CLC- EVIDENCE-BASED PRACTICE PROJECT INTERVENTION PRESENTATION ON DIABETES NRS 410

CLC- EVIDENCE-BASED PRACTICE PROJECT INTERVENTION PRESENTATION ON DIABETES NRS 410

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NRS 410 CLC – Evidence-Based Practice Project Intervention Presentation on Diabetes

The use of mobile phone-based monitoring management systems are effective for patients to self manage blood glucose levels. In the research analysis, the phone app was called Hicare smart K, Insung information. This app was used as a daily tracker for 3 months. The app itself was interactive and user friendly for all age groups. The mobile phone app method was simpler for both patient and physician to record and read blood glucose levels. It required the patient to do their own blood glucose checks and then manually input the readings into the app where it was linked to the hospital for recording (Yang et al., 2020). 

The population that was of interest in this research were middle and late adulthood age groups. There were 4 individuals that were younger than 40 years old. Next, there were 36 individuals between 40-60 years of age. Also, 57 individuals were either 60 years of age or older. From this group, 45 patients were male and 52 were female. The patients mentioned were part of the control group with no intervention of mobile phone apps. They were all patients who had type 2 diabetes (Yang et al., 2020). 

The population that was the intervention group in this research were also middle and late adulthood age groups. There were 10 individuals that were younger than 40 years old. Also, there were 93 individuals between 40-60 years of age. Next is 47 individuals that were either 60 years of age or older. In this group, 80 patients were males and 70 were female. This group had the mobile phones app and were all type 2 diabetic patients (Yang et al., 2020). 

A mobile phone-based glucose-monitoring and feedback system for the treatment of type 2 diabetes mellitus (T2DM) is a promising new technology that has yet to be fully evaluated. Clinical studies have shown that the use of such a system leads to improved glycemic control, as well as increased patient satisfaction and engagement (Yang et al., 2020). In addition, mobile phone interventions may help to reduce healthcare costs by allowing patients to monitor their own blood sugar levels and provide feedback to their physician. While further research is needed to confirm the long-term benefits of mobile phone-based glucose monitoring, this technology shows great promise for the treatment of T2DM. A mobile phone–based glucose-monitoring and feedback system (MP-GMS) was developed to improve diabetes management in multiple primary care clinic settings. The system was implemented in three waves of clinic randomized trials. Wave 1 clinics (N=6) were randomized to either the MP-GMS or usual care. Wave 2 clinics (N=5) were randomized to the MP-GMS with additional support from a trained clinical research coordinator (CRC), or usual care. Wave 3 clinics (N=4) were randomized to the MP-GMS with or without an accompanying group education program. The electronic medical records of all participants in all three waves were analyzed (Yang et al., 2020).

The study found that patients with a higher baseline HbA1c levels showed a greater significant impact on glycemic control. In other words, those with worse blood sugar control to begin with saw more improvement in blood sugar control when they added liraglutide to their treatment plan. This finding underscores the importance of early intervention and aggressive management of diabetes in order to achieve the best possible outcomes. The HbA1c test is a key tool used by healthcare professionals to help manage diabetes. This test measures the level of glycated hemoglobin in the blood, which gives an indication of how well your diabetes is being controlled over time. There are a number of different target HbA1c levels that may be recommended for people with diabetes, depending on individual circumstances. A higher target may be advised for people with a history of serious hypoglycemic episodes, or those who are pregnant. For most people with diabetes, the aim is to keep their HbA1c levels below 7% (Yang et al., 2020).

A mobile phone-based glucose monitoring and feedback system can be a great asset in primary care clinic settings. By providing real-time data and feedback to patients, this type of system can help them better manage their diabetes. In addition, the ability to share data with providers can help clinics identify patterns and potential areas for improvement. When used in conjunction with traditional medical care, a mobile phone-based glucose monitoring system can be a powerful tool for improving diabetes management. A clinic setting is the ideal environment for a mobile phone-based glucose monitoring and feedback system. In a primary care setting, nurses or other health professionals can provide patients with real-time feedback on their blood sugar levels, as well as educational information about diabetes and its management. A mobile phone-based glucose monitoring and feedback system has the potential to improve glycemic control in patients with diabetes, thereby reducing the risk of long-term complications. In addition, such a system could help to reduce the burden on healthcare professionals, who are often responsible for providing patient education about diabetes self-management (Yang et al., 2020).

