Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example
Individuals with type 2 diabetes require proper disease management that includes control of their blood sugar levels, adopting healthy eating, exercises, medication, or insulin. Many people can effectively manage type 2 diabetes with adequate resources and support. If the condition is not properly managed, it can affect other body organs, leading to complications like bacterial and fungal infections and skin problems. Worst case scenario, lack of proper management increase patient mortality rates. Conducting a needs assessment is critical to help an organization identify gaps that prevent it from achieving the desired goals, in this case, proper type 2 diabetes self-management. The gaps can exist in the organization’s knowledge, practices, or skills regarding the problem. The assessment helps the organization determine effective strategies and interventions to accomplish its objectives. The purpose of this paper is to identify an organizational gap and associate interventions that can help fill the gap for better patient outcomes. The paper includes a practice gap description, a summary of the organizational needs, and the development of the practice question (PICOT).(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
The problem affects the endocrinology unit that specializes in treating patients with diabetes. The endocrinologists working in the unit are the key stakeholders responsible for informing and advising major decisions regarding diabetes. The hospital leaders and administrators are also responsible for making major decisions to address the gap identified and support intervention implementation through resource mobilization. The problem identified is self-management among the rising number of type 2 diabetes patients(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example). Limited access to diabetes self-management education at the hospital affects the patients’ ability to manage their condition effectively. The endocrinologists are responsible for treating people with diabetes and are directly affected by the identified problem. They understand what is best for their patients, and the needs assessment informs the need for diabetes self-management education (DSME/S). The leadership and administration are responsible for supporting the recommended interventions, and their decisions directly impact the unit’s efficiency in addressing the gap.(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
The identified gap is the lack of proper practice guidelines that support type 2 diabetes self-management at the practice site. Specifically, the needs assessment identified a lack of diabetes self-management education to guide the patient in managing their condition. Many barriers prevent the implementation of a proper patient education platform or means, including limited funding and staff members, workload and time pressures, patients’ access issues, and uncoordinated relationships and communication with other specialist teams. (Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)The lack of education means patients have inadequate knowledge and behavioral guidelines and support to manage their condition. DSME/S is crucial as it helps and motivates patients to adjust to lifestyles after diagnoses and during the treatment process. The identified intervention is face-to-face and telephone-based family-oriented education in type 2 diabetes management (Hemmati et al., 2017). The use of mhealth mobile applications is also an intervention that can help patients live healthily by sending patients adherence and treatment guidelines through messages (Boels et al., 2019). However, the hospital lacks practice guidelines for mobile applications used in type 2 diabetes management. The rising number of type 2 diabetes patients requires more effort from the care team to educate the patients to adhere to treatment and management guidelines. (Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
For patients with type 2 diabetes, does the implementation of face-to-face and telephone-based family-oriented education and mhealth mobile applications compared to written patient education materials improve self-management of type 2 diabetes among patients after diagnosis and during the treatment period?(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
The purpose of the paper was to identify a research gap in the practice site and appropriate interventions to address it. The problem identified affects the endocrinology unit that specializes in treating people with diabetes. The unit presents a lack of clinical guidelines in the implementation of diabetes self-management education initiatives like mhealth mobile applications or face-to-face and telephone-based family-oriented education. Effective communication competencies help support patient education because it is essential to deliver information quickly and accurately to bolster patient understanding. Effective communication also allows DNP-prepared nurses to collaborate with other staff members and understand the patients’ concerns to address them appropriately for better patient outcomes(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
Boels, A. M., Vos, R. C., Dijkhorst-Oei, L. T., & Rutten, G. E. (2019). Effectiveness of diabetes self-management education and support via a smartphone application in insulin-treated patients with type 2 diabetes: Results of a randomized controlled trial (TRIGGER study). BMJ Open Diabetes Research and Care, 7(1), e000981(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
Hemmati Maslakpak, M., Razmara, S., & Niazkhani, Z. (2017). Effects of Face-to-Face and Telephone-Based Family-Oriented Education on Self-Care Behavior and Patient Outcomes in Type 2 Diabetes: A Randomized Controlled Trial. Journal of diabetes research, 2017, 8404328. https://doi.org/10.1155/2017/8404328(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
What is currently happening at the practicum site?
What should be happening in the practicum site based on current evidence?
What is the gap between what is currently happening and what should be happening (this is your practice gap)?
Why is there a gap in practice? What factors are contributing to the gap in practice?
What evidence do you have to demonstrate there is a practice gap?
|There are no practice guidelines on telephone follow-up during treatment and management of type 2 diabetes mellitus.
|The use of face-to-face and telephone-based family-oriented education in T2DM management as an approach to improving self-care and patient outcomes(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
|Even though the facility has high medication and treatment non-adherence rates among patients with T2DM, there are no practice guidelines for NPs to use when conducting the use of face-to-face and telephone-based family-oriented education in T2DM management.(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
|Lack of clear guidelines on telephone use in T2DM management.
Insufficient knowledge on improving engagement and involvement of T2DM patients in managing T2DM.(Self-Management of Type 2 Diabetes Comprehensive Nursing Essay Example)
|Non-adherence to the treatment and management guidelines among T2DM patients.
A rising number of T2DM patients.