Topic: identifying a Problem

Order Description
Prepare for the capstone project by listening to the audio interview, “Capstone: Planning Your Project”.

Preview and utilize the “Topic 1 Checklist.” This resource will assist you in organizing your work and will provide additional information regarding the assignment.

Consider the clinical environment in which you are currently working or have recently worked. Collaborate with a leader or educator in the clinical environment to identify a problem, issue, or educational deficit upon which to build a proposal for change.

In a paper of no more than 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:

The setting and/or context in which the problem, issue, or educational deficit can be observed.
Detailed description of the problem, issue, or educational deficit.
Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
Gravity of the problem, issue, or educational deficit and its significance to nursing.
Proposed solution to address the problem, issue, or educational deficit.
Prepare for the capstone project by listening to the audio interview, “Capstone: Planning Your Project”, located at https://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs441v_capstone.php.

Review “Topic 1: Checklist.” This resource will assist you in organizing your work and will provide additional information regarding the assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are not required to submit this assignment to Turnitin.

2 NRS 441v.11R.Module1_Checklist.doc
(P) Population: Adults in acute care setting (hospital)
(I) Intervention: Early removal of urinary catheter and urinary tract infection prevention using nurse driven protocols
(C) Comparison: Use of catheter and CAUTI rates using implementation of effective nurse driven protocols compared to the use of no protocols
(O) Outcome: Positive patient outcomes related to the reduction and prevention of urinary tract infections in patients with indwelling urinary catheters; as well as cost reduction for the health care organization
(T) Time: Within the length of stay of the patient’s hospitalization
PICOT Question
In hospitalized patients in the acute care setting, how does the implementation of effective nurse driven protocols compared to the use of no protocols, as it relates to early removal of urinary catheters and urinary tract infection prevention, prove effective in the reduction of CAUTI rates, within a hospital stay of the patient.

Identifying a Problem
Identifying a Problem (Pls Link this paper to the PICOT statement)
In a paper of no more than 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:
1. The setting and/or context in which the problem, issue, or educational deficit can be observed.
2. Detailed description of the problem, issue, or educational deficit.
3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
4. Gravity of the problem, issue, or educational deficit and its significance to nursing.
5. Proposed solution to address the problem, issue, or educational deficit.
Review “Topic 1: Checklist.” This resource will assist you in organizing your work and will provide additional information regarding the assignment.
Pls. provide 3 references.
Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.
You are required to submit this assignment to Turnitin. TURNITIN score <15%
*** Identifying your Problem Paper have to be related to the PICO question.
Special Instruction:
On the paper Pls put this subtitle (So the paper is organize in this manner)
1. Introduction
2. Identifying a Problem
3. Impacted of Problem
4. Solution to the problem identified
5. Conclusion

Lastly can you do a PICOT regarding this paper?
Also, the other File is References pls link the paper that you will be doing with this literature/references.. Thank you.

