As my capstone project entails an essential improvement in caregiving through education, it also comes with financial, quality and clinical implications. These implications are based on the fact that nursing is a holistic profession geared towards the best interests of the patient. The financial, quality and clinical issues addressed herein are critical to improvement in teaching Diabetes Mellitus patients about better self-care.
The Financial Aspect
My hospital has only one certified educator, a fact that exponentially limits the ability to teach DM patients about taking good care of themselves when they leave the hospital. The hospital will thus have to invest in hiring a few more certified educators or provide training for some members of staff so that they can be certified accordingly. The investment will be recouped by the reductions in inordinate readmissions (Protheroe et al., 2016).
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The Quality Aspect
The quality aspect relates to how the additional workload and time to be spent in teaching patients will affect the overall quality of the work done by nurses. At my hospital, just as with most hospitals in America, nurses are overworked and pressed for time. Overload is among the main causes of poor quality in hospitals (Norouzinia et al., 2016). Additional training and innovation will be necessary to alleviate this quality issue.
The Clinical Aspect
Unlike most other chronic illnesses, DM patients have to constantly keep on injecting and ingesting pharmaceutical products to control their conditions (Moser et al., 2017). Swallowing drugs or injections always carry a risk of secondary health complications such as allergic reactions, contraindications among others (Chaudhury et al., 2017). Teaching patients how to better care for themselves carry risks, as the patients may harm themselves hence the need for better training on the clinical aspects of DM care for the nurses who will be teaching the patients.
Conclusion
The attainment of my capstone project still requires a variety of monitoring and evaluation strategies so as to inter alia alleviate quality, financial, and clinical issues. More monies will be needed for hiring or training and certification. Better training to avoid quality lapses or clinical complications is also necessary.
References
Chaudhury, A., Duvoor, C., Dendi, R., Sena, V., Kraleti, S., Chada, A., ... & Kuriakose, K. (2017). Clinical review of antidiabetic drugs: Implications for type 2 diabetes mellitus management. Frontiers in Endocrinology , 8 , 6.
Moser, O., Tschakert, G., Mueller, A., Groeschl, W., Hofmann, P., Pieber, T., ... & Koehler, G. (2017). Short-acting insulin reduction strategies for continuous cycle ergometer exercises in patients with type 1 diabetes mellitus. Asian Journal of Sports Medicine , 8 (1). doi: 10.5812/asjsm.42160.
Norouzinia, R., Aghabarari, M., Shiri, M., Karimi, M., & Samami, E. (2016). Communication barriers perceived by nurses and patients. Global Journal of Health Science , 8 (6), 65-74
Protheroe, J., Rathod, T., Bartlam, B., Rowlands, G., Richardson, G., & Reeves, D. (2016). The feasibility of health trainer improved patient self-management in patients with low health literacy and poorly controlled diabetes: A pilot randomised controlled trial. Journal of Diabetes Research , 2016 .
