Abstract
Quality improvement methods are vital in treating biopsychosocial conditions. Diabetes is a chronic disease that requires follow-up care to prevent comorbidities. With an increased population suffering from diabetes, mainly type 2 diabetes, traditional treatments are ineffective, and a new treatment approach should be adopted. While this is deemed a plausible solution to curb the increase of diabetes, research indicates that 70% of quality improvement initiatives fail within twelve months of implementation (O’Donoghue et al., 2021). Therefore, stakeholders must follow proposed improvements methods closely to achieve meaningful and sustainable change. To combat widespread chronic diseases such as diabetes, strategies such as self-management support, intensified treatment, encouraged physical activity, and patient education plays a crucial role in managing a patient’s condition. The disease heavily relies on one self-management abilities. The proposed strategies aim to achieve patient adherence to prevent other health effects that can be otherwise be contained and ensure that mental distress often experienced by diabetes patients is adequately dealt with.
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Quality Improvement Presentation PosterYudelca Collado
Capella UniversityBiopsychosocial Concepts for Advanced Nursing Practice I
Quality Improvement Presentation Poster1/27/2022
Quality Improvement Methods
• The word “quality improvement” refers to the practice of enhancing the intended outputs of an existing process. Typically, this would need previous knowledge of the process and the areas that may be improved.
• Once a problem has been identified, it is critical to develop a plan of action to improve the outcomes in that area. Recent studies have indicated the sufficient evidence-to-clinical practice gap in diabetes care (Mukerji et al., 2019). Upon discovering this, several plans of action are required to improve the gaps in care delivery towards diabetes patients.
• While most providers concentrate on the physical aspect of the patient’s health, research indicates that diabetes patients are often affected by depression and diabetes distress ( Gary et al., 2019). This results in underdiagnosis and undertreatment of diabetes patients, which impedes patients’ chances of managing their health condition.
• With the identification of this, challenges within primary care must be addressed to ensure that there is sufficient screening for both depression and diabetes distress.
• Several strategies must be applied to sufficiently monitor the patient: self-management support, intensified treatment, encouraged physical activity, and patient education.
• To prevent overwhelming the patient and the provider in charge, the changes must be implemented on small, scalable stages whereby the efficiency is measured and evaluated at each stage.
• During these stages, the quality improvement methods are evaluated to ensure that their objectives are met and analyzed to identify any positive or negative impacts on the patient recovery progress.
• The strategies can be modified and improved upon observed evaluation to achieve desired results.
• The change strategy proposed would involve physicians, nurses, certified diabetes educators, nutritionists, and mental health professionals.
• These teams would coordinate the patient’s treatment plan based on evidence-based best practices.
• Through an interprofessional collaboration, the teams would identify effective strategies to manage diabetes and self-care.
Evidence Supporting QI Methods
• Self-Management support. Patients with type 2 diabetes are often likely to have poor adherence to glucose level medication, cholesterol, and blood sugar (Gary et al., 2019). Self-care is critical in diabetes patients in the reduction of disease complications. Self-care behaviors involve proper nutrition, regular glucose monitoring, daily exercise, and adequate medication.
• Intensified treatment. Limited training on handling diabetes patients has played a vital role in treating patients suffering from the disease. Studies have shown that 50% of patients with diabetes remain unscreened for depression (Gary et al., 2019). Having identified this, healthcare providers are encouraged to conduct complete health assessments to diagnose the patient thoroughly.
• This will involve the deployment of specialist health personnel in healthcare facilities to ensure that patients’ mental health is screened regularly to accurately distinguish symptoms of depression or diabetic distress from signs of physical illness.
• Stress management. Regular physical exercise is vital for diabetes patients to control their glycemic levels. This lowers the chances of depression which is significantly increased due to lower physical activity ( Williams et al., 2016).
• Education. Patients need to be educated on how to manage their diabetic conditions, read their glycemic levels, and seek social support systems. Training camps for health personnel should be implemented to ensure that physicians are sufficiently able to diagnose depression diabetes distress, re-evaluate patients’ conditions and apply the effective treatment (O’Donoghue et al., 2021).
Kent, B. (2019). Implementing research findings into practice. International Journal of Evidence-Based Healthcare, 17, S18-S21.
Mukerji, G., Halperin, I., Segal, P., Sutton, L., Wong, R., Caplan, L., … & Gilmour, J. A. (2019). Beginning a diabetes quality improvement project. Canadian journal of diabetes, 43(4), 234-240.
O’Donoghue, S. C., DiLibero, J. & Altman, M. (2021). Leading sustainable quality improvement. Nursing Management (Springhouse), 52(2), 42-50.
Owens-Gary MD, Zhang X, Jawanda S. The importance of addressing depression and diabetes distress in adults with type 2 diabetes. J Gen Intern Med. 2019;34(2):320-324. https://doi.org/10.1007/s11606-018-4705-2
Taylor, J. (2016). Continuous improvement in clinical care. British Journal of Nursing, 25(18), S41.
Williams, J.S., Winchester R.J., & Wolfman T.E. Depressive symptoms, serious psychological distress, diabetes distress and cardiovascular risk factor control in patients with type 2 diabetes. J Diabetes Complications. 2016; 30: 312-317
Quality improvement
Potential Challenges
• Achieving sustainable outcomes in Quality Improvement programs is always challenging. To achieve positive changes educating staff on implementing the changes and enforcing their adherence is vital.
• Based on the complexity that health personnel encounter in terms of human aspects of change which creates resistance amongst patients during a cultural shift in the health sector (Gary et al., 2019).
• Effective communication should be applied across all stakeholders to ensure the success of the strategies to ease compliance with the new measures.
References
Evidence presented by recent studies shows that early and proper screening can effectively prevent and treat depression and diabetes distress which results in improved diabetes self-management and quality of life amongst patients living with type 2 diabetes (Williams et al., 2016).
Inter-professional teams
Overall Project Benefits
If the recommended quality improvement technique provides ideal results, the procedure might be standardized.
By making quality improvement a continuous process, patients will get consistent, high-quality care, and teams will be able to increase communication and cooperation.
Working collaboratively, physicians, nurses, and mental health experts may be able to identify gaps in patient safety throughout the implementation of change approaches.
This study source was downloaded by 100000855641916 from CourseHero.com on 01-03-2023 03:05:19 GMT -06:00
https://www.coursehero.com/file/137101090/NURS-FPX6021-Assessment-3-Yudelca-Collado-Quality-Improvement-Presentation-Poster-1-2pptx/
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