Capella NURS-FPX6011 Assessment 1 EBP Assignment
Capella NURS-FPX6011 Assessment 1 EBP Assignment Example
Part 1: Concept Map
Part 2: Supporting the Concept Map
The development of this concept map was guided by the nursing process. This patient came into the office with a chief complaint of reduced sensation on the right foot that was on and off but mild in functional limitation. The assessment revealed no other symptoms related to renal, ophthalmic, gastrointestinal, or cardiac complications of diabetes. The purpose of this narrative review of the concept map is to describe how evidence-based practice influenced this concept map and care plan in terms of analysis of the patient’s needs, communication with the patient and her family, and the value of the evidence-based sources used.
Patient Needs Analysis
During this visit, the patient’s main concerns were the reduction of right lower limb and foot sensation and fatigue. On further probing, the assessment found that this patient’s compliance with her metformin has been erratic and her socioeconomic circumstances could have also contributed to her current situation. She has missed most of her doses in the past few months because her daughter, who used to remind her to take her pills, moved to another state for permanent employment and has been held up with work lately.
The patient is retired; thus, her primary source of income is through her son and daughter, who are both employed. Her children are both married but still find time to come and visit. This patient is a staunch Christian believer and she reports that her faith has kept her through to this time. This might have contributed to the reluctance to comply fully with her prescription. Nevertheless, this patient’s cultural and socioeconomic needs greatly influenced the development of this concept map and the care plan.
The patient lives alone; thus, this care plan instituted monitoring strategies to ensure that the patient achieves self-care by improving her fatigue. Priority was given to stabilizing blood sugar levels and improving adherence to ensure that her metabolic demands were met. Monitoring through telehealth and mobile technology was a vital part of this plan because it would enable remote management of the patient through enhanced follow-up after short time intervals. In the discharge plan, the patient was helped to create a plan that included an alarm to remind her about her medication time and times to record her blood glucose to report three days later.
The development of the patient was also influenced by her identity and cultural needs. As an African American, she is at risk of cardiovascular diseases such as heart failure. Therefore, an assessment of her blood pressure and cardiovascular complication, such as lower limb edema from heart failure and acute kidney injury, was justified for this patient. This patient is overweight (BMI=28), which adds to her cardiovascular risk. Therefore, the inclusion of exercise and a weight reduction plan through diet were discussed during a motivational interviewing session.
The interventions were driven at meeting care needs illustrated in the three priority diagnoses. Most of the desired outcomes of these interventions were intertwined and such that more than one intervention could be used to meet a single outcome. Therefore, I included the monitoring outcomes measurement parameters that would be discussed with the patient during every review session after every 72 hours. The patient’s family was included in this plan through her daughter, who accompanied her to the office. She desired to treat her mother from home even if it meant that the care costs would increase. Therefore, I added community resources such as home-based care interventions to improve this patient’s self-care at home.
Communication Strategies.
The communication plan with this patient and her family will involve both remote and face-to-face communication. Remote communication through telehealth would help monitor patient progress and scheduling appointments. After every four weeks, the patient would revisit the officer for physical assessment and face-to-face communication. To ensure that these communications were honest and productive. The communication times would be scheduled and contents tailored to meet the patient’s care needs.
The patient’s daily readings would be communicated through phone calls but charted on paper to be delivered during physical sessions. This would ensure that only important and useful is shared, but every detail is documented for monitoring and evaluation. The content of the communication with the patient and her family will be kept short and basic so that they would understand and follow through with her care.
Value and Relevance of Resources
Four evidence-based sources informed this care plan. These sources have different values and relevance to making the concept map. The annotated bibliography below explains how these sources were valuable ad relevant.
American Diabetes Association Professional Practice Committee. (2022a). 4. Comprehensive medical evaluation and assessment of comorbidities: Standards of Medical Care in diabetes—2022. Diabetes Care, 45(Supplement_1), S46–S59. https://doi.org/10.2337/dc22-s004
This source provided information on current evaluation and assessment strategies relevant to the nursing process. This piece of information was relevant to this patient’s case because it ensures that my care was multisystemic and, thus, holistic and patient-centered. This article provides level I evidence in the hierarchy of evidence because it contains evidence-based guidelines. The value of the information herein is critical to patient safety and quality of care.
