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NURS FPX 6011 Assessment 1 Concept Map

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Capella University

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

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Evidence-Based Patient-Centered Needs Assessment

An evidence-based, individualized needs evaluation is essential for medical care that examines and comprehends patients’ needs. Diabetes Mellitus (DM) is an advanced and persistent illness that necessitates continual care and engagement with the medical system (Pinchevsky et al., 2020). DM impacts millions of people globally, and hyperglycemia is more common in adolescents, leading to more chances of untreated diabetes in people over the age of 40 (Willer et al., 2023). The present prevalence and impact of diabetes in adult people have demonstrated that an in-depth needs assessment is required to enhance their well-being. This assessment intends to perform a patient-centered needs evaluation to improve DM patient participation and outcomes for diabetic patients.

Importance of Addressing Patient Engagement

Diabetes causes glycemic abnormalities, including insulin secretion deficiencies. It is estimated that up to 175 million individuals have DM but have not been diagnosed. The percentage varies from 24.1% to 75.1% of all DM cases in different countries (Pinchevsky et al., 2020). Considering patient engagement when dealing with a health condition like diabetes is critical to attaining the best health possible. Medical providers can assist patients in making informed decisions by engaging them in their treatment. Furthermore, addressing DM patients’ financial and cultural preferences makes care interventions appropriate and effective for managing DM patients and improving their safety.

Medical interventions can enhance patient trust, autonomy, and satisfaction by mitigating health inequities and fostering justice (Walker et al., 2023). Furthermore, understanding cultural norms enables treatment options to be effective if they are suitable for the views and beliefs of adult diabetes patients, enhancing treatment plan compliance. Managing diabetes in adults by applying evidence-based strategies ensures that care therapies are supported by clinical competence (Aloke et al., 2022). It ensures that medical professionals make informed choices and guidelines based on the most recent and relevant information (Timpel et al., 2019).

Patient Engagement Strategies

Patient engagement methods are critical for diabetes care because they promote self-care. Moreover, it promotes healthy lifestyle habits. Personalizing treatments to cultural customs, linguistic preferences, and community assets improves patients’ involvement (Campbell et al., 2020). Educational intervention offers comprehensive and transparent educational resources regarding diabetes, its associated risks, and relevant care therapies, encouraging patients to participate actively in their care plan. Adolescent DM patients can learn about their health needs through educational seminars and guidelines (Ghoreishi et al., 2019). 

Promoting a Shared Decision-Making (SDM) approach between medical personnel and diabetic patients facilitates coordinated care planning. Medical professionals can involve adult DM patients in SDM by addressing treatment options that integrate interventions based on their values and choices (Wang et al., 2019). Incorporating self-monitoring and recording tools allows adult diabetes patients to track their glucose levels, manage medication compliance, and document lifestyle factors, which can increase involvement. For example, mobile applications, wearable devices, and online services enable DM patients to receive alerts, gather information, and receive personalized input, promoting active health management (Shan et al., 2019).

Use and Impact of Information and Communication Technology (ICT)

ICT tools significantly improve the understanding and management of DM in adult patients. They allow adult DM patients to recognize and manage issues such as blood sugar levels and lifestyle modifications. These tools promote increased participation and a better understanding of adolescent diabetes issues (Jeffrey et al., 2019). For instance, mobile apps for diabetes patients’ health can significantly improve health awareness among DM patients.

These applications incorporate symptom monitoring, instructional materials, and interactive features to assist patients in understanding their illness better. They provide a convenient and quick method for adult patients to access health information, explore therapy options, and enhance self-care skills (Jeffrey et al., 2019)

NURS FPX 6011 Assessment 1 Concept Map

Telehealth offers online counseling and consultations, allowing adult DM patients to communicate directly with physicians. This approach is critical to promoting awareness about lifestyle and self-care, allowing for customized information sharing and addressing concerns. Telehealth allows adult patients to comprehend their issues better, which is critical for optimal treatment and care compliance (Rosta et al., 2023). Online educational sites and forums offer extensive knowledge on different aspects of diabetic patients’ health. These forums provide valuable knowledge for DM patients and their families, including diagnosing symptoms, managing therapy approaches, and self-care education (McDowell et al., 2023).

However, areas of uncertainty must be addressed. Additional investigation is required to assess the enduring influence of ICT resources on DM patients’ health literacy. There is also a need to explore the accessibility and affordability of ICT technology among adult DM patients from diverse financial, educational, and cultural backgrounds (Jeffrey et al., 2019). Identifying impediments to use and access, like inadequate digital literacy, can assist in identifying solutions to enable equal access and use of these technologies (McDowell et al., 2023).

