GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion

GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion In 750-1,000 words, discuss an evaluation plan to measure the effectiveness of your evidence-based practice project. Provide the following criteria, making sure your evaluation plan is comprehensive and concise: GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion Propose evaluation methods to evaluate the implementation of your evidence-based intervention. Describe the methods selected and provide rationale and support for why the proposed methods are best for the collection of outcome data. Describe how the proposed evaluation methods will measure whether the project objectives are achieved. Explain how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability. Describe strategies to take if outcomes do not provide positive results. Discuss implications for practice and future research. attachment_1 attachment_2 attachment_3 Evidence-Based Practice Proposal on the Management of Mothers with Gestational Diabetes Anthony LaGrega Grand Canyon University NUR-699 November 18 th , 2020 Proposed Intervention The actualization of proposed evidence-based practice is imperious in the employment of change and facilitating care delivery across a health care setting. It is the judicious and conscientious use of current best evidence in unification with clinical proficiency and patient values to compel health care decisions. Gestational diabetes mellitus (GDM) is a condition that can threaten the life of a mother and the child, which is manifested by sugar intolerance during pregnancy. During the pregnancy period, the placenta produces hormones that result in glucose build up in the blood. The pancreas normally releases enough insulin to deal with it. However, if one’s body stops utilizing the available insulin or producing enough, the blood sugar levels increase, resulting in gestational diabetes mellitus. Through the effective and competent implementation of evidence-based intervention care measures, the quality of care for GDM patients considerably improves. In accordance to the PICOT format, the proposed intervention for gestational diabetes mellitus revolves around EBP of whether proper nursing education specific to diet care during pregnancy would lead to better outcomes for both the mother and the baby and reducing the chances of developing gestational diabetes (Fiskin & Sahin, 2020). The intervention focuses on the changes required in the medical team, nurses, and nutritionists in working as a team to offer better educational care for GDM patients during their pregnancy for a better outcome. It will also focus on implementing protocols that will ensure early detection of GDM and initiation of nursing education immediately when detected to improve birth outcomes, reduce admissions, and reduce the development of diabetes type 2 later. This solution starts with screening and counseling on behavioral changes needed, such as diet changes and follow up (Mijatovic-Vukas et al., 2018). Awareness of the intervention will be done for every health care provider while screening for GDM will be conducted following the proposed protocols. GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion Expected Outcomes One of the expected outcomes of the proposed intervention is to improve the numbers of gestational diabetes by providing education early on to prevent gestational diabetes from taking place. Another expectation is that there will be improved insulin regulation for GDM patients. Additionally, it is expected that the mortality levels caused by GDM will significantly decrease. Further, it is also likely that occurrences of diabetes type 2 for GDM patients will drop including long term complications. These expectations are linked with the proper implementation of nursing education regarding diet control during the entire pregnancy journey. Method to Achieve Outcomes To achieve the outcomes mentioned above, nurses will be trained and educated on the screening procedures, diet education and tools through group educational meetings, continuous medical education classes where they will be taught on the criteria for diagnosing a mother to have gestational diabetes and follow-ups compliance (Di Guardo et al., 2019). They will also be required to familiarize themselves with the computer utilization measures to understand all the GDM protocols’ guidelines (Mishra et al., 2018). With the help of doctors, the nurses are expected to conduct reliable clinical assessments while evaluating the patient’s history to make an accurate diagnosis (Szmuilowicz et al., 2019). GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion Potential Barriers, Assumptions, and Limitations In this practice’s implementation process, some limitations may be encountered, such as knowledge deficit. The patients knowledge of dietary restrictions related to how gestational diabetes affects the baby and mother, knowledge of what type of diet causes and prevents the occurrence of gestational diabetes, and what gestational diabetes is and how it may be limited. Another potential barrier would be willingness to learn. During pregnancy, women and men are often stressed and overwhelmed with the changes their body is going through. The willingness to learn can be a challenge and task in itself. This project assumes that with proper nursing diet education, the patient’s blood sugars will be well controlled. However, if the sugars are not well regulated, the nurse may recommend a revised diet or insulin agents appropriately (Mensah et al., 2020). Outcome Impact The outcomes will impact professional expertise as the nurses will be exposed to the best EBP protocols on gestational diabetes mellitus, which will impact knowledge and awareness on GDM management, resulting in positive effects. This will also help in the early detection of GDM and management, leading to decreased mortality rates and improvement in educational care. Additionally, the patients will be informed on preferred intervention to choose the solution they feel suits them better hence promoting patient-centered education. Community awareness will also be recommended concerning the practice, which will impact environmental changes as many people may be motivated to grow a lot of vegetables and crops to help in dietary changes for such patients. All stakeholders will be involved in implementing the intervention hence impacting the efficiency of processes. GCU LDR 699 Evidence Based Solution for Gestational Diabetes Mellitus Discussion References Di Guardo, F., Currò, J. M., Valenti, G., Rossetti, P., Di Gregorio, L. M., Conway, F., … & Rizzo, G. (2019). Non-pharmacological management of gestational diabetes: The role of myo-inositol. Journal of Complementary and Integrative Medicine, 1 (ahead-of-print). https://doi.org/10.1515/jcim-2019-0111 Fiskin, G., & Sahin, N. (2020). Nonpharmacological management of gestational diabetes mellitus: Diaphragmatic breathing exercise. Alternative Therapies in Health and Medicine . file:///G:/NR%20699/NR699%20-%20October%202020/Week%204%20Intervention%20and%20Expected%20Outcomes/35048-Article%20Text-166392-1-10-20191005.pdf Mensah, G. P., ten Ham?Baloyi, W., van Rooyen, D., & Jardien?Baboo, S. (2020). Guidelines for the nursing management of gestational diabetes mellitus: An integrative literature review. Nursing Open, 7 (1), 78-90. https://doi.org/10.1002/nop2.324 Mijatovic-Vukas, J., Capling, L., Cheng, S., Stamatakis, E., Louie, J., Cheung, N. W., … & Flood, V. M. (2018). Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis. Nutrients, 10 (6), 698. https://doi.org/10.3390/nu10060698 Mishra, S., Bhadoria, A. S., Kishore, S., & Kumar, R. (2018). Gestational diabetes mellitus 2018 guidelines: An update. Journal of family medicine and primary care, 7 (6), 1169. https://doi.org/10.4103/jfmpc.jfmpc_178_18 Szmuilowicz, E. D., Josefson, J. L., & Metzger, B. E. (2019). Gestational diabetes mellitus. Endocrinology and Metabolism Clinics, 48(3), 479-493. DOI: https://doi.org/10.1016/j.ecl.2019.05.001 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10