Quality improvement program for Gestational Diabetes Mellitus
Write a 2-3 page evaluation of the quality improvement program that you have created. This should be the annual summary of the hypothetical data. Make sure your hypothetical data are credible.
As you may recall from Week 1, your Course Project was to prepare a total quality improvement program, with a focus on one high-risk area. Continuous quality improvement covers many areas. Throughout the course, you have learned about the attributes that constitute a quality improvement team and what questions this team attempts to answer. The assignments toward this project that you completed each week can now be assembled into a single instructional document.
Make necessary adjustments to your document so that each segment flows smoothly into the next. Evaluate your project using the criteria given below.
Are the indicators and their measurements appropriate to the high-risk area? Do the indicators capture the risk?
Are the fictional incidents realistic and plausible?
Is the filled chart consistent with the fictional incident?
Is the plan of correction feasible? Will it prevent the occurrence of the incident in future?
How do you know the plan worked? What measures will you use to identify effectiveness?
Include an introduction, conclusion and reference page to this assignment.
Quality improvement program for Gestational Diabetes Mellitus
Preterm births, stillbirths, overweight neonates, and type-2 diabetes are all potential consequences of gestational diabetes (DM), which is the most common pregnancy-related problem. The disease has enormous economic consequences for both individuals and society as a whole. Fortunately, those who have GDM may easily control their ailment by altering their food and way of life, which is excellent news. People who adhere to specialized meal modification programs will see an improvement in their GDM treatment. The individualized diet modification programs will also aid practitioners in generating more realistic food plans for their clients, which will benefit both parties. This project enhanced my project management and implementation of evidence-based practice project abilities, both of which were previously lacking. It also provided me with the option to pursue a career as a social change agent.
It is well-known that accessibility and acceptability, as well as service availability, are major hurdles to the use of services, coverage, and the provision of adequate healthcare capacity. When speaking with patients and family members, it is important to be mindful of the ill image and negative connotation associated with the word “diabetes.” Because there is a lack of awareness about GDM among the general population, it is the responsibility of ANC providers to educate and inform pregnant women. GDM, as well as the distinction between diabetes and GDM, are often misinterpreted by medical experts. As a result of this lack of competency, there were differences among qualified physicians over their advice. The disparity between the private and public sectors, which are mostly unregulated, has been examined before. Following our research, we discovered that several public-sector techniques had been subsequently copied by private-sector providers. In this way, it can be shown that the two sectors collaborate and that changes in the public sector may have an influence on private sector behavior. Increased public awareness, as well as clinician training at all levels, are required to develop a coordinated strategy to GDM screening and treatment in Morocco, according to the World Health Organization.
Dietary guidance is the first step in treating gestational diabetes, and it must be tailored to the specific needs of the patient’s socioeconomic situation. The need for flexibility in suggestions when advising women from impoverished circumstances arises from the fact that some women cannot afford some of the meals recommended in the dietary guidelines. No one who participated in our survey believed that following a strict diet was the best technique for improving nutrition. The involvement of the family in type 2 diabetes research has been shown to improve not only the patient’s adherence and treatment but also the health of the family members as a result of the improvements. In the field of health education, nurses and midwives are essential members of the team. Their unique position allows them to give ladies advice on living a healthy lifestyle that isn’t just concerned with their own well-being. Due to the fact that ANC is often the first point of contact for many women with healthcare, it may have a greater impact on health education and NCD prevention.
