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Intervention Presentation and Capstone Video Reflection

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                                                                 Intervention Presentation and Capstone Video Reflection
    Patient experience, safety, and clinical outcomes are considered as some of the vital pillars in improving quality care in a health organization. This is more so for diabetic patients who need constant care knowledge about their condition to manage the disease effectively. The intervention that was employed to assist in the management of the disease was developing a brochure and teaching the patient about their condition and how to manage it. This paper will help assess the contribution of the intervention in improving the patient's life and the areas that can be improved for the intervention to produce excellent results.
Contribution of the Intervention to the Patient Satisfaction and Quality of Life 

    The patient provided feedback about the intervention based on various parameters. During the training period, the patient got to understand what the nurses were teaching about diabetes. The language and technical terms were well explained, and the patient had more knowledge of interpreting information from other community resources. Additionally, as the brochure contained nearby community resources to support diabetes, the patient is now able to know which resources are the best to help manage the disease. The patient mentioned this was important as he had tried different places before, but he did not get the assistance he hoped for.

    Through the bronchure, the patient was happy to know how to administer insulin in his body. This had been a challenging phase in the disease, but he is more confident through the program and can do it anywhere when needed. In the beginning, the patient was using syringes to administer the insulin but discovered that insulin pumps could suit him better in his line of work. The patient was also glad to learn about the right diet to take to control his sugar. He also said he has been following the diet plan, which has only improved his responses to the disease. Learning about how associated health problems with diabetes has helped the patient know which medical tests to take regularly. This includes eye, teeth, feet, and skin exams. In general, the patient acknowledged the intervention and the improvement it has brought to his life in terms of managing the disease on its own.

    This intervention is important as it focuses on the wellbeing of the patient in improving their diabetic health. A combination of knowledge from dietitians and physicians is very important in ensuring complications are reduced, and diabetes patients live a better life (Chester et al., 2018, p. 641). The main driver of patient experience includes good communication with nurses and other healthcare professionals and easy access to information. This is what this intervention delivers, and notable results have been identified.
Use of Evidence and Peer-Reviewed Literature in Planning and Implementing the Capstone Project

    In the management of diabetes and other diseases, health practitioners at times may refer to their experience when managing the cases and even when offering knowledge to the patient. However, the application of personal judgment is not enough when handling patients. There is a need to use peer-reviewed sources to acquire the latest techniques when handling patient cases. Peer-reviewed literature played a huge role in this project. Among the information that was derived from peer-reviewed literature is the best methods to use when administering insulin into the body. The sources also played a major role in outlining the limitations that are associated with the various methods and what the patient should do to counter such a problem. The intervention was also planned purely on evidence-based practice to ensure the patient gets the right teaching.
    All through the project, core principles of evidence-based practice were followed. This included the formulation of clinical questions, identifying the right research, evaluating the quality of research critically, applying the research, and finally reevaluating the application of the research. This helped to understand diabetes better and how incorporating various fields can help develop a strong intervention. Despite the challenges that exist in implementing EBP, this project becomes a guide to what such an evidence-based intervention can do (Lehane et al., 2018).
Use of Healthcare Technology to Improve Patient Outcomes
    The intervention was successful in training and educating the patient on how to use insulin pumps. This is an important step as the patient was previously using syringes which were an inconvenience to him. To assist regulate glucose levels, the body is given rapid-acting insulin throughout the day through the insulin pumps. Some of the devices use tubing to deliver insulin to the body through a cannula, while others are linked directly to the skin without tubing. Although few studies have compared insulin pumps versus several injections, insulin pumps have been shown to reduce the rate of severe hypoglycemia (Umpierrez & Klonoff, 2018). There some limitations that are associated with this technology, but the patient was educated on how to reduce them. These include site infection and lipohypertrophy.
    The opportunity to improve diabetic care through this technology is by making it affordable for use. Many people do not have better technologies to administer insulin in their bodies due to their poor living conditions. Through government insurance programs, such initiatives can be slotted in diabetic management to ensure Americans receive the best of care.
Policies in Implementation and Planning
    The economic burden placed by diabetes in America has been increasing as more than 12% of people are affected by the disease. This has highly been attributed to the changed lifestyles of the people. Identifying some of the problems that lead to diabetes in this project helps understand policies that can help control the disease. The government can identify policies that control sugar consumption in food substances and beverages to help control the intake of sugar, especially in the young generation. Throughout the project, I have been collaborating with other nurses and my nurse leader to identify areas that policies can improve to help address the problems that come with diabetes.
    The Affordable Care Act has been of importance to the American people. This is because many can now access healthcare, unlike before. This, however, has not reduced the gap for some diabetic patients acquiring better technologies in managing their disease conditions. Special policies need to be enacted to control the production of diabetic technologies such as Insulin pumps such that more people can afford the technology. Despite such an intervention to assist people by providing them with education, there is a challenge of enough nurses in the hospitals. Fewer nurses mean more stressful environments, and one may not deliver their task in the right way. Policies need to be developed to promote better uptake of well-trained nurses in hospitals.
Whether Capstone Project Outcomes Matched the Initial Predictions
    The project's initial aims were well covered and met most expectations of the project. From the beginning, the problem affecting the patient was well identified. This included analyzing the policies that affect diabetes and the areas that can be improved. It also involved identifying the link between lifestyles and the disease to help develop an intervention that impacts the patient. one way to measure the success of an intervention is by the results as explained by those affected. The patient was able to give detailed ways through which he has benefited from the intervention, which means that the project achieved its expectations majorly.
    This intervention can therefore be adopted as a best practice by other health institutions and professionals. This is because it borrows from recent evidence-based practices to come up with an intervention that is well informed and can guide the patient on how to manage their condition at home without the assistance of the nurse. This intervention can also be changed to address other conditions such as heart diseases and liver problems, among others.
Personal and Professional Growth Throughout the Project
    Nurses and other healthcare workers must have ethical beliefs. Nurses have a number of ethical challenges when it comes to using technology, care coordination, and community resources, and it takes ethical principles to figure out what the proper thing to do is. Justice, beneficence, autonomy, and non-maleficence are among the principles that I have improved my knowledge on while working on this project. Patients have the freedom to choose whether or not to employ a specific technology, and nurses should respect that choice. Nurses should ensure that they deliver services that consider the patient's viewpoints across the continuum of care. I have also learned a lot about the policies that greatly affect patients on a daily basis and the areas that deserve improvement. 
Conclusion
    This project has been most helpful in developing a robust intervention that aims to ensure diabetic patients are well informed about their conditions. This means that they can manage their conditions better at home and reduce the number of visits to the hospitals. As a nurse, I have learned the importance of technology, ethical practices, care coordination, community resources, among others, in the continuum of care. This is important not only in addressing diabetes but approaching all patients that visit the hospital.

References
Chester, B., Stanely, W. G., & Geetha, T. (2018). Quick guide to type 2 diabetes self-management education: Creating an interdisciplinary diabetes management team. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 11, 641-645. https://doi.org/10.2147/dmso.s178556
Lehane, E., Leahy-Warren, P., O'Riordan, C., Savage, E., Drennan, J., O'Tuathaigh, C., O'Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O'Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2018). Evidence-based practice education for healthcare professions: An expert view. BMJ Evidence-Based Medicine, 24(3), 103-108. https://doi.org/10.1136/bmjebm-2018-111019
Umpierrez, G. E., & Klonoff, D. C. (2018). Diabetes technology update: Use of insulin pumps and continuous glucose monitoring in the hospital. Diabetes Care, 41(8), 1579-1589. https://doi.org/10.2337/dci18-0002