Evidence-Based Practice Proposal
Grand Canyon University
NUR 590: Evidence-Based Practice Project
Section C: Solution Description
Problem/Proposed Statement: To determine the factors that lead to the high increase of diabetes among Asian Americans of ages eighteen years and older. At the beginning of the proposal, to have their A1c lab drawn as to being compared to an Asian Americans getting random acchuchecks pricks after the initial diagnosis of diabetes, the patients will display less frequent urinations, less being parched, no ketones in urine. Overall, the Asian Americans who had the A1c drawn, will have reduced their mortality rate and better results. GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
Organization Culture:
The organizational culture in question is primary based on connecting to outreach programs to improve health outcomes in relation to diabetes condition. It represents a set of shared beliefs, thoughts, and behavior within the healthcare department (BMJ, 2018). The organization believes in making outreach a reimbursement service, as well as producing results which appeal to decision makers that outreach workers are integral members of primary care teams. GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
It incorporates the ideas of culture to organizations in order to remedy past deficits and produce desirable future outcomes through re-application of organizational culture in healthcare. Additionally, it allows for monitoring and evaluation of outreach efforts to show how health outcomes can be improved by using evidence-based measures or measures that have been shown to indicate health status in relation to diabetes condition. GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
Included intervention in this proposal is hemoglobin A1C lab draws that detect how a patient has been managing their diabetes. The normal range is usually less than 5.7% and the proposed test is to be conducted after 4 months in case of any modification of the organizational plan. GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
The community-based programs target specific groups, including Asian Americans of ages eighteen years and older living within a particular geographical area while attempting to incorporate all cultures in their practices. The HbA1C lab draw interventions do not involve pharmacological treatments but behavioral modification such as dietary advice and weight loss or increased activity levels aimed at altering the incidence of diabetes or a diabetes risk factor like weight, blood pressure, or glycemic control (Maryam et al., 2019).
Expected Outcomes:
The expected outcome of the project in question is that diabetic patients will display less symptoms such as less frequent urination, less being parched, no ketones in urine. It is further expected that their a1c will have reduced from where they started by the end of six months. Following dietary advice, they will be able to make better healthier food choices which will translate into them being more active. Most importantly, they will keep their follow up appointments so that they can be monitored and other health concerns can be addressed. GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
Method to Achieve Outcomes:
This project will conduct systematic searches that relate to the present study via the internet to achieve its desired outcomes. The search will include clinical trial registries with outcomes that are yet to be published and a review of all primary eligible studies indicated on the reference lists. The search will exclude trials that apply dietary advice through single-food or dietary supplements like vitamin D supplement. Statistical analysis will be conducted using advanced software and the results will be presented using both random-effects and fixed-effect models (Maryam et al., 2019). Recommendations will be made based on the obtained findings.
Barriers that will need to be assessed and eliminated include inadequate Asian American participants to support the project’s budget, poor coordination among the nurse practitioners, and lack of support by administrative staff to retrieve data reports or other documentation. If proper communication channels are not established within the organization, ineffective communication may also rise as a potential barrier hence proper measures should be considered. Limitations that may need to be addressed include insufficient knowledge about the patient’s side effects from diabetes meds and limited resources for collecting lab collecting and specimens among others.
Outcome Impact:
The outcomes mentioned above will have an impact on indicators such as patient-centered quality care and efficiency of processes as follows: GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
Patient-Centered Quality Care:
Incorporating cultural and linguistic components with diabetes management has been associated with improved patient outcomes such as lower HbA1C levels, better self-care practices, and increased healthcare satisfaction. For example, community-based programs that target to reduce overweight issues among Hispanic patients through culturally tailored diabetes prevention practices have shown significant improvements (Lee & Woo,GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion 2018).
However, few studies have focused on alleviating poor self-management practices and diabetes-related complications among Asian populations. This particular group has also been associated with poorer diabetes management, including poor monitoring of HbA1c levels and glucose levels as compared to blacks and Hispanics (Islam et al., 2015). Therefore, diabetes disparities among the increasing population growth of Asians in the United States need to be address to achieve improved health outcomes.
Efficiency of processes: Enhanced diabetes care has been proven to save money in the short run. Sherita et al. (2017) supports that improvement in HbA1c levels could potentially save between $685 and $950, mostly due to fewer hospital admissions, and reduced emergency room visits and physician consultations. With effective interventions among outpatients, improved diabetes control and process outcomes are multi-level where the patient, provider, and healthcare system all yield significant results and integrate community health workers while skillfully utilizing the available healthcare resources.
References GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion
- American Nurses Association. (n.d.). Scope of practice. https://www.nursingworld.org/practice-policy/scope-of-practice/
- American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000
- Center for Substance Abuse Treatment. (2014). Improving cultural competence (HHS Publication No. 14-4849). U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK248428/
- Copeland, T., Henderson, B., Mayer, B., & Nicholson, S. (2013). Three different paths for tabletop gaming in school libraries. Library Trends, 61(4), 825–835. https://doi.org/10.1353/lib.2013.0018
- Holland, R. A., & Forrest, B. K. (2017). Good arguments: Making your case in writing and public speaking. Baker Academic.
GCU NUR 590 Week 4 Evidence Based Practice Proposal Discussion