Diabetes Self MGT Education Intervention Research

Diabetes Self MGT Education Intervention Research Diabetes Self MGT Education Intervention Research Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you’ve defined. Submit the proposed intervention to the faculty for review and approval. In a separate written deliverable, write a 5-7 page analysis of your intervention. In your first three assessments, you applied new knowledge and insight gleaned from the literature, from organizational data, and from direct consultation with the patient, family, or group (and perhaps with subject matter and industry experts) to your assessment of the problem. You’ve examined the problem from the perspectives of leadership, collaboration, communication, change management, policy, quality of care, patient safety, costs to the system and individual, technology, care coordination, and community resources. Now it’s time to turn your attention to proposing an intervention (your capstone project), as a solution to the problem. NURS FPX 4900 Capella Diabetes Self MGT Education Intervention Research 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 1: Lead people and processes to improve patient, systems, and population outcomes. Define the role of leadership and change management in addressing a patient, family, or population health problem. Diabetes Self MGT Education Intervention Research Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care. Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Competency 4: Apply health information and patient care technology to improve patient and systems outcomes. Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem. Competency 5: Analyze the impact of health policy on quality and cost of care. Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention. Competency 6: Collaborate interprofessionally to improve patient and population outcomes. Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem. Competency 8: Integrate professional standards and values into practice. Write concisely and directly, using active voice. Apply APA formatting to in-text citations and references. PREPARATION In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following: Creating an educational brochure. Producing an educational voice-over PowerPoint presentation or video focusing on your topic. Creating a teaching plan for your patient, family, or group. Recommending work process or workflow changes addressing your topic. Plan to spend at least 3 direct practicum hours working with the same patient, family, or group. In addition, you may wish to complete the following: 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 sufficient research of the scholarly and professional literature to inform your work and meet scholarly expectations for supporting evidence. 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: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval. Part 1 Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources. Incorporate relevant aspects of the following considerations that shaped your understanding of the problem: Leadership. Collaboration. Communication. Change management. Policy. Quality of care. Patient safety. Costs to the system and individual. Technology. Care coordination. Community resources. Part 2 Submit your proposed intervention to your faculty for review and approval. In a separate written deliverable, write a 5–7 page analysis of your intervention. Summarize the patient, family, or population problem. Explain why you selected this problem as the focus of your project. Explain why the problem is relevant to your professional practice and to the patient, family, or group. In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, 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. Define the role of leadership and change management in addressing the problem. Explain how leadership and change management strategies influenced the development of your proposed intervention. Explain how nursing ethics informed the development of your proposed intervention. Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem. Identify the patient, family, or group. Discuss the benefits of gathering their input to improve care associated with the problem. Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes. Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention. Cite the standards and/or policies that guided your work. Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem. Explain how your proposed intervention will improve the quality of care, enhance patient safety, and reduce costs to the system and individual. Cite evidence from the literature that supports your conclusions. Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual. Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem. NURS FPX 4900 Capella Diabetes Self MGT Education Intervention ResearchCite evidence from the literature that supports your conclusions. Write concisely and directly, using active voice. Apply APA formatting to in-text citations and references. Additional Requirements Format: Format the written analysis of your intervention 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. Length: Your paper should be approximately 5–7 pages in length, not including the reference page. Supporting evidence: Cite at least five 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. CORE ELMS Update the total number of hours on the NURS-FPX4900 Volunteer Experience Form in CORE ELMS . Portfolio Prompt: Save your intervention to your ePortfolio . After you complete your program, you may want to consider leveraging your portfolio as part of a job search or other demonstration of your academic and professional competencies. nurs_fpx_4900_assessment_3.doc ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: HEALTHCARE TECHNOLOGY AND CARE COORDINATION Healthcare Technology and Care Coordination Jorge Lopez Capella University 1 HEALTHCARE TECHNOLOGY AND CARE COORDINATION 2 Healthcare Technology and Care Coordination Healthcare technology is increasingly becoming a central part of care dissemination and many patients rely on different technologies for health management and treatment. Similarly, care coordination with different healthcare stakeholders including community