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Nursing Commons™

Open Access. Powered by Scholars. Published by Universities.®

2011

Public Health and Community Nursing

Nursing

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Full-Text Articles in Nursing

Interventions To Improve The Management Of Medically Uninsured Adult Patients With Type 2 Diabetes Mellitus In Primary Care, Community-Based Settings, Lynn Miskovich May 2011

Interventions To Improve The Management Of Medically Uninsured Adult Patients With Type 2 Diabetes Mellitus In Primary Care, Community-Based Settings, Lynn Miskovich

Evidence-Based Practice Project Reports

This project measured the effect of a clinical algorithm on the provision of care to medically uninsured adult patients with type 2 diabetes and a low socioeconomic status (SES). Primary providers often fail to implement established standards for diabetes care to their maximal benefit and do not achieve American Diabetes Association (ADA) treatment standards. Saydah, et al. (2004) reported that only 48% of patients with diabetes achieved the recommended HbA1c goal, and 33% reached blood pressure and LDL targets. Goals for all three clinical parameters were obtained by only 7% of patients. The Stetler Model of Evidence-based Practice (EBP) provided …

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A Study To Reduce Medication Administration Errors Using Watson’S Caring Theory, Tommie Nelms, Jackie Jones, Linda A. Treiber Dec 2010

A Study To Reduce Medication Administration Errors Using Watson’S Caring Theory, Tommie Nelms, Jackie Jones, Linda A. Treiber

Linda A. Treiber

In a study to decrease medication administration errors, nurses wore brightly colored sashes as a symbol they were performing the important task of giving meds and were not to be interrupted. Situated within Watson’s Caritas theory, the study gave nurses the opportunity to “center” themselves to enhance focus and concentration on medication administration. While nurses appreciated the opportunity to concentrate on administering meds without interruptions by other staff or phone calls, they worried that patient care coordination for which they were responsible was suffering. Interventions focused on enhancing safety of a single task may be incongruent with total patient-centered care.

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