Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 Part 2 of assignment 

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following: Presentation Notes A Must 

1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

 In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

HE003: Delivery of Services

Short Answer Submission Form

Your Name: First and lastYour E-Mail Address: Your email here

Instructions

Write your responses where it reads “Enter your response here.” Write as much as needed to satisfy the requirements indicated. Each item contains the Rubric which will be used to evaluate your responses. References to support your writing are required for all objectives.

1. Raymond is a 54-year-old man who lives in a rural part of Mississippi. He is a skilled worker but his job does not provide health insurance. Raymond does not qualify for Medicaid, and he cannot pay for health insurance. He has not received consistent or coordinated healthcare for most of his life. The closest clinic is over 30 miles away, and he does not have the money for both the co-pays and gas. Raymond has been diagnosed with hypertension, and his family history includes pulmonary embolisms and heart disease.Emmanuel is 55-year-old man who lives in Jackson, Mississippi. He is an office manager and receives insurance from his employer. Emmanuel has had annual medical and dental exams from the same providers for several years. Emmanuel has a family history of Type 2 diabetes and he was recently diagnosed as pre-diabetic and obese. Emmanuel received referrals to an endocrinologist and a registered dietitian, and he was instructed to increase his physical activity.· Describe the challenges and barriers to access; affordability; and availability for Raymond and Emmanuel. Indicate why these challenges exist (1–2 pages)· Describe the potential social, economic, and health outcomes for Raymond and Emmanuel if prevention had a higher priority in the US. Include how the barriers identified in Objective 1.1 can be overcome and how this could improve their outcomes (1 page)

Your Response

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Rubric

	0Not Present	1Needs Improvement	2Meets Expectations	3Exceeds Expectations
Sub-Competency 1:Describe how the delivery of care is affected for those with and without insurance in relation to cost, quality, and access.
Learning ObjectiveLO 1.1: Describe challenges and barriers to access, affordability, and availability for individuals with and without insurance.	Comparisons between patients’ history of care and possible health outcomes are missing.	Response inaccurately describes the different challenges and barriers to access, affordability, and availability for the individuals in the case presented. Or, issues of access, affordability, cost, and/or they exist are not discussed.Challenges and barriers do not illuminate differences between insured and uninsured individuals.	Response accurately describes the different challenges and barriers to access, affordability, and availability for the individuals in the case presented and why they exist.Challenges and barriers illuminate differences between insured and uninsured individuals.	Response demonstrates the same level of achievement as “2,” plus the one of the following:Response includes examples about how health insurance affects patient and population health outcomes and impacts life expectancy.orResponse describes challenges and barriers for a third individual (hypothetically) to highlight additional nuances related to access, affordability, and availability of individuals with and without insurance.
Learning ObjectiveLO 1.2: Describe potential social, economic, and health outcomes if prevention has a higher priority in the U.S.	Description of potential social, economic, and health outcomes if prevention has a higher priority in the U.S. is missing.	Response vaguely or inaccurately describes potential social, economic, and health outcomes for the individuals in the case presented, given an increase in preventative care in the US, or Response does not address the situations of both individuals in the case.	Response accurately describes potential social, economic, and health outcomes for the individuals in the case presented, given an increase in preventative care in the US.	Response demonstrates the same level of achievement as “2,” plus the following:Response provides examples of two preventative care programs and how they affect social, population, economic, and health outcomes.

2. Define the continuum of care process, including objectives and the relationship to organizations and patients. (2–3 sentences)

Enter your response here

Rubric

Sub-Competency 2: Explain the continuum of care process in a variety of settings.
Learning ObjectiveLO 2.1: Define the continuum of care process.	Definition of the continuum of care processis missing.	Response vaguely defines the continuum of care process.	Response clearly defines the continuum of care process, including objectives and the relationship to organizations and patients.	Response demonstrates the same level of achievement as “2,” plus the following:Response provides examples that illustrate the benefits of the services along the continuum of care.

3. Describe the following settings and types of care, including objectives and basic components.

· Primary care

· Secondary (general hospital)

· Tertiary (teaching)

· Specialty hospitals

· Outpatient programs (surgery, outpatient rehab)

· Nursing homes

· Rehabilitation settings

· Assisted living

· Home health

· Hospice

Your Response

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Rubric

Sub-Competency 2: Explain the continuum of care process in a variety of settings.
Learning ObjectiveLO 2.2: Describe various healthcare settings and types of care.	Descriptions of various healthcare settings and types of care is missing.	Response inaccurately describes the following settings and types of care and/or does not include objectives and basic components.· Primary care· Secondary (general hospital)· Tertiary (teaching)· Specialty hospitals· Outpatient programs (surgery, outpatient rehab)· Nursing homes· Rehabilitation settings· Assisted living· Home health· Hospice	Response describes the following settings and types of care, including objectives and basic components.· Primary care· Secondary (general hospital)· Tertiary (teaching)· Specialty hospitals· Outpatient programs (surgery, outpatient rehab)· Nursing homes· Rehabilitation settings· Assisted living· Home health· Hospice	Response demonstrates the same level of achievement as “2,” plus the following:Response describes how the services may be coordinated for a particular patient.

