Exercise 2.4 Diabetes affects a growing number of Americans. An APRN working in a local hospital is part of a collaborative of community agencies strategically addressing diabetes from a community perspective.
1.What social determinants of health should the community look at in relation to risk or incidence of diabetes?
2.What resources could the APRN use to identify different outcomes related to diabetes?
3.47What outcomes related to diabetes are of most interest to community members?
4.Using the AHRQ’s Healthcare Quality and Disparities Report Data Query (nhqrnet.ahrq.gov/inhqrdr/data/submit), what related national and state level data are available to the APRN?
SUMMARY
APRNs have a critical role in improving population health by intervening at every level from the individual to the community. Before an effective intervention can take place, it is imperative that realistic and measurable outcomes are first identified and defined so that they can be measured and analyzed. Outcomes may be classified by the beneficiary of the health intervention and by type such as care, patient, or performance-related, and also by time frame of achievement. Outcomes may also be categorized by clinical or disease-specific outcomes, function, cost-effectiveness, self-perception health status, and satisfaction outcomes. A commonly used framework to classify outcomes is Donabedian’s framework of structure, process, and outcomes. This framework has been used for describing a community’s health as well as for classifying nurse-sensitive indicators. Outcomes are an important part of the standardized language that nursing leaders and researchers continue to refine and operationalize as a means of improving healthcare.
The national healthcare objectives in Healthy People 2020 and updated in Healthy People 2030 provide a blueprint of health promotion and disease prevention objectives that are designed to improve the health of all people in the United States. Building on the goal of Healthy People, APRNs can use these web-based resources to identify outcomes and compare them with national and state data that can be further analyzed by stratifying for a population’s ethnicity, race, income, education, and/or gender. Federal agencies, such as the AHRQ, the CDC Office of Minority Health and Health Disparities, and the NIH’s NIMHD, provide ready access to a plethora of information and resources that can be used to identify and define outcomes.
APRNs have a tremendous opportunity to access and use available data to contribute to the current body of knowledge that forms the basis for evidence-based practice. By selecting and using well-defined indicators and comparing those to national norms, APRNs can provide important information on trends or patterns of quality of care. This information has the potential to stimulate the development of creative and innovative programs or interventions to improve health outcomes. Evidence of improved outcomes will help APRNs to justify and advocate for change through policy, practice, and research, with the ultimate goal of providing quality care for all.
Respond with a minimum of two (2) paragraphs of 4-5 sentences each.
- You should address each bullet point in the exercise you select.
- Your work should have in-text citations integrating at a minimum one scholarly article from this week’s readings and course textbook.
- APA format should be utilized to include a reference list.
- Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first person use.
- Respond to a minimum of two (2) individuals, peer and/or faculty, with a scholarly and reflective post of a minimum of two (2) paragraphs of 4-5 sentences. A minimum of one (1) scholarly article should be utilized to support the post in addition to your textbook.
- Scholarly grading rubric
- The student actively stimulates and sustains inquiry by making reflective insightful comments, asking thoughtful questions and/or engaging in a scholarly discussion.
- The student expresses a clear idea of the topic under discussion and sustains inquiry in order to explore relevant issues.
- The student recognizes values or values conflict as things that form the assumption basis of arguments and recognizes when it is important to acknowledge these values.
- The student recognizes the accuracy, logic, relevance, or clarity of statements.
- The student asks clarifying questions and knows when clarifying questions need to be asked.
- The student distinguishes fact from opinion.
Application2033%
- All components of discussion prompt addressed (met) in initial posting.
- The student’s writing conveys an understanding of significant ideas relevant to the issue under discussion. This is indicated by integration of course and weekly objectives, as well as readings from text and articles.
- All posts should make correct use of terminology, precise selection of the pieces of information required to make a point, correct and appropriate use of examples and counterexamples, demonstrations of which distinctions are important to make, and explanations that are concise and to the point.
- Information and knowledge are accurate.
- The student elaborates statements with accurate explanations, reasons, or evidence from the course and/or weekly objectives.
- All postings integrate scholarly sources to support points consistently.
Interactive Dialogue1016.6%
- Responds to ideas in a way that advances discussion with engagement, depth, rigor, and application.
- Interacts with a professional tone and is able to express opinions with ownership and without judgement.
- Chooses to include professional experience to the discussion board mindful of appropriateness and boundaries. Experience is integrated as it supports the discussion board topic and utilizes scholarly references to support overall topic.
4372%Total CONTENT Points = 43 pts DISCUSSION FORMATCategoryPoints%DescriptionAPA1220%
- In text citations are formatted per APA 7th ed.
- Reference list is formatted per APA 7th ed.
- Spelling, grammar, and scholarly tone are per APA 7th ed.
Spelling / Grammar etc.58%
- Posts should utilize correct spelling and grammar (sentence structure and avoidance of slang or casual language).
1719%Total FORMAT Points = 17 ptsDISCUSSION TOTAL = 60 points