My clinical change project is highly significant to nursing since employing population-based health care delivery for patients with type 2 diabetes aim to achieve and maintain health while enhancing care quality and decreasing the associated costs of medical management(Ariosto et al., 2018). My change project pertains to initiating a population care, which then creates a registry in the EMR for patients diagnosed with type 2 diabetes in order to monitor their health, to avail of preventive practices (annual foot exams, quarterly lab monitoring, medication adherence programs, access to health education and nutritionists, and screening for diabetic retinopathy). As nurses, we see first-hand the detrimental and at times fatal complications of uncontrolled diabetes upon our patients. It is our responsibility to conduct accurate assessment and recognize issues that negatively impact the patients’ health and well-being (Ariosto et al., 2018). Furthermore, by standardizing population-based health care for those with type 2 diabetes, care disparities between racial and ethnic groups may decrease the gap; social determinants of health are incorporated into population-based care, therefore decreasing the health inequalities (Ariosto et al., 2018).
My project encompasses the core graduate nursing competencies, such as patient-centered care, social equity, cultural appropriateness, evidence-based practice, health promotion, and disease prevention. Employing the use of population-based care provides extensive health delivery by a multidisciplinary team that focuses on the care is the patient, and in this particular circumstance, patients who are diagnosed with type 2 diabetes. In addition, a population care program for type 2 diabetics promote tertiary prevention (prevention of complications, such as eye disease or vision loss, neuropathy, kidney disease, microvascular and macrovascular complications, and amputations) and health education (disease process, proper nutrition – low fat and low carbohydrate diet, weight management, medication management) with the use of evidence-based practices (Goyal et al., 2023). Taking into account the patients’ culture, values, and current social determinants of health (housing, education, access to resources), social equity and cultural appropriateness can be achieved (Nair & Adetayo, 2019). Furthermore, cultural competence relies on the collaboration of individual from varying cultures, which then fosters an environment of diversity and inclusivity (Nair & Adetayo, 2019).
References:
Ariosto, D. A., Harper, E. M., Wilson, M. L., Hull, S. C., Nahm, E. S., & Sylvia, M. L. (2018). Population health: A nursing action plan. JAMIA Open, 1(1), 7–10. https://doi.org/10.1093/jamiaopen/ooy003Links to an external site.
Goyal, R., Singhal, M. & Jialal, I. (2023). Type 2 diabetes. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK513253/Links to an external site.
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