NURS FPX 4905 Assessment 3
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Technology and Professional Standards
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Capella University
NURS FPX4905
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Introduction
The problem of glycemic control in managing diabetes in the acute care setting remains a burning issue due to the challenge of fluctuations in approaches to care delivery and the need to monitor it continuously. With the Parkview Regional Medical Center, the differences in management of diabetics in inpatients translate into differences in blood glucose levels, which may cause certain negative consequences, including hypoglycemia, infections, and extended hospital stays. The BSN-prepared nurse would be significant in the resolution of these issues because he/she would be the pioneer of quality improvement programs and the champion of patient safety.
The standards of nursing care also entail a number of factors pertaining to the accountability of nurses and delivering care based on evidence (American Nurses Association, 2023). In this case, ANA provides particular standards of care that include employing professional judgment and health technology, including electronic health records (EHR) and glucose monitors. Also, the Nurse Practice Act of the state of Indiana mandates that a registered nurse must use assessment, implementation, and evaluation activities, among others.
Clarifying Role in Change Process
Within the context of my nursing role in the practicum, although I am not yet able to give hands-on intervention since I am a nursing student, I was able to engage in the practicum in the form of observation and reporting of abnormal glucose values and patient data, and through being part of interdisciplinary collaboration sessions. Through this experience, I got to know about the negative effects on patient outcomes that some deviations in the practice might have. The literature indicates that nurses should be involved in the change and process improvement process to enhance chronic disease management and the occurrence of adverse events (Ibrahim et al., 2024).
For instance, by conducting observations as part of my practice experience, I noted inconsistencies between the protocol recommendations and patients’ treatment and some delay in communication between healthcare professionals. Nevertheless, being a BSN-prepared RN, I would be more actively involved in change implementation and be a leader of this initiative (Zabeeri, 2025). To accomplish this goal, I would perform an evaluation of the patterns in the patient, promote standardized glycemic control, present new evidence-based interventions, use technology-based interventions, join quality improvement committees, and host the staff educational sessions.
Interprofessional Collaboration Implementation Overview
The case of diabetes needs an interprofessional collaboration, and this is because it is a complex illness. Nonetheless, there exist various types of professionals working at the organization of practicum, such as nurses, physicians, nurse practitioners, pharmacists, and dietitians. Collaboration involves the interaction of various groups of professionals, whose input is significant to the effective treatment of the patient and improvement of his/her health. However, there are times when patient care is impacted by subpar teamwork and communication. Failure to communicate may lead to delays in interventions or a change in the condition of a patient.
An example is that a delay in the process of altering the level of blood glucose could result in additional delays in providing insulin to a patient (Mussie et al., 2025). As a student, I took part in interdisciplinary rounding during which my task was to pass information about the patient to the nurse practitioner in charge of supervising student activities. My future as a BSN-prepared nurse will help to improve the interaction of various healthcare professionals, as I will be able to talk efficiently and implement the necessary structure, including the SBAR model. Moreover, team huddles can be used to treat patients at high risk.
Benefits
There are numerous advantages of interprofessional collaboration in the treatment of diabetic inpatients. The reason is that no risk of harming patients will exist in the context of delivering full health care due to the sharing of information collectively. Through collaboration, there will be improved management of their glucose levels, fewer complications, and optimal resource allocation in the institutions involved (Kongkar et al., 2025).
Among the other advantages are the enhancement of communication among professionals, the elimination of duplication, and the delegation of duties. The patients will be provided with quality health care through tailored care programs created through collaboration. The benefits of some organizations are shorter lengths of stay, admissions, and better outcomes.
Government Agency Practice Guidelines
Certain quality-oriented organizations can be used to make recommendations that can be adopted to help overcome diabetes in hospitals. As an illustration, one of the concepts promoted by the Centers for Medicare and Medicaid Services (CMS) is the idea of value-based care with the emphasis on the prevention of hospital-acquired conditions and rehospitalization that are deemed to be preventable (Centers for Medicare and Medicaid Services, 2024). The organization has suggested coordination of care and evidence-based practices. Patient safety and standardization of the care process are among the standards of the accreditation programs that are established by the Joint Commission (Joint Commission, 2025). The criteria of diabetes treatment revolve around the accuracy of medication and monitoring of the condition or the patient.
The NDNQI database is used to monitor nursing-sensitive indicators. It emphasizes the need to pay attention to nursing measures in order to improve patient outcomes (Gormley et al., 2024). Nursing-sensitive indicators are crucial in evaluating clinical practice and its improvement. It is important to note that all organizations are based on the understanding that procedure standardization, continuous monitoring, and evidence-based decision-making lead to improved patient outcomes. The above recommendations are important to adhere to in order to overcome diabetes problems within the Parkview Regional Medical Center.