Value and Relevance of Technology Modalities

Assessing the significance and relevancy of different technological modalities in fulfilling adult DM patients’ needs involves examining the impact of modality in promoting patient involvement in a moral, culturally competent, and equitable way. Mobile apps for managing DM patients are valuable because of their portability and personalized system. These apps can be culturally competent by providing features in numerous languages and supporting varied cultural backgrounds (Newton et al., 2020).

They encourage open discussions by offering adult patients a confidential forum to express their concerns and track their health conditions. Furthermore, these apps can simplify complicated medical terms into simple English, making health concepts available to adult patients irrespective of their educational status (Fitzpatrick, 2023).

NURS FPX 6011 Assessment 1 Concept Map

Telehealth services are crucial because they enable real-time, customized care. Direct interaction among patients and medical staff enhances patient participation by promoting transparent discussion. Telehealth can be adapted to different cultural settings, delivering services that address various communities’ language and cultural demands. Video conferencing in telehealth can help DM patients and their families comprehend health issues (Rosta et al., 2023). Online forums and educational resources facilitate the exchange of reliable information for self-care. 

They promote patient involvement by offering readily available tools that can be adapted to varied cultural and academic backgrounds (McDowell et al., 2023). Health Insurance Portability and Accountability Act (HIPAA) obedience is vital for data privacy (Galvin & DeMuro, 2020). The tools ensure accurate, precise, and relevant patient health information, enhancing engagement and facilitating coordinated care for adult DM patients through technology integration (Fitzpatrick, 2023). 

Innovative Strategies for Leveraging Technology

Integrating technology can assist adult DM patients in receiving culturally and linguistically appropriate therapy (Gonzalez et al., 2021). Establishing mobile apps that deliver DM management guidelines in several languages while considering cultural competency can improve availability and engagement. Furthermore, bilingual diabetes management apps increase knowledge and self-care abilities among demographically varied patients (Alrazaq et al., 2021).  

Research by Shin et al. (2021), revealed that including language translation services and multilingual staff in telehealth services is critical for overcoming linguistic obstacles. This assures adult patients from languages other than English have equal access to medical care, providing linguistically and culturally relevant interventions.

Telehealth services, like video conferences and distant surveillance, provide linguistically and culturally compatible care for adult DM patients. Incorporating telehealth solutions within the care paradigm assures that DM patients receive reliable and effective care. Telehealth solutions can support efficient communication between patients and physicians, allowing for continuous evaluations and care plan improvements without in-person visits. It is crucial for adult DM patients who struggle to obtain traditional healthcare services due to geographic or transport problems. Telehealth enables equitable access to medical care regardless of geographical location through confidential online consultations (Rosta et al., 2023).

Mitigating the Risk of Adverse Outcomes

The recommended approaches, like mobile apps and telehealth services, can reduce the risk of DM-related effects. Mobile apps can offer an effective way for adult DM patients to access individualized medical information. For example, the mobile app has provided patients authority over medical data while maintaining privacy. Furthermore, mobile apps enabled diabetic patients to learn self-care and glucose management, minimizing complications (Kwan et al., 2023). Telehealth allows virtual access to medical facilities, removing geographical boundaries and improving access to treatment for DM patients living in distant places. For example, Rosta et al. (2023), revealed that telehealth enables patients with restricted access to physical therapy to acquire prompt and culturally relevant medical care.

Linguistic translation services assist in overcoming linguistic obstacles by converting medical data into multiple languages (Shin et al., 2021). These resources improve interaction among medical staff and patients with limited English competency, enabling equal accessibility to medical services. For example, employing automatic translation strategies in medical settings has enhanced understanding and accessibility to medical information for all adult DM patients (Mehandru et al., 2022).

Conclusion

An individualized needs evaluation offers beneficial knowledge about adult DM patients’ needs. Medical professionals can customize therapies and use technology modalities by considering particular financial and cultural needs. Medical professionals can encourage patient engagement by promoting culturally and linguistically appropriate strategies.

References

Aloke, C., Egwu, C. O., Aja, P. M., Obasi, N. A., Chukwu, J., Akumadu, B. O., & Achilonu, I. (2022). Current advances in the management of diabetes mellitus. Biomedicines10(10), 2436. https://doi.org/10.3390%2Fbiomedicines10102436

Alrazaq, A. A., Suleiman, N., Baagar, K., Jandali, N., Alhuwail, D., Abdalhakam, I., & Househ, M. (2021). Patients and healthcare workers experience with a mobile application for self-management of diabetes in Qatar: A qualitative study. Computer Methods and Programs in Biomedicine Update1, 100002. https://doi.org/10.1016/j.cmpbup.2021.100002

Campbell, J. A., Yan, A., & Egede, L. E. (2020). Community-based participatory research interventions to improve diabetes outcomes: A systematic review. The Diabetes Educator46(6), 527-539. https://doi.org/10.1177/0145721720962969

