Throughout this narrative, we will continually reference the framework of “NURS FPX 4900 Assessment 1: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations” to underscore its significance in Karla’s case and the broader context of nursing care at Prime Hospital.

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Karla’s situation illuminated a critical aspect of this assessment, namely, the need for leadership within the nursing team. Effective leadership is essential for guiding nurses in providing the highest level of care, and it was clear that improvements were required in this regard.

Evidence-Based Approach Utilized

The criticality of this problem cannot be overstated, as it directly impacts the ability of baccalaureate-prepared nurses at Prime Hospital to provide the best care for type 2 diabetes patients, potentially averting life-threatening events such as strokes or heart attacks.

During the two-hour interview session with Karla, an evidence-based approach was employed to assess her condition comprehensively. It was clear that Karla’s dietary choices, especially a high-fat and oil-rich diet, were unsuitable for her diabetic condition. Research has shown that adherence to the American Diabetes Association (ADA) guidelines is pivotal in treating type 2 diabetes effectively. These guidelines emphasize the importance of managing cholesterol levels, especially in patients like Karla, who suffer from diabetes, hypertension, and heart issues.

Numerous studies have elucidated the multifaceted nature of type 2 diabetes and recommended interventions such as medication management, insulin therapy, and lifestyle modifications. The ADA’s recommendations offer a robust framework for nurses at Prime Hospital to educate patients like Karla on evidence-based practices and interventions.

One of the key strengths of the ADA is its focus on continually enhancing nurses’ knowledge to improve patient outcomes. These guidelines serve as the gold standard in the healthcare industry for addressing complex issues such as type 2 diabetes. Hospitals, including Prime Hospital, should prioritize adhering to these national standards to ensure top-notch community care services. Here is complete NURS FPX 4900 Assessment 1 Assessing the Problem.

In light of this, nurses must undergo rigorous training to familiarize themselves with the ADA guidelines, which cover crucial aspects such as insulin administration, symptoms of type 2 diabetes, glycemic targets, and patient education. Understanding glycemic targets is especially pivotal as it is a cornerstone in diabetes treatment. Equipping nurses with this knowledge empowers them to enhance the quality of life for patients like Karla.

Barriers to Implementation of Evidence-based Practices 

The two-hour practicum session was very beneficial because it helped to understand and identify the barriers to the implementation of evidence-based practices. The most commonly reported and observed barriers or weaknesses in nursing were the frequency of diabetic education provision and the use of the right technology tools. For example, the analysis of barriers revealed that nurses in Prime Hospital needed some proper training and education related to knowing significantly about diabetes type 2 disease and interventions (Sorensen et al., 2020). This was a great barrier that acts as an obstacle in the delivery of the best interventions.

Moreover, some DSN nurses more commonly specialized in diabetes were also not in the vast majority in the healthcare organization. This was a huge issue because this increased the workload of the existing nurses and other doctors at duty who felt agitated and burned (Kantanen, 2017). This also adversely impacts the overall collaboration and communication in the night shift to treat diabetic and heart patients effectively. Unfortunately, the nurses were showing resistance or lack of motivation to receive diabetic training to enhance their knowledge which served as a hindrance or barrier to applying and using the evidence-based practices effectively. 


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