Capstone Topic Summary
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership).
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Expert Answer and Explanation
Strategies to Reduce Medical Errors in Pediatric Care
Many people die in the hospitals yearly due to medical errors, especially in the pediatric care. According to Lawson et al. (2018), providing pre-mature babies too much oxygen as the most common medical error that occur in the pediatric facilities. As a result, this project will focus on discussing strategies that can be used to reduce medical errors in the pediatric center. This project can be categorized as a quality improvement initiative where the hospital operations will be changed and improved in a move to reduce medical errors in the child care facility. The interventions for this problem include improving nurse staffing and training. In nurse staffing, more nurses will be employed in the institution to reduce dissatisfaction and burnout. Nurse burnout is among the factors that can increase the rate of medical errors in care facilities (AbuMustafa & Jaber, 2019). The intervention should be aimed at reducing burnout. Training will improve the nurses’ experience on how to handle the errors in case they occur.
AbuMustafa, A. M., & Jaber, M. (2019). Factor affecting Medical errors Reporting among medical team in Pediatric Hospitals in Gaza governorate. Journal of Medical Research and Health Sciences, 2(11), 794-801. http://jmrhs.info/index.php/jmrhs/article/view/131
Lawson, N. D., Shanafelt, T. D., Tawfik, D. S., Morgenthaler, T. I., Satele, D. V., Sinsky, C., … & West, C. P. (2018, November). Burnout is Not Associated With Increased Medical Errors/In Reply. In Mayo Clinic Proceedings (Vol. 93, No. 11, pp. 1683-1684). Mayo Foundation for Medical Education and Research. DOI:10.1016/j.mayocp.2018.08.015
Category of the Topic
This project will study the effects of healthy weight on people with diabetes. The category of this topic is community. The topic has been classified as a community topic because it aims to solve the issue of diabetes, one of the chronic diseases affecting many communities across the world, especially African American people within the US and other people in low income countries. A study by Gummesson, Nyman, Knutsson, and Karpefors (2017) shows that premature mortality from type 2 diabetes rose to 5% between 2000-2016. This statistic show that diabetes is a threat to existence of humanity, and thus health professionals should develop ways to solve the issue. The targeted community in this project is African American community. The community has been targeted because the rate of mortality from the disease is high in the community compared to other ethnic groups in the US (Gummesson et al., 2017). Walking has been proposed as the intervention to help control the disease.
Gummesson, A., Nyman, E., Knutsson, M., & Karpefors, M. (2017). Effect of weight reduction on glycated haemoglobin in weight loss trials in patients with type 2 diabetes. Diabetes, Obesity and Metabolism, 19(9), 1295-1305. https://doi.org/10.1111/dom.12971
My capstone project aims at reducing the cases of enteric infections among children in the pediatric sector. The topic and intervention to solve the problem fall under a category known as community. The community will be the target population for the project. According to Rogawski McQuade et al. (2020), enteric infections are diseases that enter the body through the mouth. The authors note that some of the enteric infections include diarrheal disease caused by enterotoxigenic E. coli (ETEC), Shigella, rotavirus, and other organisms. The intervention to solve the topic is educating parents about handwashing techniques. In the project, the nurses will educate parents with children aged five years and below about strategies they can use to wash their hands to prevent their kids from contracting enteric diseases. Akuffo et al. (2017) note that some techniques include washing hands before eating, visiting the toilet, changing diapers, and getting in contact with contaminated surfaces.
Akuffo, R., Armah, G., Clemens, M., Kronmann, K. C., Jones, A. H., Agbenohevi, P., … & Koram, K. (2017). Prevalence of enteric infections among hospitalized patients in two referral hospitals in Ghana. BMC research notes, 10(1), 292. https://link.springer.com/article/10.1186/s13104-017-2621-x
Rogawski McQuade, E. T., Platts-Mills, J. A., Gratz, J., Zhang, J., Moulton, L. H., Mutasa, K., … & Humphrey, J. H. (2020). Impact of water quality, sanitation, handwashing, and nutritional interventions on enteric infections in rural Zimbabwe: the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial. The Journal of infectious diseases, 221(8), 1379-1386. https://doi.org/10.1093/infdis/jiz179
A community topic is a topic that discusses issues that affect community members. However, a leadership topic in nursing is a topic that touches on issues that affect healthcare leadership. This capstone project aims to investigate whether educating older patients about falls and fall prevention strategies before and after the incident helps reduce the rate of falls-related cases. This topic can be categorized as a community topic because it aims to reduce falls in a community. In other words, the topic is a community project because, after its implementation, many older patients will have proper knowledge about falls and how they can avoid the issue. This project has focused on falls because this health problem highly threatens people’s optimal health, especially older individuals dwelling in a community setup.
One in four US citizens aged 65 years and above falls yearly (National Council on Aging). The organization also reports that the US’s emergency care departments treat an older person for fall every 11 seconds. Also, the institutions record older person mortality due to fall-related complications in every 19 minutes. According to Aryee et al. (2017), falls are the leading causes of severe and non-severe injuries among other people and cause older people’s hospital admissions. The authors estimate that over 2.8 million older adults visit emergency care departments to treat falls-related injuries. The problem also causes more than 27,000 deaths every year. In terms of costs, in 2015, more than $50 billion was spent on fall injuries. The researchers report that the Medicaid and Medicare program covered 75% of the cost (Li et al., 2018). An effective intervention is needed to help prevent falls among older people and allow them to have a quality life with such estimates.
Aryee, E., James, S. L., Hunt, G. M., & Ryder, H. F. (2017). Identifying protective and risk factors for injurious falls in patients hospitalized for acute care: a retrospective case-control study. BMC geriatrics, 17(1), 260. https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0627-9
Li, Z., Wang, X. X., Liang, Y. Y., Chen, S. Y., Sheng, J., & Ma, S. J. (2018). Effects of the visual-feedback-based force platform training with functional electric stimulation on the balance and prevention of falls in older adults: a randomized controlled trial. PeerJ, 6, e4244. https://doi.org/10.7717/peerj.4244
National Council on Aging. (n.d.). Falls in the Elderly Statistics. Falls Prevention Facts. Retrieved from https://www.ncoa.org/news/resources-for-reporters/get-the-facts/falls-prevention-facts/
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