Nursing LORI -ASSIGNMENT

Here is a SAMPLE OUTLINE- DIABETES IN NOT AN APPROVED TOPIC.

Sample Outline: Pediatric Diabetes as a Nursing Issue Impacting All Levels of Practice

I. Introduction • Brief overview of pediatric diabetes (Type 1 and Type 2 in

children). • Statement of significance: why pediatric diabetes is a critical

nursing issue across all levels of practice. • Preview of key themes: prevalence, causes, system-level

impact, and decision-making approaches.

II. Background and Significance of the Problem A. Overview of Pediatric Diabetes

• Definition and differentiation of Type 1 vs. Type 2 diabetes in children.

• Pathophysiology and unique considerations in pediatric populations.

B. Impact Across Nursing Levels • How bedside nurses, nurse managers, and advanced

practice nurses encounter and manage pediatric diabetes. • Why this issue requires coordinated action across the

nursing continuum.

III. Literature Review: Causes, Contributing Factors, and Recommended Interventions A. Etiology and Contributing Factors

• Genetic predisposition, autoimmune mechanisms, environmental triggers.

• Lifestyle and social determinants influencing pediatric Type 2 diabetes.

• Psychosocial and developmental considerations. B. Consequences of Poorly Managed Pediatric Diabetes

• Acute complications (DKA, hypoglycemia).

• Long-term risks (cardiovascular disease, renal impairment, neuropathy).

• Family burden and quality-of-life implications. C. Evidence-Based Interventions

• Recommended clinical management strategies. • Family-centered education and self-management support. • School-based diabetes management programs. • Technology-assisted monitoring (CGMs, insulin pumps).

IV. Decision-Making Models (Three Models Required) A. Overview of Selected Decision-Making Models

• Shared Decision-Making (SDM) Model Description, theoretical foundation, and relevance to pediatric care.

• Clinical Judgment Model (Tanner or NCSBN) Description and application in acute and chronic pediatric management.

• Transformational Leadership Decision-Making Model Description and relevance for nurse leaders and APNs.

V. Application of Decision-Making Models to the Problem A. Bedside/Staff Nurse

• Use of the Clinical Judgment Model to assess symptoms, monitor glucose, prevent complications, and educate families.

• Use of Shared Decision-Making to involve parents and children in daily care routines.

B. Nurse Leader/Manager • Use of Transformational Leadership to implement

unit-wide diabetes protocols, staff training, and quality-improvement initiatives.

• Use of SDM to support family-centered care policies. C. Advanced Practice Nurse (NP or CNO)

• Use of SDM to develop individualized care plans and long-term management strategies.

• Use of Transformational Leadership to advocate for institutional resources, community partnerships, and policy changes.

• Use of Clinical Judgment Model to guide diagnostic reasoning and treatment adjustments.

VI. Comparison and Prioritization of Decision-Making Models

• Compare strengths and limitations of each model. • Identify which model is most effective for addressing

pediatric diabetes across settings. • Provide rationale grounded in evidence (e.g., SDM may be

prioritized due to the need for family engagement and long-term adherence).

VII. Funding Source for Proposed Approach • Identify a realistic funding source (e.g., HRSA, CDC, NIH,

local children’s health foundations, Sigma Theta Tau). • Explain why this source aligns with the proposed

intervention or improvement project. • Describe how funds would be used (training, technology,

education programs, QI initiatives).

VIII. Conclusion • Summarize the significance of pediatric diabetes as a

nursing issue. • Reinforce the importance of coordinated decision-making

across all nursing levels. • Emphasize the potential impact of the prioritized

decision-making model on patient outcomes, family engagement, and system-level improvements.