West Coast NURS 316L OB Nursing Concept Map
Case study provided in order to fill out the OB concept map.
Part 1: Concept Map
Part 2: Additional Evidence (Narrative)
The concept map includes two care plans linked together to show the need for transition of care and link the outcomes of acute and chronic care. I developed the care plan above using evidence-based information from journal articles, books, and guidelines. Therefore, I believe that the plan is evidence-based. To justify that my plan was based on valuable evidence, I have developed table 1 below to summarize the worth of these sources. Even though I used level VI and VII sources of evidence, they were worthwhile because their evidence was relevant to my clinical issue and they contained newer perspectives of care in acute and chronic care settings.
Table 1: Justification of the worthiness of my sources
| Source | Worth | Value |
| American Diabetes Association (2020) | Used to apply the current diabetes guidelines according to American Diabetes Association | Level I (evidence-based clinical practice guidelines) |
| Carpenito (2020) | Handbook of nursing diagnosis that was used to determine appropriate NANDA diagnoses for this patient | A tertiary source from different sources with varied levels of evidence |
| Marques et al., (2022) | A journal article that applied Orem’s self-care theory to provide different perspectives of nursing diagnosis and care among elderly adults | Level VI(Evidence from a qualitative study) |
| Torrens et al. (2020) | Provided evidence-based information on the role of nurses in overcoming diabetes care barriers. It came in handy when deciding on intervention for the community care plan | Level – moderate (scoping review)A secondary source |
| Wallia et al. (2020) | Provided different care perspectives in an acute setting that was useful in drawing the care plan in the ICU | A narrative reviewLevel VII |
The plan emphasizes the roles of two key professionals, including a nephrologist and a nurses (critical care nurse and community health nurse). The plan links acute care in the ICU to chronic care in the community through a smooth transition, especially for renal, cardiac, and diabetic care. The need to maintain the outcomes of acute care contribute to the goals of chronic care. This patient has unresolved edema that would need to be addressed in her home care because of the risk of injury and infections. Patient safety and comfort are given priority in this care plan. I focused much on preventing complications and achieving self-care, as determined by my sources. Therefore, I believe that the sources are credible because they are current, relevant, and authoritative.
References
American Diabetes Association. (2020). 15. Diabetes care in the hospital: Standards of Medical Care in diabetes-2020. Diabetes Care, 43(Suppl 1), S193–S202. https://doi.org/10.2337/dc20-S015
Carpenito, L. J. (2020). Handbook of nursing diagnosis (15th ed.). Wolters Kluwer Health.
Marques, F. R. D. M., Charlo, P. B., Pires, G. A. R., Radovanovic, C. A. T., Carreira, L., & Salci, M. A. (2022). Nursing diagnoses in elderly people with diabetes mellitus according to Orem’s Self-Care Theory. Revista Brasileira de Enfermagem, 75Suppl 4(Suppl 4), e20201171. https://doi.org/10.1590/0034-7167-2020-1171
Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., Bottone, H., Polson, R., & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, 104(103443), 103443. https://doi.org/10.1016/j.ijnurstu.2019.103443
Wallia, A., Prince, G., Touma, E., El Muayed, M., & Seley, J. J. (2020). Caring for hospitalized patients with diabetes mellitus, hyperglycemia, and COVID-19: Bridging the remaining knowledge gaps. Current Diabetes Reports, 20(12), 77. https://doi.org/10.1007/s11892-020-01366-0
