NRS490 Grand Canyon Clinical Problem Identification Type 2 Diabetes Paper

NRS490 Grand Canyon Clinical Problem Identification Type 2 Diabetes Paper

Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Criteria Article 1 Article 2 Article 3 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Methods: Intervention/Instruments Analysis Key Findings Recommendations

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Explanation of How the Article Supports EBP/Capstone Project © 2015. Grand Canyon University. All Rights Reserved. Article 4 Criteria Article 5 Article 6 Article 7 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone © 2017. Grand Canyon University. All Rights Reserved. Article 8 Running head: PICOT STATEMENT PAPER PICOT Statement Paper Student’s Name Gurkanwal Kaur Institutional Affiliation Grand Canyon University 1 PICOT STATEMENT PAPER 2 Clinical Problem Identification- Type 2 Diabetes Complications In 2016, Wild (2016) figured that about 200 million people in the world had diabetes and almost 80-percent of all healthcare expenses linked to diabetes is as a result of complications. According to Phillips, College, Phillips (2013), complications originating from diabetes type 2 might involve forming oral complications like gum disease. Complications resulting in diabetes type 2 can involve establishing chronic conditions like heart disorder. Molinaro & Dauscher (2017) argue that complications of diabetes type 2 prevalence increase rapidly leading to high levels of health care expenditure. This way, creative strategies to manage the care of individuals with this disease for ensuring adherence, should be recognized. Stuckey, Shapiro, Gill, & Petrella (2013) point out from their research that there has been the effectiveness of telemedicine in diminishing diabetes type 2 complications. However, a mobile application can be utilized for helping patients self-managing their disease, leading to reduced complications of diabetes type 2 (Community Preventative Services Task Force, 2017) Evidence-Based Solution Technology improvements tend to affect the care delivery model used by various healthcare companies in managing the care of individuals with diabetes. According to Stuckey et al. (2013), researchers are seeking to understand telemedicine efficiency because of its relation to diabetes type 2. A significant investigation found that technologies from mobile health assist raise the level of physical exercise and activity in patients who have diabetes type 2. Shea et al. (2013) found that telemedicine was capable of improving the AIc and the levels of systolic blood pressure in its participants. Another research that utilized tablets for diabetes type 2-selfmanagement found that there is enhancement in diet, medication adherence, self-monitoring, and activity (Lynch et al., 2016). PICOT STATEMENT PAPER 3 Nursing Intervention, Patient Care, Health Care Agency, & Nursing Practice The practice of primary care medicine for an adult is the most significant set of implementing this intervention. According to Phillips et al. (2013), monitoring individuals with type 2 diabetes, nurses are available and have a crucial role in controlling complications. This way, nurses give a brief description of diabetes self-management application to their parents, describing the gains, and monitoring their progress remotely. However, utilizing this intervention, healthcare providers have the capability of influencing positive patient outcomes that can enhance life quality as they as well improve the quality of care offered to individuals suffering from the disease. Oliveira et al (2014) claims that the objective of all nurses is to help their patients to live a healthy life via maintaining or improving their health activities at all time. However, using the intervention, healthcare providers can execute evidence-based practices (EBPs) in their medical activity for enhancing the health of people with diabetes type 2. PICOT Statement Can self-management application diminish diabetes type 2 complications in adults for about 6-weeks? P- Population: Individuals with diabetes type 2 with age of 35-65. There will be the inclusion of patients with or without complications. I-Intervention: Utilizing self-management application in reducing diabetes type 2 complications. Every participant will utilize the same application as the others. C-Comparison: Individuals with diabetes type 2 who will not utilize the application of selfmanagement in reducing complications. O- Outcome: Enhancement in medication and adherence to physical exercise as well as preventing complications of diabetes type 2. PICOT STATEMENT PAPER T-Time: Monitoring of results will be done every week for 6-weeks. 4 PICOT STATEMENT PAPER 5 References Lynch, C. P., Williams, J. S., J. Ruggiero, K., G. Knapp, R., & Egede, L. E. (2016). TabletAided BehavioraL intervention EffecT on Self-management skills (TABLETS) for Diabetes. Trials, 17(1), 1-12. doi:10.1186/s13063-016-1243-2 Molinaro, R., & Dauscher, C. (2017). Complications resulting from uncontrolled diabetes. Medical Laboratory Observer Online, 1(1), 20-22. Retrieved from https://www.mlo-online.com/complications-resulting-uncontrolled-diabetes Oliveira, P. S., Costa, M. M., Bezerra, E. P., Andrade, L. L., Ferreira, J. D., & Acioly, C. M. (2014). Performance of nursing technicians of the health care in diabetic care to the patient. Journal of Nursing UFPE, 8(3), 501-508. Phillips, A., College, A. C., & Phillips, A. (2013). Oral complications of diabetes: an underrecognized condition. Practice Nursing, 24(11), 562-565. doi:10.12968/pnur.2013.24.11.562 Shea, S., Kothari, D., Teresi, J. A., Kong, J., Eimicke, J. P., Lantigua, R. A., … Weinstock, R. S. (2013). Social impact analysis of the effects of a telemedicine intervention to improve diabetes outcomes in an ethnically diverse, medically underserved population: Findings from the IDEATel study. American Journal of Public Health, 103(10), 1888-1894. doi:10.2105/ajph.2012.300909 Stuckey, M. I., Shapiro, S., Gill, D. P., & Petrella, R. J. (2013). A lifestyle intervention supported by mobile health technologies to improve the cardiometabolic risk profile of individuals at risk for cardiovascular disease and type 2 diabetes: study rationale and protocol. BMC Public Health, 13(1), 1-23. doi:10.1186/1471-2458-13-1051 Wild, S. H., Hanley, J., Lewis, S. C., McKnight, J. A., McCloughan, L. B., Padfield, P. L., … McKinstry, B. (2016). Supported telemonitoring and glycemic control in people with PICOT STATEMENT PAPER type 2 diabetes: The Telescot diabetes pragmatic multicenter randomized controlled trial. PLOS Medicine, 13(10), e1002163. doi:10.1371/journal.pmed.1002163 6
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