NURS FPX 6030 Assessment 5 Evaluation Plan Design

Evaluation Plan Design

An evaluation plan is a written document that describes the procedures and tasks that will be used to evaluate the success of a program or intervention (Fernandez et al., 2019). To guarantee that the evaluation aligns with the program’s aims and can provide meaningful answers on its efficacy, it is crucial to create an assessment strategy carefully and thoughtfully. In this study, blood sugar management in individuals with Type 2 Diabetes will be evaluated between medication therapy and cardiovascular treatments over a month.

NURS FPX 6030 Assessment 5 Evaluation Plan Design

Outcomes of an Intervention Plan for Type 2 Diabetes

Chronic diseases like type 2 diabetes need constant care to avoid consequences and enhance clinical outcomes. Pharmacotherapy includes administering pharmaceuticals to reduce glucose levels in the blood and enhance diabetes management. It is one strategy frequently used to stabilize blood sugar levels in individuals with Type 2 Diabetes. While pharmacotherapy can effectively improve blood sugar control, it has limitations, such as side effects and long-term risks. In addition to pharmacotherapy, other interventions, such as lifestyle modification and diabetes self-management programs, may also improve blood sugar control and reduce the risk of complications in patients with Type 2 Diabetes (Rasoul et al., 2019). 

The outcomes of an intervention plan for Type 2 Diabetes include: 

• Improvements in blood sugar regulation
• Fewer hypoglycemia incidents 
•  Increased sensitivity to insulin 
•  Decreased potential for complications
• Improved psychological or muscle strength 
•  Quality of care 
• Chosen sample compliance to treatments (Chawla et al., 2022).

Pros of Alternative Outcomes

Alternative therapy, such as cardiovascular therapy, has positively affected managing Type 2 Diabetes. These effects may include better control of blood sugar levels, fewer instances of hypoglycemia, increased insulin sensitivity, and a lower risk of complications. These positive results can lead to improved patient outcomes, a lower risk of long-term issues, and less pressure on the healthcare system. In addition, cardiovascular therapy that enhances a patient’s overall quality of life or physical functioning can be beneficial. High patient satisfaction levels may increase treatment adherence and improve effectiveness. However, the success of these treatments also depends on the patient’s commitment to them (Rasoul et al., 2019).

Cons of Alternative Outcomes

While it is generally beneficial to improve blood sugar control, it may be challenging to achieve this with cardiovascular therapy for some patients, particularly those with more severe or uncontrolled diabetes. Some interventions, such as cardiovascular therapy, may have side effects or long-term risks. Similarly, reducing the frequency of hypoglycemic episodes is generally a positive outcome. Still, it may be challenging to achieve for some patients, particularly those taking insulin or other medications that can cause hypoglycemia (LeRoith et al., 2019). 

Cardiovascular therapy may not be as effective as pharmacotherapy in reducing the number of hypoglycemic episodes. Improving insulin sensitivity is generally a good outcome, but it may be difficult for some patients, particularly those with more severe or uncontrolled diabetes. Cardiovascular therapy may not be as effective as pharmacotherapy in improving insulin sensitivity. Reducing the risk of complications is generally a positive outcome, but it may be challenging for some patients, particularly those with more severe or uncontrolled diabetes. Cardiovascular therapy may not be as effective as pharmacotherapy in reducing the risk of complications (Freeman, 2019).

Evaluation Plan to Determine the Impact of an Intervention

The following steps will be taken to assess the impact of medication and cardiovascular therapies on blood sugar management in individuals with Type 2 Diabetes:

• Define the intervention’s aims and objectives, which should be measurable and relevant to the PICOT question and focus on improving blood sugar management and reducing the risk of complications.
• Conduct a randomized controlled study involving patients with Type 2 Diabetes who meet the inclusion criteria and randomly assign them to the therapies.
• Measure meaningful results, such as reducing the number of hypoglycemic episodes, improving insulin sensitivity, and improving blood sugar management as demonstrated by hemoglobin A1c levels (Fernandez et al., 2019).
• Develop a plan for collecting data using standardized and reliable techniques and regularly check the data for errors or inconsistencies (Fernandez et al., 2019).
• Analyze the data, considering potential confounders and examining any variations in the efficacy of the therapies for different patient subgroups (Chawla et al., 2022).
• Disseminate the findings to relevant parties, such as the target audience, healthcare professionals, and policymakers, through presentations or publications (Fernandez et al., 2019).

Assumption

The evaluation strategy for evaluating the effectiveness of medication therapy versus cardiovascular therapy for blood sugar management in Type 2 Diabetes patients is based on several assumptions. These assumptions include the following:

• The target group for the study consists of individuals with Type 2 Diabetes who meet the inclusion criteria.
• Both therapies (medication and cardiovascular) are feasible to administer to the target group, given the availability of necessary resources and patient willingness to participate.
• The study’s sample size is sufficient to detect a significant difference in the effects of the two therapies on the outcome.
• The data collected for the study is of high quality and accurately reflects the measured outcomes.
• The study participants will adhere to the recommended course of treatment, and no unmeasured confounding variables could affect the study’s findings. It is essential to consider these assumptions when designing and implementing the assessment strategy for comparing different therapies in Type 2 Diabetes patients.

