DNP 840 Post your PICOT and expand in detail on your selected patient population

Grand Canyon University DNP 840 Post your PICOT and expand in detail on your selected patient population-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 840 Post your PICOT and expand in detail on your selected patient population 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 DNP 840 Post your PICOT and expand in detail on your selected patient population                            

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 840 Post your PICOT and expand in detail on your selected patient population  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 DNP 840 Post your PICOT and expand in detail on your selected patient population                          

The introduction for the Grand Canyon University DNP 840 Post your PICOT and expand in detail on your selected patient population  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 DNP 840 Post your PICOT and expand in detail on your selected patient population                          

After the introduction, move into the main part of the DNP 840 Post your PICOT and expand in detail on your selected patient population  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 DNP 840 Post your PICOT and expand in detail on your selected patient population                          

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 DNP 840 Post your PICOT and expand in detail on your selected patient population                            

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 DNP 840 Post your PICOT and expand in detail on your selected patient population

Re: Topic 2 DQ 2

PICOT and the Patient Population

PICOT: Among adult patients with type 2 diabetes in a nursing home, will the translation of Nelson et al’s research on the use of telehealth text messages compared to the current practice improve HbA1c levels in 12 weeks?

As highlighted in the PICOT, the selected patient population is adults with type 2 diabetes in a nursing home. Commonly, nursing homes have many adults with or at risk of diabetes due to advanced age, depression, and other factors. Effective and sustainable interventions are necessary since diabetes in older adults is associated with high mortality, reduced functional status, and increased vulnerability to cardiovascular complications (Asiimwe et al., 2020). Interventions should be tailored to the patient’s needs.

Several characteristics may impact socioeconomic/sociopolitical factors. For instance, high rates of diabetes affect people’s productivity hence lowering their income. Unproductive people are also unemployable, which may increase unemployment rates. From a sociopolitical dimension, type 2 diabetes increases healthcare costs by about $9,601 per person annually (American Diabetes Association, 2023). Such cost-related outcomes necessitate policies and advocacy initiatives at the community and national levels to protect populations. To achieve this goal, healthcare organizations should partner with government and community-based stakeholders to initiate sustainable health promotion programs.

These factors can influence patient outcomes and the financial viability of the organization in the community in multiple ways. When people understand the risks of type 2 diabetes, they will likely embrace programs that reduce the rates. For instance, they would be more positive to tailored messaging via telehealth, which is associated with diabetes medication adherence and improved hemoglobin levels (Dobson et al., 2020; Nelson et al., 2021). Advocacy, policies, and partnership can help the organization sustain its community programs due to a communal approach to a health problem. Such an approach reduces spending hence improving financial viability. Community-based approaches align with the norms of the U.S. healthcare system since they ensure health problems are addressed at the local levels. They further ensure that patients and populations understand their health problems, participate actively in health programs and that interventions are tailored to address patients’ needs.

References

American Diabetes Association. (2023). The cost of diabetes. https://diabetes.org/about-us/statistics/cost-diabetes#:~:text=People%20with%20diagnosed%20diabetes%20incur,in%20the%20absence%20of%20diabetes.

Asiimwe, D., Mauti, G. O., & Kiconco, R. (2020). Prevalence and risk factors associated with type 2 diabetes in elderly patients aged 45-80 years at Kanungu District. Journal of Diabetes Research, 2020, 1-5. https://doi.org/10.1155/2020/5152146

Dobson, R., Whittaker, R., Jiang, Y., McNamara, C., Shepherd, M., Maddison, R., … & Murphy, R. (2020). Long‐term follow‐up of a randomized controlled trial of a text‐message diabetes self‐management support programme, SMS4BG. Diabetic Medicine, 37(2), 311-318. https://doi.org/10.1111/dme.14182

Nelson, L. A., Greevy, R. A., Spieker, A., Wallston, K. A., Elasy, T. A., Kripalani, S., Gentry, C., Bergner, E. M., LeStourgeon, L. M., Williamson, S. E., & Mayberry, L. S. (2021). Effects of a tailored text messaging intervention among diverse adults with type 2 Diabetes: Evidence from the 15-Month REACH randomized controlled trial. Diabetes Care, 44(1), 26–34. https://doi.org/10.2337/dc20-0961

Sample Answer 2 for DNP 840 Post your PICOT and expand in detail on your selected patient population

For diabetic patients in a primary care clinic, does implementation of American Diabetes Association Professional Practice Committee American Diabetes Associations Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2022 guidelines: Medical Nutrition Therapy Interventions impact HbA1C compared to current practice over 12 weeks?

