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NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

Student Name Capella University NURS FPX 4900 Capstone Project for Nursing Prof. Name Date Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations This evaluation centers on the situation of John, a 50-year-old male patient contending with Type 2 diabetes management challenges. This evaluation aims to scrutinize information from expert sources and scholarly articles to direct nursing interventions and recommend efficient leadership approaches for bettering patient results, personalized care, and patient experiences. Moreover, this evaluation investigates the influence of nursing practice norms and regulations on John’s diabetes control, underlining the essential contribution of nurses in policy formulation to avert sickness, enhance outcomes, and minimize hospital readmissions. Finally, this evaluation records the hands-on experience gained with John and similar cases, guaranteeing a comprehensive grasp of the issue and the requisite leadership, cooperation, and change administration tactics needed to elevate patient outcomes. Problem Definition and Relevance This evaluation examines a patient care issue within our healthcare institution, highlighting the significance of leadership, cooperation, and change administration in tackling these challenges. Our patient, John, is a 50-year-old Hispanic male who has been experiencing inadequately managed Type 2 diabetes and obesity. His family background includes diabetes, as both his father and uncle were diagnosed with the disease. Despite attempting numerous medications and lifestyle modifications, John’s blood sugar levels persistently remain elevated, with HbA1c levels surpassing 9%. John has visited our healthcare facility multiple times over the past year, seeking help with managing his diabetes. His most recent visit was two weeks ago, when he reported increased fatigue and blurry vision, both of which are common symptoms of uncontrolled diabetes. As a baccalaureate-prepared nurse, I am responsible for ensuring that patients like John receive appropriate and timely care to prevent further complications and improve their quality of life. NURS FPX 4900 Assessment 1 Assessing the Problem The problem of uncontrolled Type 2 diabetes is significant not only for the patient’s health and well-being but also for the healthcare organization’s performance and reputation. Poorly managed diabetes can lead to severe complications, such as kidney damage, nerve damage, and increased risk of cardiovascular diseases, resulting in frequent hospital visits and higher healthcare costs (Saeed et al., 2021). Furthermore, it can negatively impact patient satisfaction, as they may feel frustrated with their inability to manage their condition effectively. The issue of uncontrolled Type 2 diabetes is a significant public health problem, with statistics indicating its increasing prevalence in society. As a baccalaureate-prepared nurse, addressing this issue is highly relevant to my practice. My role involves providing comprehensive patient care, promoting health equity, and working towards improving population health outcomes. By focusing on patients like John, who struggle with poorly controlled diabetes, I can contribute to reducing health disparities, enhancing access to care, and empowering individuals to take charge of their health. My dedication to delivering top-notch, individualized care aligns with generating a favorable influence on the health and welfare of the communities. Evidence Analysis Numerous research studies from scholarly literature provide evidence that endorses nursing interventions connected to managing Type 2 diabetes in patients similar to John. For example, a systematic analysis underscores the efficacy of diabetes self-management education and assistance in enhancing blood sugar control and mitigating complications in Type 2 diabetes patients (Powers et al., 2020). Furthermore, a study accentuates the significance of a multidisciplinary team approach involving nurses in attaining improved diabetes outcomes (Catapan et al., 2021). The conclusions of these investigations align with nursing practices that emphasize patient education, self-management, and cooperation among healthcare experts. As nurses, we will provide comprehensive diabetes self-management education to John and other similar patients to improve their glycemic control and reduce the risk of complications. Additionally, we will collaborate with other healthcare professionals to develop and implement a multidisciplinary care plan that addresses John’s diabetes and related comorbidities. The conclusions of these investigations align with nursing practices that emphasize patient education, self-management, and cooperation among healthcare experts. NURS