NURS FPX 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

Hello everyone, I am —–, a registered nurse at Alhambra Hospital Medical Center. In this video presentation, I aim to contemplate a capstone project for addressing my mother’s diabetes. She is 60 years old with a medical history of hypertension, which is under controlled by medication. Her current symptoms of excessive thirst, weight loss, and tingling sensation in her toes and fingers made us doubtful of diabetes. Undergoing an HbA1c test, she confirmed her diagnosis of diabetes when her fasting blood glucose level appeared to be 280mg/dL. Her unhealthy lifestyle, genetics, and old age were probably the reasons for acquiring type 2 diabetes mellitus. This capstone project’s assessment will highlight how the intervention plan developed for my mother contributed to her diabetes management, along with the details of the complete journey of addressing her diabetes. 

Role of Intervention in Patient’s Satisfaction and Quality of Life

The curative strategy proposed for my mother in diabetes treatment was remote monitoring of her condition together with a telehealth-based Diabetes Self-Management Education and Support program. These two interventions played a significant role in lowering my mother’s blood glucose levels. DSMES enhances the health literacy level of diabetes in patients and empowers them to take care of their diabetes, leading to enhanced satisfaction and better quality of life (Rauh, 2020). Similarly, remote monitoring permits healthcare professionals to track and monitor patient’s health conditions, treatment adherence, and symptom management.

This leads to improved quality of care and quality of life. Ultimately, the patient’s satisfaction increases as his health outcomes are improved (Rhoden et al., 2022).  My mother, who was recently diagnosed with diabetes, needed education and awareness on what diabetes is and how it can be self-managed by lifestyle modifications. Her lifestyle required intricate changes in diet and physical activity. She reported that remote monitoring helped her consistently improve her physical exercise.

Furthermore, it improved her adherence to the prescribed medication plan. My mother’s health literacy on diabetes was poor, and upon taking the DSMES program from nurses on telehealth, she claimed that this program helped her enhance her knowledge of her health condition. This prevented her from eating processed food and replacing it with healthier alternatives. She also found it convenient to receive care treatments through telehealth as she lived far from the hospital, and the daily commute would be difficult for her in this old age. Overall, the experience of this care treatment plan enhanced patient satisfaction and improved her quality of life. 

Use of Evidence-based Literature in Planning Capstone Project

The proposed remote monitoring intervention and DSMES program delivery via telehealth is theoretical and substantial. Various authors in research have claimed the efficacy of remote monitoring in diabetes to be practical (Su et al., 2019). Others have positive reviews on the improved quality of life by DSMES programs with telehealth in diabetes. In one study, the effectiveness of remote monitoring in diabetes was conducted for patients with badly managed type 2 diabetes (Amante et al., 2021).

The patients were connected to glucose meters, transferring data to cloud-based databases that healthcare professionals quickly analyzed. The results indicated that remote monitoring improved HbA1c levels in enrolled patients and enhanced treatment satisfaction (Amante et al., 2021). This literature resource inspired me to take advantage of digital health technologies and remotely monitor my mother’s diabetes when I am on nursing duty at the hospital.

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Likewise, another evidence-based study delved into using telehealth in navigating care for diabetes and its education. The article highlighted the telehealth-based DSMES programs and how they helped patients with diabetes (Drobycki & Roseman, 2021). The findings showed that virtual education in diabetes care with the DSMES program resulted in more effective care than traditional care. The benefits of this strategy included that patients did not need to commute, and scheduling healthcare sessions was easy. Furthermore, the patients could acquire individualized care, significantly reducing the economic burden. The overall services of telehealth-based DSMES programs showed positive patient satisfaction (Drobycki & Roseman, 2021). 

Another systemic review on using DSMES apps to manage diabetes through education and support was done by the authors. The results showed that using mobile apps for DSMES improved patients’ adherence to treatment plans, and diabetes was well managed in patients (Nkhoma et al., 2021). This facet of telehealth informed me to deliver the DSMES program by using telehealth services to my mother, following this approach as her old age wanted home-based care where she did not have to travel regularly. Using these evidence-based studies as substantial resources, I crafted the proposed plan considering their potential benefits in improving diabetes.

Leveraging Healthcare Technology in Capstone Project

This section entails the degree to which I maximized the use of healthcare technology to manage my mother’s diabetes. With more outstanding advancements in digital technologies, healthcare systems are not lagging. Digital technologies have improved health literacy and advanced care strategies (Dunn & Hazzard, 2019). Telehealth and remote monitoring are the widely used healthcare information technologies that have increased patients’ motivation to adhere to care plans and enable them to be more self-empowered to improve their chronic health conditions (Randall et al., 2020). Therefore, I opted for these healthcare technologies to manage my mother’s condition and manage her disease symptoms by regular monitoring of her medication adherence behavior and compliance with treatment plans and lifestyle modifications.