4. Describe the personnel who should be part of a interdisciplinary team that focuses on patient-centered care in an inpatient setting. List at least six disciplines and provide a rationale for including each as a member of the team. (1 page)

Your Response

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Rubric

Sub-Competency 3: Explain processes, roles, and responsibilities in the delivery of healthcare.
Learning ObjectiveLO 3.1: Describe the disciplines that should be part of a multidisciplinary team for a particular healthcare context.	Description of the disciplines that should be included in an interdisciplinary team is missing.	Response vaguely describes, or describes fewer than six disciplines that should be part of a multidisciplinary team focused on patient-centered care in an inpatient setting.Response provides limited or illogical justification for inclusion of the disciplines chosen.	Response thoroughly describes at least six disciplines that should be part of a interdisciplinary team focused on patient-centered care in an inpatient setting.Response provides a logical justification for the choice of disciplines included in the team.	Response demonstrates the same level of achievement as “2,” plus the following:Response describes how team composition and expertise benefit patient outcomes.

5. You are assisting the human resource director at a large general hospital. As part of a report to the chief executive officer (CEO), she has asked you to outline specific essential functions/responsibilities and goals for at least three clinical, three technical, and threeadministrative departments (9 departments total). Describe the essential functions/responsibilities and goals of these hospital departments. (1–2 pages)

Your Response

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Rubric

Sub-Competency 3: Explain processes, roles, and responsibilities in the delivery of healthcare.
Learning ObjectiveLO 3.2: Define the functions/responsibilities and goals of clinical, technical, and administrative professions in the delivery of healthcare.	Description of the functions/responsibilities and goals of hospital departments is missing.	Response vaguely describes the functions/responsibilities and goals of hospital departments.	Response thoroughly describes at least three functions/responsibilities and one goal of clinical, technical, and administrative departments.	Response demonstrates the same level of achievement as “2,” plus the following:Response describes how the departments work together to achieve organizational and outcome goals.

6. Admission policies can differ between various types of healthcare organizations. Provide compare and contrast how admission policies could differ between for-profit and nonprofit organizations, and how this difference relates to access to care.

Your Response

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Rubric

Sub-Competency 3: Explain processes, roles, and responsibilities in the delivery of healthcare.
Learning ObjectiveLO 3.3: Explain how admission policies differ in various types of healthcare organizations and how this relates to access to care.	Explanation about how admission policies differ in various types of healthcare organizations and how this relates to access to care is missing.	Response vaguely explains how admission policies differ in various types of healthcare organizations and how this relates to access to care; and/or the differences between for-profit and not-for-profit healthcare organizations are unclear or missing; and/or only one difference is addressed.	Response clearly explains two differences in admissions policies for the various types of healthcare organizations and how this relates to access to care.Response includes differences between for-profit and not-for-profit healthcare organizations.	Response demonstrates the same level of achievement as “2,” plus the following:Response provides clearly written descriptions of two types of nonprofit and two types of for-profit hospitals and the types of patients they serve.

There are many different organizations and institutions that are major players in the healthcare system. Briefly describe how each of the following influences healthcare. Consider both potential and negative influences when formulating your answer. Use at least one other reference in addition to the organizations website for each organization.

· Pharmaceutical Research and Manufacturers of America (PhRMA)

· Food and Drug Administration (FDA)

· American Medical Association (AMA)

· American Hospital Association (AHA)

· Joint Commission (JC)

· Centers for Medicare and Medicaid Services (CMS)

· State Department of Health (student’s state)

· Centers for Disease Control and Prevention (CDC)

