identification of issue significant to nursing practice ii

Submission Ide: 8873e36e-1f80-4560-bc16-ba7b58c58da5

42% SIMILARITY SCORE 6   CITATION ITEMS 10   GRAMMAR ISSUES 0   FEEDBACK COMMENT
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Institution   42%

Makoya Suomie

Capstone Project Topic Selection and Approval

Summary

 879 Words  

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Community Education

Problem Description

Diabetes is a serious health condition affecting many people in the United States.

Community Education

Student’s Name

Grand Canyon university

NRS-493-0505

DR. Vernon Thacker

02/21/22

Diabetes involves a metabolic disorder that happens because of elevated levels of bloodstream

glucose. Type 2 is the most common diabetes type and happens when the human body becomes

resistant to insulin or when the body does not generate adequate insulin (Rooney et al., 2021).

Without interventions for lifestyle changes, including the community teaching on the topic to

reverse the condition, patients are at risk of developing more chronic health complications.

Community teaching programs to improve the population’s understanding of the need for healthy

diets, regular body exercise, and maintaining a healthy weight can assist in bringing to normal

the levels of blood sugar (Echouffo-Tcheugui & Selvin, 2021). When poorly controlled, diabetes

mellitus results in severe consequences, leading to a broad rage body tissue and organs damaged,

including kidney, heart, nerves, and eyes. According to Moonesinghe et al. (2018), diabetes risk

factors include overweight, large waist size, unhealthy diets, 45 years and above, inactivity,

ethnicity and gestational diabetes, smoking, and obstructive sleep apnea.

Context

Diabetes is very prevalent in the United States, with 37.3 million Americans suffering

from the condition. However, 8.5 million people in the country are unaware that they have

diabetes (Zhu et al., 2019). This demonstrates that 14.7% of the US population is diabetic. The

prevalence of diabetes increases with age: 29.2% of people aged 65 years and above are diabetic.

18.9% of American aged between 45 and 64 years have diabetes, while 4.8% of those aged

between 18 and 44 suffer from the condition too. About 15.4% of male adults have prediabetes,

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while 14.1% are women. According to Zhu et al. (2019), diabetes shows disparity along ethnic

and racial lines, with the disease being more prevalent among the Black non-Hispanic group with

a prevalence of 17.4%, followed by Asian non-Hispanic, Hispanic with 15.5%, and then the

Whites non-Hispanic ethnic group with 13.6% prevalence.

DQ1

Sierra Cossano

A clinical problem my organization is facing is fragmentation communication on several levels. These lapse in communication are leading to negative patient outcomes and some examples are missed organ donor referrals, hospital acquired infections and skin injuries, and increased risk of patient harm. In fact, it is not one single clinical problem that exists in excess, but a small number of multiple different problems. My preceptor and I kept coming to the same conclusion at the end of different debriefings that communication is key to closing these gaps. 70% of medical errors can be drawn back to communication (Itamaro et al., 2016). Although communication can be complex, multifaceted, and is perceived differently person to person there is a lot of research to support communication techniques in healthcare. This also means that there has to be different approaches to communicating the desired message so that it is passed accurately. For example, a clinical problem occurring in this organization is that there are a high number of central line infections. When conducting a root cause analysis, it was determined that the lack of plan for removal of the line played a role in the continuation of the line. This facility often has temporary doctors covering random shifts in the ICU. Therefore, the nurses operating as staff RN’s (about ½ the unit is travelers and ½ full time nurses) are the one consistency. Where lack of consistency exists, strong communication must be present. There is recognition and support from administration to hold some accountability on the physician part. However, nurses must feel accountable for their own care also. Raising awareness of these situations and keeping the mindset of reducing patient harm and improving outcomes can drive nurses to advocate for those complication-preventing interventions; like having a plan to remove a no longer needed central line. 

Two implications  for nursing are the adoption and implementation of bedside reports in some capacity. Due to the various methods of RN-RN handoff done at this facility, introducing a standardized handoff is something the administration wants. The current culture is to sit outside a patient room to do a report and a beside assessment is only required for specific patients. Creating a guide to hand-off ensures that staff are talking about all the important aspects of care amidst the chaos of working in the ICU. Itamaro et al. (2016) researched experienced NICU nurses (average 10.5 yrs), from various shifts who implemented a bedside report found that nurses developed attitudes of improved patient safety, while increasing patient satisfaction, and creating a more complete view of the patient at handoff. There also is acknowledgement that a partially written report with a visual component is common. I would like to use my project to promote this safety culture within the ICU. It is important that the nurse