resources is also important for boosting healthcare outcomes. Diabetes is a chronic condition that requires lifelong management of the patient’s health condition and the promotion of optimal health outcomes to reduce the risk of diabetes-related complications. Healthcare technology is thus highly useful for diabetes patients in not only enhancing self-health management but also improving communication and consultation. Similarly, care coordination due to diabetes comorbidities is important to ensure holistic approach to the patients’ health conditions. Community resources are also similarly crucial in supporting patient management and health outcomes. This report focuses on the impact of technology, care coordination, and community resources on improving the care of an older adult with type II diabetes. The Impact of Health Care Technology on the Patient In this section, a discussion of technologies used by patients with diabetes is discussed and a comparison of the literature to the author’s observations made. An emerging technology for diabetes management is the use of mobile apps to assist the patient in monitoring and managing their glucose levels. This technology has been identified as very important and advantageous in effective self-management for diabetes. Jo et al. (2017) identify that some of the advantages include adherence to medication and regular insulin intake, regulation of diet and exercises, and consistent monitoring of blood glucose for better glycemic control. When compared to the patient’s observations, it was identified that the patient did not use this HEALTHCARE TECHNOLOGY AND CARE COORDINATION technology but perceived that it could help him in improving his glucose management and adherence to the treatment process. Although diabetes apps are important in helping glucose management and managing lifestyle adjustments, they present various challenges and limitations which could be frustrating for patients. Many applications, according to Jeffrey et al. (2019), provide impersonal information and hence are marginally useful in improving self-monitoring and management. Many applications present educational information at best hence their utility remains limited. Another crucial factor is the perception of difficult and the lack of education (Jeffrey et al., 2019). This factor is considered a barrier to technology use, especially for older adults who are not technology savvy. When spending time with the diabetes patient, they claimed that they would not know how to use such technology and hence did not bother to download an application. This observation aligns with the literature that perceived difficult of technology use is a major barrier to effective technology adoption. Other than diabetes management applications, another technology useful for this patient is an insulin pen. An insulin pen device is considered a health technology because it is an improvement of the traditional vial and syringe approach. This technology is used by the patient on focus in this project. In their review of the technology, they claimed that it was easier to use and less painful to inject. Current literature on the technology aligns with the patient-identified advantages. Kesavadev et al. (2020) reported that in addition to less reported pain and ease of use, insulin pen devices produced greater satisfaction and improved accuracy in delivering insulin doses. This device is thus crucial for diabetes management because it is more intuitive and user-friendly hence enhancing patient adherence to treatment and better self-management. On the downside, this technology has been identified as more expensive than the conventional. NURS FPX 4900 Capella Diabetes Self MGT Education Intervention Research 3 HEALTHCARE TECHNOLOGY AND CARE COORDINATION 4 syringes and vials. Therefore, patients have to spend more than they would to access an insulin pen which is more convenient and comfortable for them in diabetes management. The cost of this technology could thus be the main barrier to its use in diabetes self-management. Overall, diabetes management apps and insulin devices are some of the relevant technologies for the diabetes patient and they enhance self-management of the chronic condition. Care Coordination and Community Resources used for Diabetes Management Care coordination is essential for chronic conditions management and this applies to the diabetes patient. Coordination of care for patients with diabetes is mainly aimed at ensuring effective glycemic control and treating potential diabetes-related complications. In this capstone project, the patient is comorbid with hypertension which was diagnosed three years ago. Comorbidity with hypertension requires care coordination to ensure that both the glycemic levels and blood pressure level for the patient are managed. The patient currently owns a blood pressure monitor for monitoring and managing their blood pressure. Effective care coordination can aid in ensuring that the comorbidities are effectively managed. Additionally, care coordination with community resources has been proved to be effective in effectively managing diabetes in community-dwelling patients. A crucial community resource is a community health worker who educates the patient and helps them navigate the complicated healthcare system. Research shows that community healthcare workers improve patients’ clinical outcomes, reduce the cost of care, and decrease health disparities (Tung & Peek, 2015). From an individual point of view, the patient could benefit from a healthcare worker who helps them navigate the care system and also provides education to them. From a population health point of view, care coordination with community health workers enhances access to care for underserved communities hence reducing disparities. Although the patient HEALTHCARE TECHNOLOGY AND CARE COORDINATION 5 considered in this practicum does not have access to a social health worker, it is expected that such access would significantly improve their diabetes management and health outcomes. In addition to the services of a social worker, community social networks are considered also important in diabetes management. Social networks refer to the linkages to other people in the social space who also