Nurse’s Role in Leading Change and Driving Improvements

Nurses have the unique position of being patients’ primary point of contact and, therefore, can influence patients’ care. Nurses can conduct several significant responsibilities in the assessment framework for contrasting pharmacological therapy and cardiovascular therapy for glucose level management in patients with Type 2 Diabetes. For example, they can help to educate patients about the different interventions being studied and their potential benefits and risks. They can also help to monitor and manage patients’ blood sugar levels and other diabetes-related outcomes and provide support and guidance to patients as needed. Additionally, nurses can help coordinate care among different healthcare team members and advocate for patient’s needs and preferences (Raso, 2022).

NURS FPX 6030 Assessment 5 Evaluation Plan Design

Assumptions

There are several assumptions underlying the analysis of the nurse’s role in leading change and driving improvements in the quality and experience of care in this research. Firstly, nurses are assumed to have the necessary knowledge and skills to educate patients and coordinate care effectively. Secondly, it is assumed that nurses have the autonomy and authority to advocate for patient’s needs and preferences and make decisions about their care. Thirdly, it is assumed that the patients in the study are willing and able to follow the recommendations of the nurses and other healthcare professionals involved in their care. Finally, it is assumed that there are no unmeasured confounding factors that could affect the outcomes of the study. By considering these assumptions, nurses can effectively contribute to the success of the evaluation plan and drive improvements in the quality and experience of care for patients with Type 2 Diabetes.

Effects of the Intervention Plan on Nursing and Interprofessional Collaboration

The intervention plan discussed has the potential to affect nursing and interprofessional collaboration in the healthcare field significantly. Nurses can use this information and other healthcare professionals to make more informed decisions about the care of their patients with Type 2 Diabetes and to coordinate care among different healthcare team members more effectively (Raso, 2022).

Health Care Field Gains from the Plan

The healthcare field also stands to gain from the plan, as it may provide valuable insights into the most effective interventions for managing blood sugar in patients with Type 2 Diabetes. This information can inform the development of guidelines and protocols for controlling this condition and ultimately improve patient outcomes. The plan may also help identify potential barriers or challenges to implementing different interventions, which can inform strategies for addressing these challenges and promoting the uptake of effective interventions. Overall, the intervention plan has the potential to drive improvements in the quality and experience of care for patients with Type 2 Diabetes and to enhance nursing and interprofessional collaboration in the healthcare field.

Uncertainty

There is some uncertainty and missing information about the long-term risks and benefits of different interventions and their cost-effectiveness for managing Type 2 Diabetes. It would be helpful to have more data on these topics and the impact of various interventions on patient satisfaction and adherence to treatment plans. By addressing these gaps in knowledge and uncertainties, healthcare professionals can continue to improve the care of patients with Type 2 Diabetes and achieve positive outcomes for this population.

Future Steps (Impact of the Project on the Target Population)

In the case of a project focused on improving the health of patients with Type 2 Diabetes, several steps can be taken to enhance the impact on this population. These steps include targeting specific interventions to address the needs of this population, improving outcomes and safety, and utilizing emerging technologies and care models to improve access to care. By focusing on these areas, it may be possible to improve the project’s overall impact on patients with Type 2 Diabetes and help improve their health outcomes.

Improved Target Population Impact

 One way to improve the impact of the current project on patients with Type 2 Diabetes is to focus on more targeted interventions that address the specific needs of this population. This may involve conducting additional research to understand better the factors contributing to poor blood sugar control in this population and developing interventions that address these specific factors. Additionally, utilizing emerging technologies and care models, such as telemedicine or digital health tools, may allow for a wider reach and more convenient access to care for patients with Type 2 Diabetes (Adu et al., 2019).

Improved Outcomes and Safety 

Another way to improve the impact of the current project is to focus on interventions that not only improve blood sugar control but also reduce the risk of long-term complications and enhance patient outcomes (Adu et al., 2019). This may involve incorporating interventions that address other risk factors for complications, such as cardiovascular disease or kidney damage, and utilizing technologies or care models that can help improve patient safety, such as automated insulin delivery systems or remote monitoring tools.

Emerging Technologies and Care Models 

Utilizing emerging technologies and care models can also help improve the impact of the current project by providing more convenient and accessible care for patients with Type 2 Diabetes. This may include utilizing telemedicine to offer remote consultations with healthcare providers or utilizing digital health tools to help patients manage their diabetes on their own such as telehealth integrated EHR system. Additionally, automated insulin delivery systems or continuous glucose monitoring devices can help improve patient safety and blood sugar control (Quinn et al., 2020).

Knowledge Gaps and Additional Information 

There are still significant knowledge gaps in diabetes management, particularly when understanding the specific needs of patients with Type 2 Diabetes and developing targeted interventions that address these needs. To manage this condition effectively, it will be essential to continue researching and gathering additional information about the factors contributing to poor blood sugar control in this population and the most effective interventions for addressing these factors.

