NSG 498 University of Phoenix Diabetes Project Translation Planning Paper Assignment Content In this week’s assignment, you will work through the planning

NSG 498 University of Phoenix Diabetes Project Translation Planning Paper Assignment Content

In this week’s assignment, you will work through the planning and implementation stages of the project. This will require you to determine goals, resources needed, and to select an evidence-based practice (EBP) model.
Start with the solution that you determined would be most effective in resolving the stated problem and define the intended outcomes of implementing the change (i.e., what is your improvement goal?). In order for quality to improve, a change must occur. That change must be quantifiable, in other words, it must be measurable.
Create an implementation plan in which you:
Explain how you will measure the change and how you will know when you have reached your improvement goal.
Create a list of outcomes required to reach your outcomes goal. This will allow you to determine the actions needed and the priority of tasks that will result in the desired outcome.
Determine who will be responsible for each outcome (typically each is assigned to a team member who is motivated in seeing the successful implementation of the plan).
Determine the actions needed to take place for each outcome to occur. Questions to consider when determining what action needs to take place:
Who do we need to talk to?
Departments
Stakeholders
What needs to be decided?
What resources are needed?
Budget
Personnel
Supplies and equipment
What milestones need to be set to know we’re on track?
When do we need to check on the progress of those milestones?
Overall timeframe for the project
What potential setbacks do we need to plan for?
Risk management plan
Do any tasks need to be done before taking this action?
Establish budget, roles, and responsibilities (who will be responsible for what).
Determine how you will monitor progress, which provides you the means of tracking actions as they are completed and will make you aware of actions that are late or off track.
Select an EBP model to guide the implementation of the plan, and discuss why it is appropriate for your project.

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Remember that without a measure, progress becomes a matter of opinion and opinions can easily change over the course of an implementation timeline.
Create an evaluation plan. Your evaluation plan will define the standard of measurement for progress and will include:
Measurable outcomes (both short-term and long-term – formative assessments and summative assessments)
Data to be collected and how and when it is to be collected
Established evaluation points where data can be evaluated and adjustments made to the implementation plan as a result.
Format your assignment as one of the following:
Minimum 1,050-word paper; the maximum word count (not including references) is 1,250 words – your paper must be organized using APA Level I headings for the assignment requirements noted above.
12 to 15-slide PowerPoint or Keynote presentation (this slide count does not include the title and reference slides, which are required); you must include a minimum of 75 words of “speaker’s notes” per slide in addition to the slide content.

You may also use the following with approval by your instructor:
12-15 minute oral presentation

Submit your assignment.

