Problem Identification for Research Essay Paper
Use a provided template to develop a 2-4 page submission in which you research and define a patient, family, or population health problem relevant to personal practice.
Important: Complete this assessment first and complete all other assessments in the order they are presented. Problem Identification for Research Essay Paper
In this assessment, you will lay the foundation for the work that will carry through your capstone experience and guide the practice hours to complete the work in this course. The purpose of this assessment is to allow you to define a patient, family, or population health problem that is relevant to your personal practice and to begin building a body of evidence that will inform your approach to your practice hours, the intervention you design, and the professional product you will deliver.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
Define a patient, family, or population health problem that is relevant to personal practice.
Competency 2: Make clinical and operational decisions based upon the best available evidence.
Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem.
Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
Propose strategies to improve patient or population outcomes related to a health problem.
Competency 8: Integrate professional standards and values into practice.
Reflect on state board nursing practice standards relevant to a selected health problem.
Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.
Important: Complete this assessment first and complete all other assessments in the order they are presented. Problem Identification for Research Essay Paper
Professional Context
Nurses are leaders in problem identification and solution, planning and implementing patient care strategies to address problems in the home, hospital, and community. This assessment will help you develop a problem statement for a patient, family, or population health concern.
Instructions
Throughout this capstone course, you will be investigating a patient, family, or population health problem relevant to your practice. For this assessment, you will identify the problem that you will address throughout your clinical practicum in this course, as well as begin to establish your evidence and research base to plan, implement, and share findings related to your project. The Problem Identification Template [DOC] will guide you through development of a problem statement, evidence collection and analysis, and best practices to help you create your implementation plan for the second assessment in this course.
Your submission for this assessment will be the completed template. When working through the template, you may use the resources provided in this course; however, most of your research and search for evidence will be conducted by you. Use the Capella University Library, professional organization and government resources, and relevant organizational best practices as sources of evidence. This is the capstone course for your BSN degree; your goal is to demonstrate your achievement of the program outcomes through your work on this project.
The following are some health issues that would be appropriate for your project:
Diabetes self-management.
Hypertension management and prevention.
Medication reconciliation within a family or group.
Parkinson’s disease support group.
Patient family education communication improvements.
Postoperative home care.
This list is by no means exhaustive. You should choose a patient, family, or population health issue that is relevant to your practice and organization; you must be able to study the problem in your practicum effectively.
You must complete this assessment first. This assessment is your opportunity to plan your practicum and to establish a collaborative oversight process with your course faculty. Problem Identification for Research Essay Paper
Scoring Guide Criteria
Your submission will be assessed based on the following criteria:
Define a patient, family, or population health problem that is relevant to personal practice.
Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem.
Propose strategies to improve patient or population outcomes related to a health problem.
Reflect on state board nursing practice standards relevant to a selected health problem.
Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.
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Problem Identification Template
The following is a guide to organize your assignment. Please be sure to remove the guiding questions and comments for each section. You are expected to write in a professional and academically appropriate manner throughout. Make sure you are using proper APA style and citations throughout.
Define a patient, family, or population health problem, and realistic goals, that are relevant to personal practice.
• Introduce a general summary of the health problem that you will be exploring.
• Provide a brief context for the patient, family, or population struggling with this health problem.
• Propose one or more goals that you deem appropriate and relevant to the health problem.
• Briefly state why this health problem is relevant to your personal practice.
Analyze evidence from the literature and professional sources to support decisions related to defining and guiding nursing actions related to a health problem.
• Compare and contrast the authors you will be citing, discussing pros and cons of the evidence you are reading about.
• Note whether the authors provide supporting evidence from the literature that is consistent with what you see in your nursing practice.
• Assess the quality of the data presented in the articles you are reading.
• Discuss how you would know if the data were unreliable.
• Include what the literature says about barriers to evidence-based practice.
• Describe research studies that present opposing views regarding this health problem.
• Describe what the literature says about a nursing theory or conceptual framework that might frame and guide your actions during your clinical practicum. Problem Identification for Research Essay Paper
Propose potential strategies to improve patient or population outcomes related to a health problem.
• Cite any known authors who have recommended leadership strategies for nurses to use when providing care to this patient population.
• Discuss research on the effectiveness of these strategies in improving patient or population outcomes regarding this health problem.
• Describe what the literature says about patient-centered care, empowering patients to make health care decisions, involving families in patient care, incorporating patient preferences to improve outcomes, prevent illness, and lower readmissions to hospitals.
• Discuss ways your role as a nurse leader will help improve patient outcomes as described in the literature.
Reflect on state board nursing practice standards relevant to a project related to a health problem.
• Discuss how your state’s nurse practice act will guide your actions in terms of this health problem for this patient or population.
• Identify the most surprising thing that you found while reading your state’s nurse practice act.
• Describe the effects of local, state, and federal laws on your nursing scope of practice and care for this patient or population.
• Explain how nursing ethics will inform your intervention in this clinical practicum.
Problem Identification for Research Paper
Promoting Diabetes Self-Management Education among Patients with Diabetes
The prevalence of diabetes keeps rising and the increased prevalence of diabetes is attributable to sedentary lifestyles and obesity. Self-management education had been shown to play an important role in facilitating the successful management of diabetes (Powers et al., 2016). Management of diabetes involves adhering to the treatment regimen and the patients with diabetes making lifestyle changes that include appropriate eating habits, adhering to medications, monitoring the level of blood glucose, smoke cessation, engaging in physical activities, and addressing the psychological aspects associated with living with a chronic disease. Lack of skills and knowledge for diabetes self-management continues to be a major problem for patients with diabetes (Gathu et al., 2018). Therefore, it is important to equip people with diabetes with the necessary diabetes self-care skills such as monitoring blood glucose, healthy eating, appropriate dental care, and physical activities.
