NURS FPX 4905 Assessment 3 Technology and Professional Standards
Student name
Capella University
NURS- FPX4905
Professor Name
Submission Date
Technology and Professional Standards
Effective type 2 diabetes care is more than just medications; it is attributed to professional practice, technology, and coordinated care. Poor follow-up and limited care coordination remain challenges and continue to be a barrier to optimal outcomes in the Farmington Hills outpatient setting. This review adds on to previous analysis by applying the analysis of the role of a nurse in process change, interprofessional communication, and agency practice recommendations. It also features current and developing technologies to help improve patient-centered diabetes care, cost reduction and safety.
Clarifying Role in Change Process
The BSN is a prepared nurse; they are not only involved in patient care but are also responsible for leadership, quality improvement, supporting evidence-based practice, and ensuring adherence with professional standards in the process change. Nurses should recognize gaps in care, provide suggestions for interventions, and make sure interventions because changes in practice that is within established ethical and professional standards. For example, nurses who work with the patient to develop his or her personalized care plan can consider individual circumstances, preferences, and cultural influences when formulating care plans to ensure a patient-centered approach that empowers patients to be involved and adhere to treatment. These are activities that embody the aspects of competence and leadership that make progress on patient safety and the effectiveness of the organization. In my practicum setting, my contribution to a change lies in the areas of observation and assistance, but as part of the process, I am active in patient education, documenting opportunities and challenges. As a nurse in this clinic, I think my role is as the leader of care to improve continuity of care. Nursing intervention should be: adequate nutrition, physical activity, and blood sugar monitoring. These responsibilities would include the overall responsibility of the BSN nurse being an agent for change and a quality improvement advocate at the system level. In planning, implementing, and evaluating the nursing care provided to patients, and to improve patient safety and quality of care through collaborative practice, the Michigan Nurse Practice Act states that registered nurses have a legal obligation to do what is best for each patient. The Department of Licensing and Regulatory Affairs (LARA) makes sure that all nurses meet the standards. This law underscores the nurse’s responsibility to be an active participant in the process of change and to uphold professional standards.
Implementation overview: Interprofessional Collaboration
In my practicum setting, working with other professionals in coordination is essential for managing type 2 diabetes care. Multiple health care professionals work together for optimal care of diabetes. I do get to facilitate patient education as a practicum student, and get to listen to some of the discussions of teams, and how collective communication can help with constant care. Working together with a collective decision-making process enhances the ability of the clinic to address medical and psychosocial aspects of chronic disease management issues.
Hospital staff can explore options for engaging other community members to provide nutrition counselling, pharmacists to promote adherence to medication, and community health workers to engage with patients through services such as providing food assistance or transportation, among other roles. As a nurse working at this clinic, I would have case conferences to bring together these disciplines so each patient would have a well-coordinated plan of care for his/her individual needs. Collaboration amongst staff ensures therapeutic goals are met, medication regimes are maximised, and patients are supported well to facilitate behaviour change. This approach ensures that patients are more compliant and there is less fragmentation or duplication of services.
Benefits
Beyond health outcomes, the benefit of working interprofessionally is an increase in the efficiency of the team, provider satisfaction, and cost savings to the organization. It is evident that the interprofessional collaborative model for practice that is underpinned by patient-centeredness is needed to support the chronic care model, improve patient outcomes, and allow room for improved efficiency. Collaboration helps the clinic create a better care system that’s more comprehensive, with each profession contributing what they know to further a person’s long-term health.
Government Agency Practice Guidelines
There is a number of government and regulatory bodies that propose suggestions that can directly be correlated to the issue of inconsistent follow-up and limited care coordinated for patients with type 2 diabetes in my practicum site. Chronic care management (CCM), which enables follow-up care, medication reconciliation, and care management for patients with complicated chronic conditions. It is supposed that frequent communication within the group will reduce visiting the emergency room and long-term costs by preventing avoidable complications. The use of these standards in the clinic could increase the possibility of nurse-managed follow-up programs and financially sustain the clinic.