Topic: Prevalence of diabetes in young people and adults in diverse communities 1
Signature Assignment: Research and Evidence: Support the Need for a Change
NSG 498: Senior Leadership Practicum
Professor
April 12, 2020
2
Signature Assignment: Research and Evidence: Support the Need for a Change
Prevalence of diabetes in young people and adults in diverse communities.
Diabetes, including type 1 and type 2, is a public health concern that is a major issue
globally. All the countries of the world, irrespective of their stage of development, face an
increased burden of non-communicable diseases, diabetes mellitus being one of them. Diabetes
can appear at any age, and among all the ethnic groups, however, it has become a burden that is
drastically increasing among adolescents and young adults. Diabetes cannot be prevented with
the current knowledge only (Zeitler et al. 2016). Practical strategies and approaches need to be
implemented to decrease the prevalence of the disease, its complications, and premature deaths,
especially among adolescents and young adults who are energetic and help in the growth of the
world’s economy. There are no solutions that are simple to address the issue of diabetes, but
coordinated multiple component strategies can bring a significant difference. Everyone also has a
role to play to reduce the impact of diabetes.
Strategies to Reduce the Prevalence of Diabetes
In their paper, giving a global report on diabetes, the World Health Organization (WHO)
(2016), offered several strategies that can be applied to help reduce the prevalence of diabetes
among adolescents and young adults, as well as how to manage those best already living with the
disease. One of the strategies is to have national diabetes policies to help reduce the risk factors
that are key to the development of diabetes. Federal guidelines and protocols to improve the
management of diabetes should also be put in place in all countries of the world. For an effective
outcome, all the guidelines and the policies should be well funded and implemented. Having
policies in place will mean that every healthcare worker has access to the right information to
give to the community about diabetes (WHO, 2016). He/she will also be in a position to access
3
knowledge on the prevention and management of diabetes, thereby reducing the prevalence and
complications of the disease.
A second intervention that was proposed in this report by WHO is to strengthen the
health system to come up with improved early diagnosis in primary health care by ensuring
access to essential technologies needed for diagnosis equitably. When the disease is diagnosed
early, its management becomes more manageable. The reason is that the individual is also taught
early on how to prevent complications. Therefore, premature deaths among young adults will be
reduced. Population-based approaches are very effective in reducing the prevalence of the risk
factors for diabetes that are modifiable such as obesity, overweight, unhealthy diet, and physical
inactivity. It is possible to delay diabetes or prevent it entirely in persons who are overweight wit
impaired tolerance to glucose. It has been found that physical activity and diet interventions are
more effective than the use of medications.
The population-based approaches can be achieved by taking a life-course perspective,
which includes improvement of early childhood nutrition and having environments that are
supportive of physical activity. The aim should be to improve nutritional status and maternal
health and the feeding practices of infants and young children. Babies should be exclusively
breastfed for six months then introduce distinct nutritious, safe, and adequate foods for up to 2
years. Foods that are high in fats, energy, sodium, and sugars should be avoided in early life
since they are risk factors for obesity, which increases the chances of diabetes (Sherita et al.
2017). Policies that increase the price of such foods can go a long way in reducing their
consumption. Environments in which people live and work should be supportive of physical
activity to help individuals manage their weight. This intervention will help reduce the
prevalence of diabetes since, with a healthy weight, there is a reduced risk factor.
4
Current Guidelines and/or Best Practices
Management and prevention of diabetes in the context of population health can be a very
effective strategy to help reduce the prevalence of diabetes among young adults and adolescents,
preventing morbidity and mortality related to diabetes. All the health problems start at the
community level and can easily be detected among populations when interventions are well
applied. This article by Sherita et al. (2017), has discussed how diabetes can be prevented and
managed via population health. This is a practical framework to apply the various strategies
since it will guide policies for health promotion, improving prevention, improving healthcare
outcomes, and addressing health determinants that bring inequalities.
One of the main solutions is providing education about diabetes prevention in the
communities. Some of the methods that can be used in population health include assessment of
population, which can aid in early diagnosis of diabetes, risk stratification, and targeted
interventions to provide quality care in the appropriate settings. Preventive care has been