Further improvements can be brought with healthcare technologies, including making digital healthcare user-friendly, such as adding translations to improve their understandability (Awad et al., 2021). Additionally, the changes can include integrating mobile app-based diabetes to enhance self-care behaviors Jeffrey et al., 2019). Moreover, it can include diabetes management with the help of wearable technologies to monitor physical activity and provide reminders on improving overall healthy habits (Rodriguez-Leon et al., 2020).

Influence of Health Policy in Planning and Implementation of Project

 Various healthcare policies impacted the organizing, execution and practical application of this capstone project to manage my mother’s diabetes. For instance, nursing practice standards by the California Board of Nursing Practices highlight delivering the best quality care treatments considering the patient’s health and preferences. These standards and regulations convinced me to create a plan for my mother that suits her healthcare needs and preferences (California Board of Registered Nursing, 2019).

Similarly, the Health Information Technology for Economic and Clinical Health Act of 2009 emphasizes leveraging healthcare information technologies to facilitate patient care and enhance productivity in providers’ work routines. Using digital health platforms such as telehealth and mobile-based apps to deliver care makes patient-centered care possible and improves satisfaction (Lin et al., 2019). This leads to improved quality of life. Considering this policy, I deemed it perfect to integrate technology use to treat and manage my mother’s diabetes in the early stage to prevent diabetes-associated complications.

The proposed remote monitoring intervention led to policy development within our healthcare setup. The policy was mainly designed for diabetics who face geographical barriers to healthcare services (Sahoo et al., 2023). The policy entailed that these patients could receive diabetes care with the help of telehealth services. Through this policy, rural-based diabetes patients can consult with their healthcare providers using digital tools and enable consistent diabetes care. The positive outcomes of this policy will be fewer diabetes-associated complications, increased patient satisfaction, cost reduction, and reduced hospital readmission rates (Drobycki & Roseman, 2021). 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Baccalaureate-prepared nurses play a significant role in developing and implementing policies within healthcare systems. Nurses have a deeper understanding of the healthcare needs of patients as they primarily interact with them and can better advocate for policies that promise improved health outcomes and overall well-being (Anders, 2020). Furthermore, nurse leaders, with their leadership role, can exert their efforts in policy development and implementation. Nurses also help implement policies by educating patients and novice nurses on newly developed policies to improve patient health and satisfaction. They can communicate complex policy information easily and understandably, which reduces resistance to change and imparts wider acceptability (Rasheed et al., 2020). 

Capstone Project Outcomes and Initial Predictions

While the capstone project was under construction, the initial predictions were a comparative reduction in blood glucose levels in my mother from the early diagnosed results. Additionally, the prediction was estimated that my mother may face challenges in attaining lifestyle modifications, and the results may not appear as desired. However, post-implementation of the proposed plan resulted in matching the first prediction. My mother’s blood glucose levels declined to 95mg/dL from 260 mg/dL. The primary reason for it to happen included that the remote monitoring and education on diabetes management resulted in positive self-care behaviors, and the patient was more active and had a healthy lifestyle. The intervention plan matched my mother’s optimistic prediction of lowered blood glucose levels. 

The proposed intervention plan is not only expected for my mother as a patient. In fact, this proposed plan can apply to generalized community members who are native to rural areas and have difficulty transporting more often. These interventions can be considered the best practice strategies with the potential of improving diabetes care, delivering patient-centered care, and enhancing patient safety and satisfaction. Moreover, the proposed interventions have proven effective in diabetes care by researchers in the literature. This further progresses towards its generalizability as best practice for managing diabetes.

I have documented the total of nine hours spent with my mother discussing the diabetes management and treatment plan in the Capella Academic Portal Experience Form.

Personal and Professional Growth

This capstone project helped my personal and professional growth flourish throughout. Seeing my mother battle this chronic condition made me more aware of the struggles of chronic patients. From lifestyle modifications to medication adherence, I saw her efforts in managing her diabetes. This made me more compassionate and kinder towards my mother and all diabetics living in this world. I also acquired a healthy lifestyle, which improved my health to prevent the onset of diabetes in later life. Before this capstone project, I was utterly involved in an unhealthy lifestyle where I ate processed food weekly and consumed alcohol once in a while. 

