NUR 699 Management of Mothers with Gestational Diabetes EBP Proposal Questions
NUR 699 Management of Mothers with Gestational Diabetes EBP Proposal Questions
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The purpose of this assignment is to outline the evidence-based intervention for your proposed project. In 500-750 words, address the following:
- Proposed Intervention: Outline your proposed evidence-based intervention. Summarize why the intervention is appropriate and realistic for the practice setting you chose. Consider the setting, cost parameters, etc. If the intervention is unrealistic, you may need to revise your PICOT before moving forward. NUR 699 Management of Mothers with Gestational Diabetes EBP Proposal Questions
- Expected Outcomes: Explain the expected outcomes of the proposed project. How are the expected outcomes related to your project objectives? The outcomes should flow from the PICOT.
- Method to Achieve Outcomes: Outline the steps that are needed to achieve the outcomes.
- Potential Barriers, Assumptions, and Limitations: Describe specific barriers that may be encountered. Discuss assumptions or limitations which may need to be addressed.
- Outcome Impact: Describe the impact the outcomes of the proposed intervention will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and professional expertise.
Upon receiving feedback from the instructor, refine “Section C: Proposed Intervention and Expected Outcomes” for your final submission. This will be a continuous process throughout the course for each section.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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Evidence-Based Practice Proposal on Management of Mothers with Gestational Diabetes Mellitus
Gestational diabetes mellitus is a medical condition manifested by intolerance to sugar during pregnancy (Mensah et al., 2020). Gestational diabetes mellitus occurs when a placental hormone inhibits the body’s use of insulin, causing gaps in insulin utilization in the mother’s sugar metabolism. As a result, there is a blood buildup of glucose, and the cells do not take it up. According to Fiskin & Sahin (2020), gestational diabetes mellitus affects up to 6.9% of pregnant women in the United States. Additionally, it results in numerous neonatal complications and poor birth outcomes. GDM occurs within the twentieth to the twenty-fourth week of pregnancy when contra-insulin hormones are very high. Another associated risk of GDM is that even though it usually ends after pregnancy, some women may develop other forms of diabetes such as non-insulin-dependent diabetes mellitus, once their pregnancy is over (Mishra et al., 2018; Fiskin & Sahin, 2020). Due to these associated complications to both the mother and the child, gestational diabetes mellitus requires attention as a critical medical issue in the health sector.
Gestational Diabetes Mellitus impacts the practice of maternal care and delivery in the maternity wards. Nurses are tasked with the challenge of dealing with associated complications of newborns, and their mothers, who have had gestational diabetes. According to Mishra et al. (2018), induction of labor or the use of a caesarian section for birth options is critical in allowing nurses and mothers to deal with the impact of gestational diabetes mellitus. Ethical issues may arise relating to the management of mothers with gestational diabetes mellitus before and after birth, which may cause gaps in the nursing profession’s quality of service (Mensah et al., 2020; Mijatovic-Vukas, 2018).
Some of the relevant stakeholders will include the patients, the nurses, medical doctors, and hospital management, led by the medical superintendent. Approaching the proper management of gestational diabetes will benefit the hospital, as it stands a chance at being recognized as an institution with specialized care for mothers diagnosed with gestational diabetes. With this recognition, the hospital stands a chance at having more patients seeking help here, which improves their reputation and capacity to serve and ensure nursing practitioner expertise (Mensah et al., 2020; Di Guardo et al., 2019). The patients (mothers with gestational diabetes) will also benefit from the proposal by getting improved care by gaining specialized and highly technical care during pregnancy to prevent and manage the condition. Students will benefit from this proposal by gaining relevant knowledge on the management and prevention of gestational diabetes, especially from a nursing practitioner’s perspective.
The project’s goal is to develop measures on the options for the management of expectant mothers diagnosed with gestational diabetes mellitus. The expected outcome is improved body insulin regulation during pregnancy for these mothers. The following PICOT question informs the objectives: For mothers with gestational diabetes mellitus (P), would proper nursing care during gestation (I), compared to insulin medication treatment (C), be more effective in protecting the mother (O) and child through the period of the pregnancy a mother is affected (T)? The study’s objectives are informed by the assumption that maternal glucose stages are not different in those under inulin medications, and those using glucose analogs (Mijatovic-Vukas et al., 2018). Another hypothesis is that mothers cured with insulin will have children with reduced birth weight, compared to mothers who receive just diet counseling and nursing care during gestation.
In conclusion, gestational diabetes is unavoidable once it occurs since it deals with an individual’s body and its ability to counter the effects of pregnancy hormones on it. With the proper use of insulin in management, the disease may be cured. However, the best approach is to counsel the mothers on a diet to counter complications while providing critical nursing care ethically at the same time. The proposed evidence-based project aims at promoting this within the maternal department at the hospital.
References
Di Guardo, F., Currò, J. M., Valenti, G., Rossetti, P., Di Gregorio, L. M., Conway, F., … & Rizzo, G. (2019). Non-pharmacological management of gestational diabetes: The role of myo-inositol. Journal of Complementary and Integrative Medicine, 1(ahead-of-print). https://doi.org/10.1515/jcim-2019-0111
Fiskin, G., & Sahin, N. (2020). Nonpharmacological Management of Gestational Diabetes Mellitus: Diaphragmatic Breathing Exercise. Alternative Therapies in Health and Medicine.
Mishra, S., Bhadoria, A. S., Kishore, S., & Kumar, R. (2018). Gestational diabetes mellitus 2018 guidelines: an update. Journal of family medicine and primary care, 7(6), 1169. https://doi.org/10.4103/jfmpc.jfmpc_178_18
Mensah, G. P., ten Ham‐Baloyi, W., van Rooyen, D., & Jardien‐Baboo, S. (2020). Guidelines for the nursing management of gestational diabetes mellitus: An integrative literature review. Nursing Open, 7(1), 78-90. https://doi.org/10.1002/nop2.324
Mijatovic-Vukas, J., Capling, L., Cheng, S., Stamatakis, E., Louie, J., Cheung, N. W., … & Flood, V. M. (2018). Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis. Nutrients, 10(6), 698. https://doi.org/10.3390/nu10060698
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