My patient population is mostly lower socioeconomic individuals with little or no health insurance coverage (Edupuganti et al., 2019). A large majority are immigrants with questionable citizenship status. For example, I have Sudanese patients with limited English, and caring for them is sometimes challenging due to communication barriers. I and others use translation applications, but paid translation services are outside our budget. This clinic is a free service funded by donations, grants, and Medicaid or Medicare (Centers for Disease Control and Prevention, 2022). I have volunteered here for a few years and am still waiting to see a private insurance carrier. Many patients live in multigenerational homes whose income falls well below the poverty guidelines. Their food choices are limited as the clinic is in a desert. Hence, healthy, nutrient-dense foods are scarce. In addition, health literacy, educational levels, and access to transportation are limited. Therefore, if we reflect on Maslow’s needs theory, we realize that this population struggles with basic needs; and try as I may, those that can vote focus on essentials such as food and utilities. Unfortunately, their lack of participation in voting may reduce their probability of political change. Hence their circumstances are social determinants affect increasing their risk for adverse outcomes.

Sadly, this North Texas clinic resembles many faith-based outreach programs nationwide. Its multiracial and ethnically diverse community falls within the marginalized groups discussed in previous courses (Centers for Disease Control and Prevention, 2022). The health disparities result in more significant rates of diabetes, obesity, heart disease, and hypertension. Therefore the life expectancy for patients in the clinic is much lower. These factors will ultimately affect diabetic outcomes. What is clear is that we must tailor care to reflect the individual. The MNT process has several components, many encouraging a culturally specific diet. The MNT program also suggests including a dietician, education, and support. Incorporating these factors may assist with compliance and increase positive patient outcomes.

References

Centers for Disease Control and Prevention. (2022, July 1). What is health equity? Centers for Disease Control and Prevention. https://www.cdc.gov/healthequity/whatis/index.html

Edupuganti, S., Bushman, J., Maditz, R., Kaminoulu, P., & Halalau, A. (2019). A quality improvement project to increase compliance with diabetes measures in an academic outpatient setting. Clinical Diabetes and Endocrinology, 5(1). https://doi.org/10.1186/s40842-019-0084-9

DNP 840 TOPIC 3 DQ 1 Sample Answer

Addressing healthcare disparities is a goal of medical organizations worldwide; in doing so, it positively changes the health delivery system at the micro, meso, and macro levels. Unfortunately, marginalized communities have poorer health outcomes; therefore, adding processes to improve well-being and promote health is critical (National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce, 2022). Hence, the University of Minnesota’s Medical School Duluth Campus updated medical curriculums to provide a more inclusive program that addresses the needs of the Native American population (Weiner, 2017).  

Native American health disparities are immense; this population has higher rates of chronic diseases such as heart disease, substance abuse, hypertension, and cancer (Weiner, 2017). In addition, historical atrocities such as forced sterilization created generational distrust; therefore, to offset this idealism, the addition of a cultural curriculum changed the healthcare landscape. Therefore the macro alteration in the delivery system can be observed through governmental organizations such as the Center for Disease Control and Prevention, whose Tribal Health division develops and supports public health initiatives to provide resources relevant to the American Native community (National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce, 2022). For example, the meso healthcare delivery system was affected as ”the University of Minnesota Medical School, Duluth campus has since been approached by several medical schools seeking her input (Weiner, 2017)..” These subtle changes undoubtedly have influenced health care delivery at the micro level as patients in these marginalized areas are provided with culturally sensitive care that incorporates community health workers to assist with care delivery; ultimately, micro portions of the delivery system are impacted (National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce, 2022). As you can see this innovative model of care is and Accountable Care Organization. Native Americans on reservations often qualify for Medicare or Medicaid services; providers then organize and coordinate, streamlining services to improve outcomes and decrease service duplication. 

References 

National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce. (2022, June 6). Tribal Health | CDC. Www.cdc.gov. https://www.cdc.gov/tribal/index.html 

Weiner, S. (2017). Culture and Cures: Healing Native American Health. AAMC. https://www.aamc.org/news-insights/culture-and-cures-healing-native-american-health#:~:text=Melissa%20Lewis%2C%20PhD%2C%20who%20led%20the%20Native%20American