American Diabetes Association Professional Practice Committee. (2022b). 5. Facilitating behavior change and well-being to improve health outcomes: Standards of Medical Care in diabetes—2022. Diabetes Care, 45(Supplement_1), S60–S82. https://doi.org/10.2337/dc22-s005
This resource was a peer review article that provided information on the current management of diabetes and the incorporation of mental health outcomes relevant to this patient. This piece of information was relevant to this patient’s case because it ensured that my care was multisystemic and, thus, holistic and patient-centered. This article provides level I evidence in the hierarchy of evidence because it contains evidence-based guidelines by a recognized and reputable organization, the American Diabetes Association.
Ladwig, G. B., Ackley, B. J., & Makic, M. B. F. (2019). Mosby’s guide to nursing diagnosis (6th ed.). Mosby.
This resource is a course book and a tertiary source of information. The content of this source is heterogeneous and sourced from different primary and secondary articles and guidelines. The quality of evidence in this resource is high but can’t be ranked in the hierarchy because this resource doesn’t contain a single topic of information. This resource was vital in needs assessment and making priority diagnoses for this patient that are related to NANDA diagnoses. This information was also important for goal setting for the care of this patient.
Montero, A. R., Toro-Tobon, D., Gann, K., Nassar, C. M., Youssef, G. A., & Magee, M. F. (2021). Implications of remote monitoring Technology in Optimizing Traditional Self-Monitoring of blood glucose in adults with T2DM in primary care. BMC Endocrine Disorders, 21(1), 222. https://doi.org/10.1186/s12902-021-00884-6
This source of information was the primary source with the information I used in the selection of the best and most appropriate technology for communication to meet this patient’s needs. The use of technology would ensure self-monitoring of glucose by this patient and this would improve outcomes. This source is level II evidence because it was from a comparative experimental study with no randomization.
Salari, N., Hosseinian-Far, A., Hosseinian-Far, M., Kavoussi, H., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Rasoulpoor, S., Mohammadi, M., & Shabani, S. (2020). Evaluation of skin lesions in diabetic patients: a systematic review and meta-analysis. Journal of Diabetes and Metabolic Disorders, 19(2), 1909–1916. https://doi.org/10.1007/s40200-020-00629-7
The value of this article in the management of this patient is high because it is a level-I evidence source that addresses this patient’s chief complaint. This source is a systemic review with meta-analyses; thus, it provides the highest level of evidence (Melnyk & Fineout-Overholt, 2023). This article provides information about current best practices regarding skin care among diabetic patients. Therefore, it is relevant to this patient’s case.
The above five sources are credible because they meet the CRAAP criteria for credibility. The CRAAP credibility test is an acronym that stands for currently, relevance, accuracy, authoritativeness, and purpose. I used sources published within the last five years, thus current. These sources were published by an expert in nursing and medical fields and are thus authoritative. The purpose and relevance of the sources had been annotated earlier.
Conclusion
The concept map presented summarized the patient assessment findings, presented three priory nursing diagnoses and elaborated a care plan for the patient. The desired outcomes of the patient care plan were based on an assessment of the patient’s needs. These needs were related to the patient’s current social, economic, cultural, and self-care status. This plan was evidence based because the information that guided its development was derived from five credible sources.
Capella NURS-FPX6011 Assessment 1 EBP Assignment References
American Diabetes Association Professional Practice Committee. (2022a). 4. Comprehensive medical evaluation and assessment of comorbidities: Standards of Medical Care in diabetes—2022. Diabetes Care, 45(Supplement_1), S46–S59. https://doi.org/10.2337/dc22-s004
American Diabetes Association Professional Practice Committee. (2022b). 5. Facilitating behavior change and well-being to improve health outcomes: Standards of Medical Care in diabetes—2022. Diabetes Care, 45(Supplement_1), S60–S82. https://doi.org/10.2337/dc22-s005
Ladwig, G. B., Ackley, B. J., & Makic, M. B. F. (2019). Mosby’s guide to nursing diagnosis (6th ed.). Mosby.
Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer Health.
