Healthcare Policy Change Implementation Essay
|Topic||Healthcare Policy Change Implementation Essay|
Week 7: The Application of New Practice Approaches, Part II
“Engagement in the process of policy development is central to creating a health care system that meets the needs of its constituents” (AACN, 2006, p. 13).
As a professional nurse, you are well positioned to affect changes in health care through policy. Nurses are frequently asked to testify before Congress or congressional committees on important health care matters; being able to present the scientific evidence on a health care issue can contribute to this process and thereby inform the formation of health policy.
This week, you explore how to utilize the concepts presented in earlier weeks to advocate for health care policy to improve health-related outcomes. In addition, you submit your time log and a journal entry for your practicum experience.
Reference: American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf
Chapter 4, “Translation of Evidence to Improve Clinical Outcomes”
Catallo, C. & Sidani, S. The self-assessment for organizational capacity instrument for evidence-informed health policy: Preliminary reliability and validity of an instrument (2014). Worldviews on Evidence-Based Nursing, 11(1), 35–45.
Malterud, K., Bjelland, K., & Elvbakken, K.T. (2016). Evidence-based medicine – an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems, 14(15). doi 10.1186/s***
Ridenour, N., & Trautman, D. (2009). A primer for nurses on advancing health reform policy. Journal of Professional Nursing, 25(6), 358-362. https://doi-org.ezp.waldenulibrary.org/10.1016/j.profnurs.2009.10.003
Rehfuess, E.A., Durao, S., Kyamanywa, P., Meerpohl, J. J., Young, T., & Rohwer, A. (2016). An approach for setting evidence-based and stakeholder-informed research priorities in low- and middle-income countries. Policy & Practice, 94, 297–305. doi:http://dx.doi.org/10.2471/BLT.15.162966
Discussion: Advocating for New Practice Approaches Through Policy
Through the policy process, nurses can put their feelings—as well as their experiences and expertise—into actions that create results. In this course, you have been honing your skills for critically assessing evidence with the purpose of improving practice and developing new practice approaches. As a DNP-prepared nurse, you can influence health care outcomes at the population or aggregate level. Leading policy development to address health care concerns is a vital way to achieve this.
For the past several weeks, you have been focusing on a health care issue of interest to you for your EBP Assignement. For this Discussion, consider how you could lead policy development in support of a proposed evidence-based practice approach that addresses that issue and is designed to promote quality.
Reference: Nursing Schools. (2012). 100 entertaining and inspiring quotes for nurses. Retrieved from http://www.nursingschools.net/blog/2010/06/100-entertaining-inspiring-quotes-for-nurses/
Select one of the new practice approaches you developed for the Week 6 Discussion.
Post a cohesive response that addresses the following:
Identify your proposed practice approach in the first line of your posting.
Diet and Diabetes Mellitus Treatment
Researchers and clinical practitioners recognize diet as one of the foundations for treating and managing diabetes mellitus. A suitable diet has significant provides has various benefits in the treatment of diabetes mellitus including regulating blood sugar level, minimizing cardiovascular risk factors (Johansen, MacDonald, Hansen, Karstoft, Christensen, Pedersen & Iepsen, 2017).Additionally, studies have shown that a healthy diet is effective in decreasing cardiovascular diseases associated with diabetes mellitus (Levesque, 2017). Since diet works to decrease cardiovascular risk problems, it can be chiefly essential for diabetic patients suffering from other co-morbid conditions such as obesity, overweight, hypertension, and dyslipidemia (Saxena, Gaikwad, Sachchan& Bansode, 2018).
Therefore, dietary planning continues to be one of the key interventions in the treatment of diabetes mellitus. However, it is essential to mention that experts recommend diet to be used with other viable interventionssuch as regular exercise for it to be effective as a treatment strategy for diabetes mellitus.
Exploration of Research Literature
Despite the reported effectiveness of dietary interventions (low carbohydrate, low-fat content) in managing diabetes, contrasting outcomes were observed ina study that was carried out to evaluate the feasibility of the literature evidence on the treatment and management of diabetes. In consideration of the literature evidence, the study was carried out to evaluate its efficacy in treating patients newly-diagnosed with diabetes mellitus, which is a subject of numerous studies in advanced nursing (Forouhi, Misra, Mohan, Taylor & Yancy, 2018). The participants in the study were given recommendations on lifestyle change and a thorough dietary intervention for three months as suggested in various researches (Snorgaard, Poulsen, Andersen & Astrup, 2017). It was expected that the participants would respond to the dietary intervention by exhibiting a reduction in diabetes mellitus symptoms as suggested by research (Sami, Ansari, Butt & Ab Hamid, 2017). However, none of the participants exhibited any significant changes in metabolic indicators that point to a reduction in diabetes mellitus. Thus, the conclusions of the literature evidence on the effectiveness of diet in the treatment of diabetes mellitus,which could have been caused by a lack of proper implementation by the participants.
Summary of Practice Issue and Difference in Outcomes
The utilization of dietary interventions as a treatment for diabetes mellitus is supported by numerous scientific studies as well as practitioners in the healthcare sector. Research indicates that diet combined with relevant strategies can help reduce diabetes mellitus. However, a study that was carried out to examine the accuracy of the literature evidence failed to arrive at the same conclusions suggests that diet was not an effective treatment option for diabetes mellitus.
Forouhi, N. G., Misra, A., Mohan, V., Taylor, R., & Yancy, W. (2018). Dietary and nutritional approaches for the prevention and management of type 2 diabetes. 361, k2234.
Johansen, M. Y., MacDonald, C. S., Hansen, K. B., Karstoft, K., Christensen, R., Pedersen, M., … & Iepsen, U. W. (2017). Effect of an intensive lifestyle intervention on glycemic control in patients with type 2 diabetes: a randomized clinical trial. Jama, 318(7), 637-646.
Levesque, C. (2017). Therapeutic lifestyle changes for diabetes mellitus. Nursing Clinics, 52(4), 679-692.
Sami, W., Ansari, T., Butt, N. S., & Ab Hamid, M. R. (2017). Effect of diet on type 2 diabetes mellitus: A review. International journal of health sciences, 11(2), 65.
Saxena, V., Gaikwad, S. T., Sachchan, T. K., & Bansode, S. B. (2018). Influence of food consumption routine on type 2 diabetes mellitus.
Snorgaard, O., Poulsen, G. M., Andersen, H. K., & Astrup, A. (2017). Systematic review and meta-analysis of dietary carbohydrate restriction in patients with type 2 diabetes. BMJ Open Diabetes Research and Care, 5(1).