Chronic kidney disease is just one of the many complications a type II diabetic can experience. Studies have shown medications are successful in preventing chronic kidney disease in diabetic individuals. Specifically, Sodium-glucose cotransporter 2 inhibitors have shown positive results in reducing the risk of kidney transplants, dialysis, and demise in type II diabetic patients. As an FNP, the role of education and prevention of CKD can greatly benefit adult patients in the outpatient setting.

Chronic kidney disease is just one of the many complications a type II diabetic can experience. Studies have shown medications are successful in preventing chronic kidney disease in diabetic individuals. Specifically, Sodium-glucose cotransporter 2 inhibitors have shown positive results in reducing the risk of kidney transplants, dialysis, and demise in type II diabetic patients. As an FNP, the role of education and prevention of CKD can greatly benefit adult patients in the outpatient setting.

Chronic kidney disease is just one of the many complications a type II diabetic can experience. Studies have shown medications are successful in preventing chronic kidney disease in diabetic individuals. Specifically, Sodium-glucose cotransporter 2 inhibitors have shown positive results in reducing the risk of kidney transplants, dialysis, and demise in type II diabetic patients. As an FNP, the role of education and prevention of CKD can greatly benefit adult patients in the outpatient setting.

POI Assignment

The promotion of optimum health outcomes and wellbeing for the diverse populations is important in nursing practice. Nurse practitioners incorporate evidence-based practices to ensure the adopted plans align with the actual and potential health needs of their patients. Individual philosophy also guides the approaches to care provision when working with patients from different backgrounds and needs. Therefore, this paper explores my approved Phenomenon of Interest (POI) and philosophical viewpoint.

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Approved POI

The approved POI is the implementation of education and prevention strategies for chronic kidney disease (CKD) in the outpatient setting. CKD is a chronic condition with increasing prevalence globally. CKD is associated with immense disease burden and decline in the quality of life for the patients and their significant others. Health education of the population about CKD, causes, effects, and prevention is an effective health promotion tool (Elshahat et al., 2020). Therefore, the project proposes education and prevention for CKD among patients at risk and those affected visiting outpatient in the practice setting.

Significance of POI

CKD is significant to my nursing specialty role. Family nurse practitioners (FNP) play an important role in promoting the optimum health and outcomes of patients affected by and or at risk of CKD. They collaborate with other healthcare providers in providing evidence-based therapies that promote recovery and minimize symptoms. The rates of CKD and other renal problems have been rising over the past decades, placing more pressure on the scarce nursing resources. It also increases workload among nurses and demand for more resources in healthcare. Nurses adopt health promotion interventions such as health education and screening for early diagnosis and treatment of CKD(Hernandez, 2019). Therefore, implementing this project aligns with the nurses’ responsibility of promoting optimum health and outcomes for the populations that they serve.

Impact of POI on US Healthcare System

CKD immensely affects the USA’s healthcare system. CKD is currently among the leading causes of death in the USA. CKD increases the need for treatments such as dialysis in the country’s healthcare system. About 360 people are initiated on dialysis treatment every 24 hours in America because of kidney failure. The government’s spending on CKD for Medicare beneficiaries was $87.2 billion and additional $37.3 billion for end-stage renal disease(CDC, 2022). Increased cases of CKD also results in high demand for healthcare resources by patients. Health organizations experience challenges in meeting their competing needs(Elshahat et al., 2020). CKD acts as a stressor to healthcare systems with the increasing rates, hence, the need for a responsive intervention to address it.

My Preferred Philosophical Viewpoint

Analytical philosophy is my preferred philosophical viewpoint. I value the use of numerical data to understand phenomena. I use logic to examine the relationship between exposure and outcomes. I am objective in my approach to the world. I rely on senses of sight, smell, touch, hearing, and tasting alongside critical and creative thinking to make decisions (Morley, 2019). The point of view minimizes the risk of barriers in the decisions that I make.

