NURS FPX 9040 Assessment 3 VCI Summary with Presentation

VCI Summary Presentation

Student Name

University Name

NURS FPX 9040

Dr. Name

Submission date

Hello! My name is _____. To begin with, I would like to thank all present with whom I did the presentation of my doctoral project titled: The use of ADA-approved continuation process to improve the glycemic control in adult patients with Type 2 diabetes. In my study, the importance of applying evidence-based nursing interventions, educating patients, and collaborating with other disciplines was proven to be relevant to the field of enhancing healthcare and patient outcomes. During the presentation, I will introduce the aim of my project, the method that I will use in my study, findings, and even the implications of the research to the provision of care to patients using a nurse-led diabetes management program.

Slide 2

Introduction

My doctoral project focused on improving the glycemic control of patients diagnosed with type 2 diabetes in an outpatient primary healthcare clinic by utilizing a follow-up methodology created by the American Diabetes Association. The project aims to address gaps in clinical practice, whereby the statistics indicate a significant gap between the number of individuals whose HbA1c levels were greater than 9% (42% of patients) and those with HbA1c levels lower than 7% (36% of patients).

The research was aimed at finding out if an 8-week nurse-led follow-up program based on American Diabetes Association guidelines would result in better glycemic control. The objective was to obtain a significant clinical improvement in HbA1c levels, which was achieved with a 1.52% decrease in levels, from 9.95% to 8.22%, which is significantly greater than the 0.5% improvement defined as successful.

Slide 3:

Practice Problem and Clinical Significance

As a result of insufficient glycemic management of type 2 diabetes, diabetes is a major concern in people’s health. Cardiovascular diseases, kidney failures, and hospitalizations, which should not take place, are frequent complications of healthcare interventions, nursing care, and poor education. This doctoral project identified some factors that led to inefficient diabetes management at the site where the practice took place. The researchers identified the following complications: inefficiency in preparing schedules, a lack of reminder systems in EHR, poor interdisciplinary collaboration, and a low level of education of the patients. The translation of the findings from evidence to practice is a part of the project results, which normally deals with improving the quality of medical services and rephrasing the way of nursing care delivery.

Slide 4

Purpose of the Doctoral Project

The main objective of the doctoral project was to find out if a structured ADA diabetes follow-up protocol could help achieve better glycemic control in adults suffering from type 2 diabetes within an 8-week time frame. The project aimed to fill the existing gap in outpatient diabetes management, such as a lack of proper follow-up and patient education about managing diabetes and the issues with taking prescribed medications.

A cross-sectional survey was conducted on the project site to find out what fraction of the surveyed patients had an HbA1c level of > 9%, which revealed that 42% of patients had an HbA1c level of> 9%. Moreover, only 36% of the participants managed to get their HbA1c level below 7%, which reflects the need to take action. These numbers are much larger than those for the country in terms of poor glycemic control, and there is a lack of available control strategies. All project objectives have been achieved. The results of applying the given procedure showed that the average HbA1c level decreased from 9.95% to 8.22%, which is a statistically significant difference.

Slide 5

PICOT Question

In adult patients with diabetes receiving nursing care (P), how does the application of the American Diabetes Association (ADA) diabetes follow-up protocol (I) versus standard follow-up practices (C) affect blood glucose levels (O) over 8 weeks (T)?

• P (Population): Adult patients with diabetes receiving care from nursing staff
• I (Intervention): Implementation of the American Diabetes Association (ADA) diabetes follow-up protocol
• C (Comparison): Current standard follow-up practices
• O (Outcome): Improved glycemic control
• T (Time): 8 weeks

Slide 6

Evidence-Based Intervention

In order to control diabetes, an eight-week intervention strategy is to be implemented. This project is based on scientifically proven methods that help patients achieve self-administration of treatment and keep blood sugar levels within limits. Education sessions for nursing staff are to be conducted in order to raise awareness about the pathophysiology of diabetes, medication administration, end-user training, and electronic record-keeping.

