Skip to main content

BSN Writing Services

BSN Writing Services

Call Us

+1-(612) 208-2686

Our Email

contact@bsnwritingservices.com

NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

Student Name Capella University NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Implementing evidence-based practice for promoting a healthy lifestyle Hey everyone, this is ______, and my topic of presentation is the implementation of evidence-based practices for diabetes type 2 patients to promote a healthy lifestyle. Diabetes is one of the most prevalent problems that is often worsened by an unhealthy lifestyle. The core deficit in diabetes type 2 is the insulin resistance that is often built up due to unhealthy lifestyles such as lack of exercise and obesity. Due to insulin resistance, the body’s insulin cells become restrained, eventually reducing insulin secretion. According to the Centers for Disease Control and Prevention (CDC, 2022), around 37.3 million Americans have diabetes, which makes up around 11.3% of the overall American population. From this population, almost 37.1 million patients are adults or 18 years old and older. Furthermore, other statistical reports have highlighted that out of all the diabetic cases within the country, 90.9% are of diabetes type 2, making up 21 million of all the cases (Julia, 2022). Studies have highlighted that diabetes and obesity often increase the future risk of cardiovascular diseases, making it more difficult to treat either of the conditions (Sharma et al., 2020). Also, other studies have highlighted that an unhealthy lifestyle and diabetes increase the risk of developing other coronary heart diseases, which may include vascular problems, issues in electrical mechanisms, and arrhythmias (Piché et al., 2020). There are studies that have linked the worsening condition of the heart with uncontrolled diabetes as well (Zareinu et al., 2020). PICOT Question  In adults with Type 2 diabetes, a healthy diet and regular exercise have a more significant impact as compared to standard diabetes management without a specific focus on lifestyle changes, which leads to lower blood glucose levels and weight management within a year. Population: Adults  Intervention: Implementation of comprehensive lifestyle changes (dietary modification and regular exercise) Comparison: Standard Diabetes Management without Lifestyle Changes Outcome: lower levels of blood glucose and weight reduction Time: 1 year. Action Plan to Implement an Evidence-Based Plan Physical activities are associated with an increased risk of type 2 diabetes as the sedentary lifestyle works on the insulin resistance in the body, leading to overweight and other health-related issues (Li et al., 2022). whereas the World Health Organization (2023) has reported that a healthy diet, regular exercise, and maintaining a normal body weight have been linked with prevention and delay in the onset of diabetes type 2. Considerable evidence supports the idea that weight management has been identified as the cornerstone of metabolic health, while the quality of the diet is significantly more important (Forouhi et al., 2018). The lifestyle intervention has significantly reduced the risk of onset of type 2 diabetes to 36% in an RTC trial experimental study as compared to the control group (Pot et al., 2020). The study revealed that the effects of the lifestyle intervention were greater for intensive interventions that combine dietary and physical activity as compared to single-component interventions. The program was developed within the course of 1 year, where the patients who have a lack of glycemic control and obesity were introduced to lifestyle changes such as a healthy diet, such as control food and low-carb and fat-free food options, along with regular exercise such as walking and low-paced exercise, helping people to reduce and maintain weight. The current plan was developed to ensure that people who are overweight are encouraged to regulate and change their lifestyle choices to encourage them to have long-term sustainable lifestyles and healthy habits. Studies have highlighted that lifestyle changes have significant positive impacts on diabetes management and tend to provide long-term and persistent results (Pot et al., 2020). NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice The action plan will be based on Stakeholders and Potential Barriers to Project Implementation The stakeholders in this intervention project are: NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice Similarly, the following are the potential barriers to the implementation of the project: NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice Outcome Measures  The targeted action plan based on evidence-based practice should be assessed through certain set parameters, which can help evaluate the outcomes of the intervention plan. The outcome measures were aligned with the quadruple aims of the Thai action plan, which have an impact on controlling and reducing blood sugar levels. This plan is significantly effective for the organization and the professionals while managing the overall financial burden of supporting and providing medication to diabetic patients. The expected outcomes are: All of these outcomes align with the aim of patient outcomes, satisfaction, cost reduction, and well-being through improved blood glucose levels, a reduction in weight, healthy eating habits, patient satisfaction, and increased physical activity. Search strategies and databases The search strategies and databases utilized for the current assessment were PubMed, the National Library of Medicine (NIH), and Google Scholars. Other sources that aided in providing statistical and trend-based information were the Centers for Disease Control and Prevention (CDC), the Centre for Food and Animal Health (CFAH), and the World Health Organization (WHO). Diabetes has a significant role in the healthcare system as it is one of the leading illnesses around the globe, with a prevalence of more than 90.9% among adults older than 18. Studies have highlighted that it is important for the diabetic patient to focus on lifestyle changes as they can help in better glycemic control and reduce the risk of comorbid diseases, while the sedentary lifestyle has been linked as a potential perpetuator of the high blood glucose level (Golovaty et al., 2022). Similarly, a systematic review highlighted that increasing adherence to health behaviors significantly lowers the risk of cardiovascular and cerebrovascular diseases (Zyriax & Windler, 2022). Conclusion  With the high prevalence of type 2 diabetes in the American population, it is important to develop programs that aim to address the issue of lifestyle changes and incorporate healthy lifestyles such as a

