NURS FPX 9100 Assessment 1 Obesity Topic Approval

NURS FPX 9100 Assessment 1 Obesity Topic Approval

Name

Capella University

NURS-FPX 9100 Defining Nursing Doctoral Project

Prof. Name

Date

Learner Instructions

This screening form is designed to ensure that your chosen project topic and methodology align with the standards for the Doctor of Nursing Practice (DNP) final project. Its purpose is to assist you and your faculty in evaluating the project’s suitability. Be sure to include APA citations where required and provide an APA reference list at the end of the document. Links to relevant resources are provided throughout the form. Faculty or reviewers will offer feedback directly on the form and record the decision to endorse or defer the proposed topic.

Working Project Title

Improving the Compliance of Diabetes Patients with Lifestyle Management Goals to Reduce Hospital Admission Rates

• Primary Investigator: Stellamaris Williams, APRN, FNP-BC
• Project Site: Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas
• Sponsor: Preceptor Jessica Torres, AGACNP-BC, MSN; Esther Chatman, APRN, FNP-BC, Manager, Neonatal Critical Care, Stable Instructor; Samantha Logue, FNP-BC, Lead and Manager, Adult ICU

Project Description

PICOT Question: In patients afflicted with Type 2 Diabetes Mellitus (T2DM), does adherence to a lifestyle modification counseling program, compared to patients who do not adhere, lead to a reduction in hospital admissions at the practicum site within 8 weeks?

Brief Summary: Over the past five years, the number of admissions of diabetes patients with high blood sugar levels and associated complications has significantly increased at the practicum site. This trend is consistent with statewide and national increases, particularly in older populations (Nip & Lodish, 2021). The Centers for Disease Control (CDC) reports a significant rise in age-adjusted diabetes prevalence and hospitalization rates between 1999 and 2016, with contributing factors such as obesity, sedentary lifestyles, stress, and a lack of awareness about diabetes (CDC, 2020). This project aims to offer online counseling sessions to raise awareness and encourage lifestyle changes like reducing sugar and carbohydrate intake, and increasing exercise. These interventions are expected to lower the hospital admission rate for diabetes patients.

Primary Objective: Reduce the hospital admission rates of diabetes patients.

Secondary Objectives:

1. Improve staff compliance with diabetes assessment and reassessment procedures.
2. Enhance Registered Nurse (RN) compliance with bedside reporting for diabetes patients.

Proposed Evidence-based Interventions

1. Hospital admissions reduction (McAllister et al., 2018).
2. Increase in exercise hours (Magkos et al., 2020).
3. Reduction in blood sugar levels (XX et al., 2017).

Project Design and Methods

Project Design: This quality improvement project will employ a quantitative methodology.

Model for Improvement: The Plan-Do-Study-Act (PDSA) model will be used.

Target Population: The project will involve patients with Type 2 Diabetes Mellitus and the nursing and ancillary staff at the practicum site. Vulnerable populations (children, prisoners, pregnant women, mentally disabled individuals, or those who are economically or educationally disadvantaged) are excluded.

Inclusion Criteria: All full-time, part-time, and contract RN staff, as well as ancillary staff such as nursing aides and leadership (charge nurses, nurse managers, and departmental nursing supervisors), will be included. Additionally, patients with Type 2 Diabetes Mellitus who are at risk of hospitalization will be eligible.

Exclusion Criteria: Physicians, respiratory therapists, pharmacists, social workers, and unit clerks will not be included in the practice change.

Estimated Project Length: The project will be implemented over a six-week period, with final data collection and analysis expected to take two additional weeks, totaling eight weeks.

Outcome Measures and Analysis

Statistical Analysis Rationale: A student’s t-test will be employed to compare patient outcomes before and after the intervention. If the intervention produces statistically significant results (p<0.05), the practicum site may be more inclined to invest financially in the lifestyle modification program and associated online delivery platform. A student’s t-test is a parametric test used to compare the means of two groups. Should the data not follow a normal distribution, a non-parametric test, such as the Wilcoxon signed-rank test, will be used.

References

Centers for Disease Control and Prevention (CDC). (2020). National Diabetes Statistics Report 2020. Retrieved from https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf

Magkos, F., Hjorth, M. F., & Astrup, A. (2020). Diet and exercise in the prevention and treatment of type 2 diabetes mellitus. Nature Reviews Endocrinology, 16(10), 545-555. https://doi.org/10.1038/s41574-020-0371-x

NURS FPX 9100 Assessment 1 Obesity Topic Approval

McAllister, D. A., Read, S. H., Kerssens, J., Livingstone, S., McGurnaghan, S., Jhund, P. S., … & Wild, S. H. (2018). Incidence of hospitalization for heart failure and case-fatality among 3.25 million people with and without diabetes mellitus. Circulation, 138(24), 2774-2786. https://doi.org/10.1161/CIRCULATIONAHA.118.034986

Nip, A. S. Y., & Lodish, M. (2021). Trend of diabetes-related hospital admissions during the transition period from adolescence to adulthood in the state of California. Diabetes Care, 44(12), 2723-2728. https://doi.org/10.2337/dc21-0971