Assumptions
A certain set of assumptions can be identified with respect to the recommendations developed by the regulatory bodies. To begin with, it is assumed that health care institutions have sufficient resources concerning the personnel, training, and technology to implement the recommendations (Wosny et al., 2024). Second, it is possible to assume that the medical practitioners are willing and able to implement evidence-based practices. Moreover, it can be assumed that patients would do better when they are cared for by implementing a standard practice and providing them with coordinated treatment. Lastly, the optimal deployment of the proposed technology would aid in decision-making and communication in the health care organization.
Clinical Technology Addressing Practice Issues
The use of technology is extremely vital in terms of handling the inconsistency in the management of diabetes in the facility, as the Electronic Health Records (EHR) and glucose monitoring system will be able to be used to do so. The electronic health record is highly essential as it assists in decision-making, particularly when nurses require immediate access to the records of their patients, lab reports, drug administration, and care plans.
They also monitor the level of blood sugar, insulin doses, and provide information to other healthcare professionals about their patients with the help of the technology (Gerwer et al., 2022). With the help of the glucose monitoring system, nurses will be able to give immediate care to patients with high or low blood glucose levels and protect them from suffering severe consequences of such problems. Ideally, technology has the potential to increase uniformity in diabetes management practices.
However, it is possible to identify several issues related to the effectiveness of these tools. The first one is the delay in the creation of the patient’s record in the electronic health record, resulting in inaccurate information. In addition, physicians are not able to respond quickly due to the lack of real-time messages regarding essential glucose levels. In addition, the problem is further complicated by inconsistent use of glucose measuring devices (absent measurements or wrong time points). Lastly, the variation of the perceptions of the glucose results among clinicians and the modifications to the insulin dosing also add to the problem (Schwartz et al., 2022).
All these have adverse impacts on the condition of the patients. Failure to make proper use of available technologies might slow down interventions, increase the risks of adverse events related to glucose levels, prolong the hospitalization period, and increase associated healthcare costs. Conversely, regular technology use has a positive influence on the communication process and contributes to the improved decision-making process by doctors. Therefore, making the most out of the current technologies should be a priority in the practicum site.
Summarizing Available Technology with Pros and Cons
According to the current literature, a number of advanced technological solutions exist, which can greatly enhance the process of inpatient diabetes management compared to existing technologies at the practicum site. In particular, Continuous Glucose Monitoring (CGM) devices are considered to be one of the most powerful technological advancements in this field. CGMs are capable of delivering glucose information to healthcare professionals on a real-time basis, thus allowing detecting the fluctuations of glucose levels early enough (Volčanšek et al., 2026). Being integrated into EHR systems, CDSSs can become incredibly useful in inpatient management since they would offer physicians evidence-based guidance on how much insulin patients should take and notify the providers about any irregularities observed in the glucose levels of patients.
These technological solutions have many advantages. First, they can improve the accuracy of monitoring the state of patients better; second, they reduce the incidence of hypoglycemia and hyperglycemia in patients. CDSSs enhance the quality of the clinical decision-making process and provide standardized and evidence-based care to patients, which leads to better outcomes and reduced hospital stay period (Son et al., 2025). Nevertheless, they have a lot of advantages, but they also have a number of limitations. First, implementation may be hindered by the high costs involved in purchasing advanced technologies and their maintenance, which may not be affordable to healthcare facilities.
In addition, training personnel to use technological solutions can take a lot of time and pose some challenges in terms of work disruption. The phenomenon of alert fatigue should not be overlooked, either, since it is commonly encountered when using CDSS due to the numerous alerts that one receives. Last but not least, the incorporation of new technologies into the existing EHR solutions is another challenge.
Technology Implementation Issue, Challenges, and Solutions
The adoption of high-tech to improve the management of diabetes poses a series of challenges that must be taken into account to ensure that its use is successful. The former and largest impediment is the financial expenditures involved in the acquisition of the costly equipment, such as the CGM system and CDSS, and their upkeep. The introduction of technologies may cost some institutions a lot, as they may not be able to meet all costs. Among the potential strategies, it is advised to roll out technologies among patients with the highest risks and find additional funds to buy the equipment by applying for grants or getting government assistance (Akhtar et al., 2022).
Another obstacle is the unwillingness of the staff to accept changes and use technology due to the fear of not being able to master the new techniques, unwillingness to work extra, or just the impossibility of integrating it into everyday practices. In order to overcome this impediment, there is a need to plan the training programs, which would entail not only technical but also motivational facets of utilizing innovative methods.