Smartphone technology has proven to be beneficial in diabetic management due to the consistency of tracking and communication with primary care physicians for consistent feedback. In this study it was found that younger patients had better outcomes when using smartphone technology to manage their diabetes, (Yang et al., 2020) which could be connected to their generational experience with technology. As technology improves and upcoming generations with diabetes learn smartphone-based monitoring, they will be better skilled with technology prior to diagnosis. This prior understanding of technology will be a benefit to diabetes smartphone management. This technology will speed up the response for providers to intervene with patient needs when not in a clinical setting (Bauer & Bodenheimer, 2017). 

Smartphone technology in this study relates to nursing in that the information submitted is sent directly to the patient’s primary care physician where nursing care also takes place. As time progresses nursing continues to have a larger role in the primary care setting and has proven improved care for patients managing chronic disease such as diabetes, (Bauer & Bodenheimer). In the clinical setting nursing has the opportunity to access patient information from an online portal to assess and intervene in the daily blood glucose management reports.   Nursing has the skills to monitor for signs that the patient needs further education, medications, or a quicker response from the physician (Bauer & Bodenheimer, 2017). . 

The beginning use of any medical phone application starts with education in a clinical setting. Nursing has a large responsibility in teaching patients about their plans of care. Smartphone use in navigating health care has become an efficient way to gather information and communicate, (de Jong et al., 2020). Smartphone use in the medical field has continued to grow with the growth of professional medical applications to improve care, (de Jong et al., 2020). This application can be considerate of cultural and spiritual needs of the patient by utilizing preferred settings or having back-up systems when the patient cannot use technology certain days such as holy days. Assisting the patient in its use and building confidence will address the patient’s psychological needs as diabetes management can cause a lot of anxiety before adding in new technology.

•Building trust in technology requires experiences that prove its effectiveness. Nursing can teach patients how an application works and why it is beneficial. In the meantime, nurses can encourage the patient to use a previously trusted monitoring system while they learn the smartphone application to build confidence in its potential benefit. Nurses should also prepare patients with troubleshooting when the application is not functioning properly or has an upgrade that requires it to be inactive. This can help a patient feel more independent in their diabetes management. Last in building trust the nurse can provide multiple points of research and statistics that support the use of a smartphone application for diabetes management.

•The patient needs supported in their education of smartphone application use. Depending on the age or culture of a patient they may need more or less guidance on how to navigate a new application. The nurse should emphasize the application’s use, features, settings, and how to communicate with the medical team in real time.

Assessment Description

This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

Include the following:

1. Describe the intervention or treatment tool and the specific patient population used in the study.
2. Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.
3. Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.
4. Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

TOPIC 5 DQ 1

Due to the fact that new innovations, technologies, and discoveries are being made in regard to healthcare on a daily basis, reengineering of health care can occur often. Nurse manager and nurse leaders contribute significantly to this process of reengineering as they serve as the liaison between leadership making changes and the beside nurse for which the changes are going to effect. Good nursing leadership shapes an environment in which communication, accountability, decision making, and culture lead to better patient outcomes and safety along with retention of nursing staff to provide that care. Nursing managers have the ability to set the tone for their staff when it comes to change within an organization. A good leader generally has good staff that work together towards a common goal, providing the safest, high-quality, evidence-based care possible. Shared governance, according to Vanderbilt University Medical Center, n.d., para1 as cited by Helbig, 2018, is a “professional practice model, founded on the cornerstone principles of partnership, equity, accountability, and ownership that form a culturally sensitive and empowering framework, enabling sustainable and accountability-based decisions to support an interdisciplinary design for excellent patient care”. Instituting a shared governance within an organization can create an actively involved team of nurse to work together for the greatest good for the patients. When nurses feel they are being heard and their ideas and feelings are being considered, that can make for a more productive work environment and thus increase patient outcomes. Helbig (2018), identifies four principles through which decisions are made when practicing shared governance. They include accountability, equity, partnership, and ownership. Each of these principles are important when any type of change or reengineering to an organization is occurring.

Helbig, J. (2018). Reengineering health care management. Nursing leadership & management: Leading and serving (2nd ed.). In Grand Canyon University (Ed). https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v2.1/#/chapter/5