NURS FPX 6004 Assessment2 Policy Proposal

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Policy Proposal

NURS FPX 6004 Assessment2 Policy Proposal

There is no such thing as a flawless hospital that follows all standards and policies, but such processes and regulations are in place to assist avoid damage to many patients. Criteria are set in place to keep patients safe and hospitals safe, yet on so many occasions those benchmarks are not fulfilled owing to facility pressure. Nonetheless, Mercy Health Center (MHC) has been the finest at caring for its facilities, employees, and patients. The downturn of HgbA1C examinations at Mercy Health Center and an increase in cases reported of diabetes misdiagnosis is a severe issue for patient safety.

Need for Creating a Policy and Practice Guidelines to Address the Issue of Shortfall 

At MHC, the benchmark selected for monitoring the performance of the staff is the testing for diabetes. There are multiple tests that are recommended by government authorities as well as other agencies that act as standards for diagnosis of diabetes but at MHC these tests were either not performed or had wrong test results which have caused many patients to be misdiagnosed and later on were found to having the disease. The testing for diabetes includes HgbA1C testing and foot testing.  As a result, the vast majority of the people seeking medical help are in doubt about the hospital and the staff’s professionalism and credibility. Diabetes is a disease that affects people all over the world, and its incidence has risen internationally. Patients will almost certainly be subjected to unnecessary and ineffective health interventions if prompt examinations are not performed. 

According to state health laws and regulations, the HgbA1c test is the standard method for diabetes identification and control (American Diabetes Association, 2022). To reduce the number of people who develop diabetes and to mitigate the health effects of the disease, testing must be both timely and of high quality (Manias et al., 2020). Lower-foot checks provide a comparable risk in terms of preventing complications and difficulties (CDC, 2021a). Diabetes patients must get their feet checked on a regular basis to avoid inflammation, damage to the nerves, and poor circulation flow. According to an American Diabetes Association research, 50 percent of patients with diabetes deal from a sensory impairment, even if they do not exhibit any indications that might lead to additional injury. A thorough examination is necessary for diabetic patients. Diabetes patients should get their feet evaluated yearly, according to national standards (CDC, 2021a). 

NURS FPX 6004 Assessment2 Policy Proposal

 However, these standards were not observed in the MHC performance dashboard. As a result, the current study found that the hospital facility’s capacity to conduct tests has to be improved in order to provide better treatment. This is a serious issue for the hospital as it not only affects their performance but their stander for patient care as well. With these shortcomings, the validity of the conclusions formed from the evaluation of the current information is brought into question.

Ethical, Evidence-Based Practices Required to Address and Improve Benchmark Underperformance 

Diabetes mistaken diagnosis may be easily handled by adhering to the recommendations outlined in the suggested initiatives. In order to provide the best possible care for diabetic patients, Mercy Medical Health must establish and execute training opportunities for both nurses and doctors. The proposed policy highlights the need of adhering to diabetes-related medications. In addition to competent IT personnel, it is advised that the educational institution include caregivers and testing specialists. HgbA1C tests are needed for diabetics and those experiencing hyperglycemia symptoms. Furthermore, the high quality of diabetic care is based primarily on optimal care delivery benchmarks, which are attained through strict adherence to regulatory requirements, performance reviews, and guidelines (Berget et al., 2019). When patients come to a medical institution, the form of disease must be noted on the EHR, as well as the instances of readmission. It is possible to alter the nature of a job if workers are devoted, qualified, and given adequate guidance and guidance (De Schutter et al., 2018). The cooperation of the inter-professional team may decrease poor performance and ineptitude. Patients may receive subpar treatment if a healthcare facility is unable to provide appropriate therapy and perform essential tests. As a consequence, more people may develop major health problems, perhaps increasing the number of deaths (Canedo et al., 2018). According to the ANA code of ethics, the nurse should also be aware to keep their personal opinions regarding the patient’s culture, traditions, race, and ethnicity to themselves and give them the best care available without any biases.

