Nursing: Evaluating Quality Improvement Initiatives & Interventions

This essay discusses quality improvement initiatives and clinical prevention interventions in nursing, focusing on a Sexually Transmitted Disease (STD) Quality Improvement Project in New Mexico and South Carolina, and a clinical prevention intervention for Diabetes Mellitus screening. The STD project, despite aiming to improve public health through screening and re-interviewing, showed limited success due to a lack of comprehensive strategies in educating young adults about safe sex. Conversely, the diabetes screening initiative, targeting asymptomatic adults with high blood pressure, proved successful in early detection and prevention of Type 2 Diabetes, attributed to effective screening methods like blood glucose level testing. The essay references data from organizations like the CDC and ADA to highlight the outcomes and effectiveness of these programs.

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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Answer # 1
Quality improvement initiative that relates to improving population health outcomes:
Sexually Transmitted Disease (STD) Quality Improvement Project for the population residing
in the New Mexico and South Carolina State (Public Health Foundation, 2019)
The overall the quality improvement initiative is attributed to the effective planning of
PHP under the effective guidance and collaboration of Centre of Disease Control and
Prevention (CDC). The PHF experts promotes effective screening and re-interviewing of the
people diagnosed with syphilis within one week of the main interview and proper
identification of clusters of the group of people who are low-risk of developing HIV and
early stage of syphilis (Public Health Foundation, 2019). However, the program failed to
fetch quality results. According to Tanne (2018), the rate of occurrence of gonorrhea, syphilis
and chlamydia have increased during the tenure of four years and reaching the highest record
in the industrialized world. The reason behind the poor success of the quality improvement
practice is lack of comprehensive approach in the STD prevention. The young adults of the
target population have multiple sex partners and it is the main source of developing STD.
However, the quality health improvement program has no specific initiatives in educating
them about safe sex with restricted number of partner (Tanne, 2018).
Answer #2
Clinical Prevention Intervention: Diabetes Mellitus, Screening (U.S Department of
Health and Human Services, 2019)
The clinical prevention intervention is mostly directed towards screening of type 2
diabetes among the asymptomatic adults with sustained blood pressure higher/lower than
135/80 mm Hg. The aim of this clinical prevention intervention was to promote early

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detection of Type 2 Diabetes among the vulnerable individuals in order to promote effective
treatment and prevention of diabetes (U.S Department of Health and Human Services, 2019).
The overall initiative has been successful and the same can be easily highlighted from
the Diabetes prevalence statistics the U.S as highlighted by the American Diabetes
Association (ADA) (2018). According to the ADA reports in 2015, the prevalence of type 2
diabetes among the adults in the U.S is 30.3 million and this constitute 9.4% of the
population. In comparison to this, the reported cases of diabetes among the adults during
2010 were 26.9% of the population (Centre for Disease Control and Prevention, 2011).
The reason behind this success is attributed to effective screening of the diabetes is
done through fasting serum blood glucose test and postload (2 hours) plasma concentration of
glucose and detection of the glycosylated hemoglobin A1c. According to ADA (2018)
screening of the blood glucose level is regarded as an effective technique for the analysis of
the vulnerability for developing type 2 diabetes.

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References
American Disease Association. (2018). Statistics About Diabetes. Access date: 16th Feb 2019.
Retrieved from: http://www.diabetes.org/diabetes-basics/statistics/
Centre for Disease Control and Prevention (2011). National Diabetes Fact Sheet. Access
date: 16th Feb 2019. Retrieved from:
https://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
Public Health Foundation. (2019). Quality Improvement Programs. Access date: 16th Feb
2019. Retrieved from:
http://www.phf.org/focusareas/qualityimprovement/Pages/Quality_Improvement_Pro
grams.aspx
Tanne, J. H. (2018). Sexually transmitted diseases reach record highs in US. The British
Medical Journal. 362:747
U.S Department of Health and Human Services. (2019). Agency for Healthcare Research and
Quality. Guide to Clinical Preventive Services Task Force. Access date: 16th Feb
2019. Retrieved from:
https://www.ahrq.gov/professionals/clinicians-providers/guidelines-
recommendations/guide/index.html