The document provides instructions for a nursing student to create a concept map and narrative report for a patient case study. The student must design an individualized concept map for a patient with gestational diabetes based on her health, economic, and cultural needs. In a 2-4 page narrative, the student must analyze the patient's needs, justify evidence used, propose outcomes criteria, and develop a culturally sensitive communication plan. The narrative should follow APA style and address all specified sections and competencies.

1. Competency 3: Evaluate outcomes of evidence-based interventions.
Competency 3: Evaluate outcomes of evidence-based interventions.Competency 3: Evaluate
outcomes of evidence-based interventions.Create a concept map graphic and write a 2-4
page narrative on the patient scenario presented in Assessment Case Study: Evidence-Based
Patient-Centered Concept Map. Base your report on the information provided in the case
study and your own research of 3-5 evidence-based resources.Evidence-based practice is a
key skill in the tool kit of the master’s-prepared nurse. Its goal is to ensure that health care
practitioners are using the best available evidence to ensure that patients are receiving the
best care possible (Godshall, 2015). In essence, evidence-based practice is all about
ensuring quality care.In this assessment, you will apply evidence-based practice and
personalized care concepts to ensure quality care and improve the health of a single patient.
The concept map that you will create is an example of a visual tool that you can use for
patient and family education. Competency 3: Evaluate outcomes of evidence-based
interventions.Demonstration of ProficiencyBy successfully completing this assessment, you
will demonstrate your proficiency in the following course competencies and assessment
criteria:Competency 1: Apply evidence-based practice to plan patient-centered care.Analyze
the needs of a patient, and those of their family, to make sure that the intervention in the
concept map will be relevant and appropriate for their beliefs, values, and lifestyle.Design
an individualized, patient-centered concept map, based upon the best available evidence for
treating a patient’s specific health, economic, and cultural needs.Competency 3: Evaluate
outcomes of evidence-based interventions.Proposerelevant and measurable criteria for
evaluating the outcomes the patient needs to achieve.Competency 4: Evaluate the value and
relative weight of available evidence upon which to make a clinical decision.Determine the
value and relevance of evidence used as the basis of a patient-centered concept
map.Competency 5: Synthesize evidence-based practice and academic research to
communicate effective solutions.Develop a strategy for communicating with patients and
their families in an ethical, culturally sensitive, and inclusive way.Integrate relevant and
credible sources of evidence to assertions, correctly formatting citations and references
using APA style.ReferenceGodshall, M. (2015). Fast facts for evidence-based practice in
nursing: Implementing EBP in a nutshell (2nd ed.). New York, NY: Springer Publishing
Company.ScenarioThe charge nurse at the wellness center has sent you an email to request
that you review a patient file before the patient arrives at the clinic. She has asked you to
put together a concept map for your patient’s care plan. The concept map is intended to
help you think through the best strategy for your patient’s care and for subsequent use for

2. patient education. In addition, the nurse needs a narrative report that describes your
patient with up to five diagnoses, in order of urgency.ORDER NOW FOR ORIGINAL,
PLAGIARISM-FREE PAPERSYour RoleYou are a nurse at a community wellness center who
has received a request for patient case review and preparation for an upcoming
appointment. Competency 3: Evaluate outcomes of evidence-based
interventions.InstructionsReview the Assessment Case Study: Evidence-Based Patient-
Centered Concept Map media activity.Create your concept map and narrative as separate
parts of your document. Be sure to note where you must include your evidence-based and
clarify your strategies for communicating information to the patient and the patient’s
family.Integrate relevant evidence from 3–5 current scholarly or professional sources to
your assertions.Part 1: Concept MapDevelop a graphical concept map for the patient based
on the best available evidence for treating your patient’s health, economic, and cultural
needs.Many organizations use the spider style of concept maps (see the Taylor and
Littleton-Kearney article for an example).The Assessment Case Study: Evidence-Based
Patient-Centered Concept Map, which includesan example of a concept map, may help you
prepare your assessment.If a particular style of concept map is used in your current care
setting, you may use it in this assessment.Part 2: Narrative ReportDevelop a narrative (2–4
pages) for your concept map.Analyze the needs of a patient and his or her family to ensure
that the intervention in the concept map will be relevant and appropriate for their beliefs,
values, and lifestyle. Competency 3: Evaluate outcomes of evidence-based
interventions.Consider how your patient’s economic situation and relevant environmental
factors may have contributed to your patient’s current condition or could affect future
health.Consider how your patient’s culture or family should inform your concept
map.Determine the value and relevance of the evidence you used as the basis of your
concept map.Explain why your evidence is valuable and relevant to your patient’s
case.Explain why each piece of evidence is appropriate for the health issue you are
addressing and for the unique situation of your patient and the family.Propose relevant and
measurable criteria for evaluating the outcomes the patient needs to achieve.Explain why
your proposed criteria are appropriate and useful measures of success.Explain how you will
communicate specific aspects of the concept map to your patient and the family in an
ethical, culturally sensitive, and inclusive way. Ensure that your strategies:Promote honest
communications.Facilitate sharing only the information you are required and permitted to
share.Are mindful of your patient’s culture.Enable you to make complex medical terms and
concepts understandable to your patient and his or her family, regardless of language,
abilities, or educational level.Additional RequirementsOrganization:Use the following
headings for your Diabetes Patient Concept Map assessment:Concept Map.Patient Needs
Analysis.Value and Relevance of the Evidence.Proposed Criteria for Patient Outcome
Evaluation.Patient and Family Communication Plan.Length:Your concept map should fit on
one page (possibly a horizontal layout) and your narrative report will be 2–4 double-spaced
pages, not including title and reference pages.Font:Times New Roman, 12 points.APA
Format:Your title and reference pages must follow current APA format and style guidelines.
The body of your paper does not need to conform to APA guidelines.Do make sure that it is
clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling

