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NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

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    NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

    Student Name

    Capella University

    NURS FPX 4900 Capstone Project for Nursing

    Prof. Name


    Assessing the Problem; Patient, Family, or Population Health Problem Solution

    The purpose of this assessment is to explore the impact of poorly managed Type 2 diabetes and obesity regarding the standard of care, patient well-being, and financial burden on the healthcare system and individuals. The analysis is based on two practicum hours spent with John, the patient, and consultations with subject matter experts, including diabetes nurse specialists, nutritionists, and other healthcare professionals. In addition, the assessment investigates the influence of nursing practice standards, organizational policies, and governmental regulations on the issue and recommends evidence-based strategies to tackle these concerns.

    The report also emphasizes the essential role of collaboration, communication, and leadership in the management of Type 2 diabetes and obesity, stressing the significance of a multidisciplinary approach to enhance patient outcomes. Finally, the conclusion highlights the importance of implementing evidence-based strategies to improve patient care, safety, and outcomes while minimizing healthcare costs.

    Practicum Hours Experience

    During the practicum hours, I interacted with John, his family, a diabetes nurse specialist, and a nutritionist. These meetings provided insights into the challenges John and his family face in managing his diabetes, the importance of patient education and self-care, and the need for a multidisciplinary approach to improve his condition. A review of evidence-based practice documents and websites further informed the best practices for diabetes management and the significance of patient-centered care.

    Impact on Quality of Care, Patient Safety, and Costs

    The management of Type 2 diabetes and obesity plays a crucial role in the quality of care and patient safety. When diabetes is poorly managed, patients are at an increased risk of developing complications such as kidney disease, nerve damage, and cardiovascular problems (Li et al., 2020). Obesity aggravates these issues, further elevating the risk of comorbidities (Zhou et al., 2020). In John’s case, inadequate management of his diabetes and obesity not only impacts his overall quality of care but also poses a threat to his safety. For instance, uncontrolled blood sugar levels can lead to hypoglycemia, which might cause sudden loss of consciousness, posing a significant risk to patient safety.

    The economic burden of Type 2 diabetes and obesity on both the healthcare system and individuals is substantial. It has been estimated that the direct medical costs of diabetes are around $327 billion annually in the United States (Li et al., 2020). These costs include expenses for medications, medical services, and productivity losses caused by diabetes-related morbidity and mortality. Moreover, obesity-related medical costs are estimated to be around $147 billion per year (Burd et al., 2020).

    In John’s case, the financial burden of managing his diabetes and obesity might lead to difficulties in affording medications and adhering to a healthy diet. This lack of resources can result in poorer health outcomes and increased healthcare utilization, placing an additional strain on the healthcare system. It is essential to address these challenges through effective management strategies, patient education, and multidisciplinary care to improve health outcomes and minimize healthcare costs.

    Impact of State Board Nursing Practice Standards and Policies on Type 2 Diabetes Management

    State Board Nursing Practice Standards

    State board nursing practice standards are critical in the management of Type 2 diabetes and obesity, as they guide nurses to provide evidence-based care to patients. These standards ensure that nurses assess, plan, and deliver diabetes management effectively, promoting patient safety and optimal health outcomes (Seaton et al., 2020). For example, the standards emphasize the importance of nursing assessment, care planning, individualized patient education, and regular monitoring of patients with diabetes. By adhering to these practice standards, nurses can effectively manage diabetes, reducing the risk of complications and associated healthcare costs.

    In addition, a coherent synthesis of literature supports these standards. A study found that a multidisciplinary approach to diabetes management led to improved outcomes for patients (Zhou et al., 2020). The American Diabetes Association (ADA) has also developed the Standards of Medical Care in Diabetes, which provide comprehensive guidelines on diabetes management, including diagnosis, treatment, and prevention (Li et al., 2020). These guidelines serve as a basis for healthcare organizations to develop their policies and protocols, ensuring the delivery of high-quality, evidence-based care to patients with diabetes.