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Student Name Capella University NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Slide 1:  Hey everyone, my presentation topic for today is an evidence-based population health improvement plan. Slide 2:  Choose a health problem: diabetes type 2 Diabetes is a chronic health disease that alters the human body’s ability to convert food into energy. It is a metabolic disease that may impact the blood glucose levels in one’s bloodstream. According to the World Health Organization, it  occurs either due to the inability of the pancreas to process the desired amount of insulin or due to the inability of the body to utilize the insulin. Type 1 diabetes, type 2 diabetes, and pregnancy-related diabetes are the three most common forms of diabetes. Type 1 diabetes is an autoimmune disease, which means that the body’s immune system attacks the cells in the pancreas that make insulin. This type of diabetes is rather common in children. Lifestyle factors like obesity, inactivity, and unhealthy eating habits have been linked to the development of type 2 diabetes. Type 2 diabetes is characterized by insulin resistance and can manifest at any age, though it is typically diagnosed in adults. Whereas gestational diabetes usually occurs during pregnancy and resolves after giving birth, Our focus for the presentation is type 2 diabetes. The following statistics show the trends in diabetes among US citizens. Slide 3:  Environmental Determinants.  Epidemiological determinants  Slide 4  Ethical Health Improvement Plan: Promoting a Healthy Lifestyle and Diabetes Prevention  Goals Interventions  Outcomes Slide 5 Communication Strategies (Malikhao, 2020) NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan Slide 6:  Value and Relevance Slide 7  In conclusion, the aim of developing an ethical health improvement plan for diabetes type 2 was to establish a community with a reduced incidence of health issues and enhanced quality of life, with the key goal of encouraging training and awareness, diversity and community engagement, health lifestyle changes, and access to preventive care. While the communication strategies that were designed were based on effective and collaborative communication strategies such as two-way communication, cultural inclusivity and diversity, and technology integration such as using telehealth mediums. However, the aim is to provide a long-lasting commitment to healthcare quality improvement initiatives. Reference  Bonini, M. G., & Sargis, R. M. (2018). Environmental Toxicant Exposures and Type 2 Diabetes Mellitus: Two Interrelated Public Health Problems on the Rise. Current opinion in toxicology, 7, 52–59. https://doi.org/10.1016/j.cotox.2017.09.003 Center for Disease Control and Prevention. (2022). National diabetes statistics report. CDC. https://www.cdc.gov/diabetes/data/statistics-report/index.html CDC. (2022). The Facts, Stats, and Impacts of Diabetes. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html Julia, N. (2022, November 30). Diabetes Statistics: Facts & Latest Data in the US (2023 Update). CFAH. https://cfah.org/diabetes-statistics/ Malikhao P. (2020). Health Communication: Approaches, Strategies, and Ways to Sustainability on Health or Health for All. Handbook of Communication for Development and Social Change, 1015–1037. https://doi.org/10.1007/978-981-15-2014-3_137 NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan Mayo Clinic. (2022, June 3). Diabetes management: How lifestyle, daily routine affect blood sugar. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-management/art-20047963 Li, D., Yang, Y., Gao, Z., Zhao, L., Yang, X., Xu, F., Yu, C., Zhang, X., Wang, X., Wang, L., & Su, J. (2022). Sedentary lifestyle and body composition in type 2 diabetes. Diabetology & Metabolic Syndrome, 14(1). https://doi.org/10.1186/s13098-021-00778-6 Scottish Government. (2021, February 25). Diabetes care – Diabetes improvement plan: commitments – 2021 to 2026. Www.gov.scot. https://www.gov.scot/publications/diabetes-improvement-plan-diabetes-care-scotland-commitments-2021-2026/pages/4/ Skoglund, G., Nilsson, B. B., Olsen, C. F., Bergland, A., & Hilde, G. (2022). Facilitators and barriers for lifestyle change in people with prediabetes: a meta-synthesis of qualitative studies. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-12885-8 NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