3. errors. You also must cite your sources according to APA guidelines.Scoring Guide:Please
review this assessment’s scoring guide. The requirements outlined above correspond to the
grading criteria in the scoring guide, so be sure to address each point. In addition, you may
want to review the performance-level descriptions for each criterion to see how your work
will be assessed. Competency 3: Evaluate outcomes of evidence-based
interventions.ACTIVITY DETAILS FROM LINK:Patient ProfilesFrom: Janie PooleTo:
Alexander RucheGood morning,We have a new patient coming in today.Her name is Carole
Lund. Carole is a new mother who had gestational diabetes during her pregnancy. She has
continued to track her blood glucose postpartum, and is worried that it does not appear to
be stabilizing.It probably will be helpful to create a concept map for Carole to show her this
care plan in a visual way. Talk to your patient and start planning her care. Thanks!— Janie
PooleUptown Wellness ClinicDiabetes PatientReason for Referral:Carole Lund is a 44–year–
old woman of mixed Native American and European descent, and a new mother. She is
concerned that she is not recovering from gestational diabetes.Situation:Carole is here with
her daughter, Kassandra, who is 10 weeks old. Carole was diagnosed with gestational
diabetes at week 30 of her pregnancy. She has carefully logged her blood glucose since the
diagnosis, and it shows 150–200 fasting, over 200 following meals.Carole Lund Diabetes
Patient Interview: Competency 3: Evaluate outcomes of evidence-based interventions.What
diabetes treatments did you receive during your pregnancy?Well, they gave me a
glucometer, so I started using that. I could see right away that the way I was eating was a
problem; I would usually work straight through the day and then have one big meal in the
evening, and that was making my numbers bounce all over. So I set alarms on my laptop, so
three times a day I would get interrupted, have a small meal, take a short walk, and then test
my blood sugar. That helped. And then I stopped drinking juice and soda, which I should
have done years ago, and that helped too. But I don’t think my numbers improved as much
as my OB/GYN wanted them to, but she said my blood sugar should return to normal after
delivery.Did your obstetrician advise you to take insulin during your pregnancy?She did,
yeah, and we talked about it. I don’t like the idea of being dependent on a drug. I called my
mother. She’s still on the reservation, so she called the elders, and we all agreed that
injecting my body with an animal hormone was a bad idea. But then the doctor told me that
they make synthetic insulin now, but that means it’s made in a laboratory somewhere, and
I’m not sure that’s any better.By then I was in my third trimester, and all the tests said
Kassandra was big but healthy, so I thought we would just ride it out. It was supposed to
clear up after she was born. But it hasn’t, and I know you have to be careful having a baby at
my age. I want to do what’s best, but I don’t want to believe that insulin is my only
option.Are there any challenges in your life which you think may be interfering with your
ability to follow a treatment plan?It’s harder now than it was before she was born. It’s just
the two of us in the apartment, which is wonderful, but I don’t remember the last time I had
a good night’s sleep. A lot of my work is freelance, so I make my own hours, but that also
means if I’m not working I don’t get paid. I had family help while I was recovering from the
C-section, and they helped cook healthy meals for me, and kept me on my schedule. Now it’s
all on me — work, caring for my daughter, and managing my blood sugar. If I fall behind on
anything, it will be looking after my health.Do you have any other concerns you’d like to

4. have addressed?I worry about Kassandra. She’s healthy and perfect, but I know that she’s at
a greater risk for developing Type 2 Diabetes. I want to do whatever I can to reduce that
risk, to care for her, and as she grows, to teach her how to care for herself.Grading
Rubric:1. Design an individualized, patient-centered concept map, based upon the best
available evidence for treating a patient’s specific health, economic, and cultural
needs.Passing Grade: Designs an individualized, patient-centered concept map based on the
best available evidence for treating a patient’s specific health, economic, and cultural needs,
and identifies. Outcomes for each diagnosis are aligned and complementary.2. Analyze the
needs of a patient, and those of their family, to ensure that the intervention in the concept
map will be relevant and appropriate for their beliefs, values, and lifestyle.Passing Grade:
Analyzes the needs of a patient, and those of their family, to ensure that the intervention in
the concept map will be relevant and appropriate for their beliefs, values, and lifestyle.
Identifies unanswered questions or areas of uncertainty where further information could
improve the analysis.3. Determine the value and relevance of evidence used as the basis of a
patient-centered concept map.Passing Grade: Justifies the value and relevance of evidence
used as the basis of a patient-centered concept map, and impartially considers conflicting
data and other perspectives.4. Propose relevant and measurable criteria for evaluating the
outcomes the patient needs to achieve.Passing Grade: Proposes relevant and measurable
criteria for evaluating the outcomes the patient needs to achieve and acknowledges
challenges specific to such an evaluation process. Competency 3: Evaluate outcomes of
evidence-based interventions.5. Develop a strategy for communicating with patients and
their families in an ethical, culturally sensitive, and inclusive way.Passing Grade: Develops a
strategy for communicating with patients and their families in an ethical, culturally
sensitive, and inclusive way, and identifies assumptions on which the strategy is
based.6. Integrate relevant and credible sources of evidence to assertions, correctly
formatting citations and references using APA style.Passing Grade: Integrates relevant and
credible sources of evidence to assertions, correctly formatting citations and references
using APA style. Citations are error-free.