· U.S. Department of Health and Human Services

Your Response

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Rubric

Sub-Competency 4: Describe the organizations and institutions that are major players in the healthcare system.
Learning ObjectiveLO 4.1: Describe how major healthcare organizations and institutions influence healthcare.	Description of how major healthcare organizations and institutions influence healthcare is missing.	Response vaguely or incompletely describes how each of the following influences healthcare:· Pharmaceutical Research and Manufacturers of America (PhRMA)· Food and Drug Administration (FDA)· American Medical Association (AMA)· American Hospital Association (AHA)· Joint Commission (JC)· Centers for Medicare and Medicaid Services (CMS)· State Department of Health (student’s state)· Centers for Disease Control and Prevention (CDC)· U.S. Department of Health and Human Services	Response clearly and accurately describes how each of the following influences healthcare:· Pharmaceutical Research and Manufacturers of America (PhRMA)· Food and Drug Administration (FDA)· American Medical Association (AMA)· American Hospital Association (AHA)· Joint Commission (JC)· Centers for Medicare and Medicaid Services (CMS)· State Department of Health (student’s state)· Centers for Disease Control and Prevention (CDC)· U.S. Department of Health and Human Services	Response demonstrates the same level of achievement as “2,” plus the following:Response provides examples about how patients are directly impacted by two or more of these major players.

7. Define vertically integrated health systems and horizontally integrated systems, including the business goals and patient outcomes. Then, explain the impact these systems have on healthcare today. (1 page)

Your Response

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Rubric

Learning ObjectiveLO 4.2: Define vertically and horizontally integrated health systems.	Definition of vertically and horizontally integrated health systems is missing.	Response vaguely defines vertically and horizontally integrated health systems and/or does not include the business goals and/or patient outcomes.Response vaguely explains how these systems impact healthcare today.	Response clearly defines vertically and horizontally integrated health systems, including the business goals and patient outcomes.Response explains how these systems impact healthcare today.	Response demonstrates the same level of achievement as “2,” plus the following:Response provides an example of vertically and horizontally integrated health systems.

©2015 Walden University 9

Assignment:
Diabetes and Drug Treatments

Need a least 2 and half  pages, APA style 3 credible sources above 2013.

Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:

• Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.
• Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
• Select one type of diabetes.
• Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
• Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

By Day 7

Write a 2- to 3- page paper that addresses the following:

• Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
• Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.
• Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.

Using Improvement Science Models to Promote Quality and Safety   …while all changes do not lead to improvement, all improvement requires change.  —United States Agency for International Development  Improvement science models bring together research and evidence-based practice to identify the most effective ways to promote quality and safety in health care. As a central tenet of quality improvement, attention must be paid to the processes that contribute to outcomes.  In this Discussion, you examine quality improvement models and evaluate how they could be applied to address specific issues within health care organizations.  

To prepare: •Review the improvement models presented in the Learning Resources. 

•Evaluate each of the models and select two on which to focus for this Discussion. 

•Consider how each of the two models could be utilized in a health care organization to promote quality and safety. Think about the following: •How does the model bring together research and evidence-based practice to facilitate quality improvement? 

•How does the model contribute to a culture of quality and safety? 

•How does it address changes in process?  

•Reflect on the quality improvement issue and the health care setting that you are addressing for your Course Project. Of the two models that you have selected, determine which one you, as a nurse leader-manager, would use to address this issue. Also consider how this would relate to one or more of the IOM’s six aims for quality and safety.  

By Day 3  Post your analysis of how the two improvement models that you selected could foster a culture of quality and patient safety and facilitate changes in process that promote positive outcomes. Explain how you would use one of these models to address the quality improvement issue in the organization that you have selected for your Course Project, and how doing so would relate to one or more of the IOM’s six aims for improving quality and safety.

Required Readings  Hickey, J. V., & Brosnan, C. A. (2012). Evaluation of health care quality in advanced practice nursing. New York, NY: Springer Publishing Company.  

•Review Chapter 6, “Evaluating Health Care Information Systems and Patient Care Technology” (pp. 113–133) (assigned in Week 6)  This chapter examines federally mandated use of health information technology to improve health care and care delivery. In addition, technology competencies are discussed along with strategies for evaluating health information technologies in coordination with nurse informaticists.     

•Chapter 7, “Evaluation of Patient Care Standards, Guidelines, and Protocols” (pp. 135–158) (assigned in Week 4)  How can you know if an organization is delivering the best possible care? This chapter explores evaluation methods for patient care and discusses methods used to evaluate innovations that can lead to practice changes.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations. Burlington, MA: Jones & Bartlett Learning.  

•Chapter 7, “Understanding Quality and Performance” (pp. 133–160) 

•Chapter 9, “Closing the Gaps” (pp. 179–194)  Altmann, T. K. (2007). An evaluation of the seminal work of Patricia Benner: Theory or philosophy? Contemporary Nurse: A Journal for the Australian Nursing Profession, 25(1/2), 114–123.  Retrieved from the Walden Library databases.     Altmann summarizes the foundational work of Benner’s novice to expert theory, reviews critiques, and outlines how Benner’s concepts are important in nursing.