Additionally, I was not aware of the struggles of diabetic patients before this capstone project. Watching my mother struggle to maintain a healthy lifestyle helped me grow personally in attaining a healthy lifestyle.  This journey from RN to BSN program helped me professionally as I continued to serve diabetics with more care and followed the ethical principles of beneficence and non-maleficence. I became more available to patients who needed my help in emergencies and provided them. 

Conclusion

To sum up the crux, my mother’s diabetes was the focus of this capstone project, where I developed a care plan of remote monitoring and DSMES through telehealth. The reflections from this project included that the proposed intervention improved my mother’s satisfaction and quality of life as she provided home-based care. Furthermore, the healthcare information technologies and health policies significantly impacted the formation of this intervention plan. Lastly, I conducted a comparative analysis of the outcomes of capstone projects with starting predictions followed by an estimate of personal and professional growth after this capstone project.

References

Amante, D. J., Harlan, D. M., Lemon, S. C., McManus, D. D., Olaitan, O. O., Pagoto, S. L., Gerber, B. S., & Thompson, M. J. (2021). Evaluation of a diabetes remote monitoring program facilitated by connected glucose meters for patients with poorly controlled type 2 diabetes: Randomized crossover trial. JMIR Diabetes, 6(1), e25574. https://doi.org/10.2196/25574 

Anders, R. L. (2020). Engaging nurses in health policy in the era of COVID‐19. Nursing Forum, 56(1), 89–94. https://doi.org/10.1111/nuf.12514 

Awad, A., Trenfield, S. J., Pollard, T. D., Ong, J. J., Elbadawi, M., McCoubrey, L. E., Goyanes, A., Gaisford, S., & Basit, A. W. (2021). Connected healthcare: Improving patient care using digital health technologies. Advanced Drug Delivery Reviews, 178(1), 113958. https://doi.org/10.1016/j.addr.2021.113958 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Drobycki, N., & Roseman, D. (2021). Navigating diabetes care and education through telehealth services. ADCES in Practice, 10(1), 8–15. https://doi.org/10.1177/2633559×211060764 

Dunn, P., & Hazzard, E. (2019). Technology approaches to digital health literacy. International Journal of Cardiology, 293, 294–296. https://doi.org/10.1016/j.ijcard.2019.06.039 

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 Syndrome, 11(1), 1–17. https://doi.org/10.1186/s13098-019-0480-4 

Lin, Y.-K., Lin, M., & Chen, H. (2019). Do electronic health records affect quality of care? Evidence from the HITECH act. Information Systems Research, 30(1), 306–318. https://doi.org/10.1287/isre.2018.0813 

Randall, M. H., Haulsee, Z. M., Zhang, J., Marsden, J., Moran, W. P., & Kirkland, E. B. (2020). The effect of remote patient monitoring on the primary care clinic visit frequency among adults with type 2 diabetes. International Journal of Medical Informatics, 143, 104267. https://doi.org/10.1016/j.ijmedinf.2020.104267 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses’ involvement in politics and policy making in in last two decades: An integrative review. Journal of Nursing Scholarship, 52(4), 446–455. https://doi.org/10.1111/jnu.12567 

Rauh, J. (2020). Evaluation of attendance, patient satisfaction, knowledge, and clinical outcomes following participation in a group diabetes self-management education and support program in a primary care clinic setting. Undergraduate Honors Thesis Collection. https://digitalcommons.butler.edu/ugtheses/532/ 

Rhoden, P. A., Bonilha, H., & Harvey, J. (2022). Patient satisfaction of telemedicine remote patient monitoring: A systematic review. Telemedicine and E-Health, 28(9). https://doi.org/10.1089/tmj.2021.0434 

Rodriguez-Leon, C., Villalonga, C., Munoz-Torres, M., Ruiz, J. R., & Banos, O. (2020). Mobile and wearable sensing for the monitoring of diabetes-related parameters: Systematic review. JMIR MHealth and UHealth, 9(6). https://doi.org/10.2196/25138 

Sahoo, S., Sahoo, J., Kumar, S., Lim, W. M., & Ameen, N. (2023). Distance is no longer a barrier to healthcare services: Current state and future trends of telehealth research. Internet Research. https://doi.org/10.1108/intr-10-2021-0774 

NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection

Su, D., Michaud, T. L., Estabrooks, P., Schwab, R. J., Eiland, L. A., Hansen, G., DeVany, M., Zhang, D., Li, Y., Pagán, J. A., & Siahpush, M. (2019). Diabetes management through remote patient monitoring: The importance of patient activation and engagement with the technology. Telemedicine and E-Health, 25(10), 952–959. https://doi.org/10.1089/tmj.2018.0205