DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project
10 Strategic Points Document for a Quality Improvement Project
Ten Strategic Points
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Title of Project
1) Title of Project
Application of Continuous glucose monitoring in the management of diabetes type II
Background
Theoretical Foundation
Literature Synthesis
Practice Change Recommendation
2) Background to Chosen Evidence-Based Intervention:
List the primary points for six sections.
i) Background of the practice problem/gap at the project site
Numerous chronic conditions profoundly impact patients’ lives, with diabetes standing out due to its association with complications such as kidney disease, heart disease, and stroke (Skinner et al., 2020). Diabetes affects millions, hindering normal lives and prompting extensive research for effective management strategies. Current interventions focus on better healthcare outcomes, emphasizing glycemic control and addressing risky lifestyle behaviors.
ii) Significance of the practice problem/gap at the project site
Diabetes not only leads to health complications but also imposes financial burdens on individuals. Stakeholders, including nurses and doctors, recognize the urgent need for effective disease control. Technological advancements in diagnostics and treatment, like continuous glucose monitoring, show promise. However, millions still acquire diabetes annually, and prevalence rates continue to rise. Nursing interventions using current technology, such as continuous glucose monitoring, can significantly impact outcomes.
iii) Theoretical Foundations (choose one nursing theory and one evidence-based change model to be the foundation for the project):
Dorothea Orem’s self-care theory serves as the project’s foundation. This theory focuses on an individual’s ability to initiate and perform self-care activities to maintain life, health, and well-being (Butts & Rich, 2018). The theory comprises three interconnected sub-theories: the theory of self-care, the self-care deficit theory, and the theory of nursing systems.
iv) Create an annotated bibliography using the “Preparing Annotated Bibliographies (APA 7th)” located in the Student Success Center.
Annotated Bibliographies Guide https://www.gcumedia.com/lms-resources/student-success-center-content/documents/writing-center/preparing-annotated-bibliographies-apa7-mla8-turabian9.pdf utilizing the five (5) original research articles that support the evidence-based intervention. This will be the foundation of the Literature Synthesis you will have to do in DNP-820A.
Beck, R. W., Riddlesworth, T. D., Ruedy, K., Ahmann, A., Haller, S., Kruger, D., … & DIAMOND Study Group. (2017). Continuous glucose monitoring versus usual care in patients with type 2 diabetes receiving multiple daily insulin injections: a randomized trial. Annals of Internal Medicine, 167(6), 365-374. https://doi.org/10.7326/M16-2855.
Beck et al. (2017) conducted a study with the primary aim of assessing the effectiveness of continuous glucose monitoring in adults diagnosed with type 2 diabetes undergoing insulin injections. Employing a randomized controlled trial as the research design, the researchers enrolled a total of one hundred and fifty-eight patients with type 2 diabetes. Among these, seventy-nine patients were randomly assigned to the usual care group, while the remaining half were placed in the intervention group. The intervention group utilized a Dexcom G4 platinum continuous monitoring system for monitoring glucose concentrations, while the control group practiced glucose self-monitoring. Data analysis revealed that individuals in the intervention group exhibited a more significant reduction in HbA1c levels compared to the control group (p values of 0.022), indicating the efficacy of the intervention.
Gilbert, T. R., Noar, A., Blalock, O., & Polonsky, W. H. (2021). Change in hemoglobin A1c and quality of life with real-time continuous glucose monitoring use by people with insulin-treated diabetes in the landmark study. Diabetes Technology & Therapeutics, 23(S1), S-35. https://doi.org/10.1089/dia.2020.0666
Gilbert et al. (2021) conducted a study with the objective of evaluating changes in HbA1c levels through the utilization of a continuous glucose monitoring system. The study included two hundred and forty-eight patients, of which sixty had type 2 diabetes. Participants were instructed to upload their point-of-care HbA1c measurements to an online portal. Subsequently, they utilized continuous glucose monitoring devices to track HbA1c values, which were then uploaded to the portal. Data analysis revealed a significant reduction in HbA1c levels (p-value of <0.001). Consequently, this study underscores the importance of continuous glucose monitoring in diabetes management.
