Assigment .Apa seven . All instructions attached.
butterflyl
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files (3)FinalCapstoneProjectPart3.docx
EnhancingDiabetesCareOutcomespart14forcorrect.docx
- partforcorrect.docx
FinalCapstoneProjectPart3.docx
Final Capstone Project Part I, II, III
Top of Form
Bottom of Form
Exercise Content
1.
Top of Form
CAPSTONE: PART I, II, III
*PRESENT AS ONE COHESIVE FINAL CAPSTONE PAPER. USE THE CONTENT FROM CAPSTONE I,II,III COMBINED. YOUR TITLE PAGE SHOULD YOUR REFLECT THE HEALTH PROBLEM. DO NOT WRITE I, II, OR III.
NOTE: DO NOT PROPOSE A CHANGE THAT REQUIRES IRB APPROVAL OR DIRECT HUMAN SUBJECT INVOLVEMENT.
CAPSTONE: PART I
1. Title Page
2. Introduction to your proposed problem:
- Significance of the Practice Problem: Discuss the identified Practice Problem.
-Introduce the topic of the paper.
-Describe the health problem. Don't type "Introduction.” OR "PICOT"
-Present PICOT in a paragraph format
-Using data and statistics, support your claim that your selected issue is a problem.
- Include your purpose statement and what specifically you will address in your proposed program.
-Be sure your proposed outcome is realistic and measurable.
3. PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).
The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe
4. Describe the vulnerable population
-Discuss the impact of social determinants on health for your selected population.
-What are the risk factors that make this a vulnerable population?
-Use evidence to support the risk factors you have identified.
5. Research should be from scholarly journals of evidence-based interventions that address the problem.
-Peer-reviewed research articles not older than five years (all articles must be used in your paper)
6. Proposal
-Propose addressing the selected health problem using an evidence-based intervention in your literature search to address the problem in the selected population/setting.
-Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role.
-Be sure to include a timeline for the intervention proposed.
7. Theoretical Framework/Nursing Theory- This section should include the theoretical framework which supports your project. Describe a theory or model to serve as the foundation for your project.
- Overall, you should be able to introduce the problem and why this is significant to the healthcare system. For example: What impact does it have on the patient, community, cost of care, quality of life, readmissions and so forth
-Use appropriate APA 7th Ed. format along with Syllabus outline
-Scholarly, peer-reviewed, and research articles cited should be within the last five years.
-This section should be 3-4 pages long (not including the title and reference page).
-Use proper in-text citations with a properly formatted reference list.
-All papers must be written in the 3rd person.
CAPSTONE: PART II
1. Review of Literature
- Review and discuss literature: Synthesize at least 10 primary research studies and/or systematic reviews; do not include summary articles. This section is all about the scientific evidence rather than someone else’s opinion of the evidence. Do not use secondary sources; you need to get the article, read it, and make your own decision about quality and applicability to your question even if you did find out about the study in a review of the literature. This is a synthesis rather than a study by study review. Address the similarities, differences, and controversies in the body of evidence.
2. Analyze and apply knowledge directly to your PICOT- The studies that you cite in this section must relate directly to your PICOT question.
3. Provide precise body of evidence for your Practice Change
4. Discuss objectives for your practice change
5. Discuss where the problem exists, why it exists, what is the preposition for change
6. Apply all that is relevant to the problem. For example: Pros vs Cons, current state of problem
NOTE: It should not reflect your opinion, but rather Evidence Based Practice should be applied
-After completing a literature search on interventions addressing your chosen health problem, write a review that evaluates the strengths and weaknesses of all the sources you have found.
-Use appropriate APA 7th Ed. format along with Syllabus outline
-Scholarly, peer-reviewed, and research articles cited should be within the last five years.
-This section should be 4-6 pages long (not including the title and reference page).
-Use proper in-text citations with a properly formatted reference list.
-All papers must be written in the 3rd person.
CAPSTONE: PART III
1. Implementation/Conclusion
- Implement the change you are proposing- This should be a continuation of Part I and Part II
2. Describe the practice change; is it in the community, organizational, clinic setting and so forth
3. Discuss how you would implement and assess the change; this should include time frame, setting, participants, barriers, external and internal factors.