FPX 4900 Assessment 1 Assessing the Problem It is crucial to consider elements like the research design, the number of participants, and possible biases to assess the dependability of the information conveyed in these investigations. Additionally, examining the consistency of the findings across multiple studies and the overall quality of the research can help assess the evidence’s reliability. In the case of the systematic review, the authors synthesized findings from numerous high-quality studies, lending credibility to their conclusions. Furthermore, the large sample size and rigorous data analysis methods suggest the data are reliable (Johnson et al., 2020). Research has shown that adherence to nursing standards and policies can improve patient outcomes for Type 2 diabetes. A study by Sly et al. (2021) found that following evidence-based guidelines for diabetes care led to improved glycemic control and reduced hospital readmissions. Similarly, implementing clinical practice guidelines in diabetes care is associated with improved patient outcomes, including better glycemic control and lower rates of complications (American Diabetes Association, 2020). Nurses hold a vital position in formulating policies to enhance results, avert sickness, and decrease hospital re-admissions for individuals with Type 2 diabetes. According to a study, nursing involvement in policy development and advocacy can lead to more effective healthcare policies and better patient outcomes (Turale & Kunaviktikul, 2019). Additionally, a review by Kraaij et al., (2019) highlighted the importance of nursing leadership in shaping healthcare policies and improving diabetes care at the population level. NURS FPX 4900 Assessment 1 Assessing the Problem The literature suggests that the Chronic Care Model (CCM) can serve as a guiding framework for nursing actions during the practicum. The CCM focuses on improving the quality of chronic illness care by integrating proactive healthcare teams, self-management support, and care coordination (Keddy et al., 2020). This model can help guide nursing interventions for patients like John, enabling them to manage their Type 2 diabetes better and improve their overall health. Additionally, the Self-Determination Theory offers valuable insights into how nurses can support patients’ motivation and autonomy in managing their diabetes, further enhancing the effectiveness of the nursing

NURS FPX 4030 Assessment 3 Pico(t) Questions And An Evidence Based Approach

Student Name Capella University NURS FPX4030 Making Evidence-Based Decisions Prof. Name Date PICO (T) Questions and an Evidence-Based Approach In the realm of healthcare research, the PICO (T) methodology functions as a framework for formulating and addressing clinical inquiries. PICO (T) encompasses Patient/Population/Problem, Intervention, Comparison, Outcome, and Time if applicable. It delineates a systematic approach to defining the key components of a potential study or investigation. The “P” designates the patient or population under consideration, while the “I” denotes the intervention being evaluated. The “C” involves the comparison of interventions or controls, and the “O” points to the desired outcomes. Finally, “T,” if pertinent, relates to the time frame over which the intervention’s effects are scrutinized. This framework serves as a strategy for constructing research questions and guiding the search for clinical evidence, thereby fostering evidence-based healthcare practices. Practice Issue of Type II Diabetes Management The investigation centers on the management of Type 2 diabetes—a complex condition significantly impacting a substantial global population, thereby exerting notable strain on both quality of life and healthcare systems (Westman, 2021). To effectively address this issue, the application of a PICO (T) approach proves advantageous. This systematic framework streamlines the research process by focusing on pivotal facets of the concern. NURS FPX 4030 Assessment 3 Pico(t) Questions And An Evidence Based Approach A PICO (T)-formatted research question could be: “In adults with Type 2 diabetes (P), does a lifestyle intervention program focusing on dietary changes and physical activity (I), compared to standard care (C), lead to notable improvements in hemoglobin A1C levels (O) over a 12-month period (T)?”