Extending more obligations to primary care physicians’ already-heavy workloads may be counterproductive and result in worse service quality overall. ANC services were occasionally rearranged by providers to accommodate testing patients due to increasing demand at the intervention locations as a result of the increased demand. In order to ensure service continuity, all ANC staff members must be trained in GDM screening and administration procedures. Reorganization of the practice as well as staff development may also be beneficial in increasing access to these resources. Nurses in low-resource nations who are trained, have clear instructions on how to do repetitive tasks, and are frequently checked may delegate duties in chronic illness care. Nurse-led diabetes treatment produced outcomes that were comparable to those obtained by doctor-led care while also increasing patient satisfaction. Due to the widespread belief that job relocation is the sole viable solution to labour shortages, the last point is particularly important. Client satisfaction has an impact on the adherence to therapy and the follow-up of the therapy. Patient satisfaction and compliance both increase as a consequence of these changes. Patients’ fears are often provoked by a GDM diagnosis, necessitating a high level of empathy in order to alleviate their concerns. According to the findings of the research, nurses are capable of giving compassionate care. Nurses and midwives are well-positioned to care for women with gestational diabetes because of their extensive involvement in uncomplicated pregnancy follow-up.
It has been shown that an increase in motivation is essential for the acceptance of the intervention. This has been shown by a boost in self-esteem as well as acknowledgement from peers and patients. Maslow’s hierarchy of needs states that the intervention had an impact on social belonging, self-esteem, and self-actualization, among other things. Increased intrinsic motivation, a quality described by the self-determination hypothesis, was seen when participants gained control over their actions and choices. Adoption is influenced by a variety of variables, including perceived need, advantages, ease of use, trialability, and suitability for local conditions and expectations. A simple intervention that eliminated testing and management delays and allowed doctors to tailor the activity to their own schedules as well as the availability of their patients, this intervention seemed to fit these requirements.
Part 2: Evaluation
Among the program’s components are efforts to increase GDM patients’ support for and adherence to dietary modification programs, among other things. Glycemic control in moms has been shown to improve with dietary modifications, according to research. Compliance by patients, on the other hand, is critical to the success of these programs. Women’s failure to adhere to dietary adjustments may be attributed to a variety of factors, including a lack of family support, a lack of understanding of the requirements, time restrictions, program feasibility, accessibility, and cost. Patients who adhere to dietary guidelines with the assistance of a well-planned and tailored diet benefit from increased support and flexibility. Encourage individuals with type 2 diabetes to wean themselves off of insulin and other medications. In addition to dietary adjustments, insulin treatment is utilized to treat type 2 diabetes (Caughey, 2021). Insulin treatment, on the other hand, has the potential to cause hyperinsulinemia, hypoglycemia, and weight gain in certain individuals. Furthermore, insulin treatment does not take into consideration lifestyle variables that may lead to GDM and Type 2 Diabetes. According to the findings of the study, GDM patients should take less insulin and instead focus on dietary and lifestyle adjustments rather than insulin injections. Encourage gestational diabetes patients to keep their glucose levels and nutritional needs under control during their pregnancy. Because GDM is characterized by high glycemic levels, practitioners must assist patients in controlling their blood glucose levels. Reduced levels of maternal blood glucose may also be addressed in combination with fetal energy and feeding needs, as previously mentioned.
It is well recognized that diet may benefit 80-90 percent of persons with type 2 diabetes. Despite these results, insulin therapy continues to be the most commonly used treatment for type 2 diabetes. In addition to its many disadvantages, insulin dependency has a variety of drawbacks, including complicated administration, the danger of hypoglycemia, and the hormone’s transplacental transit (Bao, 2019). Non-adherence on the part of patients is to blame for the ineffectiveness of diet modification and the poor quality of diabetes therapy. This DNP trial will help people stay on track with their diet modification regimens. Implementing a tailored meal modification program may be able to meet the needs of patients in terms of economics, motivation, and socialization. The project’s history, objectives, and scope are described here. Obstetrical diabetes mellitus (GDM) is a kind of diabetes that develops throughout the course of pregnancy. One in every four pregnancies was discovered to have gestational diabetes (Caldwell, 2021). Hyperglycemia in pregnant women is caused by hormonal changes that occur during pregnancy, which reduce insulin synthesis or sensitivity. Depending on GDM definitions and local screening techniques, the prevalence of gestational diabetes in the United States ranges from 1 per cent to 22 per cent of all pregnancies in the country. The World Health Organization recommends 36 glucose challenge tests with 75 grams of glucose throughout the first 24–28 weeks of pregnancy.