Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Name

Capella university

NURS-FPX 4900 Capstone project for Nursing

Prof. Name

Date

Intervention Presentation and Capstone Video Reflection

Good afternoon, everyone! My name is ——–, and I appreciate you all for joining me for this video presentation. Today, I’ll discuss the evidence-based intervention I developed and implemented in my capstone project. This intervention plan was designed explicitly for Jonathan Thompson, a middle school teacher recently diagnosed with Type 2 Diabetes (T2D), who faced challenges in managing his condition effectively. Let’s explore how this intervention plan significantly improved Jonathan’s health outcomes and overall quality of life.

Contribution of an Intervention to Patient Satisfaction and Quality of Life

The intervention for Jonathan Thompson’s Type 2 Diabetes included a comprehensive diabetes education program, Continuous Glucose Monitoring (CGM) systems, telemedicine, and enhanced care coordination among his healthcare team and community resources. This intervention implemented for Jonathan Thompson to manage Type 2 Diabetes (T2D) significantly enhanced his satisfaction and quality of life, as well as that of his family. Jonathan shared that the comprehensive diabetes education program greatly empowered him and his family by increasing their understanding of T2D and equipping them with essential self-management strategies, lifestyle modifications, and medication adherence techniques.

They particularly appreciated the Continuous Glucose Monitoring (CGM) systems and telemedicine, which made managing the condition more convenient and less stressful by enabling remote monitoring and virtual consultations. The improved care coordination among Jonathan’s healthcare team ensured a holistic, patient-centered approach that addressed his unique needs and preferences, leading to more effective and personalized care. This approach was instrumental in improving Jonathan’s health outcomes and overall well-being.

However, Jonathan also mentioned difficulty with the initial setup and learning curve associated with the new CGM system. It took him some time to become comfortable with the technology and integrate it seamlessly into his daily routine. Despite this initial challenge, Jonathan and his family found that the ongoing support and education provided by the healthcare team helped them overcome this hurdle, ultimately enhancing their ability to manage T2D effectively. Overall, the intervention’s focus on comprehensive, personalized, and accessible care significantly improved Jonathan’s and his family’s satisfaction and quality of life, as evidenced by their positive feedback and increased confidence in managing his condition.

Use of Evidence and Peer-Reviewed Literature to Plan and Implement a Capstone Project

In planning and implementing my capstone project for Jonathan Thompson’s Type 2 Diabetes (T2D) management, I extensively used evidence and peer-reviewed literature to ensure the intervention was grounded in the latest and most effective practices. The principles of evidence-based practice were integral to every phase of the project, guiding the development of a comprehensive and personalized care plan for Jonathan. Firstly, I reviewed numerous peer-reviewed articles and clinical guidelines on T2D management, focusing on the most effective self-management strategies, lifestyle modifications, and medication adherence techniques.

Research studies highlighted the benefits of diabetes education programs in improving patient knowledge and self-management skills (Powers et al., 2020). This evidence-informed the creation of a tailored diabetes education program for Jonathan and his family, ensuring it was comprehensive and aligned with best practices. Additionally, I examined the efficacy of Continuous Glucose Monitoring (CGM) systems and telemedicine in enhancing diabetes management. Studies demonstrated that CGM systems significantly improve glycemic control and reduce complications by providing real-time glucose readings and enabling timely interventions (Lin et al., 2021). Similarly, telemedicine increased access to care and support, particularly in managing chronic conditions like T2D (Ju, 2020).

These findings led to the inclusion of CGM and telemedicine as key components of Jonathan’s intervention plan, ensuring he had continuous monitoring and remote access to his healthcare team. The principles of evidence-based practice were also reflected in the emphasis on care coordination and the use of community resources. Literature on interdisciplinary collaboration and community-based interventions indicated that these approaches improve patient outcomes by providing holistic, patient-centered care and addressing social determinants of health (Chen et al., 2022). By integrating these elements into the intervention, I ensured that Jonathan received coordinated care that leveraged the expertise of various healthcare professionals and community support systems.

Leveraged Health Technology in Improving Outcomes and Communication in Capstone Project

In my capstone project for managing Jonathan Thompson’s Type 2 Diabetes (T2D), healthcare technology was pivotal in enhancing patient outcomes and facilitating communication. The strategic use of Continuous Glucose Monitoring (CGM) systems and telemedicine significantly improved Jonathan’s diabetes management, providing real-time data and enabling remote consultations.

