This assignment requires incorporating suggestions from feedback:-

You have described an important problem. I would recommend that you look at your outcomes and simplify a bit. For example, how do you measure pervasiveness? What about weight loss, HgA1C, cholesterol etc (whatever measurable outcomes you might see in the literature) In addition, your comparison might need to be looked at a bit. You might want to compare standard treatment or you can use universal protocol as long as everybody is looking at the same protocol.

Please see the attached project













Evidence-Based Practice Proposal- Section C: Solution Description

NUR 590- Evidenced-Based Practice Project


Grand Canyon University

September 24, 2020











Evidence-Based Practice Proposal

Proposed Solution

The proposed solution for my problem is an educational program on the need for exercise and nutrition education. This solution is in line with the current evidence that the Hispanics’ lifestyles are a leading factor in the prevalence of diabetes among them. Hispanics are not physically active despite focusing a lot on food (Morales et al., 2020). They are also economically disadvantaged making it hard to apply other more expensive solutions (Smith-Miller et al., 2017). The government policies and programs that have been in place to manage this situation have not been effective because they are expensive. This population requires an affordable solution which is why this educational program will be ideal for them (Sandoval- Rossario et al., 2019). The intervention is not unrealistic in our setting because although it will require funding that Hispanics cannot do for themselves based on their economic situation; it is not too costly for the organization to afford. Also, there is no special training required for this program. If there is anything the nurses need to learn about the program, they will do it through clinical inquiry (Wang & Geale., 2015).

Organization Culture

This program is consistent with the community culture because Hispanics focus more on food and their feeding is usually unhealthy (Morales et al., 2020). They therefore ought to be taught how to observe nutrition which is good for their health. Hispanics also believe that subscribing to the gym is a recreational activity that requires money and which their economic situation cannot afford (Smith-Miller et al., 2017). Therefore, awareness needs to be created among these people for them to understand that exercise is a health necessity. They also ought to be educated on alternative ways to exercise without having to subscribe to the gym as this will be affordable.

Expected Outcomes

This program aims at reducing the prevalence of Type 2 diabetes among Hispanics in Arizona State. Since this diabetes is directly related to a person’s health status and physical well-being, this program will ensure that Hispanics achieve good health and are physically fit so that their risk of getting this diabetes can be reduced. The prevalence of Type 2 diabetes among Hispanics now stands at 11.2% (CDC, 2020). After the implementation of the program, we aim to reduce this by 4% in one year.

Methods to Achieve the Outcome

Hispanics will be educated on the importance of observing nutrition while feeding. This will help them achieve good health while at the same time preserving their culture on food. They will also be educated on the need for exercise and on exercise methods that are affordable, but which will be very helpful to them. Lastly, they will have to go for other medical services like screening to determine their health status. The only barrier here is on cost because the screening services are expensive. The limitation is that this program has not been practically tried, and we assume that it will work.

Outcome Impact

This program will impact quality care improvement because these Hispanics will receive quality care despite their economic situations. The care will be affordable and is expected to have positive outcomes on their health. The program will also impact patient-centered care in that the Hispanics will get the opportunity to contribute to decision-making regarding their health issues.



Centers for Disease Control and Prevention. (2019). Retrieved from

Morales, J., Glantz, N., Larez, A., Bevier, W., Conneely, M., Fan, L., . . . Kerr, D. (2020). Understanding the impact of five major determinants of health (genetics, biology, behavior, psychology, society/environment) on type 2 diabetes in U.S. Hispanic/Latino families: Mil Familias – a cohort study. BMC Endocrine Disorders, 20(1), 1-4. doi:10.1186/s12902-019-0483-z

Sandoval-Rosario, M., A. Contreras, O., Mercado, C., E. Barbour, K., J. Cunningham, T., & B. Rosales, C. (2019). The association between depression and diabetes and associated risk factors by racial/ethnic status among adults in Arizona: Arizona behavioral risk factor surveillance system, 2014-2017. Diversity & Equality in Health and Care, 16(2) doi:10.36648/2049-5471.16.2.189

Smith‐Miller, C. A., Berry, D. C., & Miller, C. T. (2017). Diabetes affects everything: Type 2 diabetes self‐management among spanish‐speaking hispanic immigrants. Research in Nursing & Health, 40(6), 541-554. doi:10.1002/nur.21817

Wang, C. C., & Geale, S. K. (2015). The power of story: Narrative inquiry as a methodology in nursing research. International Journal of Nursing Sciences, 2(2), 195-198. doi:10.1016/j.ijnss.2015.04.014

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