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Benchmark -Evidence-Based Practice Proposal. Health, Medicine, Nursing

Other (Not Listed) Instructions:

Throughout this course, you have developed a formal, evidence-based practice proposal.



The proposal is the plan for an evidence-based practice project designed to address a problem, issue, or concern in the professional work setting. Although several types of evidence can be used to support a proposed solution, a sufficient and compelling base of support from valid research studies is required as the major component of that evidence. Proposals must be submitted in a format suitable for obtaining formal approval in the work setting. Proposals will vary in length depending upon the problem or issue addressed (3,500 and 5,000 words). The cover sheet, abstract, references pages, and appendices are not included in the word count.



Section headings for each section component are required. Evaluation of the proposal in all sections will be based upon the extent to which the depth of content reflects graduate-level critical thinking skills.



This project contains seven formal sections:



Section A: Organizational Culture and Readiness Assessment

Section B: Proposal/Problem Statement and Literature Review

Section C: Solution Description

Section D: Change Model

Section E: Implementation Plan

Section F: Evaluation of Process

Each section (A-F) will be submitted as a separate assignment in Topics 1-6 so your instructor can provide feedback (refer to applicable topics for complete descriptions of each section).



The final paper submission in Topic 7 will consist of the completed project (with revisions to all sections), title page, abstract, compiled references list, and appendices. Appendices will include a conceptual model for the project, handouts, data and evaluation collection tools, a budget, a timeline, resource lists, and approval forms, as previously assigned in individual section assignments.



Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.



This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.



