National Practice Problem Exploration According to the Global Burden of Disease Research, one of the major practice problems in the world is diabetes (Murray, Abbafati, Abbas, Abbasi, Abbasi-Kangevari,Abd-Allah, Aboyans, 2020). Diabetes is a disorder that results from the less production of insulin or no production of insulin. Insulin is very important in controlling the blood sugar level; thus, patients with diabetes have a problem with high sugar levels in their bloodstream. This paper discusses the impacts of diabetes on nurses, nursing care, healthcare organizations, and the quality of care being provided. It also identifies the national-level key stakeholders who are affected by diabetes and stakeholders involved in the resolution. Lastly, the paper provides clinical practice guidelines (CPGs) in diabetes management. Impact The practice problem of managing diabetes impact the nurses and their role. They are forced to educate the general population of healthy life practices and styles that are useful in preventing diabetes. It also impacts health organizations because the management of diabetes needs a lot of policies and interventions that need to be put in place by health organizations. This practice problem also affects nursing care because it requires a lot of nursing care attention, thus overburdening the few nurses we have. Lastly, due to the increasing diabetes cases and high demand for its care, the quality of care provided might be substandard due to work overload. However, the use of evidence-based practice and other policies such as the ACA provides the opportunity of improving the quality of care being provided to diabetic patients. Stakeholders Involved Various stakeholders are involved in the management and control of diabetes. One such stakeholder is the patients. The patients have the role of self-care and adherence to the health instructions provided by healthcare providers. Healthcare providers such as nurses and many others are also vital stakeholders in the national management of diabetes. They provide health education and care for the patients. They also advocate for policy formulations that enhance the care for diabetic patients. Family members and friends of diabetic patients are also important stakeholders because they help provide home care to patients (Bennett, Robbins, Bayliss, Wilson, Tabano, Mularski & Li, 2017). National health institutions such as CDC are also important stakeholders because they provide policies and guidelines that effectively manage diabetes. The government's political goodwill to support the healthcare organizations and the patients also makes them part of the national stakeholders in the management of diabetes. Clinical Practice Guidelines and Diabetes Management Some of the clinical practice guidelines provided in the management of diabetes has been based on evidence-based practice. However, a lot of interventions need to be done to promote the prevention and treatment of diabetes.

1. National Practice Problem Exploration
According to the Global Burden of Disease Research, one of the
major practice problems in the world is diabetes (Murray,
Abbafati, Abbas, Abbasi, Abbasi-Kangevari,Abd-Allah,
Aboyans, 2020). Diabetes is a disorder that results from the less
production of insulin or no production of insulin. Insulin is very
important in controlling the blood sugar level; thus, patients
with diabetes have a problem with high sugar levels in their
bloodstream. This paper discusses the impacts of diabetes on
nurses, nursing care, healthcare organizations, and the quality
of care being provided. It also identifies the national-level key
stakeholders who are affected by diabetes and stakeholders
involved in the resolution. Lastly, the paper provides clinical
practice guidelines (CPGs) in diabetes management.
Impact
The practice problem of managing diabetes impact the nurses
and their role. They are forced to educate the general population
of healthy life practices and styles that are useful in preventing
diabetes. It also impacts health organizations because the
management of diabetes needs a lot of policies and
interventions that need to be put in place by health
organizations. This practice problem also affects nursing care
because it requires a lot of nursing care attention, thus
overburdening the few nurses we have. Lastly, due to the
increasing diabetes cases and high demand for its care, the
quality of care provided might be substandard due to work
overload. However, the use of evidence-based practice and other
policies such as the ACA provides the opportunity of improving
the quality of care being provided to diabetic patients.

2. Stakeholders Involved
Various stakeholders are involved in the management and
control of diabetes. One such stakeholder is the patients. The
patients have the role of self-care and adherence to the health
instructions provided by healthcare providers. Healthcare
providers such as nurses and many others are also vital
stakeholders in the national management of diabetes. They
provide health education and care for the patients. They also
advocate for policy formulations that enhance the care for
diabetic patients. Family members and friends of diabetic
patients are also important stakeholders because they help
provide home care to patients (Bennett, Robbins, Bayliss,
Wilson, Tabano, Mularski & Li, 2017). National health
institutions such as CDC are also important stakeholders
because they provide policies and guidelines that effectively
manage diabetes. The government's political goodwill to
support the healthcare organizations and the patients also makes
them part of the national stakeholders in the management of
diabetes.
Clinical Practice Guidelines and Diabetes Management
Some of the clinical practice guidelines provided in the
management of diabetes has been based on evidence-based
practice. However, a lot of interventions need to be done to
promote the prevention and treatment of diabetes. Some of the
interventions that can be made include an intensified national
campaign informing and enlightening the population on how to
prevent and manage diabetes. Policies that reduce the cost of
care and diabetes management are also essential because
diabetes is a lifelong problem, and it requires a lot of resources.
There is also the need to integrate technological advancement in
the management of diabetes.
In conclusion, diabetes management is a major practice problem

3. that affects nurses, nursing care, healthcare organizations, and
the quality of care. It requires several stakeholders such as
patients, healthcare providers, policymaking institutions and the
government. There is also a need to enhance the interventions
process, such as using technology, policy formulation and
creating awareness on prevention and management of diabetes.
References
Bennett, W. L., Robbins, C. W., Bayliss, E. A., Wilson, R.,
Tabano, H., Mularski, R. A., ... & Li, T. (2017). Engaging
stakeholders to inform clinical practice guidelines that address
multiple chronic conditions.
Journal of general internal medicine
,
32
(8), 883-890.
Murray, C. J., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasi-
Kangevari, M., Abd-Allah, F., ... & Aboyans, V. (2020). Five
insights from the Global Burden of Disease Study 2019.
The Lancet
,
396
(10258), 1135-1159.
WHAT ARE SOME OTHER IDEAS THAT CAN CHANGE THE
ORGANIZATIONAL OR COMMUNITY CULTURE TOWARDS
IMPROVING THE NATIONAL PRACTICE PROBLEMS?
PLEASE AT LEAST TWO -THREE PARA GRAPH.