    Organizational and Governmental Policies

    Policies at both the organizational and governmental levels play a critical role in managing Type 2 diabetes and obesity. The Affordable Care Act (ACA) and the 21st Century Cures Act are two examples of governmental policies that have implications for diabetes management. The ACA provides funding for programs aimed at preventing and managing chronic conditions such as diabetes, while the 21st Century Cures Act includes provisions related to the use of digital health technologies in healthcare (Zhou et al., 2020).

    One organizational policy that impacts diabetes management is the use of electronic health records (EHRs). EHRs allow for more efficient and coordinated care, as healthcare professionals can easily access and share patient information. Additionally, EHRs can facilitate population health management, allowing organizations to identify patients at risk for diabetes and implement interventions to prevent or manage the condition (Hohman et al., 2023).

    NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

    Moreover, the “American Diabetes Association (ADA)” has established the Standards of Medical Care in Diabetes, a comprehensive set of guidelines that cover various aspects of diabetes management, such as diagnosis, treatment, and prevention (Li et al., 2020). These guidelines serve as a foundation for healthcare organizations to develop policies and protocols to provide high-quality, evidence-based care to diabetes patients. By incorporating up-to-date evidence-based guidelines from the ADA and other sources, healthcare organizations can ensure that they are providing the most effective interventions for managing diabetes and obesity.

    Policy Effects on Nursing Scope of Practice and Intervention

    The policies and standards associated with Type 2 diabetes management play a crucial role in determining the scope of nursing practice, influencing how nurses assess, plan, and provide care to patients with diabetes. For example, the nursing practice standards set by state boards and the guidelines developed by the ADA necessitate that nurses possess adequate knowledge of evidence-based practices, apply critical thinking skills while assessing and managing patients with diabetes, and engage in continuous professional development to stay abreast of the latest research and best practices (Li et al., 2020; Seaton et al., 2020).

    These standards and policies will steer nursing interventions to ensure that high-quality, evidence-based care is delivered to John. The interventions may include tailoring diabetes management education to John’s unique needs, collaborating with a team of healthcare professionals to design a patient-centered care plan, and continuously monitoring John’s progress and adjusting the care plan accordingly. By complying with these policies and standards, nurses can effectively address the intricacies of Type 2 diabetes management, ultimately enhancing the quality of care, patient safety, and reducing costs for the system and the individual.

    Evidence – Based Strategies to Improve  Quality of Care, Patient Safety, and Costs

    To alleviate the adverse impact of Type 2 diabetes and obesity on the quality of care, patient safety, and costs for individuals and the healthcare system, it is imperative to employ evidence-based strategies. Such strategies must be comprehensive and patient-centered to promote better health outcomes and reduce the financial burden associated with diabetes management. The following strategies aim to enhance the quality of care, patient safety, and reduce costs for both the healthcare system and individuals:

    Patient Education and Self-Care

    Provide John and his family with a personalized education program that focuses on diabetes management, diet, exercise, and medication adherence. Emphasize the importance of self-monitoring blood glucose levels and maintaining a healthy lifestyle. Recent research has demonstrated that patient education and self-care lead to better diabetes control and reduced complications (Romero-Castillo et al., 2022). Additionally, incorporate continuous glucose monitoring (CGM) technology for more accurate and real-time blood glucose monitoring.

    Multidisciplinary Approach

    Form a collaborative care team consisting of a diabetes nurse specialist, nutritionist, and other healthcare professionals. This team will work together to create a comprehensive, patient-centered care plan tailored to John’s specific needs. Studies indicate that a multidisciplinary approach improves outcomes for patients with diabetes. Additionally, incorporate telehealth and digital apps such as wearables to track his lifestyle changes and glucose monitoring. This allows for more efficient and convenient tracking of progress, and access to live coaching when entering glucose readings (Cannata et al., 2020).

    Evidence-Based Practices

    Use the current evidence-based recommendations from the “American Diabetes Association” and the American Association of Diabetes Educators” to shape the care plan. This practice guarantees that John will receive the most appropriate interventions for the management of his diabetes and obesity (Li et al., 2020).