The Joint Commission has standards that focus on patient safety, communication of clinical issues, and accurate documentation. The standards focus on the following key patient, individual, or resident care and organizational functions that are vital for the provision of safe and high-quality care. This is based on the premise that, with better documentation and the streamlining of communications, continuity of care is strengthened, and mistakes are minimised. For diabetes, this means that a reminder, laboratory test results, and diabetes care plan are consistently documented in the electronic health record (EHR) and that this information is accessible for all providers. The implementation of these guidelines could be used to overcome current follow-up/coordination of care deficits. The National Database of Nursing Quality Indicators (NDNQI) offers benchmarks for various patient satisfaction, readmission, and nurse-sensitive indicators. The NDNQI is nurse-sensitive patient outcomes and RN workforce participation measure tracking and benchmarking tool that is based on evidence. The reasoning behind this is that measurement and reporting regularly help to ensure accountability and stimulate organizations to improve their performance. Monitoring the impact of diabetes intervention by outcomes, including diabetes control (HbA1c), no-shows, and patient satisfaction, can help demonstrate impact. Having the clinic meet the NDNQI standards would allow it to monitor progress in real time, identify areas for improvement, and improve its quality improvement system.
Clinical Technology Addressing Practice Issue
The primary technology used in the care of diabetes at my practicum site is the communication technology of the electronic health record (EHR) system. The EHR is used for all the aforementioned purposes, including for visitors to get lab tests ordered, keeping track of hemoglobin A1c levels, and scheduling follow-up visits. Additional Telehealth services are also available, but mainly used to get refills or for short consultation visits rather than a full care coordination visit. Mobile apps, telehealth options, and various other digital health platforms provide platforms for continuous education. Typically, patients have access to self-monitoring blood glucose (SMBG) via glucometers, and sometimes the SMBG logs are captured in the EHR when patients bring their logs in to visits. There are many problems that limit the use of technology. Older adults face difficulty in adopting telehealth due to the aging factor, low literacy, and discomfort while using technology. The clinics have not yet integrated glucose monitoring device data into the EHR, so there are gaps in real-time glucose monitoring and the ability for timely intervention. Many appointments are missed due to different kinds of telehealth usage.
Technology Impact
This has significant implications for patient outcomes because of the technologies’ limitations. The EHR has provided much greater organization and access to patient data for clinicians, but is not as well-integrated with patient-generated health data, which makes for insufficient diabetes management. Unconscious age-related bias and resistance to the use of digital equipment can also decrease the likelihood of such providers offering telehealth services to this group. It is important to bridge these gaps in existing technology so that the quality and safety of care at the clinic can be improved.
Summarizing Available Technology with Pros and Cons
Various sources of literature mention certain technologies that are coming up and are very effective in the treatment of type 2 diabetes. It is strongly recommended that glucose monitoring be undertaken so that glucose trends can be monitored in real time to enable proactive interventions to be made. The authors of the study found that Telemedicine is effective in improving the Hemoglobin A1c (HbA1c) level, which consequently improves glycemic control in people with Type 2 diabetes. Its main advantage is providing both patients and healthcare providers with actionable data, but the disadvantages are the price of the gadget and the training of patients. The health applications also have the potential to help facilitate diabetes self-management. Such applications include a means for patients to track glucose, diet, exercise, and medications, as well as motivate them to take an active role in their day-to-day care. For instance, glucose tracking apps will generally have educational components that teach patients how to interpret their readings and make adjustments accordingly. The advantages of such programs are that they have the potential to be extremely user-friendly and flexible; however, the use of these programs may be limited by some populations’ digital literacy and availability of smart phones. Other evidence-based models are telehealth platforms that are connected to electronic health records (EHRs). They enable virtual visits, give providers access to patient-generated info, and promote automatic reminders to help reduce missed visits. Although the benefits of telehealth are clear, for some, including the elderly, making use of telehealth can become difficult, and there is a potential for inequity in the delivery of telehealth. In my practicum, there is rarely any use of EHRs or Telehealth, and the use of glucose monitors and mobile apps is not currently in practice. This delay means proactive, data-driven care is delayed.
Technology Implementation Issue Challenges and Solutions
There are many challenges that act as barriers to the adoption of telehealth. One of the largest challenges is the cost, because glucose monitors alone and advanced telehealth systems aren’t always 100% covered by insurance, thus increasing the expenses for the patient and the clinic. Due to a low rate of adoption, especially in older patients, who lack digital literacy, some patients may experience difficulties operating apps or virtual interfaces. There can be some disruption in workflow due to employees acquainting themselves with the new ways of training and adapting to devices, consolidating data, and completing more paperwork.