Heinemann, L., Freckmann, G., Ehrmann, D., Faber-Heinemann, G., Guerra, S., Waldenmaier, D., & Hermanns, N. (2018). Real-time continuous glucose monitoring in adults with type 1 diabetes and impaired hypoglycemia awareness or severe hypoglycemia treated with multiple daily insulin injections (HypoDE): a multicentre, randomized controlled trial. The Lancet, 391(10128), 1367-1377. https://doi.org/10.1016/S0140-6736(18)30297-6
Heinemann et al. (2018) conducted a study with the aim of investigating the effectiveness of real-time continuous glucose monitoring in reducing the severity and incidence of hypoglycemia. In a six-month randomized controlled trial, 75 individuals were randomly assigned to the real-time continuous glucose monitoring group, while 74 were allocated to the control group. Participants in the real-time continuous glucose monitoring group received training on using the monitoring system and utilized the devices throughout the study period. In contrast, those in the control group employed self-monitoring blood glucose. Data analysis revealed that individuals in the intervention group experienced a significant reduction in hypoglycemic events (p-value of <0.0001).
Martens, T., Beck, R. W., Bailey, R., Ruedy, K. J., Calhoun, P., Peters, A. L., … & MOBILE Study Group. (2021). Effect of continuous glucose monitoring on glycemic control in patients with type 2 diabetes treated with basal insulin: a randomized clinical trial. JAMA, 325(22), 2262-2272. doi:10.1001/jama.2021.7444
This article reports the findings of a study conducted by Martens et al. (2021), which aimed to investigate the impacts of continuous glucose monitoring on improving HbA1c levels compared to the effects of blood glucose meter monitoring. In a randomized controlled trial, 175 individuals with type 2 diabetes were recruited. The intervention group used continuous glucose monitoring, while the control group utilized blood glucose meter monitoring. The study spanned eight months. Data analysis revealed a noteworthy reduction in HbA1c levels among individuals in the intervention group (p-value of 0.02). Furthermore, a significant difference was observed between the intervention and control groups (p-value of 0.001).
Grace, T., & Salyer, J. (2022). Use of Real-Time Continuous Glucose Monitoring Improves Glycemic Control and Other Clinical Outcomes in Type 2 Diabetes Patients Treated with Less Intensive Therapy. Diabetes Technology & Therapeutics, 24(1), 26-31. https://doi.org/10.1089/dia.2021.0212.
Authored by Grace & Salyer (2022), this study focused on utilizing real-time continuous glucose monitoring for managing patients with type 2 diabetes to enhance glycemic control. The researchers recruited patients with type 2 diabetes who were either on basal insulin only or noninsulin therapy. At six months, the study revealed significant outcomes, including a substantial reduction in HbA1c levels among participants (p-value <0.001). Therefore, the adoption of real-time glucose monitoring was associated with significant improvements in glycemic control for individuals living with type 2 diabetes.
v) Practice Change Recommendation: Validation of the Chosen Evidence-Based Intervention
The facility has adhered to the standards of diabetes care for an extended period, but this study proposes a shift towards utilizing continuous glucose monitoring as an intervention. The aim is to enhance the achievement of expected outcomes, particularly in improving patients’ HbA1c levels.
vi) Summary of the findings written in this section.
The annotations highlight that incorporating continuous glucose monitoring as an intervention in diabetes management yields positive outcomes. Notably, the researchers reported a significant enhancement in HbA1c levels with the implementation of continuous glucose monitoring.
DNP 820 Week 2 DPI Project Milestone
Details:
There are ten strategic points in the prospectus, proposal, and scholarly project that must be clear, simple, correct, and aligned to ensure the research is doable, valuable, and credible. The ten strategic points emerge from literature research on a topic based on or aligned with the learner’s personal passion, future career purpose, and degree area. These ten points serve as a road map for the DPI Project. In this assignment, you will continue the work started in DNP-815 by drafting a document that addresses the ten key strategic points that define your intended research focus and approach.
General Requirements:
Use the following information to ensure successful completion of the assignment:
- Locate the “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” that you completed in DNP-815.
- Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required.
- This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.
- You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Directions:
Use the “The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project” resource to draft statements for each of the 10 points for your intended research study.
Portfolio Practice Hours:
Practice immersion assignments are based on your current course objectives, and are intended to be application-based learning using your real-world practice setting. These assignments earn practice immersion hours, and are indicated in the assignment by a Portfolio Practice Hours statement which reminds you, the learner, to enter in a corresponding case log in Typhon. Actual clock hours are entered, but the average hours associated with each practice immersion assignment is 10.
You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to DNP resources in the DC Network.
To earn portfolio practice hours, enter the following after the references section of your paper:
Practice Hours Completion Statement DNP-820
I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.
