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Does Hispanic Youth Have a Tendency to Get Diabetes?


Census data on patients suffering from diabetes confirms that the Hispanic population is among the highest affected races. Owing to their eating patterns, the youth are affected more than any other group of people. Diabetes is a serious problem especially considering that it costs a lot of money to treat the condition. One of the most effective ways of helping the youth manage the condition is when the nurse is trained in emotional, technical and social aspects of the disease. A lot of success is experienced when the nurses undergo training that places them in a situation that is almost similar to that which the patients undergo. Nurses should be in a position to use drugs, psychological advice and emotional support to the patient.

Key Words: Diabetes, Youth, Nurses training, Drugs, Manage



Problem Statement

Diabetes is a common condition affecting most populations across the world. It is quite common among the Hispanic youth, and this is mainly because of lifestyle behaviors including eating and exercising (Cruz, Weigensberg, Juang, Ball, Shalib and Goran, 2004). Apparently, this is a population that suffers from obesity and this predisposes them to diabetes. Diabetes progresses gradually in an individual and it may be impossible to realize the seriousness of the problem until later stages. It is necessary for the nurse to recognize the early signs of the condition so as to confer treatment and help the patient in the management of the condition (Fisher et al., 2000).

It costs a lot of money to manage diabetes because of the need for constant medication and proper management using special diets and sometimes long hospital stays (American Diabetes Association, 2008; White et al., 2011). The society is forced to incur a lot of costs because a large amount of the national income is directed towards the management of the condition (Li & Bilik, 2013). There is thus a need to come up with a program directed towards the prevention and management of diabetes among the Hispanic youth. This should begin with nurses undergoing training on the technical aspects of the disease including the working of some medications. Once this is achieved, nurses can undergo training on the social and psychological aspects of the disease through real-life simulations of the experiences of patients. The success of the program can be determined using the improvement levels of patients after 20 weeks.

Solution Description

The proposed solution will employ a multidisciplinary approach so as to produce nurses with holistic expertise in the management of diabetes. This includes providing training and simulation exercises that will help nurses deal with the technical, social and psychological aspects of the disease. Through this approach, it is expected that patients will be in a better position to manage the condition after 20 weeks of engaging with the nurse. This solution involves a program that will engage nurses in an intensive training on the use of some drugs in comparison to others (Barbier, Villeneuve, Bocher, Fontaine, Torra, Duhem, Kosykh, Fruchart, Guillemette & Staels, 2003; Catalano, Marsico, Giordano, Mauro, Rizza, Panno, Ando, 2003; Catalano et al., 2003b; Scheurer et al., 2012). This step will help the nurses know the advantages and applications of some drugs over others.

The next step will involve a simulation of some of the experiences that patients undergo while suffering from diabetes. The nurse will undergo an insulin pump experience to place them in a situation that allows them to experience what a patient goes through (Meloni et al., 2013). The expectation is that the nurse will be in a position to understand the experiences of the patient. Through this experience, it becomes possible for the nurse to understand the experiences of the of the patient and gain knowledge on how to handle the patient (Levin, Glass & Lawrence, 1997). It is easy to develop a holistic approach to treatment and management of diabetes using this experience.

Implementation Plan

            The theories of psychology and health behaviors play a major role in the improvement of the processes of providing care to patients suffering from diabetes. Most of these theories are aimed at helping nurses understand the behavior and experiences of the patient (Keogh et al., 2011). They also allow the nurse to obtain knowledge on how to deal with the various problems emanating from the disease. In this case, the nurses use the information in unraveling better ways of managing the condition or any complications arising such as hypertension.  Using the same theories, it is possible to map out or plan a way of evaluating the outcomes in patients.

Incorporated Theories

The two theories involved in the management of diabetes are Orem’s Theory described by Lin, C., and Ruo-Nan Jueng (2009) and the fact that firsthand experience in nurses makes them more compassionate as explained by Freeborn and Roper (2013) and Sabo (2011). Orem’s Theory explains the need for self-care especially when it comes to the management of hypertension. The experience of the nurse in an insulin pump explains that the nurse becomes more empathetic to the patient’s experiences while suffering from diabetes. Orem’s Theory allows the ability of an individual to focus on the implementation of practices taught in hospital (Keogh et al., 2011). This theory focuses on variables such as the individual, complications such as hypertension arising from diabetes and the advantages of self-care and its benefits.

The experiences of the patient on insulin pump helps in the identification of the experiences of patients  and thus help the nurses in the development of compassion and empathy when conferring care and approaching management. Orem’s Theory is directed towards the development of individual responsibility when it comes to the management of hypertension in patients with diabetes. On the other hand, the experience of nurses in the insulin pump is directed towards the providence of empirical knowledge. Through this, nurses will end up developing more effective ways of conferring care and knowledge in the management of diabetes.

These two theories decode ideologies that can be translated to plans, techniques and assessments of knowledge related to diabetes among Hispanic youth and its management. They are particularly significant in the creation, development and implementation of certain strategies that will help in achieving positive patient outcome. Considering that there are numerous other problems that emanate from diabetes, it is necessary to have all the necessary knowledge to deal with arising issues. These theories help in the development of such knowledge and this keeps both the patient and the nurse prepared for any outcome.

Evaluation Plan

Evaluation aims to analyze the progression and impact of any approach and determine its compliance with the aim of health care; positive patient outcome. This change process is expected to take a total of 20 weeks with the outcome being seen gradually. Within the first 6 weeks, an audit study will be conducted so as to ensure that the change is taking place. During the process, the nurses will be asked to reflect on their feelings on the success of the change program. The data collected through this process will then be used to assess the success of the change program.

This data will be presented in a pie chart. The initial presentation of the data will be provided to a senior administrative group for review. The administrative group will be given an opportunity to suggest any changes that may be needed in the plan. The next evaluation will be conducted at 12 weeks using a similar approach. The last assessment will be done towards the end of the program and this will involve the nurses and an analysis of the patients and the outcome involved. The eventual outcome will also be provided to the senior review board.

Dissemination Plan

The intention is to complete the dissemination of this plan within 20 weeks. This is a realistic period within which the plan should be scheduled and the intended consequence experienced. Within this period, the nurses, patients and the senior board of management are the intended audience. The goal of the whole outcome is for all the stakeholders to access information on the impact of the change process. The content will include data on the progress of the change process. The eventual data presentation will give the stakeholders an opportunity to comprehend the need for the change process, its advantages and progression throughout the implementation period.

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