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Benchmark- Evidence-Based Practice Proposal
Student’s Name
Institutional Affiliation
Benchmark- Evidence-Based Practice Proposal
Type 2 diabetes is one of the leading causes of premature deaths and other forms of health complications, such as cardiovascular diseases, blindness, amputation, and renal disease. However, people can modify their diet and engage in regular exercise to minimize the risk factors to chronic illness. In most instances, motivation, long term change, and excellent education help in enhancing the wellbeing of type 2 diabetes patients in comparison to the overall quality of life and glycemic control. Currently, adults aged above 18 years are susceptible to Type 2 diabetes as a medical condition that raises overall levels of blood sugar. However, healthcare providers can recommend the right treatment if they detect symptoms early enough. The patients diagnosed with chronic illness encounter symptoms such as blurry vision, frequent urination, and persistent pain on the hands and feet.
Conceptual Model
2952750361315Education Intervention 0Education Intervention 495300266065Motivation 0Motivation
358139937147600195262537147500
2085975281305Long term Change 0Long term Change
303847534861500
2400300363220Life Quality 0Life Quality
The conceptual model illustrates the connection between motivation and education intervention to expedite long term change in the management of Type 2 diabetes.
Section A: Organization Culture and Readiness Assessment
The increase in patients diagnosed with Type 2 Diabetes has posed numerous challenges in different parts of the world. The World Health Organization (WHO) recognizes the pandemic as a global pandemic that affects the lives and welfare of a large segment of the population. The complications of diabetes include reduced life expectancy and cardiovascular complications. The search for improved control of chronic illness has resulted in an intensification of diabetes regimens. Therefore, healthcare organizations have formulated effective mechanisms of ensuring that all patients acquire relevant insight on self-management of Type 2 diabetes. Education and psychological interventions to enhance effective management of the illness and maintain motivation among patients and their families. However, some organizations encounter challenges in the delivery of structured education through psychological techniques in routine clinical practices. Formal education remains one of the fundamental pre-requisites for addressing the healthcare needs of people diagnosed with Type 2 diabetes.
The number of patients diagnosed with Type 2 diabetes has increased tremendously in different parts of the world. Therefore, medical practitioners can embark on different strategies of addressing the problem, such as intensive education and engagement of all the relevant stakeholders in making appropriate decisions. The interventions can help in minimizing complications, cost burden, and improve overall control. Medical practitioners and counselors alike can formulate and implement the interventions in four group sessions for 6-12 months. Research findings indicate that intensive education, engagement, and motivation can be imperative in expediting long term change. However, the hospital should set aside a department of enhancing the overall safety of the patients and addressing their needs. Besides, all hospitals must train all the practitioners on the ideal approaches to manage their medical condition.
Problem Statement
General practice plays an essential role in the management of diabetes as a prevailing chronic condition. Type 2 diabetes is a complex illness that requires continuous medical care and the empowerment of patients in addressing their needs. Therefore, a structured intensive education maximizing management and long-term change as an effective treatment. Notably, training can be an effective intervention in self-management.
Section B: Literature Review
According to Chrvala et al. (2016), healthcare organizations and medical facilities play a significant role in providing medical care services and creating a favorable environment for healing. Since one of the core obligations of hospitals is to prevent harm among the patients, intensive education can be imperative in addressing the problem of Type 2 diabetes. In such a case, the intervention can be consistent with the organizational culture and resources. The doctors can have a chance of providing quality healthcare to the patients while minimizing costs. Through the intervention, medical practitioners can create awareness about chronic illness and encourage self-management, especially among youths. The youths and families who embrace education intervention are likely to enhance their knowledge of Type 2 diabetes. The patients can attain more confidence in managing chronic illness.
Type 2 diabetes affects people from low- and middle-income countries disproportionately. Houle et al. (2015) argue that the number of people suffering from an illness has been increasing steadily over the years. The secular shifts in lifestyles from social mobility and urbanization have resulted in the overall growth of diabetes in different parts of the United States. If people move from rural areas to towns, they are likely to adopt non-healthy lifestyles that can result in increased vulnerability to Type 2 diabetes. For instance, the consumption of processed foods and a shift to a sedentary lifestyle have been the major factors leading to increased cases of type two diabetes. Since diabetes affects young and middle-aged adults at the peak of their economic activity, the illness can result in devastating social and economic repercussions. Notably, people with diabetes need more medication, are more likely to be admitted to the hospital, and require long term medical care. The young and older adults in the United States incur a total of $13,700 every year.
Self-management is one of the most effective strategies for addressing the healthcare needs of people living with diabetes. Iqbal & Heller (2018) postulates that continuous quality improvement, self-management, and feedback from the patients are equally relevant strategies for addressing the issue of chronic illness. A systematic review of community health worker provides the effectiveness of self-care behaviors, knowledge, and self-care behaviors. Therefore, community health workers play a significant role in enhancing the wellbeing of Type 2 diabetes patients. The progress in delineating roles to community health workers have been effective in addressing the burden of chronic illness. However, healthcare providers utilize continued education and computerized decision support as ways of supporting patients with Type 2 diabetes.
Powers et al. (2017) postulate that the overall number of patients diagnosed and hospitalized with Type 2 diabetes has increased steadily over the last two decades. Chronic illness accounts for 23% of the total hospitalization in the country (Powers et al., 2017). Therefore, diabetes has influenced an escalation of healthcare costs in the United States. Notably, people with diabetes persevere more extended hospital stay, thus making it hard to control diabetes. Since diabetes has increased overall costs, healthcare providers can collaborate with policymakers in developing systems if minimizing readmissions and length of stay in hospitals. Equally, a formal glucose management program can expedite the process of addressing the issue of patients with Type 2 diabetes. The authors reveal that Type 2 diabetes is one of the common chronic conditions that affect a wide range of patients across the world. For that reason, medical practitioners have recommended various strategies for preventing long-term complications despite the use of insulin regimens. Over the years, the ineffectiveness of intensive insulin regimens has focused attention on adherence behaviors, psychosocial adjustments, and self-management skills to prevent and manage chronic illness.
Healthcare providers can recommend education interventions as effective strategies for addressing the issue of Type 2 diabetes. Therefore, healthcare organizations should improve intermediary glucose outcomes and various diabetes care processes. Besides, healthcare organizations can utilize the existing staff in implementing safe glucose management to attain the core objective of minimizing the prevalence of chronic illness. Over the years, the hospitals across the United States have adopted the use of computerized-based insulin dosing, computerized provider order entry to minimize the case of Type 2 diabetes. According to Davidson et al. (2017), some healthcare centers have adopted the use of modern technology in addressing the issues of patients who have Type 2 diabetes. Based on the complexity of glucose management, IT-based strategies can improve glycemic control concerning the timing of insulin delivery. The health management of the diabetes population involves a continuum of patient care in various hospital settings. Therefore, hospitals will need to collaborate with other policymakers in promoting the screening and treatment of diabetes.
Section C: Solution Description
The increasing numbers of people diagnosed with Type 2 diabetes will require the implementation of effective interventions to address the current issues. As a result, it would be possible to minimize complications, such as reduced life expectancy, high cardiovascular burden, and other complications. Therefore, intensive education maximizing engagement, motivation, and long-term change would be an effective intervention in minimizing the burden of the illness. Arguably, the search for improved control can result in an intensification of diabetes regimens through the use of insulin in the right dosage. Healthcare providers can utilize adult education skills programs in training patients on the self-management of Type 2 diabetes. Notably, the psycho-education program has influenced the reduction of emergency visits and hospitalization of patients with Type 2 diabetes. Researchers recognize the importance of integrating medical care and education interventions to minimize the burden of chronic illness.
Arguably, education and psychological interventions are effective ways of ensuring that all patients with Type 2 diabetes acquire relevant skills and knowledge of managing their condition. For instance, the youths can gain insight on self-management of blood glucose and other critical aspects of Type 2 diabetes. The multicomponent interventions can be more successful than others using a single point in enhancing metabolic control, especially among young adults. According to Hall & Rousell (2013), diabetes educators focus on supporting, educating, and counseling patients using a wide range of approaches. Over the years, healthcare providers must realize the need for considering the physical and emotional needs of patients. One of the critical components of useful Type 2 diabetes care management is to involve patients and their family members in establishing and maintaining the motivation of managing the underlying condition. Diabetes educators reveal significant improvements in their skills and knowledge, especially in ensuring that all patients understand the need for metabolic control. Therefore, educators must ensure that patients can put all the learned lessons into practice. Dieticians and nurses recommend the lack of structured education intervention in addressing the issue of Type 2 diabetes.
Patients and their family members raise concerns that access to all the needed information is paramount in the efforts of addressing the Type 2 diabetes. Intensive self-management can offer practical ways of overcoming professional limitations in resources. Equally, hospital teams can promote engagement and self-management opportunities for expediting psychological adjustment and long-term control of metabolism. Research findings indicate that medical practitioners can enhance engagement, behavior change, and motivation through education programs. Slight improvements in control of diabetes can result in ...
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