DNP-820-RS-10StrategicPointsfortheProspectusProposalandDPI.docx
DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project
Patient Safety Participation Education in their Care in relation to Infectious Diseases focusing on Third World Countries
Research Study on Patient Safety Participation Education in Third World Countries with a Focus on Infectious Diseases
In this comprehensive research investigation, our primary area of exploration centers around patient safety participation education in third-world countries, with a specific emphasis on infectious diseases. This introductory segment serves as a roadmap, elucidating the essential framework of our study. It integrates directives on strategic discussion points while aiming to extend the project’s scope beyond previous research endeavors. Furthermore, it endeavors to pinpoint examples directly related to patient safety participation education, particularly within the unique context of third-world countries grappling with the challenges posed by infectious diseases.
Literature Review
This segment is dedicated to a meticulous exploration of our chosen topic, drawing not only from our own research but also from the wealth of insights gleaned from past studies. It meticulously elucidates the historical evolution and background of the issue under study. By identifying existing gaps and unmet needs, this literature review aims to contribute to a deeper understanding of the problem statement. Key focal points include an examination of the historical levels of health services prevalent in developing countries. The objective is to underscore the critical importance of healthcare quality concerning patient safety participation education.
The review also embarks on an exploration of various themes, systematically defining and discussing the fundamental tenets of patient safety participation education in third-world countries. To fortify our arguments, we incorporate citations from pertinent studies, exemplifying this with references such as Kanerva et al.’s (2013) work, which sheds light on the distinct challenges in offering healthcare in third-world countries, often characterized by suboptimal quality.
Furthermore, our literature review scrutinizes studies by Ocloo & Fulop (2012), Melnyk & Fineout-Overholt (2015), among others. These studies are instrumental in elucidating the reasons for variations and the generally low quality of healthcare in third-world countries, particularly when it comes to managing infectious diseases. Noteworthy statistics, such as Tobiano et al.’s (2015) revelation that 60% of prenatal cases in Eastern Asia result from subpar healthcare processes, further underscore the implications of insufficient resources.
This comprehensive section places a considerable focus on the overarching importance and implications of patient safety participation education, with insights drawn from Vincent (2010). Finally, it brings into play various theories and models, including Collaborative Improvement Models, to accentuate the necessity of intricate and systematic healthcare processes. These, we argue, are indispensable for scaling up quality health improvements and ensuring the success of patient participation, especially concerning infectious diseases in developing countries.
Problem Statement
Our exploration into the challenges and opportunities associated with patient safety participation in third-world countries commences with a succinct sentence. This sentence serves as a gateway, asserting the indispensable nature of patient participation in these regions. According to our assertion, patient participation is not just a component but a critical cornerstone that must be adhered to, as it forms the bedrock for redesigning healthcare processes. The subsequent narrative expands on the importance and magnitude of the problem under study, buttressed by insights gleaned from past studies, such as those from the National Health Services, as highlighted by Vaismoradi et al. (2015).
Clinical/PICO Questions
This segment, a critical juncture in our research, consists of qualitative phenomenon descriptions and clinical questions. The essence of these inquiries revolves around the impact of patient participation on safety, teaching, and the extent of stay for patients admitted to hospitals in third-world countries. These questions are poised to unravel key insights that will contribute significantly to our understanding of the complex dynamics at play.
Sample
In our pursuit of a robust and representative sample, we employ a diverse array of methodologies. Our primary approach involves the utilization of electronic databases to access peer-reviewed and evidence-based journal articles. This approach ensures a comprehensive and systematic evaluation of existing knowledge. A secondary evaluative method involves integrative procedures and methodical reviews, aimed at synthesizing various determinants to enrich our understanding.
Hypothesis and Qualitative Variables
This section of our research is dedicated to demonstrating various phenomena and variables, with a particular emphasis on qualitative variables. Drawing on the guidance of Creswell (2013), we opt for a mixed methods approach, incorporating insights from various peer-reviewed articles that utilize qualitative variables. Our hypothesis posits that patient safety participation education contributes significantly to the provision of quality care for infectious diseases in developing countries.
Methodology & Design
Given the considerations against a mixed methods approach, our chosen methodology for this research is qualitative. We opt for methods such as interviews and participant observation, aligning with the nature of patient safety participation. The rationale behind this choice lies in the acknowledgment that these methods are best suited to identify and describe the most appropriate methodological approach to answer our clinical questions while effectively addressing the problem statement. Our research design encompasses both descriptive surveys and a literature review.
Purpose Statement
The purpose of our qualitative study is to delve deeper into the realm of patient safety participation education, specifically within the context of infectious diseases prevalent in third-world countries. This section not only serves to articulate our research’s overarching goal but also meticulously outlines the elements critical to the study. It aims to discern the problem as articulated in the problem statement, outline the qualitative method, clarify the project design, define the target population and geographical location, and finally, underscore the phenomenon under study. The purpose statement, in essence, functions as a compass, guiding our research endeavors and providing a roadmap for the entire project.