emphasized through recognition of the prediabetes state, which is identified by fasting glucose,
which is beyond 100-125 mg/dl or an oral glucose tolerance test above 140- 199mg/dl (Sherita et
al. 2017). When these measures are used, they help identify those with prediabetes, therefore
educating them on the actions to take to prevent them from acquiring diabetes or delaying its
onset.
Some of the measures are lifestyle change, notably increased physical activity and weight
loss. Studies have indicated that lifestyle change leads to reductions that are clinically significant
in the risk of diabetes over3 to 6 years with a relative risk reduction of 28.5-67.4% and an
absolute risk reduction of 6.3%-21.7%. Prevention programs also need to be developed to
educate people more on how they can adapt the lifestyle changes. For those who are already
5
living with the disease, group education on self-management and support can help improve
glycemic control with mean range change in HbA1c of 0.4-1.4% after six months of coaching
(Sherita et al. 2017).
The other strategy that can be applied in reducing the prevalence of diabetes among
young adults and reducing premature deaths from the condition is through the use of diet. In
terms of the prevention of diabetes, there has been significant evidence that the consumption of
various foods and beverages is linked to a reduction in the risk of acquiring diabetes (Franziska,
Kröger & Matthias, 2017). People consume a combination of foods, and this combination
matters in diabetes prevention. Eating a healthy diet does not only help in the prevention of
prediabetes and diabetes but also is of considerable significance as part of diabetes healthcare
behavior and has benefits on weight, general well-being, metabolic control and also helps in
improving glycemic control.
Solution to the Problem
The recommended diet that is a solution to reduce the prevalence of diabetes is one where
there is a high intake of nuts, whole grains, and coffee and alcohol consumption moderately. A
reduced intake of unprocessed and processed red meat and beverages sweetened with sugar also
helps prevent the development of diabetes. For patients already who have diabetes, controlling it
is very important to avoid complications and premature death (Franziska, Kröger & Matthias,
2017). They should take a diet like described for prevention as well as a reduction in fat intake,
simple restriction of calories, taking carbohydrates with a low glycemic index, and a limitation of
the total amount of the carbohydrates in the diet to a minimum of 50g in 24 hours for up to 6
months.
6
Pooled data has revealed a mean reduction of 0.5% for patients on diets with a low
glycaemic index as compared to those on foods with a higher glycemic index death (Franziska,
Kröger & Matthias, 2017). A diet with a low glycemic index has also been found to cause fewer
episodes of hypoglycemia. Including a psychological approach while educating clients on diet
modification to prevent and manage diabetes is likely to be more successful. Moderate alcohol
consumption is beneficial to health but only when taken in moderation, not exceeding one glass,
that is, 12 g in 24 hours death (Franziska, Kröger & Matthias, 2017). Patients with diabetes
should be educated that acute alcohol consumption reduces the awareness of hypoglycemia. The
intervention on diet modification will result in the solution of reducing the prevalence of diabetes
since when healthy dietary habits are adopted early in life, the risk factors for diabetes will be
reduced.
7
References
Franziska, J., Kröger, J. & Matthias, B. S. (2017). Dietary Patterns and Type 2 Diabetes: A
Systematic Literature Review and Meta-Analysis of Prospective Studies, The Journal of
Nutrition, Volume 147, Issue 6, June 2017, Pages 1174–
1182, https://doi.org/10.3945/jn.116.242552
Sherita H. G., (2017). The Case for Diabetes Population Health Improvement: Evidence-Based
Programming for Population Outcomes in Diabetes. Curr Diab Rep. 2017 Jul; 17(7): 51.
doi: 10.1007/s11892-017-0875-2
WHO (2016). Global Report on Diabetes. WHO Library Cataloguing-in-Publication Data.
URL:
https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf;jsessio
nid=45013E90814B5BAFF3E549674F54DB8A?sequence=1
Zeitler P., et al. (2016). Youth-Onset Type 2 Diabetes Consensus Report: Current Status,
Challenges, and Priorities. Diabetes Care 2016 Sep; 39(9): 16351642.https://doi.org/10.2337/dc16-1066
1
Signature Assignment Information Management: Defining the Scope
AA
NSG 498: Senior Leadership Practicum
Professor
April 6, 2020
2
Signature Assignment: Information Management: Defining the Scope
Introduction
The selection of this topic came from the analysis of the current health trends
witnessed in the country. Also, the choice of the problem came from the idea that the
lifestyles of young people influence the decisions they make, ranging from physical fitness to
dietary aspects. Collectively, these factors and choices affect the health outcomes of young
people. Teenagers and adolescents are at a high risk of contracting and being diagnosed with
diabetes based on their lifestyle choices and diets have (Lascar, et al. 2018). While the
government has continued to invest in the healthcare sector to promote the wellbeing of the
citizens, it is essential to note that these measures have not provided the ultimate platform for
