Diabetes Nursing Indicators

According to Myers Pugh and Twigg (2018), nurse sensitive indicators are indicators that characterize the structures, processes and outcomes of nursing care. The measures show how nursing care may impact health care. In recent years, nursing has experienced evolution that seeks to advance the quality of care offered by patients. The nurse-sensitive indicators have provided nurses with an optimal level of control and sovereignty in the power of processes that revolve around the conception of health care provision. It is vital for nurses to understand the important facets of nurse-sensitive indicators as they offer assessable approaches of evaluating the quality of patient care.

Condition: Diabetes

According to Wu et al. (2015), currently, diabetes is one of the most prevalent chronic ailments around the world. There are two forms of diabetes; type 1 and type 2 diabetes, whereby type 2 is the most prevalent form. Approximately 89.5 % of diabetic individuals are ailing from type two, due to a mixture of genetic, environmental and social factors. These aspects result in excessive discharge of insulin and glucagon, ultimately leading to a surge in sugar levels. Additionally, it is important to know that unhealthy way of life and dietary orientation deteriorates the diabetic circumstances. A nurse is vital in aiding the management of the disease to advance the patients’ quality of life. Therefore, numerous nurse-sensitive indicators should be assessed.

Diabetes’ Nurse Sensitive indicators

Indicators are procedures that may be used quantitatively in nursing as well as assessment on management, support utilities and clinical roles that may have an effect on the results of a specific patient. In this case, it will involve a discussion of nurse-sensitive indicators. There are various types of diabetes’ nurse sensitive indicators. Firstly, the first indicator involves evaluating glycosylated haemoglobin. It is considered as a process-oriented as it is a representation of nursing interventions, principally guided a health practitioner’s well-versed clinical decisions. It is essential to assess the haemoglobin levels in patients as it is crucial essential in improving the control of glycaemic, therefore resulting in a decline in diabetes related complications.

The next indicator involves monitoring the level of high blood pressure. This leads to the regulation of blood pressure to improve the health outcomes in patients. This type of indicator is also a process indicator as it illustrates the nursing interventions that aim at advancing the results in diabetic individuals. The third form of a nurse sensitive indicator is diabetes education. Education on diabetes is a structural indicator as it characterizes the aspects of the patient that have an impact on the ability to manage their health. In addition, it is typified through academic trainings, exercising instructions, counselling and dietary instructions.

The other significant nurse-sensitive indicator involves Diabetic foot management. It is regarded as a mechanism that is outcome-oriented. As a result of the diabetic neuropathy that is attributed to diabetes, individuals ailing from diabetes face an increased threat of acquiring diabetic foot complications. Moreover, an individual’s self-management mechanism of the diabetic feet averts the growth of carbuncle. Therefore, this helps in improving the general health condition of that specific patient. The nurses strive to offer education to diabetic patients on the modes effectively maintaining healthy feet to avert foot complications. For example, the patients ailing from the disease should be encouraged on routine feet check-ups, regular feet cleaning, and maintaining moist around the feet to avert cracking.

Care Plan

A nurse would use on of the indicators that includes monitoring the level of glucose to assess the variation within the patient. As a result, it becomes unproblematic to implement nursing interventions such as insulin administration to regulate the sugar levels. Sufficient blood sugar regulation is vital in preventing of probable difficulties and improving results. Also, diabetes health education can be another nurse-sensitive indicator used by health practitioners to advance the outcomes. It consist of patient learning on various aspects. For instance nutrition, monitoring glucose, changes in lifestyle, and role of the family in active diabetes management. To achieve self-assessment, the patient should use glucometers approximately twice each day which promptly reports the findings.

Essentially, it shall be appropriate to integrate regular eye check-up in managing patients with diabetes. In this case, a nurse shall ascertain that patients are regularly assessed to aid in monitoring diabetes developments. This regular eye check-ups help in preventing the continuous possible diabetes related ailments such as blindness. Additionally, diabetic foot care is extra nurse-sensitive indicator that may be used in providing care for the patients to improve the patient outcomes. This is because it is beneficial in training the convalescents on the significance of continuous feet check-up and feet care to avert the growth of sores. The use of the nurse-sensitive indicators may greatly assist in improving the outcome amongst the patients.

Conclusion

Healthcare is regularly dynamic with modifications often happening in the optimism of enhancing the quality of health care for diabetic patients. As a result, quality evaluation of care is considered to be very important.. Each health practitioner plays an important part in managing the patients’ diabetic conditions. The characteristic is essentially conducted through the integration of nurse-sensitive indicators that may either be structural, process or result oriented. In this case, it is important to incorporate the nursing interventions on recognized nurse sensitive indicators with an aim of promoting and enhancing the quality of health care and patient outcomes.

References

Myers, H., Pugh, J. D., & Twigg, D. E. (2018). Identifying nurse-sensitive indicators for stand-alone high acuity areas: A systematic review. Collegian, 25(4), 447-456.

Wu, Y., Ding, Y., Tanaka, Y., & Zhang, W. (2015). Risk factors contributing to type 2 diabetes and recent advances in the treatment and prevention. International journal of medical sciences, 11(11), 1185.

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