Data Collection Approach
This pivotal section of our project encompasses a detailed exploration of the size and characteristics of the sample population under scrutiny. Data collection for this study is primarily sourced from peer-reviewed articles, providing not only substantive information but also detailing the methodology involved. This includes a meticulous discussion of the findings based on the search processes, as exemplified in Melnyk & Fineout-Overholt’s (2015) article. The data collection approach is not confined to mere observation and analysis; it also incorporates a self-study process, leveraging a pre-identified expected sample size from the target population. This step-by-step procedure ensures a comprehensive approach, utilizing instruments, tools, or databases as previously mentioned.
Data Analysis Approach
Our approach to data analysis is characterized by a meticulous overview of the methods employed. For each hypothesis presented in the study, statistical analyses, including inferential and descriptive statistics, are used to analyze the data comprehensively. Notably, the data analysis approach pivots towards techniques of qualitative data analysis, tailored to the specificities of our project design, as elucidated by Creswell (2013). In this qualitative study, our analytic approach is fine-tuned to the nuances of the research, acknowledging that patient safety participation education is a linchpin in improving patient care in third-world countries. This approach provides the requisite information and data essential for an overarching improvement in patients’ general care.
Research Study on Patient Safety Participation Education in Third World Countries with a Focus on Infectious Diseases
In this comprehensive research investigation, our primary area of exploration centers around patient safety participation education in third-world countries, with a specific emphasis on infectious diseases. This introductory segment serves as a roadmap, elucidating the essential framework of our study. It integrates directives on strategic discussion points while aiming to extend the project’s scope beyond previous research endeavors. Furthermore, it endeavors to pinpoint examples directly related to patient safety participation education, particularly within the unique context of third-world countries grappling with the challenges posed by infectious diseases.
Literature Review
This segment is dedicated to a meticulous exploration of our chosen topic, drawing not only from our own research but also from the wealth of insights gleaned from past studies. It meticulously elucidates the historical evolution and background of the issue under study. By identifying existing gaps and unmet needs, this literature review aims to contribute to a deeper understanding of the problem statement. Key focal points include an examination of the historical levels of health services prevalent in developing countries. The objective is to underscore the critical importance of healthcare quality concerning patient safety participation education.
The review also embarks on an exploration of various themes, systematically defining and discussing the fundamental tenets of patient safety participation education in third-world countries. To fortify our arguments, we incorporate citations from pertinent studies, exemplifying this with references such as Kanerva et al.’s (2013) work, which sheds light on the distinct challenges in offering healthcare in third-world countries, often characterized by suboptimal quality.
Furthermore, our literature review scrutinizes studies by Ocloo & Fulop (2012), Melnyk & Fineout-Overholt (2015), among others. These studies are instrumental in elucidating the reasons for variations and the generally low quality of healthcare in third-world countries, particularly when it comes to managing infectious diseases. Noteworthy statistics, such as Tobiano et al.’s (2015) revelation that 60% of prenatal cases in Eastern Asia result from subpar healthcare processes, further underscore the implications of insufficient resources.
This comprehensive section places a considerable focus on the overarching importance and implications of patient safety participation education, with insights drawn from Vincent (2010). Finally, it brings into play various theories and models, including Collaborative Improvement Models, to accentuate the necessity of intricate and systematic healthcare processes. These, we argue, are indispensable for scaling up quality health improvements and ensuring the success of patient participation, especially concerning infectious diseases in developing countries.
Problem Statement
Our exploration into the challenges and opportunities associated with patient safety participation in third-world countries commences with a succinct sentence. This sentence serves as a gateway, asserting the indispensable nature of patient participation in these regions. According to our assertion, patient participation is not just a component but a critical cornerstone that must be adhered to, as it forms the bedrock for redesigning healthcare processes. The subsequent narrative expands on the importance and magnitude of the problem under study, buttressed by insights gleaned from past studies, such as those from the National Health Services, as highlighted by Vaismoradi et al. (2015).
Clinical/PICO Questions
This segment, a critical juncture in our research, consists of qualitative phenomenon descriptions and clinical questions. The essence of these inquiries revolves around the impact of patient participation on safety, teaching, and the extent of stay for patients admitted to hospitals in third-world countries. These questions are poised to unravel key insights that will contribute significantly to our understanding of the complex dynamics at play.