In the course of the project, the essential competencies for nurses are to be developed using different techniques, including simulation, case studies, and peer mentoring. The nursing and medical staff visit patients in their homes twice a week and provide diabetes education and check patients’ adherence to prescribed medications, as well as the implementation of recommendations concerning lifestyle changes. Modern technology will also be used in this project in such forms as telehealth and reminders in electronic medical records.

Slide 7 and 8

Outcomes of the Doctoral Project

Doctoral research proved to have enhanced clinical, behavioural, and operational aspects. The main outcome was the decrease in HbA1c levels of patients enrolled. The HbA1C had improved to a mean of 1.52 percentage points after the adoption of the plan of HbA1C follow-up, with a resulting improvement in glycemic control of a clinically significant degree. The subsequent outcomes have proven the effect of the intervention: There were several secondary outcomes, which favored the effectiveness of the intervention. The percentage of nursing staff competency after the training Programme was 85.4% compared to 59.0% prior to training. The competency scores of 7 out of 8 nursing staff participating scored higher than the 80% minimum score.

Secondly, self-management behaviours of the patients have greatly improved over the course of the project. Almost 70 % of the patients had complete adherence with the medications, and 65 % had a suitable regimen of blood glucose control. In addition, it was noted that the intervention was characterized by high adherence to the follow-up visits, as 89.2% of the visits were attended. Just 10% of patients had HbA1c levels < 7% at the end of the 8 weeks, but the project showed significant short-term improvements with the possibility that it could yield longer-term improvements if implemented over a longer period.

Slide 9

Contribution to Nursing Knowledge and Best Practices

The doctoral project played a crucial role in contributing to the domain of knowledge and best practices in chronic disease management in nursing. The importance of using structured nurse-initiated interventions for establishing better outcomes in patient care was demonstrated through the involvement of evidence-based practices in patient care interventions. The findings of the project helped in the establishment of various important practices in health care, such as applying structured diabetes follow-up protocols that allow for achieving results with patients’ glucose levels.

The self-managing techniques practiced by patients can be improved via nurse interventions in teaching. Apart from that, telemedicine and EHRs facilitate accessibility and compliance with follow-up procedures. The systematic educational process contributes to the enhancement of nurses’ practices.  The importance of interdisciplinary teamwork is reinforced, contributing to the quality of care. The importance of the research carried out in the scope of doctoral education in nursing is highlighted.

Slide 10

Key Audience Takeaways

The doctoral project has a number of implications of relevance in the world of nursing, healthcare leaders, healthcare education, and healthcare institutions. To begin with, the project has demonstrated that evidence-based approaches led by nurses can drive beneficial results for chronic diseases in a reasonable period. Patterned follow-up care has been associated with enhanced patient compliance, glycaemic profile, and nurse competence. Secondly, the project has shown that it is crucial to be constantly educated and supported in terms of self-management.

Patients who attained superior measures of compliance with the medication regimen or self-monitoring of blood sugar received continuous education and support as compared to their counterparts who lacked it. Thirdly, the project stressed the importance of technology in dealing with chronic disease management. Patients call out to telehealth, better follow-up levels using EHR reminders, and their continuity in having a succession of care aides improve. Fifth, the project is similar in that it stresses the importance of adopting an interdisciplinary team approach to enhancing quality in health care.

Slide 11

Conclusion

The doctoral study was effective in demonstrating the importance of structured diabetes management in the outpatient primary care setting for patients with Type 2 Diabetes regarding proper glycemic control. The program brought about major improvements in patient outcomes, nursing competency, and follow-up adherence due to evidence-based practices, structured education, telemedicine, and teamwork. The research achieved its goals by reducing the average HbA1C scores from 9.95% to 8.22%, as well as improving the scores of nurses and patients’ self-management skills.

The study’s findings made it clear that there is a need for chronic disease management, evidence-based quality improvement activities led by nurses, and knowledge advancement in the nursing sphere. In general, the research showed that good quality healthcare practices can be achieved with the help of advanced nursing leadership, evidence-based practice, and systematic quality improvement strategies.