NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice

Walden University NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice                           

Whether one passes or fails an academic assignment such as the Walden University NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice                         

The introduction for the Walden University NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice                         

After the introduction, move into the main part of the NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice

Diabetic ulcer is the most devastating diabetes complication. It often results in end-stage morbidities such as lower-limb amputations, reduced quality of life, shortened lifespan, and increased social and economic burden. About 14-24% of patients who develop diabetic ulcers end up with lower extremity amputation (Lin et al., 2019). Diabetic ulcer continues to be a major medical and public health issue as the incidence and comorbidities rise every day. The purpose of this paper is to discuss the gap in practice with regard to Diabetic ulcers and the activities that I will lead to support the gap in practice or practice change.

Gap in Practice

Although diabetic patients at the clinical site facility are provided patient education materials on foot care and examined by podiatrists, the issue of diabetic ulcers persists. The incidence of diabetic ulcers and associated morbidities continue to increase in the facility resulting in high healthcare costs and poor health outcomes. The challenge can be attributed to inadequate knowledge and skills among nurses and clinicians on managing diabetic ulcers. Abate et al. (2020) assert that insufficient knowledge and non-favorable attitude by nurses and clinicians towards diabetes ulcer care compromises health care standard diabetes care. Health providers need to be equipped with knowledge and skills to identify early symptoms of diabetic ulcers, assess comorbidities, and provide appropriate therapeutic interventions (Abate et al., 2020). As such, there is a need to equip them with sufficient knowledge and skills on the prevention and management of diabetic ulcers to lower the incidence and mitigate the morbidities associated with the complication.

Activities to Support the Gap in Practice or Practice Change

The main activity that I will lead in addressing the gap in the management of diabetic ulcers is to train nurses and clinicians on the management of diabetic ulcers. The activity aims to improve their knowledge and skills in managing patients with diabetic ulcers. Innes-Walker et al. (2019) found that training and coaching health professionals on diabetic ulcer management increased their confidence in managing wounds. Besides, training empowered nurses’ decision-making process and increased their assessment knowledge, resulting in a positive impact on patient outcomes.

Nurses and clinicians will be educated on various aspects of prevention and management of diabetic ulcers, including: Providing health education on foot care; Assessing patients for ulcers, Identifying early signs of diabetic ulcers; Wound-dressing; Therapeutic interventions; Assessing comorbidities; Referrals. A pre-intervention questionnaire will be administered to the nurses and clinicians to identify areas on which the training program will focus. A post-intervention questionnaire will also be administered to measure the impact of the training in enhancing the providers’ knowledge and skills.

Conclusion

Diabetic ulcer is one of the most adverse diabetes complications and the leading cause of lower-limb amputations among diabetic patients. The identified gap in practice at the clinical site is inadequate knowledge and skills among nurses and clinicians on managing diabetic ulcers. The gap will be addressed by educating nurses and clinicians on preventing and managing diabetic ulcers.

References

Abate, T. W., Enyew, A., Gebrie, F., & Bayuh, H. (2020). Nurses’ knowledge and attitude towards diabetes foot care in Bahir Dar, North West Ethiopia. Heliyon, 6(11), e05552. https://doi.org/10.1016/j.heliyon.2020.e05552

Innes-Walker, K., Parker, C. N., Finlayson, K. J., Brooks, M., Young, L., Morley, N., … & Edwards, H. E. (2019). Improving patient outcomes by coaching primary health general practitioners and practice nurses in evidence based wound management at on-site wound clinics. Collegian, 26(1), 62-68. https://doi.org/10.1016/j.colegn.2018.03.004

Lin, C. W., Armstrong, D. G., Lin, C. H., Liu, P. H., Hung, S. Y., Lee, S. R., … & Huang, Y. Y. (2019). Nationwide trends in the epidemiology of diabetic foot complications and lower-extremity amputation over an 8-year period. BMJ Open Diabetes Research and Care, 7(1), e000795. http://dx.doi.org/10.1136/bmjdrc-2019-000795

Sample Answer 2 for NURS 8502 Week 2 Assignment 3 Identify a Gap in Practice

The identified practice problem for the practicum project is Diabetic ulcer. Diabetic ulcer is a common diabetes complication issue that cuts across nursing practice and the healthcare profession in general. The issue is experienced not only in our healthcare organization but also in other organizations and patient care facilities globally.  Diabetic ulcer is one of the diabetic complications connected with major morbidity, mortality, and reduced quality of life and is one of the most serious diabetes complications (Lin et al., 2019). Besides, it is the major cause of foot amputations among diabetic patients. According to Adem et al. (2020), the global prevalence of diabetic ulcers in persons with diabetes mellitus is 6.3%. The highest incidence is in North America (13%), followed by Africa 7.2%, and the lowest in Europe (3%). Besides, about 15-25% of patients with diabetes mellitus develop a diabetic ulcer during their lifetime.

Numerous studies have been conducted to assess the efficacy of various interventions in preventing and treating diabetic ulcers to reduce the associated morbidity and high healthcare costs. The interventions that have been addressed by literature include glycemic control, patient education on foot hygiene, nail care, and proper footwear, wound debridement, and advanced wound dressings (Sulistyo, 2018). Despite literature proposing various interventions that healthcare professionals and patients can take to lower the incidence of diabetic ulcers, it persists to be a challenge for providers and is a significant burden on the healthcare system.

The management at the clinical site has taken several measures to address the diabetic ulcer issue. First, it has developed guidelines that require health providers to refer patients to a podiatrist annually for foot examination. It has also developed flyers containing information on foot care, which are given to diabetic patients. This is a preventive measure that aims at reducing the incidence of diabetic ulcers in the facility. However, the issue persists, and there is a need to evaluate other interventions that will help lower the prevalence of diabetic ulcers and the associated morbidity and mortality.

References

Adem, A. M., Andargie, A. A., Teshale, A. B., & Wolde, H. F. (2020). Incidence of diabetic foot ulcer and its predictors among diabetes mellitus patients at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: a retrospective follow-up study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 3703. https://doi.org/10.2147/DMSO.S280152

Lin, C. W., Armstrong, D. G., Lin, C. H., Liu, P. H., Hung, S. Y., Lee, S. R., … & Huang, Y. Y. (2019). Nationwide trends in the epidemiology of diabetic foot complications and lower-extremity amputation over an 8-year period. BMJ Open Diabetes Research and Care, 7(1), e000795. http://dx.doi.org/10.1136/bmjdrc-2019-000795

Sulistyo, A. A. H. (2018). Management of diabetic foot ulcer: A literature review. Jurnal Keperawatan Indonesia, 21(2), 84-93. https://doi.org/10.7454/jki.v21i2.634