Reflection on Leading Change and Improvement

Reflecting on the diabetes intervention project, I have gained valuable insights into the importance of nursing leadership in driving changes and improvements in patient care. As part of the project, I worked with an interprofessional team and collaborated with other healthcare professionals to develop and implement an effective intervention strategy. This experience has strengthened my skills in team-based care and communication and has given me the confidence to take on leadership roles in the future.

The project could be improved by incorporating more advanced technologies and care models to enhance patient outcomes and safety. For example, utilizing telehealth and remote monitoring technologies could allow for more frequent and convenient monitoring of patient progress, and using a collaborative care model could facilitate better communication and coordination among team members (Quinn et al., 2020).

Regarding personal growth, I aim to continue developing my leadership skills and knowledge in diabetes management. This includes staying current on current best practices and seeking further education and training opportunities. I plan to continue building on my interprofessional collaboration skills and seek opportunities to work with other healthcare professionals to drive change and improve patient care.

Reflection on the Intervention Implementation

These plans could drive significant quality improvements in the care of patients with this condition. The use of a multidisciplinary team approach, self-management programs, and a combination of pharmacotherapy and lifestyle modification interventions have all been shown to improve blood sugar control and reduce the risk of complications in patients with Type 2 Diabetes (Chawla et al., 2022).

As a nurse, I can apply these strategies by collaborating with other healthcare professionals to provide comprehensive care to patients with Type 2 Diabetes. This may involve working with dietitians, exercise specialists, and primary care providers to develop individualized treatment plans that address each patient’s needs. Additionally, I can encourage patients to participate in self-management programs and educate them about the importance of lifestyle modification in managing their condition.

While interventions such as pharmacotherapy and diabetes self-management programs have the potential to drive significant improvements in the care of patients with Type 2 Diabetes, it is essential to recognize that there may be conflicting evidence or other perspectives on the best approach to management. It is necessary to consider all available evidence and be open to alternative approaches if they are more effective in improving patient outcomes. In the future, I hope to continue learning about the latest research and evidence in the field of diabetes management and incorporating it into my practice to drive further quality improvements for my patients.

Conclusion

To conclude, an evaluation plan is a method for assessing the effectiveness of an intervention, such as medication or cardiovascular therapy, on a group of people with Type 2 Diabetes in terms of their ability to control their blood sugar levels. To create an effective evaluation plan, it is essential to define the goals and objectives of the intervention, select a representative sample of patients, gather relevant data, and use statistical techniques to analyze the data. It is also essential to ensure the validity and reliability of the results and consider any potential limitations of the evaluation. By following these steps, it is possible to draw accurate and relevant conclusions about the efficacy of the intervention and use them to inform decision-making.

NURS FPX 6030 Assessment 5 Evaluation Plan Design

References 

Adu, M. D., Malabu, U. H., Malau-Aduli, A. E. O., & Malau-Aduli, B. S. (2019). Enablers and barriers to effective diabetes self-management: A multi-national investigation. PLOS ONE, 14(6). https://doi.org/10.1371/journal.pone.0217771 

Chawla, R., Jaggi, S., Gupta, A., Bantwal, G., & Patil, S. (2022). Clinical utility of digital therapeutic intervention in Indian patients with Type 2 Diabetes Mellitus: A 12-week, prospective, single-arm, intervention study. JMIR Diabetes. https://doi.org/10.2196/41401 

Fernandez, M. E., ten Hoor, G. A., van Lieshout, S., Rodriguez, S. A., Beidas, R. S., Parcel, G., Ruiter, R. A. C., Markham, C. M., & Kok, G. (2019). Implementation mapping: Using intervention mapping to develop implementation strategies. Frontiers in Public Health, 7(158). https://doi.org/10.3389/fpubh.2019.00158 

Freeman, J. (2019). Management of hypoglycemia in older adults with Type 2 Diabetes. Postgraduate Medicine, 131(4), 241–250. https://doi.org/10.1080/00325481.2019.1578590 

LeRoith, D., Biessels, G. J., Braithwaite, S. S., Casanueva, F. F., Draznin, B., Halter, J. B., Hirsch, I. B., McDonnell, M. E., Molitch, M. E., Murad, M. H., & Sinclair, A. J. (2019). Treatment of diabetes in older adults: An endocrine society* clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 104(5), 1520–1574. https://doi.org/10.1210/jc.2019-00198 

Quinn, L. M., Davies, M. J., & Hadjiconstantinou, M. (2020). Virtual consultations and the role of technology during the COVID-19 pandemic for people with Type 2 Diabetes: The UK perspective. Journal of Medical Internet Research, 22(8). https://doi.org/10.2196/21609 

Raso, R. (2022). In the eye of the storm. Nursing Administration Quarterly, 46(2), 177–184. https://doi.org/10.1097/naq.0000000000000515 

Rasoul, A. M., Jalali, R., Abdi, A., Salari, N., Rahimi, M., & Mohammadi, M. (2019). The effect of self-management education through weblogs on the quality of life of diabetic patients. BMC Medical Informatics and Decision Making, 19(1). https://doi.org/10.1186/s12911-019-0941-6