Montero, A. R., Toro-Tobon, D., Gann, K., Nassar, C. M., Youssef, G. A., & Magee, M. F. (2021). Implications of remote monitoring Technology in Optimizing Traditional Self-Monitoring of blood glucose in adults with T2DM in primary care. BMC Endocrine Disorders, 21(1), 222. https://doi.org/10.1186/s12902-021-00884-6
Salari, N., Hosseinian-Far, A., Hosseinian-Far, M., Kavoussi, H., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Rasoulpoor, S., Mohammadi, M., & Shabani, S. (2020). Evaluation of skin lesions in diabetic patients: a systematic review and meta-analysis. Journal of Diabetes and Metabolic Disorders, 19(2), 1909–1916. https://doi.org/10.1007/s40200-020-00629-7
Capella NURS-FPX6011 Assessment 1 EBP Assignment Instructions
Create an evidence-based, patient-centered concept map that illustrates an individualized approach to patient care based on a patient case file of your choice.
Evidence-based practice is a critical skill in the toolkit of the master’s-prepared nurse. Its goal is to ensure that healthcare practitioners use the best available evidence to ensure patients receive the best care possible (Godshall, M., 2015.). In essence, evidence-based practice is all about providing quality care Capella FP6011 Assessment 1 EBP Assignment.
In this assessment, you can apply evidence-based practice and personalized care concepts to ensure quality care and improve a single patient’s health.
Completing this assessment will demonstrate your proficiency in the following course competencies and assessment criteria Capella FP6011 Assessment 1 EBP Assignment.
Competency 1: Apply evidence-based practice to plan patient-centered care.
Analyze the needs of a patient and their family about how they will influence a patient-centered concept map.
Design an individualized, patient-centered concept ma, based on the best available evidence for treating a patient’s health, economic, and cultural needs.
Competency 3: Evaluate outcomes of evidence-based interventions.
Propose relevant and measurable criteria for evaluating the outcomes of a patient-centered concept map.
Competency 4: Evaluate available evidence’s value and relative weight to make a clinical decision.
Justify the value and relevance of evidence used for a patient-centered concept map.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Capella NURS-FPX6011 Assessment 1 EBP Assignment Reference:
Godshall, M. (2015). Fast facts for evidence-based practice in nursing: Implementing EBP in a nutshell(2nd ed.). New York, NY: Springer Publishing Company.
Preparation for Capella NURS-FPX6011 Assessment 1 EBP Assignment
You have been presented with several patient case files in the Evidence-Based Patient-Centered Care media piece Capella FP6011 Assessment 1 EBP Assignment. You reviewed each case, selected one point for further research, and created a draft evidence-based concept map to illustrate an approach to individualized care for the patient. In this assessment, you will build upon and refine your draft concept map and develop a supporting narrative.
Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.
Note: Many organizations use the spider style of concept maps (see the Taylor & Littleton-Kearney article for an example). Also, if a specific type of concept map is used in your current care setting, you may use it in this assessment.
Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family Capella FP6011 Assessment 1 EBP Assignment.
Requirements for Capella NURS-FPX6011 Assessment 1 EBP Assignment
Note: The requirements below correspond to the grading criteria in the scoring guide, so address each point. In addition, you may want to review the performance level descriptions for each bar to see how your work will be assessed.
Supporting Evidence and APA Style
Integrate relevant evidence from 3–5 current scholarly or professional sources to support your assertions.
Apply correct APA formatting to all in-text citations and references.
Attach a reference list to your narrative.
Concept Map
Develop a concept map for the individual patient based on the best available evidence for treating your patient’s health, economic, and cultural needs.
Narrative
Develop a narrative (2–4 pages) for your concept map.
Analyze the needs of your patient and their family, and determine how those needs will influence a patient-centered concept map.
Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition and affected their future health.
Consider how your patient’s culture or family should influence your concept map.
Justify the value and relevance of the evidence you used as the basis of your concept map.
Explain why your evidence is valuable and relevant to your patient’s case.
Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.
Propose relevant and measurable criteria for evaluating the degree to which the desired outcomes of your concept map were achieved.
Explain why your proposed criteria are appropriate and valid measures of success.
Explain how you will communicate specific aspects of the concept map to your patient and their family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:
- Promote honest communications.
- Facilitate sharing only the information you are required and permitted to share.
- Are mindful of your patient’s culture.
- Enable you to make complex medical terms and concepts understandable to your patient and their family, regardless of language, disabilities, or level of education.
Capella NURS-FPX6011 Assessment 1 EBP Assignment Additional Requirements
Be sure to include both documents when you submit your assessment.
Also Read:
| NURS FPX 4040 Technology in Nursing Annotated Bibliography |
| MSNFP6016 Capella University Quality Improvement Initiative Evaluation |
