NURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice Free Download Student Name Capella University NURS FPX 6011 Professor Name Submission Date Implementing Evidence-Based Practice Type 2 diabetes is an increasing chronic disease in the U.S., as it encroaches on various communities within the country. One population that has an increased incidence of Type 2 diabetes is South Asian immigrants (Ali et al., 2021). While there are a significant number of evidence-based methods to treat patients with Type 2 diabetes, many from this community do not have access to these treatments as a result of barriers (cultural, linguistic, systemic) to receiving treatment. Much of the role of the nurse who is prepared at the master level is to bridge evidence-based practice and clinical practice. This poster contains an implementation plan that is built on evidence-based practice towards enhancing outcomes in South Asian adults with Type 2 diabetes using a structured action plan, which involves a PICOT question, stakeholder engagement, and measurable outcomes aligned with the Quadruple Aim. Background information on the clinical problem Type 2 diabetes is more prevalent among South Asian adults in the United States compared to other ethnic groups (Misra et al., 2025). South Asian adults are more likely to be affected by the disease at earlier ages and lower body weight compared to other ethnicities due to many aspects of their lives, such as their diet consisting of large quantities of refined carbohydrates, less physical activity, linguistic barriers, and distrust in the healthcare system. Moreover, South Asians are frequently unable to afford preventive services or even lack access to health insurance, which introduces an even bigger gap between what evidence there is that applies to diabetes treatment and the clinical treatment of South Asian adults with diabetes. The implementation plan will close this gap by availing evidence-based and culturally competent tools to manage diabetes among the South Asian communities. PICOT Question Among South Asian adult immigrants aged 30-60 years who have type 2 diabetes in the United States, does a culturally sensitive, community-based health worker-led diabetes self-management education intervention, including mHealth technology, versus the standard treatment with diabetes care, lower HbA1c levels by at least 0.5 percent and improve the attendance rates in diabetes education by 60 percent at a six-month follow-up? · P (Population): South Asian adult immigrants in the United States aged between 30 and 60 years and who have been diagnosed with type 2 diabetes. I (Intervention): A culturally-based educational program on self-management of diabetes using the native languages and administered by community health workers, and the MySugr mHealth application for daily blood glucose monitoring. C (Comparison): Routine diabetes care offered, which lacks culturally oriented education or community health worker interventions. (Outcome): Decreased average HbA1c by at least 0.5% and 60% more attendance at diabetes education sessions. T (Time): in six months Action plan for implementation The new practice change to substitute the current diabetes education that is generic in nature is a culturally-based Diabetes Self-management education program. The program will take the form of a program by Community Health Workers (CHWs) who have been trained on how to conduct the program in the local mosques and community centers using Urdu, Hindi, and Punjabi. The content will be based on educating people on how to handle their traditional foods that South Asian communities consume by controlling their portions, engaging in more activity, and recording their daily blood sugar levels using MySugr. Subhan et al. (2022) observed that culturally adapted diabetes education leads to many more improvements in medication adherence as well as food behaviors than traditional care in South Asian populations. This project has a 6-month timeline. During the initial month of the project, the recruitment and training of CHWs, translation of the materials into each of the 3 languages, creating partnerships with local organizations, and establishing FQHCs will be completed. During months 2-4, CHWs will hold group educational sessions at various community locations each month. The CHWs will also onboard patients to MySugr during these same months and support patients in between sessions. The monthly 5-6 telehealth check-ins and HbA1c tests at the local FQHCs will be conducted to assess patient progress. Tools and Resources These materials will include educational materials in Spanish-speaking and English-speaking communities and some of the Urdu/Hindi/Punjab-language visual aids. A diabetes management App, such as MySugr, and telehealth to provide distance consultation; home near point-of-care (POC) devices to measure HbA1c; collaborations between FQHCs to provide clinical support in delivering medical care (such as laboratory tests) (Rural Health Information Hub, 2025). Moreover, reminder services through SMS messages in their native language over the telephone to patients who lack access to a smart device (Dawson et al., 2025). Stakeholders Identification The most important stakeholders will be the patients since they will enjoy improved diabetes education and a lot more choices for managing their diabetes. An important role in delivering the intervention and building trust in the community will be the Community Health Workers (CHWs). The nurse and physician in the primary care system will primarily be responsible for clinical improvement tracking and reviewing laboratory tests (Smith et al., 2022). The South Asian Health Network (SAHN) will help in participant outreach and recruitment. Mosques and cultural centers will help in promoting the program to their members through religious and community leaders. Community staff will offer HbA1c tests, telehealth, and medication management throughout the project. Opportunities for Innovation Another important aspect of the project is that it is aimed at offering new and innovative means of providing community-based health services to underserved communities. One way that the use of Community Health Workers (CHWs) provides opportunities to overcome some of the most severe barriers to effective engagement is through their ability to provide culturally congruent care and establish trust with their patients by being able to communicate in the same language and share similar cultural experiences (Lapidos et al., 2021). Numerous studies reveal
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