Selecting Sources of Literature

Cruz, M., Weigensberg, M. J., Juang, T. T., Ball, G., Shalib, G. Q., and M. I. Goran. (2004). The Metabolic Syndrome in Overweight Hispanic Youth and the Role of Insulin Sensitivity. Journal of Clinical Endocrinology and Metabolism. 89(1): 108-113.
This article specifically addresses Hispanic youth and their tendency to have diabetes. It brings to light the seriousness of the issue and the need for a new care approach by care providers. Valuable statistical information is provided about this patient population. For example, Hispanics are among the most common race to have diabetes. The article supports my proposed changes.
“Diabetes Statistics”. (2013). American Diabetes Association. Retrieved from http://www.diabetes.org/diabetes-basics/diabetes-statistics/
This is a useful source for statistical information about diabetes. It does not necessarily support my proposed changes but it rather provides useful background information about the topic. Examples of statistical information compare and contrast obesity rates among children and adults in the U.S.
Freeborn, D.S., and S.O. Roper (2013). The Influence of an Insulin Pump Experience on Nursing Students’ Understanding of the Complexity of Diabetes Management and Ways to Help Patients: a Qualitative Study. Journal of Nursing Education and Practice. 3(3):52-60.
This is a very valuable article because it directly supports my proposed changes. The article describes a nurse training program which successful integrated what I proposed. For example, nurses were sent home with insulin pumps and told to experience what it was like to have diabetes for a day. The outcomes of the study showed great success.
Kaufman, K. (2010). “A New Business Model for Hospitals”. Trustee. Retrieved from http://www.trusteemag.com/trusteemag_app/jsp/articledisplay.jsp?dcrpath=TRUSTEEM AG/Article/data/05MAY2010/1005TRU_FEA_NewBusiness&domain=TRUSTEEMAG
This article focuses on alternative approaches to nursing and medical staff training in hospitals. While it does not specifically address diabetes patients, it is a useful background source.
Keogh, K.M., Smith, S.M., White, P. Mcgilloway, S., Kelly, A., Gibney, J., and O’Dowd, T. (2011). “Psychological Family Intervention for Poorly Controlled Type 2 Diabetes”. American Journal of Managed Care. 17.2. Pg. 105-113.
This article has influenced me to include a family element in my proposed changes as it indicates that family has a large impact on the individual suffering from Type 2 Diabetes. This is especially the case for young children.
Levin, J., Glass, T. A., and Lawrence, K. H. (1997). Quantitative Methods in Research on Complementary and Alternative Medicine: A Methodology Manifesto. Journal of Medical Care. 35.11. Pp 1079-1094.
Complementary and alternative medicine is an area in which many nurses have yet to explore, but it is very relevant for this specific topic. Children’s parents or caregivers may seek complementary and alternative medicine, or CAM, as a possible way to assist their child in coping with Type 2 Diabetes. It is important for nurses to be flexible in their assistance so that other areas are considered as well to fit the patient’s needs.
Li, R., and R. Bilik (2013). Medical Costs Associated with Type 2 Diabetes Complications and Comorbidities. The American Journal of Managed Care. 19(5): 421-429.
Medical costs is another statistical aspect which I wish to include in my paper. It is important to drive home the point that the medical costs associated with diabetes are astronomical, which indicates that there is a strong need to approach the issue in a new way.
Lin, C., and Ruo-Nan Jueng. (2009). Applying Orem’s Theory to the Care of a Hypertension Patient Undertaking Self Care. Case Manager. 152. 110-115.
With this source, I will consider including philosophical nursing ideas such as the Orem’s Theory, which assists with many self-care situations such as coping with diabetes. It is important to consider nursing philosophy especially in a situation such as children suffering with diabetes because it requires a psychological element.
Martin, M.A., Swider, S.M., Olinger, T., Avery, E., Lynas, C.M.T., Carlson, K., and S.K. Rothschild. (2011). Recruitment of Mexican American Adults for an Intensive Diabetes Intervention Trial. Ethnicity and Disease. 21(12): 7-12.
Martin’s article provides another beneficial outlook of diabetes from a racial perspective as it is well-known that certain races are more prone to diabetes than others. Although this focusses mainly on adults, it does provide valuable statistical information as well as ideas for creating a more effective treatment program for those suffering with diabetes.
Meloni, A. R., DeYoung, M. B., Best, J. H., Han, J. and M. Grimm. (2013). Treatment of Patients with Type 2 Diabetes with Exenatide Once Weekly versus Oral Glucose- lowering Medications or Insulin Gargine”. Cardiovascular Diabetology. 12(48): 2-14.
I knew that I could not focus entirely on the emotional aspect of diabetes treatment in my research so I decided to include a more technical approach a well. Meloni’s article compares treatment options involving Exanatide treatment in comparison to oral glucose lowering medicine treatment. I wanted to use this to show that nurses need to be trained in all aspects of diabetes including the technical and social/emotional aspect.
Sabo, B., (Jan 31, 2011) “Reflecting on the Concept of Compassion Fatigue”OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 1.
Compassion fatigue was a concept I wanted to mention as many nurses may experience it while trying to assist children in coping with diabetes. This task can be very daunting and wearing—especially when the nurse is burned out or discouraged by his or her progress. It is important that my proposed program puts into place efforts to prevent compassion fatigue.
Saks, M. (1995). Professions and the Public Interest: Medical Power, Altruism, and Alternative Medicine. Psychology Press. Print.
This was an interesting article which I thought would be beneficial for exploring the emotional aspects of diabetes and how children may better cope with the required lifestyle changes.
“Type 2”. (2013). American Diabetes Association. Retrieved from http://www.diabetes.org/diabetes-basics/type-2/
I obtained information from the diabetes.org website about Type 2 Diabetes to ensure that my definitions and background information is correct. This website does not assist with my proposed changes, but it provides general background information about diabetes.
Wahbeh, H., Elsas, S., Oken, B. (2008). Mind-body interventions. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882072/?log$=activity
Wahbeh explores some very fascinating intervention activities within the medicine world in general. While it does not specifically address diabetes or diabetes management, it brings to question many alternative forms of medicine and the importance for medical providers to provide well-rounded service.
Wong, C. A., and G.G. Cummings. (2013). The Relationship Between Nursing Leadership and Patient Outcomes: A Systematic Review Update. Journal of Nursing Management. 21(5): 709-724
I decided to include Wong’s research because it provides valuable information about nursing leadership and whether it leads to better patient outcomes. I wanted to emphasize in my proposal that strong nursing leaders and implemented in the changes in order to set examples to other nurses.