. The PICO (T) approach clarifies and focuses the research question, aiding in the development of a more targeted research strategy and facilitating the location of relevant evidence efficiently. This refined focus enhances the likelihood of producing high-quality research leading to improved patient outcomes and more effective healthcare policies and procedures. Identification of Sources of Evidence Various sources can provide valuable insights for addressing the PICO (T) question concerning the impact of lifestyle interventions on hemoglobin A1C levels in individuals diagnosed with Type 2 diabetes. Esteemed publications such as Diabetes Care, The American Journal of Clinical Nutrition, and the Journal of the American Medical Association regularly release current, peer-reviewed studies on interventions for Type 2 diabetes. Authoritative governmental websites like the American Diabetes Association (ADA), the World Health Organization (WHO), and Clinical Trials offer valuable data on ongoing and successful studies related to lifestyle management in diabetes. Additionally, databases such as the Cochrane Database of Systematic Reviews, PubMed, and CINAHL provide an abundance of pertinent studies. To assess the credibility and suitability of sources, the CRAAP test, evaluating Currency, Relevance, Authority, Accuracy, and Purpose, proves invaluable. This ensures that the sources utilized are current, pertinent, authoritative, accurate, and aligned with the intended purpose (Lowe et al., 2021). Combining the CRAAP test with the PICO question presents a beneficial strategy for healthcare professionals. It ensures credible and meaningful information leads to improved patient outcomes and enhanced quality of care. Findings from the Relevant Sources Research into the management of Type 2 diabetes has predominantly focused on lifestyle interventions as a pivotal approach. An authoritative source, the American Diabetes Association (2020), provides valuable insights into programs centered around lifestyle changes targeting Type 2 diabetes. The article underscores the significance of structured interventions promoting modest weight loss, yielding notable enhancements in blood glucose levels among adults with Type 2 diabetes.  Another pertinent contribution comes from Zou et al. (2020), who provide evidence supporting the enduring advantages of lifestyle interventions for adults with Type 2 diabetes. The research utilizes predictive models derived from data acquired from the Da Qing Impaired Glucose Tolerance (IGT) and Diabetes Study, suggesting a potential impact on reducing hemoglobin A1C levels. In related work, Yang et al. (2023) offer a comprehensive assessment of various randomized controlled trials focusing on lifestyle interventions, indicating a notable decrease in HbA1C levels among overweight and obese individuals with Type 2 diabetes across various ethnic groups. Decision-Making on the PICO(t) Question Using the Findings The findings from the selected sources are highly relevant when making decisions related to the PICO(T) question. The information provided by the American Diabetes Association (2020) serves as a comprehensive guideline, outlining the significance and functionality of lifestyle interventions in treating Type 2 diabetes. This validates the choice of intervention in the PICO(T) question. Investigations like Zou et al. (2021) and Yang et al. (2023) underscore the effectiveness of lifestyle interventions on long-term diabetes management and lowering HbA1C levels. The congruence among sources regarding the benefit of lifestyle interventions indicates the potential for positive outcomes. Especially supported by the critical review of randomized controlled trials, it can be inferred that lifestyle modifications are impactful in managing Type 2 diabetes outcomes, underscoring the utility of the PICO(T) question focusing on dietary changes and physical activity. Conclusion In conclusion, the PICO (T) framework is a vital strategy for formulating research questions and directing an evidence-based approach to healthcare issues. This method enables the precise definition of patient problems, intervention, comparison, and outcomes, facilitating efficient literature search and application of relevant information. Utilizing evidence-based practice, such as PICO (T), helps translate research findings into meaningful clinical practices, leading to improved patient outcomes and healthcare efficiency. It underscores the importance of selecting credible sources, interpreting findings, and applying these to clinical decision-making. References American Diabetes Association. (2020). Standards of medical care in diabetes-2020 abridged for primary care providers. Clinical Diabetes, 38(1), 10–38. https://doi.org/10.2337/cd20-as01 Lowe, M. S., Macy, K. V., Murphy, E., & Kani, J. (2021). Questioning CRAAP. Journal of the Scholarship of Teaching and Learning, 21(3). https://doi.org/10.14434/josotl.v21i3.30744 Westman, E. C. (2021). Type 2 diabetes mellitus: A pathophysiologic perspective. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.707371 NURS FPX 4030 Assessment 3 Pico(t) Questions And An Evidence Based Approach Yang, J., Xia, Y., Sun, Y., Guo, Y., Shi, Z., do Vale Moreira, N. C., Zuo, H., & Hussain, A. (2023). Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes