NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Name

Capella university

NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Prof. Name

Date

Evidence-Based Population Health Improvement Plan

Hello, everyone. My name is ______. Today, I will explore strategies to enhance Diabetes Mellitus (DM) management among the white population in West Virginia (WV), mainly focusing on individuals aged 45 to 65.

Diabetes is a metabolic disorder characterized by poor blood sugar regulation. The contributing factors of DM include genetics, obesity, poor diet, sedentary lifestyle, and aging, all contributing significantly to its development and progression. It substantially impacts adults’ well-being. The Centers for Disease Control and Prevention (CDC) reports that about 38 million individuals in the United States (US) are affected by diabetes, emphasizing its broad influence on public health and personal well-being (CDC, 2024). This presentation will framework a development plan for managing DM in adult patients. 

Evaluation of Environmental and Epidemiological Data

Diabetes has emerged as a severe issue in the 21st century, exacerbated by factors such as obesity, unhealthy diets, lack of physical activity, and mental health issues like anxiety and depression. Its complications include renal problems, loss of vision, cardiac failure, and stroke. Diabetes imposes a substantial economic burden, with expenditures in the US reaching $413 billion (CDC, 2024). DM impacts a significant number of Americans aged 45 to 65, with around 16.5 million individuals in this age group affected by the condition. (ADA, 2023a). The prevalence of DM among the white population of WV is 17.4% (America Health Ranking, 2022). In WV, annual healthcare expenses related to diagnosed diabetes alone reach $2.3 billion. This data underscores health challenges associated with DM across various age groups (ADA, 2023).

Information	Epidemiological Data	Source of Evidence	Validity and Reliability
The adult US population affected by diabetes	38 million	(CDC, 2024)	High validity and reliability
DM statistics in the white of WV	17.4 %	(America Health Ranking, 2022)	High validity and reliability
Health complications of DM	Blindness, kidney failure, heart disease and stroke	(CDC, 2024)	High validity and reliability
The financial burden of diabetes on the US	$413 billion	(CDC, 2024)	High authority and reliability
Prevalence of diabetes among Americans age 45 to 65	16.5 million	(ADA, 2023a)	High authority and reliability
The economic toll of diabetes in WV annually	$2.3 billion	(ADA, 2023)	High authority and reliability

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

The findings underscore the importance of evidence-based strategies to prevent diabetes among white adults in WV. Enhanced screening and treatment options provide opportunities for diabetic adults to receive higher-quality care. Early detection and preventive measures can help reduce the incidence of diabetes. Promoting healthy habits and physical activity are crucial elements in managing diabetes. Practical approaches include widespread screening efforts, promoting healthy lifestyles, and fostering physical activity to address diabetes (Rajlic et al., 2023).

Effects of Environmental Factors

Environmental factors influence the health of diabetic patients in WV. These factors contribute to higher rates of diabetes and exacerbate existing conditions. Limited access to regular testing, medical services, and health education among the WV white population contributes to the prevalence of diabetes. Inadequate physical activity and unhealthy diets exacerbate the problem of diabetes.

Environmental elements such as air pollution worsen the issue (Gorini et al., 2021). Air pollution has been linked to diabetes through various mechanisms. Fine particulate matter causes inflammation, oxidative stress, and insulin resistance in the body. Prolonged exposure to polluted air increases the risk of developing diabetes by disrupting glucose metabolism. Air contamination induces chronic inflammation and metabolic disruptions, impacting hormone regulation and contributing to insulin resistance (Gorini et al., 2021).

Ethical Health Improvement Plan

The health improvement initiative in WV focuses on reducing diabetes prevalence among the white community by supporting healthy eating habits, raising awareness of disease risks, and enhancing healthcare accessibility. Emphasizing individual autonomy, the initiative offers education and resources to empower adults to make informed health decisions. This objective can be followed through expanded awareness campaigns and improved healthcare access (Nikitara et al., 2020).

Community-based interventions will focus on promoting healthy diets, such as whole grains, fresh fruits and vegetables, lean proteins, and low sodium intake, to counter environmental factors impacting diabetic adults. Initiatives will promote physical activity and a balanced lifestyle, educating the community on managing blood sugar levels to combat diabetes (Mori et al., 2024).Cultural barriers must be addressed to combat diabetes and dispel misinformation within the white community. Additionally, marginalized communities, such as low-income and minority groups, require targeted educational initiatives to address their unique challenges.

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

These initiatives must be personalized and culturally sensitive to address confusion and beliefs influenced by diverse cultural backgrounds. Diverse dietary practices across cultures require diabetes specialists to offer customized meal guidance, develop an understanding of healthy eating habits, and advocate for physical activity (Neven et al., 2022).Due to limited access to medical care among white residents of WV, diabetes often goes unnoticed and untreated.