Identifying a Problem
Identifying a Problem (Pls Link this paper to the PICOT statement)
In a paper of no more than 800 words, describe the nature of the problem, issue, or educational deficit. Include the following in your discussion:
1. The setting and/or context in which the problem, issue, or educational deficit can be observed.
2. Detailed description of the problem, issue, or educational deficit.
3. Impact of the problem, issue, or educational deficit on the work environment, the quality of care provided by staff, and patient outcomes.
4. Gravity of the problem, issue, or educational deficit and its significance to nursing.
5. Proposed solution to address the problem, issue, or educational deficit.
Review “Topic 1: Checklist.” This resource will assist you in organizing your work and will provide additional information regarding the assignment.
Pls. provide 3 references.
Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.
You are required to submit this assignment to Turnitin. TURNITIN score <15%
*** Identifying your Problem Paper have to be related to the PICO question.
Special Instruction:
On the paper Pls put this subtitle (So the paper is organize in this manner)
1. Introduction
2. Identifying a Problem
3. Impacted of Problem
4. Solution to the problem identified
5. Conclusion

Lastly can you do a PICOT regarding this paper?
Also, the other File is References pls link the paper that you will be doing with this literature/references.. Thank you.

Selecting Sources of Literature

Cruz, M., Weigensberg, M. J., Juang, T. T., Ball, G., Shalib, G. Q., and M. I. Goran. (2004). The Metabolic Syndrome in Overweight Hispanic Youth and the Role of Insulin Sensitivity. Journal of Clinical Endocrinology and Metabolism. 89(1): 108-113.
This article specifically addresses Hispanic youth and their tendency to have diabetes. It brings to light the seriousness of the issue and the need for a new care approach by care providers. Valuable statistical information is provided about this patient population. For example, Hispanics are among the most common race to have diabetes. The article supports my proposed changes.
“Diabetes Statistics”. (2013). American Diabetes Association. Retrieved from http://www.diabetes.org/diabetes-basics/diabetes-statistics/
This is a useful source for statistical information about diabetes. It does not necessarily support my proposed changes but it rather provides useful background information about the topic. Examples of statistical information compare and contrast obesity rates among children and adults in the U.S.
Freeborn, D.S., and S.O. Roper (2013). The Influence of an Insulin Pump Experience on Nursing Students’ Understanding of the Complexity of Diabetes Management and Ways to Help Patients: a Qualitative Study. Journal of Nursing Education and Practice. 3(3):52-60.
This is a very valuable article because it directly supports my proposed changes. The article describes a nurse training program which successful integrated what I proposed. For example, nurses were sent home with insulin pumps and told to experience what it was like to have diabetes for a day. The outcomes of the study showed great success.
Kaufman, K. (2010). “A New Business Model for Hospitals”. Trustee. Retrieved from http://www.trusteemag.com/trusteemag_app/jsp/articledisplay.jsp?dcrpath=TRUSTEEM AG/Article/data/05MAY2010/1005TRU_FEA_NewBusiness&domain=TRUSTEEMAG
This article focuses on alternative approaches to nursing and medical staff training in hospitals. While it does not specifically address diabetes patients, it is a useful background source.
Keogh, K.M., Smith, S.M., White, P. Mcgilloway, S., Kelly, A., Gibney, J., and O’Dowd, T. (2011). “Psychological Family Intervention for Poorly Controlled Type 2 Diabetes”. American Journal of Managed Care. 17.2. Pg. 105-113.
This article has influenced me to include a family element in my proposed changes as it indicates that family has a large impact on the individual suffering from Type 2 Diabetes. This is especially the case for young children.
Levin, J., Glass, T. A., and Lawrence, K. H. (1997). Quantitative Methods in Research on Complementary and Alternative Medicine: A Methodology Manifesto. Journal of Medical Care. 35.11. Pp 1079-1094.
Complementary and alternative medicine is an area in which many nurses have yet to explore, but it is very relevant for this specific topic. Children’s parents or caregivers may seek complementary and alternative medicine, or CAM, as a possible way to assist their child in coping with Type 2 Diabetes. It is important for nurses to be flexible in their assistance so that other areas are considered as well to fit the patient’s needs.
