Prevention and Management of Gestational Diabetes Mellitus (GDM).

Respond to this post: 1.Identify an evidence-based topic. o For my evidenced based topics, I chose Prevention and Management of Gestational Diabetes Mellitus (GDM). 2.Identify potential BSN care practices. o Some of the nursing care practices that I am interested in using for my EBP project + Paper #2 + EBP Poster are:  Early screening and diagnosis of GDM to prevent maternal and fetal complications.  Referral to nutritional counseling to develop a plan for lifestyle modifications.Prevention and Management of Gestational Diabetes Mellitus (GDM).

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 Routine blood glucose monitoring to maintain glycemic control.  Providing education on GDM and related complications, such as hypertension and macrosomia.  Follow-up screening during the postpartum period. 3.Identify barriers to implementing EBP in a clinical setting. o GDM is a common metabolic condition that can occur during pregnancy, especially for women who are high risk. There are no barriers to implementing EBP in the clinical setting because there are clinical practice guidelines in place to managing GDM. Perhaps a major barrier to implementing EBP is language barriers, especially if there are no interpretation services available. As a nurse, I must respect the client\’s cultural values when implementing certain practices. 4.Which types of activities will you use for selecting your topic? o The main activity that I will use for selecting my topic is research using EBP articles and journals. I will also use my maternity textbook for additional information.

Choice of an Evidence-Based Topic for Clinical Inquiry

Clinical inquiry is aimed at cultivating the culture of best practice as opposed to common practice. Best practice is evidence-based practice or EBP (Melnyk & Fineout-Overholt, 2019). It is in this context that I identified and chose the topic of Management and Prevention of Gestational Diabetes Mellitus or GDM. This is a pertinent clinical topic because the worldwide prevalence of GDM is between 9.3% and 25.5% (Xu et al., 2017).Prevention and Management of Gestational Diabetes Mellitus (GDM).

Some of the potential BSN care practices that may require EBP change that I have identified include early screening and diagnosis for better management, timely referral for nutritional counseling, constant and regular blood glucose monitoring (including at home by the mother herself), health education on the complications of GDM to antenatal mothers, especially those who are overweight or obese, and follow-up screening in the postpartum period to determine remission.Prevention and Management of Gestational Diabetes Mellitus (GDM).

Some of the identified potential barriers to implementing EBP on the above BSN practices are (i) the presence of a language barrier (Spanish/ English) making it difficult to effectively communicate health promotion and prevention information, and (ii) resistance to change by mothers who are reluctant to let go of their lifestyles on especially diet and physical exercise.Prevention and Management of Gestational Diabetes Mellitus (GDM).

The activities that I make use of to select my EBP topic are perusal of EBP articles and peer-reviewed journals. These are accessible through electronic databases containing hundreds of thousands – possibly millions – of peer-reviewed published research articles and journals. Some of these include CINAHL, Medline/ PubMed, Cochrane, JSTOR, and Scopus. By making use of key words, phrases, search terms, and Boolean operators it is easy to get access to limitless ideas on which clinical topic may be suitable for EBP research or clinical inquiry. Prevention and Management of Gestational Diabetes Mellitus (GDM).