Effect on Data for POI

My preferred philosophical viewpoint influences the data I will evaluate related to my POI. I will mainly rely on numerical data when investigating the POI. I will adopt statistical data to examine cause and effect relationship between the exposure to interventions such as education and prevention and CKD rates and outcomes(Morley, 2019). I will also rely on objective data obtained from methods such as inspection, palpation, auscultation, percussion, and diagnostic investigations.

Value of Data Represented by Alternative Point of View

The alternative viewpoint to my philosophy is continental philosophy. The continental philosophy focuses on understanding phenomena from human experiences. It utilizes qualitative data. The focus is on data collection through qualitative methods before interpreting the experiences of others (Albinsson et al., 2019). Therefore, based on qualitative data, nurses understand the experiences and their meaning in the society.

Advantages of Analytical and Continental Philosophical Views

Incorporating analytical and continental philosophical views into my advanced nursing practice is associated with considerable benefits. One of them is that it provides a balanced view of the POI. The methods combine both qualitative and quantitative methods to enhance the accuracy of the data associated with the topic of interest. Combining the philosophical views also eliminate bias in analysis of issues. The incorporation of both perspectives encourages critical and creating thinking in approaching problems, hence, accuracy in the decision-making(Morley, 2019). One also understands the importance of considering several alternatives in the decision-making process, hence, minimizing bias.

Ways of Knowing

Ways of knowing exist in types that include empirical (science), esthetic (art), personal, and ethical (moral understanding of what is right and wrong). Empirical knowing entails the use of systematic research methods to learn about something. I will research different sources of evidence about education and CKD prevention, as a way of utilizing empirical knowledge. Esthetics relies on one’s experiences and skills. I will use my personal and professional experiences with patients with CKD to develop plans for preventing and enhancing outcomes among CKD patients. Personal knowing requires interaction with others to learn more about them. I will develop therapeutic nurse-patient relationship and patient-centered plans to know more about CKD prevention and education strategies. Ethics rely on moral components of decision-making(Congreve, 2020). I will make decisions that protect and prioritize the rights and needs of the patients.

Conclusion

The approved POI is health education and prevention for CKD. The POI has significance to advanced practice nursing and healthcare systems. Analytical philosophy is my preferred philosophy. Analytical philosophy provides objective, numerical data. Advanced practice nurses should incorporate both analytical and continental philosophies in exploring their practice issues and providing patient care. I will incorporate the ways of knowing into the investigation of the POI issue.

References

Albinsson, G., Elmqvist, C., & Hörberg, U. (2019). Nursing students’ and lecturers’ experiences of learning at a university-based nursing student–run health clinic. Reflective Practice, 20(4), 423–436. https://doi.org/10.1080/14623943.2019.1638242

CDC. (2022, February 28). Chronic Kidney Disease Basics | Chronic Kidney Disease Initiative | CDC. https://www.cdc.gov/kidneydisease/basics.html

Congreve, W. (2020). The Way of the World: New Edition. Bloomsbury Publishing.

Elshahat, S., Cockwell, P., Maxwell, A. P., Griffin, M., O’Brien, T., & O’Neill, C. (2020). The impact of chronic kidney disease on developed countries from a health economics perspective: A systematic scoping review. PLoS ONE, 15(3). https://doi.org/10.1371/journal.pone.0230512

Hernandez, J. (2019). Chronic Kidney Disease: The Need to Increase Nurse Practitioner Awareness. Electronic Theses and Dissertations. https://digitalcommons.acu.edu/etd/171

Morley, J. (2019). Phenomenology in nursing studies: New perspectives – Commentary. International Journal of Nursing Studies, 93, 163–167. https://doi.org/10.1016/j.ijnurstu.2019.02.002

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POI:

Chronic kidney disease is just one of the many complications a type II diabetic can experience. Studies have shown medications are successful in preventing chronic kidney disease in diabetic individuals. Specifically, Sodium-glucose cotransporter 2 inhibitors have shown positive results in reducing the risk of kidney transplants, dialysis, and demise in type II diabetic patients. As an FNP, the role of education and prevention of CKD can greatly benefit adult patients in the outpatient setting.