The CGM system was instrumental in continuously tracking Jonathan’s blood glucose levels, offering him and his healthcare team immediate insights into glucose trends and patterns. This real-time monitoring allowed for timely adjustments to his treatment plan, reducing the risk of hyperglycemia and hypoglycemia. Jonathan reported feeling more in control of his condition and appreciated the immediacy and accuracy of the data provided by the CGM. The system also alerted him to any dangerous fluctuations, improving his overall safety and health outcomes.

Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Telemedicine was another crucial component that enhanced communication and access to care. Regular virtual consultations with healthcare providers allowed Jonathan to receive ongoing support and education without the need for frequent in-person visits. This was particularly beneficial given Jonathan’s busy schedule as a middle school teacher. The convenience and flexibility of telemedicine enabled more consistent follow-ups and better adherence to his management plan, ultimately leading to improved glycemic control and overall health.

While these technologies were largely successful, future practice has opportunities for further improvement. One potential enhancement could involve integrating more comprehensive telehealth platforms that offer chat functionalities and automated reminders for medication and appointments. These features could give patients a more holistic support system, increasing engagement and adherence (Ganapathy et al., 2020).

Influence of Health Policy on Planning and Implementation of Capstone Project

Health policy significantly shaped my capstone project’s planning and implementation phases on managing Type 2 Diabetes (T2D) for Jonathan Thompson. Specifically, policies related to telehealth and reimbursement for remote monitoring technologies influenced the intervention’s design. The increased adoption and acceptance of telehealth services, spurred by policy changes during the COVID-19 pandemic, facilitated the integration of telemedicine into Jonathan’s diabetes management plan (Monaghesh & Hajizadeh, 2020). Knowing that telehealth services were reimbursable for diabetes management allowed for the inclusion of virtual consultations and remote monitoring using Continuous Glucose Monitoring (CGM) systems.

Moreover, ongoing discussions and developments in healthcare policy regarding expanding access to care and promoting preventive services aligned with the goals of my project (Lee et al., 2019). By focusing on proactive management strategies and leveraging technology to facilitate remote monitoring and support, my project contributed to the broader policy discourse surrounding value-based care and the role of telehealth in chronic disease management.

As a baccalaureate-prepared nurse, my policy implementation and development role was twofold. Firstly, I ensured that the interventions implemented in my project aligned with existing health policies and regulations, including those related to patient privacy and reimbursement for telehealth services. Secondly, through my project’s outcomes and evaluation, I provided valuable insights and evidence that could inform future policy decisions. By demonstrating the effectiveness and feasibility of integrating telehealth and remote monitoring technologies into diabetes management, my project contributed to the growing body of evidence supporting policy changes to expand access to telehealth services and promote patient-centered care models.

Outcomes of the Project

The outcomes of my capstone project on managing Type 2 Diabetes (T2D) for Jonathan Thompson generally aligned with my initial predictions, with several aspects exceeding expectations and others presenting unexpected challenges. Initially, I predicted integrating technology like Continuous Glucose Monitoring (CGM) systems and telehealth consultations would significantly improve Jonathan’s ability to manage his diabetes and enhance his overall quality of life. These predictions were confirmed mainly as Jonathan reported improved glycemic control and a better understanding of his condition through the educational components of the intervention.

The convenience and accessibility of telehealth consultations were well-received, leading to more consistent follow-up and adherence to the care plan. However, some aspects exceeded my expectations. For instance, the community resources and support groups I recommended provided Jonathan with additional education and support and helped him build a solid social network of individuals facing similar challenges. This network contributed to his emotional well-being, which was an unanticipated but highly beneficial outcome.

Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

On the other hand, there were areas where the project fell short. One significant challenge was Jonathan’s initial difficulty adapting to the CGM technology. Despite thorough training, he encountered technical issues and required additional support to become comfortable using the device effectively. This highlighted the need for more extensive initial training and ongoing technical support for future interventions (Ibarra et al., 2020). The intervention’s potential as a best practice is promising. The positive outcomes in Jonathan’s case suggest that similar strategies could be effective for other patients with T2D, particularly in integrating technology with traditional care models. CGM systems and telehealth consultations can be broadly applicable, offering a scalable solution to enhance diabetes management. The community support component can also be adapted to different settings to provide holistic care.

The intervention’s generalizability extends beyond Jonathan’s specific situation. The principles of using technology for remote monitoring, emphasizing patient education, and fostering community support can be applied in various healthcare settings to improve chronic disease management (Hacker, 2021). These elements are adaptable to different patient populations and healthcare environments, providing a versatile model for best practices in diabetes care.

