NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution
Phillip April 19, 2024 No Comments

Patient Family or Population Health Problem Solution

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution


Capella university

NURS-FPX 4900 Capstone project for Nursing

Prof. Name


Patient-Centered Intervention for Type 2 Diabetes Management

Type 2 diabetes presents a significant health challenge for individuals and healthcare systems. In John’s case, managing his diabetes requires a comprehensive approach that considers his unique circumstances, including financial constraints. This assessment emphasizes the importance of understanding the patient’s needs, preferences, and financial situation. Strategies such as patient-centered care, effective communication and collaboration, adherence to nursing practice standards and policies, technology utilization, care coordination, and community resource utilization are essential for optimizing John’s diabetes management and overall health.

Leadership and Change Management in Diabetes Care

Leadership and change management play crucial roles in addressing Type 2 diabetes. Effective leadership involves creating a shared vision, empowering team members, and fostering a culture of innovation. Change management strategies are vital for adapting to new practices and overcoming barriers to change. Involving patients, families, and healthcare professionals in the change process is essential for building buy-in and ensuring successful implementation of interventions.

Ethical Considerations in Intervention Development

Nursing ethics, including patient autonomy, beneficence, non-maleficence, and justice, guide the development of interventions for diabetes management. A multidisciplinary approach, incorporating patient education, self-care, technology, care coordination, and community resources, ensures that interventions are tailored to meet individual needs while upholding ethical principles.

Improving Outcomes Through Communication and Collaboration

Collaborative strategies involving John and his family are crucial for improving health outcomes. Providing culturally sensitive education, encouraging active patient involvement, and integrating technology into care can enhance diabetes management. Effective care coordination among healthcare professionals ensures a seamless approach to John’s care, leading to increased patient satisfaction and reduced healthcare costs.

Influence of Nursing Practice Standards and Policies

The proposed intervention aligns with nursing practice standards and policies, prioritizing evidence-based, patient-focused care. By adhering to these standards, nurses can ensure uniform, high-quality care while upholding ethical principles and promoting patient safety.

Impact on Quality of Care, Patient Safety, and Cost Reduction

The intervention aims to improve the quality of care, enhance patient safety, and reduce costs by implementing evidence-based strategies. Personalized education, self-care promotion, and technology integration empower patients like John to actively manage their condition, leading to better outcomes and decreased healthcare expenditures.

Utilization of Technology, Care Coordination, and Community Resources

The intervention utilizes technology, care coordination, and community resources to enhance diabetes management. Continuous glucose monitoring, telehealth services, and digital apps facilitate communication and monitoring, while community programs provide additional support and resources for patients.


A comprehensive, patient-centric approach is essential for addressing Type 2 diabetes effectively. The proposed intervention prioritizes strategies such as patient education, technology utilization, and care coordination to optimize outcomes. Leadership, adherence to ethical principles, and alignment with nursing practice standards are critical for successful implementation. By improving care quality, patient safety, and cost-effectiveness, the intervention has the potential to significantly impact the well-being of individuals and healthcare systems.


Brew-Sam, N., Chib, A., & Rossmann, C. (2020). Differential influences of social support on app use for diabetes self-management – A mixed methods approach. BMC Medical Informatics and Decision Making, 20(1), 151.

Buse, J. B., Wexler, D. J., Tsapas, A., Rossing, P., Mingrone, G., Mathieu, C., D’Alessio, D. A., & Davies, M. J. (2019). 2019 Update to: Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care, 43(2), 487–493.

Cheraghi, R., Valizadeh, L., Zamanzadeh, V., Hassankhani, H., & Jafarzadeh, A. (2023). Clarification of ethical principle of the beneficence in nursing care: An integrative review. BMC Nursing, 22(1).

Desai, J. R., Vazquez-Benitez, G., Taylor, G., Johnson, S., Anderson, J., Garrett, J. E., … & O’Connor, P. J. (2020). The effects of financial incentives on diabetes prevention program attendance and weight loss among low-income patients: the We Can Prevent Diabetes cluster-randomized controlled trial. BMC Public Health, 20(1), 1-11.

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

Doyle-Delgado, K., Chamberlain, J. J., Shubrook, J. H., Skolnik, N., & Trujillo, J. (2020). Pharmacologic approaches to glycemic treatment of type 2 diabetes: Synopsis of the 2020 american diabetes association’s standards of medical care in diabetes clinical guideline. Annals of Internal Medicine.

Eze, N. D., Mateus, C., & Cravo Oliveira Hashiguchi, T. (2020). Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation. PLOS ONE, 15(8), e0237585.

Jothydev Kesavadev, & Mohan, V. (2023). Reducing the cost of diabetes care with telemedicine, smartphone, and home monitoring. Journal of the Indian Institute of Sciences.

Kho, J., Gillespie, N., & Martin-Khan, M. (2020). A systematic scoping review of change management practices used for telemedicine service implementations. BMC Health Services Research, 20(1).

Khodyakov, D., Buttorff, C., Xenakis, L., Damberg, C. L., & Ridgely, M. S. (2021). Alignment between objective and subjective assessments of health system performance: Findings from a mixed-methods study. Journal of Healthcare Management, 66(5), 380–394.

Millenson, M. L., Muhlestein, D. B., O’Donnell, E. M., Jones, D. A. N., Haring, R. S., Merrill, T., & Weissman, J. S. (2019, December). Patient-centered care innovations by accountable care organizations: Lessons from leaders. In Healthcare (Vol. 7, No. 4). Elsevier.

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution

O’Hara, V. M., Johnston, S. V., & Browne, N. T. (2020). The paediatric weight management office visit via telemedicine: pre‐ to post‐ COVID ‐19 pandemic. Pediatric Obesity, 15(8).

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., … & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), 1636-1649.

Puckrein, G., Hirsch, I. B., Parkin, C. G., Taylor, B. T., Norman, G., Xu, L., & Marerro, D. G. (2022). Assessment of glucose monitoring adherence in medicare beneficiaries with insulin-treated diabetes. Diabetes Technology & Therapeutics, 25(1), 31–38.

Ritchey, K. C., Foy, A., McArdel, E., & Gruenewald, D. A. (2020). Reinventing palliative care delivery in the era of covid-19: How telemedicine can support end of life care. American Journal of Hospice and Palliative Medicine®, 37(11), 992–997.

Sharma, V., Feldman, M., & Sharma, R. (2022). Telehealth technologies in diabetes self-management and education. Journal of Diabetes Science and Technology, 193229682210930.

Singh, H., Fulton, J., Mirzazada, S., Saragosa, M., Uleryk, E. M., & Nelson, M. L. A. (2022). Community-based culturally tailored education programs for black communities with cardiovascular disease, diabetes, hypertension, and stroke: systematic review findings. Journal of Racial and Ethnic Health Disparities.

Sukkarieh-Haraty, O., Egede, L. E., Khazen, G., Abi Kharma, J., Farran, N., & Bassil, M. (2022). Results from the first culturally tailored, multidisciplinary diabetes education in Lebanese adults with type 2 diabetes: Effects on self-care and metabolic outcomes. BMC Research Notes, 15(1).

Worum, H., Lillekroken, D., Roaldsen, K. S., Ahlsen, B., & Bergland, A. (2020). Physiotherapists’ perceptions of challenges facing evidence-based practice and the importance of environmental empowerment in fall prevention in the municipality – a qualitative study. BMC Geriatrics, 20(1).

NURS FPX 4900 Assessment 4 Patient Family or Population Health Problem Solution