manage diabetes. On the one hand, social networks are considered effective in managing diabetes through sharing resources and improving self-efficacy in the management of diabetes (Tung & Peek, 2015). Therefore, social networks can be venues for sharing knowledge and information important for diabetes management and will improve selfcare and efficacy hence promoting healthy outcomes. When speaking with the diabetes patient, he identified that receiving support and discussing diabetes with other individuals who also have the condition helped him in effectively adjusting his lifestyle to fit the requirements of diabetes self-management. Therefore, his experiences align with the literature on social networks and diabetes management. On the other hand, some studies claim that social networks are more likely to spread obesity through unhealthy behaviors (as cited in Tung & Peek, 2015). This model opposes claims that social networks could improve diabetes management. However, the practicum observation supports evidence showing support for social networks. In general, it was observed that care coordination was especially needed for managing comorbidities and community resources are useful in producing better self-efficacy in diabetes management. It is thus recommended that better care coordination with community and health stakeholders should be implemented for better care outcomes for diabetes patients. Nursing Practice Standards and Policies Related to the Problem The use of healthcare technology, care coordination, and community resources in diabetes management is impacted by various standards and policies. The Affordable Care Act HEALTHCARE TECHNOLOGY AND CARE COORDINATION 6 (ACA) is one of the most relevant healthcare policies affecting how care is delivered. Medicare coverage under ACA defines the aspects of diabetes treatment that are covered. One aspect that could affect access to care is that insulin devices are not universally covered under Medicare but rather covered only under Medicare Part D (Tseng et al., 2020). The lack of universal coverage of insulin pens identified as a preferred technology means that many patients undergo additional costs of care when using the technology. Therefore, the ACA, as a healthcare policy, limits the use of certain technologies for diabetes management. NURS FPX 4900 Capella Diabetes Self MGT Education Intervention Research Other than the ACA policies’ impact on diabetes management technology, nursing practice standards on diabetes management can be used to enhance technology use and care coordination. The American Diabetes Association (ADA) presents standards for medical care when using technology for diabetes management. The standards support the use of diabetes selfmonitoring approaches especially for patients using intensive insulin treatment (ADA, 2020). Similarly, the current standards approve and support the use of insulin pens in place of vials and syringes for insulin delivery. Therefore, current diabetes management standards promote the adoption and use of diabetes technologies for self-efficacy in diabetes management. Lastly, based on current standards and policies, nursing ethics will play a crucial role in the coordination and delivery of care for the diabetes patient. Nursing ethics requires that nurses respect patients’ self-determination in that they can reject the use of a technology or intervention in their health management (Song et al., 2019). Therefore, the nurse will propose technological interventions and seek the approval of the patient before actually applying them to the case. Secondly, nurses should maintain confidentiality and security of patients’ data. Healthcare technology such as mobile apps may contain personal identifiable information and the nurse will HEALTHCARE TECHNOLOGY AND CARE COORDINATION 7 ensure that this information is kept confidential and secure. A high level of nursing ethics will be maintained when caring for the diabetes patient. Conclusion Healthcare technology, coordination, and community resources are paramount in effectively managing diabetes. In the practicum case, the patient uses insulin pens but does not use mobile apps. They also use blood pressure cuffs and communicate with a social network helping them with self-management. The highlighted technologies are important in enhancing diabetes self-management and also improving patient health outcomes. Using community resources such as community social workers and social networks is also useful in enhancing selfefficacy. Care coordination and technology use in diabetes management will be crucial for enhancing care outcomes and patient quality of life. HEALTHCARE TECHNOLOGY AND CARE COORDINATION References American Diabetes Association. (2020). 7. Diabetes technology: Standards of Medical Care in Diabetes—2020. Diabetes Care, 43(Supplement 1), S77-S88. https://doi.org/10.2337/dc20-S007 Jeffrey, B., Bagala, M., Creighton, A., Leavey, T., Nicholls, S., Wood, C., … & 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), 84. https://doi.org/10.1186/s13098-019-0480-4 Jo, I. Y., Yoo, S. H., Lee, D. Y., Park, C. Y., & Kim, E. M. (2017). Diabetes management via a mobile application: A case report. Clinical Nutrition Research, 6(1), 61-67. https://doi.org/10.7762/cnr.2017.6.1.61 Kesavadev, J., Saboo, B., Krishna, M. B., & Krishnan, G. (2020). Evolution of Insulin Delivery Devices: From Syringes, Pens, and Pumps to DIY Artificial Pancreas. Diabetes Therapy, 11(6), 1251. https://doi.org/10.1007/s13300-020-00831-z Song, T., Qian, S., Cui, T., & Yu, P. (2019, August). The Use of Theory in Mobile Health Interventions for Patient Self-Management of Chronic Diseases. In MedInfo (pp. 19821983). https://doi.org/10.3233/SHTI190745 Tseng, C. W., Masuda, C., Chen, R., & Hartung, D. M. (2020). Impact of Higher Insulin Prices on Out-of-Pocket Costs in Medicare Part D. Diabetes Care, 43(4), e50-e51. https://doi.org/10.2337/dc19-1294 Tung, E. L., & Peek, M. E. (2015). Linking community resources in diabetes care: a role for technology?. Current Diabetes Reports, 15(7), 45. https://doi.org/10.1007/s11892-0150614-5 8 … 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

RECOMMENDED: Personal Health: Self-monitoring, mindless eating, and Stress in America