The goal relevant to the identified health problem (lack of diabetes self-management skills) is to ensure patients with diabetes visiting the healthcare organization are provided with the diabetes self-management education that is based on evidence-based standards and integrates the needs and life experiences of the patient.
The health problem is relevant to my practice because diabetes is associated with major and severe complications and thus it necessitates continuous attention and regular follow-up. Effective self-care and adequate glycemic control are the keystones of diabetes care (Powers et al., 2016).
Analysis of Evidence from the Literature and Professional Sources
All the studies that will be included should be peer-reviewed journal articles, published after 2015 to ensure only the current studies are included, and they will be critically critiqued using the Critical Appraisal Skills Programme (CASP) appraisal tool. Problem Identification for Research Essay Paper
Diabetes is a chronic metabolic disease typified by microvascular and macrovascular complications because of high glucose levels. Diabetes is the topmost cause of morbidity and among the largest healthcare problem within the US, in terms of cost, prevalence, and the burden placed on people and the country as a whole (Powers et al., 2016).
A study performed by Mphil et al (2016) to examine the impact of diabetes self-management skills indicated that lack of knowledge on the proper diet and low level of self-management skills leads to poor control of blood glucose levels. As Whittemore et al (2019) explain, due to the chronic nature of diabetes, the condition needs continuous attention to ensure that blood pressure and blood glucose levels are maintained at near-normal levels and lower diabetes-related complications. A study performed by Golden et al (2017) indicated that an interdisciplinary self-care education intervention based on best practices guidelines equipped people with diabetes with the appropriate skills to effectively monitor blood glucose levels, adopt healthy lifestyles, and promptly identify possible complications. However, some patients with diabetes lack the skills to self-management their condition leading to deteriorating conditions and possible complications.
Rosswurm and Larrabee Model is a suitable model for the diabetes education initiative. The model includes six steps that focus on improving health outcomes. The first step of the model involves assessing the need for change; identifying potential interventions to address the problem; evidence synthesis; designing practice change; implementing and evaluating the change practice; and the last step is integrating and maintaining the change practice (Parkosewich, 2015). The model is easy to use, organized and allows constant monitoring of programs and this it is appropriate for diabetes self-management education.
Strategies to Improve Outcomes
The proposed initiative aims to improve the participation of patients with diabetes in self-management care. The current standards on self-management of diabetes will be implemented to equip patients with the appropriate diabetes self-management skills. An interdisciplinary team consisting of nurses, nurse manager, nutritionist, physical therapist, social worker, podiatrist, and nurse educator will provide a self-care education based on best practices guidelines to patients with diabetes (Golden et al., 2017). The leadership component supporting the program and the multidisciplinary approach is facilitating collaboration among team members to improve care outcomes.
Therefore, this proposed initiative will initiate a culture of evidence-based practice that integrates patient needs, preferences, values, and life experiences. The evidence-based working setting will allow translation of the clinical standards of self-management education into daily practice as per the American Diabetes Association (ADA). The education intervention will empower patients with diabetes to make appropriate health decisions. Moreover, the integration of patient needs and preferences will ensure the provision of patient-centered care. Problem Identification for Research Essay Paper
Relevant State Board Nursing Practice Standards
According to the board of nursing, nurses are required to ensure patient safety, maintain health, and use a systemic approach to provide goal-directed and personalized care (Ortiz et al., 2018). Therefore, the proposed patient education on diabetes self-management aims to ensure patient safety and maintain health by ensuring the target population has the required skills and knowledge to self-manage their condition and avoid possible complications.
Throughout the program, it will be important to ensure that an informed consent of patients is sought before providing education. This will ensure that the appropriate ethical principles are upheld (Dankar et al., 2019).
References
Dankar, F. K., Gergely, M., & Dankar, S. K. (2019). Informed Consent in Biomedical Research. Computational and structural biotechnology journal, 17, 463–474. https://doi.org/10.1016/j.csbj.2019.03.010.
Gathu, C. W., Shabani, J., Kunyiha, N., & Ratansi, R. (2018). Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomized controlled trial. African journal of primary health care & family medicine, 10(1), e1–e9. https://doi.org/10.4102/phcfm.v10i1.1762.
Golden, S. H., Maruthur, N., Mathioudakis, N., Spanakis, E., Rubin, D., Zilbermint, M., & Hill-Briggs, F. (2017). The Case for Diabetes Population Health Improvement: Evidence-Based Programming for Population Outcomes in Diabetes. Current diabetes reports, 17(7), 51. https://doi.org/10.1007/s11892-017-0875-2.
Mphil, L. C., Sit, W. H., Leung, Y.P. & Li, X. (2016). The association between self-management
barriers and self-efficacy in Chinese patients with type 2 diabetes: The mediating role of
an appraisal. Worldviews on Evidence-Based Nursing, 13(5), 356-362.
Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018). Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes. Healthcare (Basel, Switzerland), 6(2), 65. https://doi.org/10.3390/healthcare6020065
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2016). Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Clinical diabetes: a publication of the American Diabetes Association, 34(2), 70–80. https://doi.org/10.2337/diaclin.34.2.70.
Parkosewich J. A. (2015). An infrastructure to advance the scholarly work of staff nurses. The Yale journal of biology and medicine, 86(1), 63–77.
Whittemore, R., Vilar-Compte, M., De La Cerda, S., Marron, D., Conover, R., Delvy, R., … & Pérez-Escamilla, R. (2019). Challenges to diabetes self-management for adults with type 2 diabetes in low-resource settings in Mexico City: a qualitative descriptive study. International journal for equity in health, 18(1), 133.