4. How would you evaluate the change process?
-The change must be measurable
-How would you measure or evaluate? Is there a tool to measure?
5. The literature review must support your change and implementation. Use leadership qualities and skills that will be utilized for successful completion of the project.
6. Discuss who will be invited to the proposal: who are the stakeholders?
-How will you present the information to your stakeholders?
OVERALL: The conclusion should have your Part I, II, II all put together in a thorough APA format.
-Use appropriate APA 7th Ed. format along with Syllabus outline
-Scholarly, peer-reviewed, and research articles cited should be within the last five years.
-This section should be 3-4 pages long (not including the title and reference page).
-The final Capstone project should be a minimum of 8 pages and maximum of 12 pages.
-Use proper in-text citations with a properly formatted reference list.
-All papers must be written in the 3rd person.
EnhancingDiabetesCareOutcomespart14forcorrect.docx
Enhancing Diabetes Care Outcomes
Andresa Carvalho Florida National University
MSN Capstone Project-DBX-DL01 Dr. Carmen Lazo
July 7, 2024
1
The issue under consideration in this capstone project concerns improving the patients’ conditions of adult patients with Type 2 diabetes with the help of structured diet and exercise program while receiving oral ant hyperglycemic drugs. Diabetes mellitus type 2 is a common chronic disease in which increased insulin production is observed; it is associated with lifestyle factors including, but not limited to, diet and exercise. Based on data presented by the Centers for Disease Control and Prevention – CDC, about 34. It is crucial to understand that 2 million Americans have diabetes, and more than 90% of these people have type 2 diabetes. This long- term disease affects personal health, and since its causes complications in the form of cardiovascular disease, neuropathy, and renal failure, it puts a strain on healthcare systems.
What about 34?
Purpose Statement
The aim of this project is to determine the extent to which following a planned diet and exercise regime tailored by Kurt Lewin’s Change Theory impacts on the satisfaction of patient with Type 2 diabetes at an 8 weeks’ period (Roşca, 2020). The anticipated effect of this intervention is to provide a more suitable type of glycemic control by implementing valuable and lasting changes in food and exercise. Benefits that are expected to be experienced from improved glycemic control is reduced demand of medications and less chances of diseases such as cardiovascular diseases and neuropathies related to diabetes. In that sense, by increasing satisfaction among the patients regarding their health status as well as by providing them with the necessary coaching and support in this particular issue, this project aims at ensuring better patient experience and consequently better health outcomes and quality of life.
PICOT Question
In adult patients with type 2 diabetes (P), the extent to which patient satisfaction (O) differs between a structured diet and exercise program (I) and standard care with oral hypoglycemic agents (C) over 8 weeks (T) can be determined.
In which setting?
What determines patient satisfaction? This doesn't align with the intervention.
Description of the Vulnerable Population
The patient’s condition is severe because adult non-insulin-dependent diabetes mellitus patients are at significantly higher risk of developing severe complications such as cardiovascular disease, stroke, and diabetic nephropathy (Bermejo et al., 2020). These people experience major barriers which are rooted in social factors such as poverty, access to medical resources, and literacy level as these are the critical success factors that affect the day-to-day management of the condition.
Lack of exercise, excessive calorie consumption, and poor eating habits are some of the many risk factors that contribute to the worsen of the diabetes situation. Lack of adequate health care also aggravates these difficulties, which leads to the development of complicated diseases and difficulties in their early diagnosis and cure (Awuchi et al., 2020). Because these barriers are complex, it is crucial to implement the necessary changes to address issues related to patients with type 2 diabetes, as well as ensure accurate and effective interaction with medical personnel that takes into account medical and social factors that directly affect the patient’s quality of life.
Research from Scholarly Journals
Scholarly articles from peer-reviewed journals based on the findings details the behavior- change techniques that focused on the prevention and management of type 2 diabetes and in which the diet and physical activity are the main ones. Multiple research works show that organized interventions including dietary modification, such as the Mediterranean or low glycemic index diet and exercise (aerobic or resistance training etc.) are effective in enhancing
glycemic control, reducing the reliance on medication and improving the life quality of patients with T2DM (Sánchez-Sánchez et al., 2020).