NURS FPX 6011 Assessment 1 Concept Map

Student Name Capella University NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health Prof. Name Date Introduction  Patient engagement is the process of actively involving the patient in their own healthcare and treatment journey, empowering their decisions regarding their treatment, and allowing them to feel charged with their well-being and how they ought to be treated, which results in better health outcomes, improved patient satisfaction, and lowered healthcare costs (Bombard et al. 2018). This method of treatment is an active one in which the person being treated is directly involved in giving care instead of just receiving it. Health quality concepts highlight patient-centeredness, education, and empowerment as key aspects of care quality and delivery (Marzban et al., 2022); hence, many professionals consider this concept of patient engagement as a quality driver. Throughout the literature, patients hold a unique position as crucial stakeholders in healthcare and decision-making, which shows the present need to involve people in their own care and treatment processes (Sharma et al., 2018). Following this, studies have highlighted that providing a tailored plan of care and engaging patients in their care allows practitioners to expect better treatment adherence, outcomes, and prognosis (Engle et al., 2021). Through this current assignment, the aim is to discuss the significance of patient engagement in treatment and how this aspect of patient engagement can help improve the overall quality of care. Also, the goal is to learn about information and communication technology usage and how it might help cancer patients, while highlighting the strategies and values of the technology modes.  The Importance of Patient Engagement in the Management of Low-Income Cancer Patients Patient engagement is essential in the management of low-income cancer patients because it can contribute to an improvement in the quality of care provided to these patients by assisting in the fulfillment of their individual needs within the constraints of their financial resources. Coming from a low-income background is a significant factor that may impact their ability to adhere to the treatment; therefore, it is important to involve patients in the design of their care, delivery, and evaluation of the health services (Fernandez-Lazaro et al., 2019). Patient engagement can help in addressing the disparities in accessing healthcare and the outcome of treatment, as by involving the patient in decision-making processes, healthcare providers can gain a better understanding of the unique needs and preferences of the patients (Marzban et al., 2022). Patients with low income and chronic disease may lack treatment compliance and adherence due to obvious affordability issues. Therefore, it is important to engage such patients in their care as it allows them to understand the importance of adherence to treatment, follow-ups, and medication in the longer run, resulting in fewer rehospitalizations, fewer critical conditions, and better health outcomes. By involving such patients in decision-making while considering economic concerns, healthcare providers can increase their compliance with treatment. Also, cancer patients with low incomes face difficulties accessing healthcare services due to their financial limitations. NURS FPX 6011 Assessment 1 Concept Map While patient engagement can help healthcare professionals identify and address such barriers, it can also help them receive timely and appropriate care, such as timely cancer screening diagnostic tests and treatment options. Similarly, such patients require tailored and specific treatment plans that address their perception of illness, preferences for treatment, and end-of-life care choices, hence engaging the patients in open and respectful discussion while keeping their financial and cultural values and perspectives in mind while developing treatment plans that align with their needs for better acceptance and outcome. Use and Impact of Information and Communication Technology Tools Information and Communication Technology tools can improve consumer literacy for cancer patients. Health literacy is the ability to understand, utilize, and access health information to make decisions for one’s health. For cancer patients, having the literacy to understand, access, and utilize accurate and comprehensible health information that is reliable and relevant to their condition helps them to opt for treatment options and self-care strategies that are tailored for them and can help them (Holden et al., 2021). ICT provides cancer patients and their families with easy access to up-to-date information about the type of cancer, treatments, side effects, and supportive care. Mobile applications, educational websites, and other online mediums can help leverage literacy levels. Also, ICT tools enable remote consultation and telehealth services, allowing patients to connect with professionals to access care (Zhang et al., 2022). Similarly, other ICT tools include wireless devices, telehealth, or telemedicine apps that can help the patient track their medication and other vitals daily and help them reach professionals timely (Housten et al., 2020). Furthermore, these tools allow individuals to connect with other people with similar issues. allowing them to find solace in other people who are facing similar issues and helping them to cope better and be motivated by seeing others battling cancer. NURS FPX 6011 Assessment 1 Concept Map However, there are a few lags that are still concerned about using the ICT tools for certain populations: people with low literacy or elderly people who are not gadget-friendly may find it hard to access these tools; people who have low income may have difficulty buying and utilizing these tools; or people who are on substantial support may require more physically prepared and effective care than ICT tools can provide. Also, aspects of data security and privacy are significant considerations that may hinder the usage of ICT tools. Therefore, it is important to first address and understand the unique aspects of every individual and tailor the technology according to the individual to provide effective care. Value and Relevance of Technology  The value and relevance of the ICT tools for cancer patients coming from low-income backgrounds depend on the patient’s needs and preferences for the treatment, the quality and usability of the tool, the availability and accessibility of the tool, and the training that is provided to the patient to access them. Also, a technology need assessment (2015) is usually carried out to assess what kind of