NURS 8114 Framing a Practice Problem as a Critical Question With Measurable Outcomes
Critical Question: Can a nurse education program enhance their ability and knowledge in teaching self-management approaches to patients newly diagnosed with Type 2 Diabetes?
Explanation of the Critical Question
The question arises from the lack of information provided to individuals newly diagnosed with Type 2 Diabetes. Educating patients is crucial for improving their outcomes (Tigestu et al., 2022). This education helps patients understand their condition, its causes and triggers, how to prevent complications, and the lifestyle adjustments needed for a healthier life (Banstola et al., 2022). However, the nursing profession faces challenges in this regard, including a lack of expertise in patient education, limited time, and inadequate educational resources.
Struggling to meet your deadline?
Get your assignment on NURS 8114 Framing a Practice Problem as a Critical Question With Measurable Outcomes done by certified MDs and PhDs in the USA. ORDER NOW!
Scholarships for First-Generation Nursing Students
Summary of Articles
To address this critical question, two articles were reviewed. First, Chou et al. (2022) explored how a training program can enhance nurses’ abilities, knowledge, and confidence in providing patient-centered care. They found that nurses often struggled to adapt to a multidisciplinary team approach in patient-centered care for chronic diseases. The study showed that a community nurse training program tailored to the needs of the nurses effectively bridged the knowledge gap, strengthening their skills and knowledge.
The second article by Romero-Castillo et al. (2022) focused on diabetes, a chronic condition that requires significant patient self-care. A nurse diabetes educator conducted a four-session teaching program. The study aimed to improve patients’ understanding of nutrition and treatment management. The results indicated better glucose control and mood improvement among patients who received this education. This study can help determine the impact of diabetes education on patient self-care and therapy, leading to reduced short- and long-term complications and healthcare costs.
Stakeholder Involvement
When patients receive proper education, their self-care practices significantly improve. Currently, there are no certified experts for diabetes education, making nurses the primary healthcare professionals responsible for educating patients (Romero-Castillo et al., 2022). However, nurses face challenges, including a lack of expertise, time constraints, and limited resources. Overcoming these obstacles is crucial to ensure that nurses can effectively educate patients about diabetes and contribute to a healthier population (Khan & Kazmi, 2022). Many experts emphasize the importance of nurse training to enhance their ability to provide patient education.
Conclusion
Advanced practice diabetic nurses play a crucial role in educating patients about self-care and health management. Proper education not only reduces complications from poor glycemic control but also empowers patients to manage home therapy independently. The reviewed studies provide a scientific foundation for the necessity of organized and up-to-date training programs. Increasing patients’ awareness can lead to lower healthcare costs by preventing complications like hypoglycemia, ketoacidosis, foot ulcers, and insulin errors. It can also improve the emotional well-being and quality of life for patients with diabetes.
References
Banstola, P., Yadav, D. K., & Pandey, R. (2022). Assessment of Self-care practices, Treatment satisfaction and Quality of Life among Diabetes Type2 Patients in Pokhara, Nepal. MedS Alliance Journal of Medicine and Medical Sciences, 2(3), 63–69. https://doi.org/10.3126/mjmms.v2i3.47751
Chou, C. Y., Le, K. M., & Low, J. A. (2022). Community nurses’ perspectives on a novel blended training approach: A qualitative study. BMC Nursing, 21, 1-9. https://doi.org/10.1186/s12912-022-00893-3
Khan, Z., & Kazmi, U. E. R. (2022). Diabetes Self Care, Resilience and Quality of Life among Patients with Type II Diabetes. Pakistan Journal of Health Sciences, 55–58. https://doi.org/10.54393/pjhs.v3i06.185
Romero-Castillo, R., Pabón-Carrasco, M., Jiménez-Picón, N., & Ponce-Blandón, J. A. (2022). Effects of nursing diabetes self-management education on glycemic control and self-care in type 1 diabetes: Study protocol. International Journal of Environmental Research and Public Health, 19(9), 5079. https://doi.org/10.3390/ijerph19095079
Tigestu, A. D., Namara, K. M., Yifter, H., & Manias, E. (2022). Development of a complex intervention for effective management of type 2 diabetes in a developing country. Journal of Clinical Medicine, 11(5), 1149. https://doi.org/10.3390/jcm11051149
Psychiatric mental health Nursing
Psychiatric mental health nurses have a vital role in promoting the mental well-being of individuals and their loved ones. They work in environments where they may be at risk of harm from patients, their family members, and even colleagues. Ensuring a safe working environment for these nurses is essential. Unfortunately, research shows that psychiatric mental health nurses often experience various forms of violence in their workplace. This critical question focuses on workplace violence and aggression towards mental health nurses.
