Evidence-Based Practice and Evaluation of the Project Through Measurable Goals Essay
Evidence-based public health practices are key in improving population health. Evidence-based practices are supported by data. The selected population is African Americans with type 2 diabetes living in Lanham, Maryland, Prince George’s country. Diabetes is prevalent among this population due to various factors such as poor economic background and insufficient access to healthcare services (Cunningham et al., 2018). Therefore, it is key that nurses initiate and undertake programs that can help improve their care outcomes. One of the evidence-based behavior changes that can promote the health of this population is the use of dietary changes and physical activity interventions. The consumption of foods that help control diabetes, such as low-calorie foods as well as less fatty foods, can be key. Introducing structured physical activity programs can also help these patients to control their weights hence better health outcomes.
A culturally sensitive, evidence-based, measurable intervention that can be used to address the health problem is a culturally tailored comprehensive educational program that addresses diabetes prevention, control, and management and the importance of various aspects such as physical activity, healthy diet, and medication adherence in diabetes control and management (Upsher et al., 2021). The use of such an intervention is key in enlightening this population to take a proactive role in managing their condition.
The targeted, measurable outcomes upon the implementation of the intervention include better glycemic control. Glycemic control is a reflection of how well diabetes is controlled in an individual. Therefore, the levels of HbA1c levels will be measured before and after the intervention to measure the impact of the intervention (Martens et al., 2021). The other measurable outcome is improved medication adherence. Patients with diabetes need to adhere to the physicians’ medication plan for better outcomes. Therefore, the comprehensive educational intervention will be key in teaching the patients about the importance of adhering to the treatment plan.
References
Cunningham, A. T., Crittendon, D. R., White, N., Mills, G. D., Diaz, V., & LaNoue, M. D. (2018). The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: a systematic review and meta-analysis. BMC Health Services Research, 18(1), 1-13. https://doi.org/10.1186/s12913-018-3186-7.
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Martens, T., Beck, R. W., Bailey, R., Ruedy, K. J., Calhoun, P., Peters, A. L., … & MOBILE Study Group. (2021). Effect of continuous glucose monitoring on glycemic control in patients with type 2 diabetes treated with basal insulin: a randomized clinical trial. JAMA, 325(22), 2262-2272. Doi: 10.1001/jama.2021.7444
Upsher, R., Onabajo, D., Stahl, D., Ismail, K., & Winkley, K. (2021). The Effectiveness of Behavior Change Techniques Underpinning Psychological Interventions to Improve Glycemic Levels for Adults With Type 2 Diabetes: A Meta-Analysis. Frontiers in Clinical Diabetes and Healthcare, 5. https://doi.org/10.3389/fcdhc.2021.699038.
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Evidence-Based Practice and Evaluation of the Project Through Measurable Goals
Dr. Marcia Stanhope (2020) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.
Practicum Discussion: This week, your assignment will be to incorporate all of the information you have gathered from the community (African Americans with type 2 diabetes living in Lanham, Prince George’s County, Maryland) —including the population itself, health data, interviews with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measurable interventions.
Measurable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2020). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and then whether your interventions might be effective.
By Day 4,
Post your response to the following:
•Identify one evidence-based behavior change that would promote health in your selected population.
• Suggest one specific culturally sensitive, evidence-based, measurable intervention to address the health problem for your selected population (African Americans with type 2 diabetes living in Lanham, Prince George’s County, Maryland).
•Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.
Support your response with references from professional nursing literature.