Identification of the Problem

Diabetes poses a significant health threat and is among the most severe and preventable medical issues. It occurs due to insulin production and function issues, leading to elevated blood glucose levels. Type 2 diabetes impacts both genders equally, and its prevalence is expected to rise considerably (Pradhan et al., 2022).  In any scenario involving large populations, the expertise of nurse leaders can be invaluable. Nurse leaders can make decisions directly affecting patients and other healthcare providers, which is a significant asset. The ability of nurse leaders to make crucial decisions impacts outcomes through various stages: planning, execution, implementation, resulting, evaluation, and recovery. According to a study by Li et al. (2023), the increasing prevalence of diabetes has led to higher sales of diabetes treatments driven by both patients and the public. As diabetes rises, affected individuals must have access to improved care. Patients with diabetes at the local clinic face numerous challenges, including difficulties in adhering to prescribed therapy schedules and meeting treatment goals.

The Community Clinic Setting

The prevailing perspective is that individuals with diabetes bear primary responsibility for managing their care and treatment. Therefore, patients must acquire the knowledge, skills, and mindset to manage their diabetes effectively. Patients and their families involved in the treatment must receive comprehensive diabetes education (Yao et al., 2024). Based on the findings of this research, it is vital to offer recommendations for enhancing diabetes education, which will lead to better adherence to diabetes treatment plans. For success, patients with uncontrolled A1C levels must remain actively engaged in their care. Research supports the importance of diabetes education in improving patient outcomes. For instance, a study by Alnaim et al. (2024) found that diabetes self-management education (DSME) notably enhanced blood sugar management in individuals with type 2 diabetes. Research by Guan et al. (2023) demonstrated that DSME and support interventions improved A1C levels, reinforcing the need for ongoing patient education and engagement.

Root Cause Analysis of Diabetes 

Recent research indicates that nearly 80 percent of diabetes-related surgical procedures can be prevented (Rosta et al., 2023). Patients with diabetes can benefit from estimating and predicting inherent risks to determine whether surgery is prudent or feasible and to identify the most suitable outcomes for future medical issues. A completed root cause analysis (RCA) helps identify necessary changes to prevent similar incidents in the future (Yao et al., 2024). African Americans and other minority groups are more likely to develop diabetes compared to the general population, with Hispanics and Asians also experiencing higher rates. Goal setting, constructive feedback, and support groups can assist individuals with type 2 diabetes achieve their self-management objectives. Research by Szczerba et al. (2023) explored the causes of individuals with type 1 and 2 diabetes, focusing on all individuals with diabetes and their families. A sample including spouses, children, and other family members is required when conducting experiments. There is a widespread lack of understanding and appreciation of the diabetes epidemic within communities, demonstrated by insufficient knowledge and reluctance to act. Many community members are succumbing to diabetes. Enhanced diabetes education is essential to help individuals adhere to prescribed dietary plans and cultural practices (Yao et al., 2024). Patients with critically high hemoglobin A1C levels must actively engage in their care. Several studies underscore the importance of these findings. For instance, a study by Li et al. (2023) highlighted the disparities in diabetes prevalence among minority populations, emphasizing the need for targeted interventions. Another study by Musazadeh et al. (2023) demonstrated the effectiveness of structured diabetes education programs in improving patient outcomes and adherence to treatment plans.

Category	Issue	Details
Patient	Poor concordance with therapy	Difficulty in adhering to prescribed treatment plans.
	Side effects	Experiencing adverse effects from medication or therapy.
Doctor	No prompt on the computer screen	Lack of reminders or alerts for managing diabetes.
	Not aware of the maximum tolerated therapy	Need to be more informed about the highest effective dose or treatment.
Target	Diabetes treatment not being met	The set goals for diabetes management are not achieved.
	Does not believe the target is appropriate	Skepticism about the relevance or attainability of the targets.
	Abnormal diabetes is not being followed up.	Failure to monitor and manage abnormal diabetes markers.
	No search for abnormal diabetes	Inadequate efforts to identify or address irregular diabetes symptoms.
Nurse	Finds it difficult to manage diabetes	Challenges in managing diabetes care effectively.
Process	No follow-up on abnormal results	Lack of proper follow-up actions for abnormal diabetes test results.

The five reasons 

1. Why do patients often fail to complete their lab work, causing delays for other patients? The gaps between their appointments should be shorter.
2. Why might physicians avoid using specific targets for managing type 2 diabetes?
3. What makes it so challenging for nurses to care for diabetic patients?
4. What is the purpose of missed appointments and incorrect referrals? These issues indicate overcrowding, extended wait times, anticipation, and uninvited visitors.
5. Why are insufficient treatment rooms and small inner facilities at the community health center?

Findings 

A significant number of amputations caused by hyperglycemia could be prevented. The reduced amputation rates model estimates the number of limbs that could be saved from amputation (Pradhan et al., 2022). Individuals with diabetes have an increased risk of developing complications leading to amputation. Conducting a root cause analysis (RCA) can help identify necessary adjustments to reduce the likelihood of such incidents recurring. It has been observed that community members are not utilizing the available diabetes resources. No local authority is responsible for educating individuals about diabetes or assisting them in managing the disease’s symptoms. There are no community-based support programs for those who cannot afford healthcare or treatment due to financial constraints (Yao et al., 2024). These findings suggest that people will continue to suffer from diseases like diabetes due to the lack of access to advanced medical care and treatment options.Also visit our HUM FPX 1150 Assessment 4