Addressing this issue requires collaborations with local healthcare providers to implement routine diabetes screening programs and early identification of individuals at risk (Assuli, 2022). Furthermore, enhancing telehealth and telemedicine services can enhance healthcare accessibility for those with physical limitations. Evaluating the impact of these efforts will involve outcomes such as reduced diabetes incidence among adults in the community. Monitoring participant involvement in screening sessions and tracking changes in diet and physical activity levels help measure the effectiveness of the intervention (Assuli, 2022).

Plan for Collaboration with Community Organization

Local healthcare facilities are essential in executing the health improvement plan for adult diabetic patients. Community-based healthcare providers establish trust and expertise within the community, serving as reliable resources for diabetic patients. These local medical professionals are regulated to the community’s needs, including ethical standards, cultural norms, social dynamics, and healthcare barriers. Their collaboration enhances the plan’s credibility, efficiency, and acceptance throughout the WV population (Manios et al., 2020).

Sharing of Thoughts and Visions

Regular meetings, dialogues, and open discussions are crucial for facilitating effective communication regarding diabetes management. These interactions provide opportunities for members of the white community to express concerns and exchange perspectives supported by their meetings, strengthening initiatives aimed at diabetes prevention and care (Grabowski et al., 2024).

Involvement of Community Stakeholders

Community stakeholders are crucial contributors to implementing the improvement plan within the white community of WV. By collaborating with medical practitioners, diabetologists, nutritionists, and health educators, these stakeholders collectively promote healthy lifestyles and dietary habits. This collaboration results in the development of a comprehensive strategy to manage and prevent diabetes among adults aged 45 to 65 (Grabowski et al., 2024).

Effective Communication & Data Confidentiality

Transparent, proficient, and confidential communication is essential to the plan’s success. All interactions and information sharing will adhere to Health Insurance Portability and Accountability Act (HIPAA) standards to safeguard confidentiality and safety. Technologies such as secure patient portals and telehealth platforms will be utilized for patient data safety. Additionally, medical terminology will be translated and simplified into various languages as needed to ensure accessibility for all adult diabetic patients (Minty et al., 2023).

Health Education Sessions

Health education sessions will ensure understanding across varying educational backgrounds, empowering adult diabetic patients to strengthen their self-efficacy and management abilities. Workshops on health literacy, with multilingual materials and translation services, will be offered to ensure support for diabetes management at all educational levels. These strategies will integrity the diverse language and educational backgrounds within the white community, fostering inclusivity in efforts to enhance diabetes health outcomes (Khan et al., 2022).

Value and Relevance of Resources

The outlined strategy underscores the importance of engaging community stakeholders and conducting health education sessions to foster healthy lifestyles and dietary practices. Through effective communication and confidentiality measures, the plan aims to improve diabetes management and prevention within the WV white community. Developing a community health improvement plan for diabetic adults in this demographic necessitates the use of evidence-based tools. These approaches and established protocols enhance healthcare delivery, promoting better well-being among diabetic adults (Khan et al., 2022).

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Rajlic et al. (2023), emphasize that utilizing population health data, including incidence rates and diabetic indicators, is crucial for guiding interventions. For instance, emphasizing healthy eating habits and promoting physical activity is the cornerstone of the plan’s dietary guidelines. Encouraging an active lifestyle and regular physical exercise contributes to lowering diabetes rates among white adults. The author emphasizes the significance of regular glucose screenings, as early detection can prevent complications and reduce healthcare expenses.

Information Communication Technology (ICT) plays a pivotal role in diabetes management among the white population in WV. Researchers emphasize the significance of telemedicine and telehealth services as practical alternatives for delivering healthcare to individuals who cannot access physical medical services. These solutions enable remote consultations, monitoring, updates, and online educational sessions, contributing to diabetes management and prevention (Mori et al., 2024).

Additionally, mobile health applications serve as valuable tools for promoting patient self-care and empowering individuals with diabetes to actively engage in managing their glucose levels. These apps provide personalized plans for physical activity, nutrition guidance, and medication reminders, fostering adherence to diabetes management strategies (Mori et al., 2024). The Mori et al. (2024) study is a valuable source highlighting the relevance of telemedicine and mobile health applications in enhancing diabetes management and patient engagement, particularly among the white population in WV.

Conclusion

The evidence-based population, health improvement plan, focuses on managing diabetes among WV whites aged 45 to 65. It emphasizes community stakeholder collaboration, cultural sensitivity in health education, and the integration of ICT, like telemedicine, for effective diabetes management and prevention. The plan aims to enhance health outcomes through targeted interventions and comprehensive healthcare strategies.