A strategy is used to deal with these issues. Grants and cooperation with community groups, as well as patient support to defray costs, minimise economic barriers. Digital literacy gaps need to be filled with formal patient education, nurse demonstration, and/or technical assistance to make these more comfortable. Targeted staff training and leadership support, along with phased rollout of staff changes, can resolve staff concerns. Some inconsistencies in evidence may be due to the role of training of health professionals in coaching or educational intervention. It is also important to have interprofessional working together to enable co-ownership of new processes and to seamlessly integrate new technology into existing processes. Pre-empting these difficulties allows the clinic to set up best practices around evidence-based technology and maximize the long-term prospects of successful diabetes management.
Conclusion
Practicum focuses on the importance of using professional standards, technology, and collaboration to address challenges in care. In order to support process change, the BSN-prepared nurse needs to have the attributes of leadership, advocacy, and ethical practice. Government guidance and resources, including glucose monitoring and telehealth services, become a foundation to improve the quality and safety. Training, leadership, and community partnerships help carry out the removal of implementation barriers; with these, long-term success in the patient-focused diabetes care is achieved.
References
Alazmi, M. A. M., Alruwaili, R. L. R., Baghdadi, W. Q. G., Alruwaili, F. A., Alsharari, M. A. K., & Alanazi, A. M. N. (2024). Enhancing quality of life for diabetic patients: Nursing interventions that make a difference – PrsoQuest. Journal of International Crisis and Risk Communication Research, 7(6). https://www.proquest.com/openview/6b5e171ae7ba6dff1075ec624052e69f/1?pq-origsite=gscholar&cbl=6480378
CMS. (2025). Chronic Care Management Services. https://www.cms.gov/files/document/chroniccaremanagement.pdf
De-Groot, J., Wu, D., Flynn, D., Robertson, D., Grant, G., & Sun, J. (2021). Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis. World Journal of Diabetes, 12(2), 170–197. https://doi.org/10.4239/wjd.v12.i2.170
Joint Commission. (2025). Standards. Jointcommission.org. https://www.jointcommission.org/en-us/standards
Leff, B., Ritchie, C. S., Rising, K. L., Cannon, K., & Wardlow, L. (2025). Addressing barriers to equitable telehealth for older adults. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1483366
Lento Law Firm. (2025). Michigan Public Health Code – Nursing | Lento Law Firm. Professionallicensedefensellc.com. https://www.professionallicensedefensellc.com/nurse-practice-act-michigan
Madaris, S., & Potter, C. (2024). Press Ganey National Database of Nursing Quality Indicators (NDNQI). Press Ganey. https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/your-comprehensive-guide-to-the-press-ganey-national-database-of-nursing-quality-indicators-ndnqi
Nurchis, M. C., Sessa, G., Pascucci, D., Sassano, M., Lombi, L., & Damiani, G. (2022). Interprofessional collaboration and diabetes management in primary care: A systematic review and meta-analysis of patient-reported outcomes. Journal of Personalized Medicine, 12(4), 643. https://doi.org/10.3390/jpm12040643
FAQs
1. How can nursing technology be used to support ethical decision-making by nurses in the health care setting?
Thanks to the use of nursing technology, it becomes easier to obtain reliable data about patients, clarify the procedure of treatment, and keep records properly.
2. What challenges can nurses face while working with healthcare technologies?
The challenges include lack of technical literacy, errors in the use of technologies, security problems, unwillingness to change, and adjustment to the new circumstances.
3. Why is it important for nurses to comply with cybersecurity standards?
It is critical to follow cybersecurity standards since nurses frequently come across confidential data regarding their patients. This makes sure that there is no unauthorized access to such data.
4. What steps should nurses take to prove their professionalism while working with digital healthcare technologies?
Professionalism can be demonstrated by following HIPAA standards, documenting the process, being professional in online communication, and using technologies for clinical purposes only.
5. Which competencies are required from students to complete NURS FPX 4905 Assessment 3?
To be able to complete NURS FPX 4905 Assessment 3 successfully, students should have research skills, knowledge about informatics, professional nursing standards, APA formatting, and technical literacy.