Fitzpatrick, P. J. (2023). Improving health literacy using the power of digital communications to achieve better health outcomes for patients and practitioners. Frontiers in Digital Health5https://doi.org/10.3389/fdgth.2023.1264780

NURS FPX 6011 Assessment 1 Concept Map

Galvin, H. K., & DeMuro, P. R. (2020). Developments in privacy and data ownership in mobile health technologies, 2016-2019. Yearbook of Medical Informatics29(01), 032-043. https://doi.org/10.1055/s-0040-1701987

Ghoreishi, M. S., Vahedian-Shahroodi, M., Jafari, A., & Tehranid, H. (2019). Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes & Metabolic Syndrome: Clinical Research & Reviews13(3), 2049-2056. https://doi.org/10.1016/j.dsx.2019.04.045

Gonzalez, C., Early, J., Gordon-Dseagu, V., Mata, T., & Nieto, C. (2021). Promoting culturally tailored mHealth: A scoping review of mobile health interventions in Latinx communities. Journal of Immigrant and Minority Health23(5), 1065-1077. https://doi.org/10.1007/s10903-021-01209-4

Jeffrey, B., Bagala, M., Creighton, A., Leavey, T., Nicholls, S., Wood, C., Longman, J., Barker, J., & Pit, S. (2019). Mobile phone applications and their use in the self-management of type 2 diabetes mellitus: A qualitative study among app users and non-app users. Diabetology & Metabolic Syndrome11(1). https://doi.org/10.1186/s13098-019-0480-4

Kwan, Y. H., Ong, Z. Q., Choo, D. Y. X., Phang, J. K., Yoon, S., & Low, L. L. (2023). A mobile application to improve diabetes self-management using rapid prototyping: Iterative co-design approach in Asian settings. Patient Preference and Adherence, 1-11. https://doi.org/10.2147%2FPPA.S386456

McDowell, J. R., Mehar, S., Chandok, R. S., & Watson, W. A. (2023). Digital enabled learning for people with diabetes post COVID‐19 pandemic. Practical Diabetes40(5), 29-34a. https://doi.org/10.1002/pdi.2477

Mehandru, N., Robertson, S., & Salehi, N. (2022). Reliable and safe use of machine translation in medical settings. 2022 ACM Conference on Fairness, Accountability, and Transparencyhttps://doi.org/10.1145/3531146.3533244

NURS FPX 6011 Assessment 1 Concept Map

Pinchevsky, Y., Butkow, N., Raal, F. J., Chirwa, T., & Rothberg, A. (2020). Demographic and clinical factors associated with development of type 2 diabetes: A review of the literature. International Journal of General Medicine, 121-129. https://doi.org/10.2147/IJGM.S226010

Rosta, L., Menyhart, A., Mahmeed, W. A., Al-Rasadi, K., Al-Alawi, K., Banach, M., & Rizzo, M. (2023). Telemedicine for diabetes management during COVID-19: What we have learnt, what and how to implement. Frontiers in Endocrinology14, 1129793. https://doi.org/10.3389/fendo.2023.1129793

Shan, R., Sarkar, S., & Martin, S. S. (2019). Digital health technology and mobile devices for the management of diabetes mellitus: State of the art. Diabetologia62, 877-887. https://doi.org/10.1007/s00125-019-4864-7

Shin, T. M., Ortega, P., & Hardin, K. (2021). Educating clinicians to improve telemedicine access for patients with limited English proficiency. Challenges12(2), 34. https://doi.org/10.3390/challe12020034

Timpel, P., Lorenz Harst, Reifegerste, D., Weihrauch-Blüher, S., & Peter. (2019). What should governments be doing to prevent diabetes throughout the life course? Diabetologia62(10), 1842–1853. https://doi.org/10.1007/s00125-019-4941-y

Walker, A. F., Graham, S., Maple-Brown, L., Egede, L. E., Campbell, J. A., Walker, R. J., Wade, A. N., Jean Claude Mbanya, Long, J. A., Chittaranjan Yajnik, Thomas, N., Osagie Ebekozien, Oriyomi Odugbesan, DiMeglio, L. A., & Agarwal, S. (2023). Interventions to address global inequity in diabetes: international progress. The Lancet402(10397), 250–264. https://doi.org/10.1016/s0140-6736(23)00914-5

Wang, M.-J., Hung, L.-C., & Lo, Y.-T. (2019). Glycemic control in type 2 diabetes: Role of health literacy and shared decision-making. Patient Preference and AdherenceVolume 13, 871–879. https://doi.org/10.2147/ppa.s202110

Willer, K. A., Leutner, M., & Harreiter, J. (2023). Sex differences in type 2 diabetes. Diabetologia66(6), 986-1002. https://doi.org/10.1007%2Fs00125-023-05891-x

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