, safety, or cost of care as a result of a direct clinical intervention and a developed professional product.
Demonstrates patient-experience improvements resulting from a clinical intervention and implementation of a newly developed professional product, making explicit reference to data and evidence to illustrate relevant improvements.
Justifies decisions related to developing a professional product with relevant research, evidence, and best practices.
Additional Requirements
• Length of submission: APA-style paper should be 2–3 pages of content plus title and reference pages. Professional product 2-3 pages. The type of deliverable you choose will determine its length and format.
• Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your decisions and rationale in your APA-style paper. Resources should be no more than 5 years old.