Documentation of Practicum Hours 

 In documenting my practicum hours, I spent nine hours working directly with Jonathan and other stakeholders involved in his care. These hours have been accurately recorded in the Capella Academic Portal Volunteer Experience Form, ensuring a detailed account of the time and effort invested in the project. These hours reflect my commitment to providing comprehensive care and support to Jonathan and his family as they navigate the challenges of managing Type 2 Diabetes. Through diligent documentation, I aim to contribute to the ongoing assessment and improvement of our practicum experience.

Professional Growth Throughout a Capstone Project

I experienced significant personal and professional development during the RN-to-BSN program and my capstone project. This was characterized by a greater comprehension of ethical care and the application of professional standards. My commitment to providing patient-centered, evidence-based care was reinforced as I developed and implemented a comprehensive intervention for managing Jonathan Thompson’s Type 2 Diabetes. This project highlighted the importance of holistic and ethical considerations in patient care, ensuring that all actions taken were in the patient’s best interest and aligned with professional nursing standards.

One of the areas of growth I am most proud of is my enhanced ability to leverage healthcare technology to improve patient outcomes. The successful integration of Continuous Glucose Monitoring (CGM) systems and telemedicine into Jonathan’s care plan exemplifies this growth. Additionally, my ability to coordinate care among a multidisciplinary team and community resources significantly improved, reflecting my strengthened leadership and communication skills. Another significant area of growth is my understanding and application of health policy.

The project’s alignment with telehealth policies and reimbursement guidelines underscored nurses’ critical role in policy implementation and advocacy. Through this experience, I gained valuable insights into how policies influence patient care and how evidence from clinical practice can inform policy development. Overall, My experience with the capstone project and the RN-to-BSN program has influenced me profoundly. It has equipped me with the skills and knowledge necessary to provide high-quality, ethical care and advocate for improvements in healthcare practice and policy. This growth not only enhances my professional capabilities but also deepens my commitment to the nursing profession and the well-being of my patients.

Conclusion

In summary, the intervention for Jonathan Thompson’s Type 2 Diabetes (T2D) significantly improved his health outcomes and quality of life by integrating evidence-based practices, Continuous Glucose Monitoring (CGM) systems, telemedicine, and comprehensive patient education. This approach, grounded in health policy and enhanced by community support, addressed the multifaceted challenges of T2D management. Despite initial difficulties with technology adaptation, Jonathan and his family benefited from ongoing support and education, leading to better glycemic control and increased satisfaction. The project’s success and documented practicum hours underscore its potential as a scalable, best-practice model for chronic disease management in diverse healthcare settings.

References

Chen, J., Buchongo, P., Spencer, M. R. T., & Reynolds, C. F. (2022). An hit-supported care coordination framework for reducing structural racism and discrimination for patients with ADRD. The American Journal of Geriatric Psychiatry, 30(11). https://doi.org/10.1016/j.jagp.2022.04.010 

Ganapathy, S., de Korne, D. F., Chong, N. K., & Car, J. (2020). The role of text messaging and telehealth messaging apps. Pediatric Clinics of North America, 67(4), 613–621. https://doi.org/10.1016/j.pcl.2020.04.002

Hacker, K. A. (2021). COVID-19 and chronic disease: The impact now and in the future. Preventing Chronic Disease, 18(18). https://doi.org/10.5888/pcd18.210086  

Ibarra, F., Baez, M., Cernuzzi, L., & Casati, F. (2020). A systematic review on technology-supported interventions to improve old-age social wellbeing: Loneliness, social isolation, and connectedness. Journal of Healthcare Engineering, 2020, 1–14. https://doi.org/10.1155/2020/2036842 

Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Ju, H.-H. (2020). Using telehealth for diabetes self-management in underserved populations. The Nurse Practitioner, 45(11), 26–33. https://doi.org/10.1097/01.npr.0000718492.44183.87 

Lee, J., Callaghan, T., Ory, M., Zhao, H., & Bolin, J. N. (2019). The impact of medicaid expansion on diabetes management. Diabetes Care, 43(5). https://doi.org/10.2337/dc19-1173 

Lin, R., Brown, F., James, S., Jones, J., & Ekinci, E. (2021). Continuous glucose monitoring: A review of the evidence in type 1 and 2 diabetes mellitus. Diabetic Medicine, 38(5). https://doi.org/10.1111/dme.14528 

Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: A systematic review based on current evidence. BMC Public Health, 20(1), 1–9. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09301-4

Capella 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAS, the American Association of Nurse Practitioners, and the American Pharmacists Association. Journal of the American Pharmacists Association, 60(6), 1–18. https://doi.org/10.1016/j.japh.2020.04.018