Sample
In our pursuit of a robust and representative sample, we employ a diverse array of methodologies. Our primary approach involves the utilization of electronic databases to access peer-reviewed and evidence-based journal articles. This approach ensures a comprehensive and systematic evaluation of existing knowledge. A secondary evaluative method involves integrative procedures and methodical reviews, aimed at synthesizing various determinants to enrich our understanding.
Hypothesis and Qualitative Variables
This section of our research is dedicated to demonstrating various phenomena and variables, with a particular emphasis on qualitative variables. Drawing on the guidance of Creswell (2013), we opt for a mixed methods approach, incorporating insights from various peer-reviewed articles that utilize qualitative variables. Our hypothesis posits that patient safety participation education contributes significantly to the provision of quality care for infectious diseases in developing countries.
Methodology & Design
Given the considerations against a mixed methods approach, our chosen methodology for this research is qualitative. We opt for methods such as interviews and participant observation, aligning with the nature of patient safety participation. The rationale behind this choice lies in the acknowledgment that these methods are best suited to identify and describe the most appropriate methodological approach to answer our clinical questions while effectively addressing the problem statement. Our research design encompasses both descriptive surveys and a literature review.
Purpose Statement
The purpose of our qualitative study is to delve deeper into the realm of patient safety participation education, specifically within the context of infectious diseases prevalent in third-world countries. This section not only serves to articulate our research’s overarching goal but also meticulously outlines the elements critical to the study. It aims to discern the problem as articulated in the problem statement, outline the qualitative method, clarify the project design, define the target population and geographical location, and finally, underscore the phenomenon under study. The purpose statement, in essence, functions as a compass, guiding our research endeavors and providing a roadmap for the entire project.
Data Collection Approach
This pivotal section of our project encompasses a detailed exploration of the size and characteristics of the sample population under scrutiny. Data collection for this study is primarily sourced from peer-reviewed articles, providing not only substantive information but also detailing the methodology involved. This includes a meticulous discussion of the findings based on the search processes, as exemplified in Melnyk & Fineout-Overholt’s (2015) article. The data collection approach is not confined to mere observation and analysis; it also incorporates a self-study process, leveraging a pre-identified expected sample size from the target population. This step-by-step procedure ensures a comprehensive approach, utilizing instruments, tools, or databases as previously mentioned.
Data Analysis Approach
Our approach to data analysis is characterized by a meticulous overview of the methods employed. For each hypothesis presented in the study, statistical analyses, including inferential and descriptive statistics, are used to analyze the data comprehensively. Notably, the data analysis approach pivots towards techniques of qualitative data analysis, tailored to the specificities of our project design, as elucidated by Creswell (2013). In this qualitative study, our analytic approach is fine-tuned to the nuances of the research, acknowledging that patient safety participation education is a linchpin in improving patient care in third-world countries. This approach provides the requisite information and data essential for an overarching improvement in patients’ general care.
References
Creswell, J. W. (2013). Qualitative inquiry & research design: Choosing among five approaches. Los Angeles, CA: Sage.
Dyrstad, D. N., & Storm, M. (2017). Interprofessional simulation to improve patient participation in transitional care. Scandinavian Journal of Caring Sciences, 31, 2, 273-284.
Kanerva, A., Lammintakanen, J., & Kivinen, T. (2013). Patient safety in psychiatric inpatient care: a literature review. Journal of Psychiatric and Mental Health Nursing, 20, 6, 541-548. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22776063
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare a guide to best practice. (3rd ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins
Ocloo, J. E., & Fulop, N. J. (2012). Developing a ‘critical’ approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?. Health Expectations, 15(4), 424-432 9p. doi:10.1111/j.1369- 7625.2011.00695.x. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104432881&site=eds-live&scope=site
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts’ views. International Journal of Nursing Practice, 22, 5, 461-469. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/27507224
Tobiano, G., Bucknall, T., Marshall, A., Guinane, J., & Chaboyer, W. (2015). Nurses’ views of patient participation in nursing care. Journal of Advanced Nursing, 71, 12, 2741-2752. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26216742
Vaismoradi, M., Jordan, S., & Kangasniemi, M. (2015). Patient participation in patient safety and nursing input – a systematic review. Journal of Clinical Nursing, 24(5/6), 627-639 13p. doi:10.1111/jocn.12664 Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login
Vincent C (2010). Patient Safety, 2nd ed. Wiley-Blackwell/BMJ books, Oxford.
World Health Organization (WHO) (2015). Patient Safety. World Health Organization. Available at: http://www.euro.- who.int/en/what-we do/health-topics/ Health-systems/patient-safety (accessed 11th August 2015). Retrieved from http://www.euro.who.int/en/health-topics/Health-systems/patient-safety
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