References

ADA. (2023a, November 2). Statistics about diabetes. Diabetes.org. https://diabetes.org/about-diabetes/statistics/about-diabetes

ADA. (2023b). The burden of diabetes in West Virginia. Diabetes.org. https://diabetes.org/sites/default/files/2023-09/ADV_2023_State_Fact_sheets_all_rev_West%20Virginia.pdf

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

America Health Ranking. (2022). Explore diabetes in West Virginia. AHR.org.https://www.americashealthrankings.org/explore/measures/Diabetes/WV?population=Diabetes_White_C

Assuli, O. (2022). Measuring the cost-effectiveness of using telehealth for diabetes management: A narrative review of methods and findings. International Journal of Medical Informatics, 163, 104764. https://doi.org/10.1016/j.ijmedinf.2022.104764

CDC. (2024, May 22). A report card: Diabetes in the United States. Diabetes.org https://www.cdc.gov/diabetes/communication-resources/diabetes-statistics.html

Gorini, F., Sabatino, L., Gaggini, M., Chatzianagnostou, K., & Vassalle, C. (2021). Oxidative stress biomarkers in the relationship between type 2 diabetes and air pollution. Antioxidants, 10(8), 1234. https://doi.org/10.3390/antiox10081234

Grabowski, D., Johansen, Nannsen, Andersen, A., Kristensen, K., Iken, Hangaard, Madsen, M., Schou, Toubroe, Pilgaard, & DeCosta, P. (2024). Diabetes management support in preschool and primary school: A qualitative ideation study presenting recommendations for improved communicative practice. Healthcare, 12(2), 225–225. https://doi.org/10.3390/healthcare12020225

Khan, Y. H., Alzarea, A. I., Alotaibi, N. H., Alatawi, A. D., Khokhar, A., Alanazi, A. S., Butt, M. H., Alshehri, A. A., Alshehri, S., Alatawi, Y., & Mallhi, T. H. (2022). Evaluation of impact of a pharmacist-led educational campaign on disease knowledge, practices and medication adherence for type-2 diabetic patients: A prospective pre- and post-analysis. International Journal of Environmental Research and Public Health, 19(16), 10060. https://doi.org/10.3390/ijerph191610060

NURS FPX 6011 Assessment 2 Evidence-Based Population Health Improvement Plan

Manios, Y., Lambrinou, P., Mavrogianni, C., Cardon, G., Lindström, J., Iotova, V., Tankova, T., Rurik, I., Van Stappen, V., Kivelä, J., Gallego, R., Moreno, L. A., Makrilakis, K., & Androutsos, O. (2020). Lifestyle changes observed among adults participating in a family- and community-based intervention for diabetes prevention in Europe: The 1st year results of the feel4diabetes-study. Nutrients, 12(7), 1949. https://doi.org/10.3390/nu12071949

Minty, E., Bray, E., Bachus, C. B., Everett, B., Smith, K. M., Matijevich, E., Hajizadeh, M., Armstrong, D. G., & Liden, B. (2023). Preventative sensor-based remote monitoring of the diabetic foot in clinical practice. Sensors, 23(15), 6712. https://doi.org/10.3390/s23156712

Mori, H., Taniguchi, S., Tamaki, Y., Tamaki, M., Akehi, Y., Kuroda, A., & Munehide Matsuhisa. (2024). Telenutrition education is effective for glycemic management in people with type 2 diabetes mellitus: A non-inferiority randomized controlled trial in Japan. Nutrients, 16(2), 268–268. https://doi.org/10.3390/nu16020268

Neven, A. C. H., Lake, A. J., Williams, A., O’Reilly, S. L., Hendrieckx, C., Morrison, M., Dunbar, J. A., Speight, J., Teede, H., & Boyle, J. A. (2022). Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework. Diabetic Medicine, 39(11). https://doi.org/10.1111/dme.14945

Nikitara, M., Constantinou, C. S., Andreou, E., Latzourakis, E., & Diomidous, M. (2020). Views of people with diabetes regarding their experiences of the facilitators and barriers in type 1 diabetes inpatient care: An interpretative phenomenological analysis. Behavioral Sciences, 10(8), 120. https://doi.org/10.3390/bs10080120

Rajlic, S., Treede, H., Münzel, T., Daiber, A., & Duerr, G. D. (2023). Early detection is the best prevention—Characterization of oxidative stress in diabetes mellitus and its consequences on the cardiovascular system. Cells, 12(4), 583. https://doi.org/10.3390/cells12040583