Week 1: national practice problem exploration

Week 1: National Practice Problem  Exploration 

                     Selected practice problem  DM type 2

According to the Office of Disease Prevention and Health Promotion (2020), DM influence approximately 29.1 million population in the USA   and is the seventh foremost reason for death. Mortality rate expansion cause 1.8 times compared to persons due to undiagnosed test diabetes and 1.8  times increase the risk of heart problems. DM also to become progressively greater raise the risk of heart disease by 1.8 times. DM  is the leading cause of renal failure, foot amputations as well as blindness. Furthermore, the roughly total cost of DM in the United States in 2012 was $245 billion including the costs of, disability,  healthcare service, and premature death. The idea of the future to lessen the illness load of diabetes mellitus (DM) and better the wellbeing of all human beings who have or are at chance for, DM. 

Does the selected practice problem DM type 2  impact nurses, nursing care, and Quality of Care provided

Nikitara et al.(2019) state, that nurses play an important role in ensuring patient safety by supervising patients for a clinical condition, perceive errors, and near misses, including keep away from injuries and using the strategies to reduce medical errors by giving care based on current evidence-based guidelines.  Study shows that nurses Nurses as undertake the role of instigator to diabetic patients. The significance nurses roll in diabetic patients’ emotional support. Compare to doctors nurses making a big impact on patient self-care and control of diabetes by educating patients and see psychosocial problems. There is some barrier frequently seen lack of time and lack of resources as well as lack of library access to find current evidence-based articles.  To give high-quality and safe care to all patients nurses need current evidence-based articles to read to keep their practice update. 

Impact on healthcare organizations, and the quality of care being provided?

According to Ong et al. (2018),  DM type 2 Diabetes Mellitus (T2DM) is reported to affect one in 11 adults worldwide, with over 80% of T2DM patients inhabit in low-income economies.  Medical care systems play an essential role in acknowledging this increasing global pervasiveness and are key to protect effective diabetes management by monitoring their glucose level.  International Diabetes Federation’s Diabetes Atlas reported in 2015 that 415 million people globally, have diabetes, most with Type 2 Diabetes Mellitus.  Even though the rate and generality of T2DM vary by geographic region, with more than  80% of T2DM patients live in low- -income countries, T2DM pervasiveness has expanded worldwide since 1980 but health care play an important roll in the response to this rising energy cost, preventing premature death by eating a portion of healthy food, being a non-smoker and disability and better  well being. 

Identify the national-level key stakeholders who are affected by the DM type 2 practice problem and stakeholders involved in the resolution.

Ogurtsova et al. (2015) state,  that there is no easy way for directing diabetes but coordinated, a more component to improve health can make a difference.  Everybody can play a part in a role in lessening the effect of all forms of diabetes. The health care team, governments, health-care providers including osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker, people with diabetes, food producers, civil society, and creator suppliers of medicines and technology the branch of knowledge dealing with engineering or applied sciences are all stakeholders. Altogether, they can make a big contribution to stop the rise in diabetes and improve the lives being supportive individuals of those living with the disease.

Are clinical practice guidelines used to address this problem? Why or why not? If used, provide a brief overview of the CPG. If a CPG is not used, propose an intervention that could be implemented on a national scale to address the problem.

Giving excellent quality, evidence-well informed clinical guidelines (CPGs) provide a way of see through the gap between policy, local contexts, best practice, and patient choice in healthcare. Clinical guidelines have been supporting as a crucial part of providing the care the patient needs for several years.  Clinical practice guidelines are a  suitable way of wrapping evidence and presenting problems to healthcare advocates. Quality advancement initiatives are affiliated with CPGs, as evidence-based guidance forms the basis for combine core results and performance standards (Kredo et al.,2016).


Office of Disease Prevention and Health Promotion  (2020). In Healthy People 2020. Retrieved from: https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes (Links to an external site.)

Nikitara, M.; Constantinou, C.S; Andreou, E.; Diomidous, M. (2019). The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review. Behav. Sci. 2019, 9, 61.Retrived from; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616628/ (Links to an external site.)

Ong et al.(2018). Assessing the influence of health systems on Type 2 Diabetes Mellitus awareness, treatment, adherence, and control: A systematic review. doi: 10.1371/journal.pone.0195086 (Links to an external site.)

Ogurtsova, Katherine, et al.(2015). “IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040.” Diabetes research and clinical practice 128 (2017): 40-50.

https://doi.org/10.1016/j.diabres.2017.03.024 (Links to an external site.)

Kredo, Tamara, et al. (2016).  “Guide to clinical practice guidelines: the current state of play.” International Journal for Quality in Health Care 28.1 (2016): 122-128. https://doi.org/10.1093/intqhc/mzv115 (Links to an external site.)


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