Another issue that occurs at the initial stages of technology integration is workflow disruption. In fact, the incorporation of new technological solutions might lead to short-term delays and other inefficiencies. Thus, it is better to engage the frontline workers in the planning process in order to reduce disruptions. A pilot mode of testing the solution can also enable the identification of the possible difficulties prior to the full-scale practice (Akhtar et al., 2022). One more potential issue that may emerge while integrating new technologies is data integration and interoperability. In case the new solution does not fit well with an existing EHR system, it could lead to the fragmentation of data, communication barriers, and so on; hence, it is essential to work closely with information technology professionals in order to prevent this issue.
Conclusion
The lack of alignment between the practices of diabetes management in the Parkview Regional Medical Center indicates the need to enhance the combination of professional practice standards, interprofessional collaboration, and technological innovations in the healthcare facility. Nurses with BSN education can significantly contribute to the implementation of changes in the processes and provide patient safety and better care delivery according to evidence-based recommendations.
Adoption of new technological innovations, adherence to regulatory standards, and collaboration may be one of the leading steps towards improved management of diabetes and other diseases. Overcoming issues associated with the use of these solutions and technologies requires proper education and allocation of resources. All in all, this will result in better and higher safety levels for patients.
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NURS-FPX 4905 Assessment 3
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References for
NURS FPX4905 Assessment 3
Below are the references for NURS FPX4905 assessment 3 Technology and Professional Standards:
Akhtar, N., Khan, N., Qayyum, S., Qureshi, M. I., & Hishan, S. S. (2022). Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.869793
American Nurses Association. (2023). Ways nurses can improve patient care. ANA Nursing Resources Hub. https://www.nursingworld.org/content-hub/resources/nursing-leadership/ways-nurses-can-improve-patient-care/
Centers for Medicare & Medicaid Services. (2024). Hospital-acquired conditions. Www.cms.gov. https://www.cms.gov/medicare/quality/value-based-programs/hospital-acquired-conditions
Gerwer, J. E., Bacani, G., Juang, P. S., & Kulasa, K. (2022). Electronic health record–based decision-making support in inpatient diabetes management. Current Diabetes Reports, 22(9), 433–440. https://doi.org/10.1007/s11892-022-01481-0
Gormley, E., Connolly, M., & Ryder, M. (2024). International Journal of Nursing Studies Advances, 7(7), 100227–100227. https://doi.org/10.1016/j.ijnsa.2024.100227
Ibrahim, A. M., El, A., Abdel-Aziz, H. R., Elneblawi, N. H., Mohamed, M., Sweelam, M., Ahmed, S. I., Osman, A., & Kamel, A. M. (2024). Tailoring nursing interventions to empower patients: Personal coping strategies and self-management in type 2 diabetes care. BioMed Central Nursing, 23(1). https://doi.org/10.1186/s12912-024-02573-w
Joint Commission. (2025). Ambulatory Health Care Accreditation Program. Jointcommission.org. https://www.jointcommission.org/en-us/accreditation/ambulatory-health-care
Kongkar, R., Ruksakulpiwat, S., Phianhasin, L., Benjasirisan, C., Niyomyart, A., Ahmed, B., Puwarawuttipanit, W., Chuenkongkaew, W., & Adams, J. (2025). The impact of interdisciplinary team-based care on the care and outcomes of chronically ill patients: A systematic review. Journal of Multidisciplinary Healthcare, 18(18), 445–457. https://doi.org/10.2147/jmdh.s497846
Schwartz, J. L., Duan, D., Maruthur, N. M., & Pitts, S. I. (2022). Utility of an electronic health record report to identify patients with delays in testing for poorly controlled diabetes. The Joint Commission Journal on Quality and Patient Safety, 48(6), 335–342. https://doi.org/10.1016/j.jcjq.2022.03.002
Volčanšek, Š., Janež, A., & Srpčič, M. (2026). The evolving role of continuous glucose monitoring in hospital settings: Bridging the analytical and clinical needs. Diabetology, 7(1), 6. https://doi.org/10.3390/diabetology7010006
Wosny, M., Strasser, L. M., Kraehenmann, S., & Hastings, J. (2024). Navigating digital tools in hospitals: Practical recommendations for new users from a qualitative interview study in Switzerland. JMIR Medical Education. https://doi.org/10.2196/60031
Capella Best Professor to Choose for
NURS FPX 4905
Jill Alred – PhD, MSAD, BS
Kristine Broger – DNP, MSN, MHA, BSN
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