Li, R., and R. Bilik (2013). Medical Costs Associated with Type 2 Diabetes Complications and Comorbidities. The American Journal of Managed Care. 19(5): 421-429.
Medical costs is another statistical aspect which I wish to include in my paper. It is important to drive home the point that the medical costs associated with diabetes are astronomical, which indicates that there is a strong need to approach the issue in a new way.
Lin, C., and Ruo-Nan Jueng. (2009). Applying Orem’s Theory to the Care of a Hypertension Patient Undertaking Self Care. Case Manager. 152. 110-115.
With this source, I will consider including philosophical nursing ideas such as the Orem’s Theory, which assists with many self-care situations such as coping with diabetes. It is important to consider nursing philosophy especially in a situation such as children suffering with diabetes because it requires a psychological element.
Martin, M.A., Swider, S.M., Olinger, T., Avery, E., Lynas, C.M.T., Carlson, K., and S.K. Rothschild. (2011). Recruitment of Mexican American Adults for an Intensive Diabetes Intervention Trial. Ethnicity and Disease. 21(12): 7-12.
Martin’s article provides another beneficial outlook of diabetes from a racial perspective as it is well-known that certain races are more prone to diabetes than others. Although this focusses mainly on adults, it does provide valuable statistical information as well as ideas for creating a more effective treatment program for those suffering with diabetes.
Meloni, A. R., DeYoung, M. B., Best, J. H., Han, J. and M. Grimm. (2013). Treatment of Patients with Type 2 Diabetes with Exenatide Once Weekly versus Oral Glucose- lowering Medications or Insulin Gargine”. Cardiovascular Diabetology. 12(48): 2-14.
I knew that I could not focus entirely on the emotional aspect of diabetes treatment in my research so I decided to include a more technical approach a well. Meloni’s article compares treatment options involving Exanatide treatment in comparison to oral glucose lowering medicine treatment. I wanted to use this to show that nurses need to be trained in all aspects of diabetes including the technical and social/emotional aspect.
Sabo, B., (Jan 31, 2011) “Reflecting on the Concept of Compassion Fatigue”OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 1.
Compassion fatigue was a concept I wanted to mention as many nurses may experience it while trying to assist children in coping with diabetes. This task can be very daunting and wearing—especially when the nurse is burned out or discouraged by his or her progress. It is important that my proposed program puts into place efforts to prevent compassion fatigue.
Saks, M. (1995). Professions and the Public Interest: Medical Power, Altruism, and Alternative Medicine. Psychology Press. Print.
This was an interesting article which I thought would be beneficial for exploring the emotional aspects of diabetes and how children may better cope with the required lifestyle changes.
“Type 2”. (2013). American Diabetes Association. Retrieved from http://www.diabetes.org/diabetes-basics/type-2/
I obtained information from the diabetes.org website about Type 2 Diabetes to ensure that my definitions and background information is correct. This website does not assist with my proposed changes, but it provides general background information about diabetes.
Wahbeh, H., Elsas, S., Oken, B. (2008). Mind-body interventions. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882072/?log$=activity
Wahbeh explores some very fascinating intervention activities within the medicine world in general. While it does not specifically address diabetes or diabetes management, it brings to question many alternative forms of medicine and the importance for medical providers to provide well-rounded service.
Wong, C. A., and G.G. Cummings. (2013). The Relationship Between Nursing Leadership and Patient Outcomes: A Systematic Review Update. Journal of Nursing Management. 21(5): 709-724
I decided to include Wong’s research because it provides valuable information about nursing leadership and whether it leads to better patient outcomes. I wanted to emphasize in my proposal that strong nursing leaders and implemented in the changes in order to set examples to other nurses.