improved care outcomes for the young people. There are various factors which influence the
decisions made by young people, especially when it comes to the issues of health. Therefore,
through the evaluation of the current and past data, one of the main conclusions that are made
is that diabetes remains one of the more significant health challenges which affect the older
and young people. With the rising cases of poor lifestyle choices and eating habits, young
people stand at a high chance of suffering from diabetes. It then follows that there is a need to
create a reliable approach that would be used to ensure that the young people are protected
against the occurrence of diabetes in the future (Chao, et al. 2016). Also, there is a need to
ensure that analyzing the abilities to meet the set goals and practices may help to come up
with final recommendations for guaranteeing better health outcomes for young people.
To gather the right information about diabetes in young people, one of the main
approaches to use revolves around the use of surveys and peer interviews. The use of these
approaches helps to collect valuable data in the form of both a qualitative and qualitative
form. Through the use of peer interviews which were carried out within the organization
3
between nurses and community health practitioners, 95% of the 20 participants involved
claimed that majority of the young people in the community failed to observe the right
practices as far as lifestyles are concerned. Also, the majority of the young people in the
community are fond of eating junk food and failing to exercise regularly. From another
dimension, the community survey showed that at least 0.25% of the total youth population
had been diagnosed with diabetes. This statement implies that there is a rising concern for
diabetes occurrence in young people. One of the main factors that have been associated with
such trends is the lifestyle of young people. The peer interviews concluded that the lack of
sufficient support had created a negative platform for an improved level of health for the
young. Therefore, the main focus should be on the prevention of new cases of diabetes in
young people through the implementation of various practices that improve their level of
education in the process.
Goals
From the current statistics, one of the main issues that the organization focuses on is
the prevention of the occurrence of new cases of diabetes while at the same time engaging in
health promotion practices. Therefore, the main goals for the organization are:
1. To prevent the occurrence of new cases of diabetes in young people, especially
adolescents, by providing the necessary education and awareness.
2. To reduce the effects of diabetes in young people through the provision of health
promotion material.
3. To promote better living by sensitizing young people on the importance of healthy
eating practices.
4
Current Practices
One of the main factors which influence the health outcomes of young people as far
as diabetes is concerned is the lifestyle adopted. Sometimes, young people focus on the
adoption of the harmful lifestyles, which in turn bring about poor health outcomes such as
diabetes. Poor eating habits have been witnessed in many people around the community in
the context. Such practices have brought about diverse and adverse health effects on the
associated populations. The main organizational goals focus on the improvement of the level
of health outcomes for young people through approaches such as education among others
(Babler & Strickland, 2016). However, the current eating habits and practices of young
people have not provided a platform for improving the level of health outcomes. Also, the
current practices play a crucial role in helping the organization to achieve its ultimate goal.
Prescribed Practices
From another dimension, it is essential to note that the respective populations partially
follow the recommended practices. For instance, not many young people are willing to stop
eating junk foods and adopt a healthy lifestyle instead. Additionally, young people prefer
eating fast foods, for example, since it is easy to prepare and, in most cases, ready to eat as
opposed to healthy and nutritious products. Further, many young people are not physically
active based on the idea that they are usually confined in various locations such as homes and
schools. The recommended practices promote physical fitness which is in line with the main
organizational goals. However, by the trends witnessed in the community, the young people,
in this case, have not abided by the right and recommended practices by the organization as
far as the health goals are concerned.
5
References
Babler, E., & Strickland, C. J. (2016). Helping adolescents with type 1 diabetes “figure it
out”. Journal of pediatric nursing, 31(2), 123-131.
Chao, A. M., Minges, K. E., Park, C., Dumser, S., Murphy, K. M., Grey, M., & Whittemore,
R. (2016). General life and diabetes-related stressors in early adolescents with type 1
diabetes. Journal of Pediatric Health Care, 30(2), 133-142.
Lascar, N., Brown, J., Pattison, H., Barnett, A. H., Bailey, C. J., & Bellary, S. (2018). Type 2
diabetes in adolescents and young adults. The Lancet Diabetes & Endocrinology,
6(1), 69-80.

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