Summary of the Critical Question
The critical question centers on workplace violence and aggression experienced by mental health nurses. Both psychiatric nurses and other healthcare professionals increasingly face the risk of workplace violence. Violence in mental healthcare settings has risen significantly, making nurses working in these environments more vulnerable to harm and injuries compared to those in other healthcare fields (Niu et al., 2019). Shockingly, around 40-65% of nurses working in psychiatric inpatient and outpatient units have encountered workplace violence, which has adverse effects on their health. There are several reasons for the heightened risk of psychiatric nurses to workplace violence. They care for patients with substance use disorders, psychotic symptoms, and mood disorders, which can lead to challenging situations (Konttila et al., 2021). Additionally, suboptimal working conditions contribute to their exposure to violence. Workplace violence can have severe psychological and physical consequences for psychiatric nurses. For example, continuous exposure to workplace violence can result in post-traumatic stress disorder, which can persist for up to four years. The impact of workplace violence on the U.S. healthcare system is substantial, costing approximately $2.7 billion to address workplace violence and its effects on nurses and other healthcare providers (Dean et al., 2021; Havaei, 2021). Thus, it is crucial to implement interventions to prevent and reduce violence against psychiatric nurses for their well-being.
Summary of the Articles
Several articles were examined concerning this critical question, including works by Dean et al. (2021), Havaei (2021), and Konttila et al. (2021). Konttila et al.’s study explored the occurrence of workplace violence and its psychological consequences among nurses in psychiatric outpatient settings. They found that many nurses had experienced psychological violence in the year before the study. The most common consequence reported was fatigue, and forms of violence like harassment left nurses feeling violated, while physical violence caused insomnia. The study recommended the implementation of de-escalation interventions to prevent and eliminate workplace violence against psychiatric nurses.
Dean et al. (2021) investigated the impact of workplace violence on psychiatric mental health nurses, identifying facilitators and barriers to accessing support resources in psychiatric settings. Using a qualitative approach, nurses shared their experiences with workplace violence. Their accounts revealed that psychiatric nurses frequently encountered workplace barriers, sought to understand them, and expressed the need for support mechanisms for affected individuals. They also highlighted barriers that affected their willingness to seek support following workplace violence incidents.
Havaei (2021) examined whether the type of workplace violence experienced by psychiatric nurses affected their mental health. This exploratory correlational study involved nurses from British Columbia, Canada. The data analysis showed a significant increase in mental health problems among psychiatric nurses exposed to workplace violence. Those with indirect exposure experienced mild mental health issues, while those directly exposed to workplace violence reported problems like anxiety, post-traumatic stress disorder, burnout, and depression compared to those without any exposure to workplace violence.
Value of Addressing the Critical Question
The evidence presented in these articles highlights the detrimental effects of workplace violence on the mental and physical well-being of psychiatric nurses. Exposure to violence puts them at risk of anxiety, depression, insomnia, and post-traumatic stress disorder. It also leads to burnout, which impacts job satisfaction, the quality of nursing care, and patient safety (Havaei, 2021). Addressing this issue as part of quality improvement efforts is crucial because it affects all aspects of psychiatric care. Not all nurses report their experiences with workplace violence, and a quality improvement approach provides an opportunity for all stakeholders to explore effective, evidence-based interventions to prevent workplace violence effectively. Additionally, addressing it as a quality improvement initiative can transform the organizational culture (Konttila et al., 2021). Implementing best practices for violence prevention based on the existing culture can lead to safety and sustainable changes in the organization.
Conclusion
In summary, psychiatric nurses are highly vulnerable to workplace violence compared to other healthcare providers in different settings. Workplace violence negatively affects the mental and physical well-being of psychiatric nurses, as well as the safety, quality, and efficiency of psychiatric care for patients. Therefore, addressing this issue as a quality improvement initiative is crucial to transform healthcare systems, create lasting changes, and establish a culture of staff safety.
References
Dean, L., Butler, A., & Cuddigan, J. (2021). The Impact of Workplace Violence Toward Psychiatric Mental Health Nurses: Identifying the Facilitators and Barriers to Supportive Resources. Journal of the American Psychiatric Nurses Association, 27(3), 189–202. https://doi.org/10.1177/10783903211010945
Havaei, F. (2021). Does the Type of Exposure to Workplace Violence Matter to Nurses’ Mental Health? Healthcare, 9(1), Article 1. https://doi.org/10.3390/healthcare9010041
Konttila, J., Holopainen, A., Pesonen, H.-M., & Kyngäs, H. (2021). Occurrence of workplace violence and the psychological consequences of it among nurses working in psychiatric outpatient settings. Journal of Psychiatric and Mental Health Nursing, 28(4), 706–720. https://doi.org/10.1111/jpm.12723
Niu, S.-F., Kuo, S.-F., Tsai, H.-T., Kao, C.-C., Traynor, V., & Chou, K.-R. (2019). Prevalence of workplace violent episodes experienced by nurses in acute psychiatric settings. PLOS ONE, 14(1), e0211183. https://doi.org/10.1371/journal.pone.0211183
Dont wait until the last minute.
Provide your requirements and let our native nursing writers deliver your assignments ASAP.