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Environmental Factors’ Potential Impacts on Practice Standards 

External conditions could have an effect on the incorporation and application of clinical guides in the suggested plan. If the data from diagnostic test results are not accurately registered or understood, it can cause significant issues for patients and have an impact on the performance of healthcare professionals (Peters et al., 2020). Furthermore, if such inaccuracies are not recorded and are just informally stated, it may result in misreporting of such cases. Patient safety is jeopardized when mistakes due to missed diagnoses and misdiagnoses are not reported (Abimanyi et al., 2019). 

One issue that may develop with digital monitors and EHR is that they could be vulnerable to viruses and cyber-attacks, which may impair the standard of patient healthcare offered at a healthcare institution by interfering with the timely and adequate treatment to patients (Tsai et al., 2020). This can potentially result in an incorrect diagnosis. 

Whenever nurses have a busy schedule and are in a setting with frequent distractions, they are more prone to misunderstand data, which can be fatal to a patient’s condition (Peimani et al., 2020). To prevent confusion, Electronic Health Reports should be made more widely accessible in healthcare settings, where provided data is systematically cross-checked, eliminating any space for human mistakes. The development of computation will help to boost healthcare personnel’s confidence in their abilities as well as the quality of treatment given at the institution (Sequist et al., 2018). As a result, a sense of security for patients is established.

NURS FPX 6004 Assessment2 Policy Proposal

Justification of Stakeholders’ Involvement in Proposed Policy Implementation and Development 

The main stakeholders’ regulation perspectives would be useful in endorsing the suggested policy structure. Mercy Medical Center’s Director, the nurse in command, the co-founder, and CEO are all stakeholders in this circumstance. It is recommended that a committee comprised of these people be created, in which they are urged to give their valued perspective and monitor the execution of the suggested policy plan. Key stakeholders may play a significant role in policy execution by fostering a sense of stability at Mercy Medical Center. However, in this part, the main stakeholders are the nurses whose main role is to deal with prescription and administration issues. They will aid in identifying and resolving underperformances and deficiencies. The nurses will have to double-check the findings of HgbA1C tests using the suggested digital monitor and EHR to avoid erroneous diagnoses (Koyama et al., 2020) 

To ensure openness in the execution of the new policy,  nurses will have to stay in regular contact with the hospital management. Only then would they be able to make the best decisions for patient safety and health care by using multidisciplinary experts in the hospital and continuous talks and discussions of the ongoing issues to resolve them. A collaboration between the hospital administration and professional healthcare nurses will increase the quality of care offered and ensure that the planned plans are effectively executed and adhered to.


American Diabetes Association. (2019). Diabetes Overview – Symptoms, Causes, Treatment.; American Diabetes Association.

American Diabetes Association. (2022). Diagnosis | ADA.

Abimanyi-Ochom, J., Bohingamu Mudiyanselage, S., Catchpool, M., Firipis, M., Wanni Arachchige Dona, S., & Watts, J. J. (2019). Strategies to reduce diagnostic errors: a systematic review. BMC Medical Informatics and Decision Making, 19(1), 1-14.

Berget, C., Nii, P., Wyckoff, L., Patrick, K., Brooks-Russell, A., & Messer, L. H. (2019). Equipping school health personnel for diabetes care with a competency framework and pilot education program. The Journal of School Health, 89(9), 683–691.

Canedo, J. R., Miller, S. T., Schlundt, D., Fadden, M. K., & Sanderson, M. (2018). Racial/ethnic disparities in diabetes quality of care: the role of healthcare access and socioeconomic status. Journal Of Racial and Ethnic Health Disparities, 5(1), 7–14.

CDC. (2021a, May 7). Diabetes and Your Feet. Centers for Disease Control and Prevention.

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NURS FPX 6004 Assessment2 Policy Proposal

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