    Continuous Monitoring and Evaluation

    Regularly assess John’s progress, including blood glucose levels, weight, and adherence to the care plan. Adjust the care plan as needed based on the assessment results, ensuring that John receives optimal, individualized care. Continuous monitoring and evaluation have been shown to improve patient outcomes and reduce the risk of complications (Sora et al., 2019).

    By implementing these strategies, the goal is to improve John’s diabetes management, decrease complications, and minimize the associated healthcare costs. In accordance with the requirement, document the practicum hours spent with John and his family in the CORE ELMS Volunteer Experience Form. This documentation will serve as a record of the time invested in implementing these strategies and evaluating their effectiveness.


    In conclusion, addressing the challenges posed by Type 2 diabetes and obesity requires a comprehensive, evidence-based approach to enhance the quality of care, patient safety, and cost-effectiveness for both the healthcare system and the individual. By implementing strategies such as patient education and self-care, a multidisciplinary approach, adherence to evidence-based practices, and continuous monitoring and evaluation, continuous glucose monitoring (CGM), telehealth, and digital apps. it is possible to achieve better health outcomes for patients like John. Additionally, understanding the role of nursing practice standards and organizational policies in shaping the healthcare landscape is crucial to ensure that appropriate interventions are implemented. Ultimately, collaboration, communication, and leadership are key to fostering a patient-centered care environment that promotes optimal well-being.


    Burd, C., Gruss, S., Albright, A., Zina, A., Schumacher, P., & Alley, D. (2020). Translating knowledge into action to prevent type 2 diabetes: Medicare expansion of the national diabetes prevention program lifestyle intervention. The Milbank Quarterly, 98(1), 172–196. 

    Cannata, F., Vadalà, G., Russo, F., Papalia, R., Napoli, N., & Pozzilli, P. (2020). Beneficial effects of physical activity in diabetic patients. Journal of Functional Morphology and Kinesiology, 5(3), 70. 

    Hohman, K. H., Martinez, A. K., Klompas, M., Kraus, E. M., Li, W., Carton, T. W., Cocoros, N. M., Jackson, S. L., Karras, B. T., Wiltz, J. L., & Wall, H. K. (2023). Leveraging Electronic Health Record Data for Timely Chronic Disease Surveillance: The Multi-State EHR-Based Network for Disease Surveillance. Journal of Public Health Management and Practice, 29(2), 162. 

    NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

    Li, Y., Teng, D., Shi, X., Qin, G., Qin, Y., Quan, H., Shi, B., Sun, H., Ba, J., Chen, B., Du, J., He, L., Lai, X., Li, Y., Chi, H., Liao, E., Liu, C., Liu, L., Tang, X., & Tong, N. (2020). Prevalence of diabetes recorded in mainland china using 2018 diagnostic criteria from the american diabetes association: National cross sectional study. BMJ, 369, m997. 

    Romero-Castillo, R., Pabón-Carrasco, M., Jiménez-Picón, N., & Ponce-Blandón, J. A. (2022). Effects of nursing diabetes self-management education on glycemic control and self-care in type 1 diabetes: Study protocol. International Journal of Environmental Research and Public Health, 19(9), 5079. 

    NURS FPX 4900 Assessment 2 Assessing the Problem Quality Safety and Cost Considerations

    Seaton, P. C. J., Cant, R. P., & Trip, H. T. (2020). Quality indicators for a community‐based wound care centre: An integrative review. International Wound Journal, 17(3), 587–600. 

    Sora, N. D., Shashpal, F., Bond, E. A., & Jenkins, A. J. (2019). Insulin pumps: Review of technological advancement in diabetes management. The American Journal of the Medical Sciences, 358(5), 326–331. 

    Zhou, Y., Chi, J., Lv, W., & Wang, Y. (2020). Obesity and diabetes as high‐risk factors for severe coronavirus disease 2019 ( COVID ‐19). Diabetes/Metabolism Research and Reviews, 37(2).