Research and Application: Workplace Improvement Plan for Diabetes Care

This report presents a workplace improvement plan focused on enhancing diabetes care within a healthcare setting. It begins by addressing the best available evidence concerning self-monitoring of blood glucose (SMBG) in individuals with type 1 and type 2 diabetes, drawing upon resources like the Joanna Briggs Institute EBP Database and CINAHL. The report then outlines best practice recommendations, emphasizing the importance of education, training, and patient-centered care. Two key strategies for workplace improvement are proposed: fostering a strong rapport with patients to encourage open communication and implementing comprehensive documentation practices among interdisciplinary teams. The research also explores strategies for patient self-monitoring of blood glucose levels and the organization of periodic assessments. The report highlights the critical role of registered nurses in prioritizing patient needs, ensuring informed decision-making, and promoting effective communication within the healthcare team. The assignment incorporates elements of evidence-based practice to improve patient outcomes and the overall quality of diabetes care.

Research and apply
evidence to practice
Assessment Task 2: Workplace Improvement Plan 1
Name

Q1 Focus Question
• What is the best available evidence regarding the experiences around
self-monitoring blood glucose in individuals with type 1 and type 2
diabetes?
PART A

Q2 Best Practice
Recommendations
• Grade A: education and training
should be provided by the health
professional regarding SMBG
and identify beliefs,
misconceptions and issues
associated with SMBG
(PGradPsych, 2019
• Grade B: SMBG has been shown
to be a meaningful strategy for
BGL control. Additionally, it gives
feedback to help in guiding the
decisions concerning life choices
that are healthy (PGradPsych,
2019).

Q3 Best Practice
• Grade A: discuss and highlight the changes that occur and rationale
behind self-monitoring of blood glucose (PGradPsych, 2019)

Q3 Best practice
• As a registered nurse, I should ever make the patient a priority in
health care. In making any decision, it is important to place the
patient at the center so that the decision made is an informed
decision and considers the patient as an important person in
healthcare. Any alteration that needs to be made should not be done
in isolation and without the consent of the patient or their family
members. Effective communication is the first therapy in heath care.

Q4 Two strategies for workplace
improvement plan
• Create a good rapport with the patient who diabetes condition
regardless of the type. A good rapport makes the patient feel
comfortable sharing whatever they cannot share with someone else.
As a practicing or a registered nurse, you should give room for patient
expression and advice them accordingly in line of their preferences.
• Documentation is an essential part patient treatment and care. Lack
of documenting and note taking would cost life. Therefore, there is
need to enhance effective communication and documentation among
the interdisciplinary teams regarding any alteration that occurred to
the patient.

Part B Q1
• Blood glucose and monitoring in individuals with diabetes including
procedure and rationale.

PART B Question 2
• This research purposes to establish ways in which appropriate and
timely monitoring of the blood glucose can be done so that the
ongoing safety of the patient during the acute illness episodes and
management of diabetes mellitus for a long time and thus prevent,
minimize or eliminate health complications related to diabetes.

PART B Question 3
• Formulate a strategy, a guideline or a mechanism through which the
patients can easily monitor the blood glues level themselves, without
the health professional intervention.
• The health professional should organize periodic assessment to
establish whether the guidelines, strategies or mechanisms developed
are working.

Reference list
Gordon, C. (2019). Blood glucose monitoring in diabetes: rationale and
procedure. British Journal of Nursing, 28(7), 434–439.
https://doi.org/10.12968/bjon.2019.28.7.434
PGradPsych, S.J.M. (2019). Diabetes: Self-Monitoring Blood Glucose
[Evidence Summary]. Retrieved from Joanna Briggs Institute EBP
Database.