Proposal for Intervention
The suggested intervention plan entails the adoption and practice of a standard diet and exercise regime for the targeted patients with type 2 diabetes within a health care facility. This intervention will be guided by Kurt Lewin's Change Theory, which comprises three stages: More specifically, the processes of management change are distinguished as implemented through three stages: unfreezing, change, and refreezing.
What kind of facility?
Unfreezing Stage:
Identify and analyses current pattern of practicing type 2 diabetes in the context of a healthcare organization (Powers et al., 2020). Recognize challenges that hinder optimal glycemic control including; lack of patient’s knowledge regarding the disease, scarcity of nutritional counseling and evaluation services, and poor encouragement of physical activity.
Changing Stage:
Adherence to the prescribed nutrition plan and physical training plan following expert’s directions and recommendations. This stage entails providing information about the advantages of changing the diet, recommending a nutritionist to patients, and exercising through exercise sessions and activating the patient’s membership in the community exercise program.
Refreezing Stage:
Determine the impact of the intervention regarding patient satisfaction to the services provided, patients’ glycemic control (by virtue of HbA1c levels), and patients’ compliance to prescribed treatment regimens (Hirsch et al., 2021). Strengthen procedures regarding
This requires IRB approval.
implementation of the systematically organized plan for practice improvement in daily work- setting, maintaining a positive trend of diabetes care and patients’ outcomes.
Theoretical Framework: Kurt Lewin's Change Theory
The use of Kurt Lewin’s Change Theory can afford a framework for meeting and enhancing change in healthcare facilities (Memon, 2021). The theory focuses more on how the organization needs to be prepared for change (unfreezing), the change process (change) and embedding of new change (refreezing). Utilizing this framework, health-care providers can utilize introductions and sustained usage of lifestyle changes into the lives of patients with type 2 diabetes and subsequently, improve the quality of care and promote patient satisfaction.
To conclude, supporting patients with structured diet and exercise program in the management of type 2 diabetes can be a viable strategy to improve patient satisfaction and health status. Kurt Lewin’s Change theory is helpful in addressing the challenges of change since it helps the healthcare providers to understand the nature of change, approach towards the teams and successfully manage and practice evidenced based interventional changes within the period of time in the clinic. The purpose of this project is to make impact to the existing studies and practices to enhance the Danish type 2 diabetes population care as well as improve their quality of life.
References
Awuchi, C. G., Echeta, C. K., & Igwe, V. S. (2020). Diabetes and the nutrition and diets for its prevention and treatment: a systematic review and dietetic perspective. Health Sciences Research, 6(1), 5-19.
Bermejo, S., González, E., López-Revuelta, K., Ibernon, M., López, D., Martín-Gómez, A., ... & Soler, M. J. (2020). Risk factors for non-diabetic renal disease in diabetic patients. Clinical Kidney Journal, 13(3), 380-388.
Hirsch, J. D., Kong, N., Nguyen, K. T., Cadiz, C. L., Zhou, C., Bajorek, S. A., Bounthavong, M., & Morello, C. M. (2021). Improved Patient-Reported Medication Adherence, Patient Satisfaction, and Glycemic Control in a Collaborative Care Pharmacist-Led Diabetes “Tune-Up” Clinic. International Journal of Environmental Research and Public Health, 18(17), 9242. https://doi.org/10.3390/ijerph18179242
Memon, F. A. (2021). IMPROVING EMPLOYEE’S ENGAGEMENT IN CHANGE: REASSESSING KURT LEWIN’S MODEL. CITY UNIVERSITY RESEARCH
JOURNAL, 11(1). http://www.cusitjournals.com/index.php/CURJ/article/view/282 Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks,
B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes Self-Management Education and Support in Adults with Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Journal of the American Pharmacists Association, 60(6), 1–18. https://doi.org/10.1016/j.japh.2020.04.018
Roşca, V. I. (2020). Implications of Lewin’s Field Theory on Social Change. Proceedings of the International Conference on Business Excellence, 14(1), 617–625.
Sánchez-Sánchez, M. L., García-Vigara, A., Hidalgo-Mora, J. J., García-Pérez, M.-Á., Tarín, J., & Cano, A. (2020). Mediterranean diet and health: a systematic review o epidemiological studies and intervention trials. Maturitas, 136. https://doi.org/10.1016/j.maturitas.2020.03.008
