The research found that the differences in these structures weakened the capability of health and management of special diet. The practice was found to be very useful and brought about positive results (Watson et al., 2018). All Rights Reserved, © 2021 NursingAssignments.org. Individuals living with diabetes stated that with the growing discoveries in technology, it is essential to ensure the use of audiovisuals and Management information systems technologies that help in the improvement of diabetes self-management education for different situation. Most patients gain confide in understanding the way that their glucose data is compared to the knowing if, or target goals and when they are required to make any their choice of food. This is the only way that they will be able to meet the needs of people living with diabetes as it is classified under a chronic illness. "PICOT Statement For Type 2 Diabetes Management Of Asian-Americans" (2015, July 21) Retrieved February 13, 2021, from https://www.paperdue.com/essay/picot-statement-for-type-2-diabetes-management-2152144, "PICOT Statement For Type 2 Diabetes Management Of Asian-Americans" 21 July 2015. The standards are essential as they apply to educations in private practice and those that are situated in different multi-centered programs, including every other individual within the program (Grady & Gough, 2014). Diabetes self-management education is an essential element of care for all people that live with diabetes and those that are found to be at risk of developing it (Fain, 2017). A good PICO will investigate something new in terms of diagnosis, etiology, therapy, harm, etc. PICOT Question for Management of Type 2 Diabetes of Asian-Americans. Section 5: Literature Critique and Identification of Gaps. The PICO question for this Capstone Project was as follows: In direct-care staff nurses working at a small rural hospital in the southern United States, can an educational program on diabetes management as compared to PICO research question nursing is a sort of frontal area, however unquestionably increasingly intricate. After a review of the literature available on diabetes education, a clinical question was identified for the project using PICOT. Also, it is essential to look at the social influences which significantly affect the patient's diet intake, especially for the middle class and low-class group. A good clinical question will address most, if not all, parts of the PICO framework. See below for definitions, PICO templates, and example questions from the primary clinical domains: intervention, diagnosis, etiology, prevention, prognosis/prediction, quality of life/meaning, and therapy. Not all parts of PICO are required! Clinical Question Paper: PICOT Nursing research is an important fundamental of the nursing profession. Note: The question may also appear as: What is the effectiveness of early ambulation, compared to bed rest, on decreasing post-op DVTs in adult patients with total hip replacements. Garr, R.G. (2012). Continued focus on Glucose Pattern Management to ensure patient confidence in diabetes self-care. Conduct needs assessment, multidisciplinary approach, interactive teaching methods, and application of technology in improving Diabetes self-management education. . Diabetes education has long been recognised as playing a vital role in assisting the person with diabetes to manage their disease. People that are found with diabetes are supposed to receive diabetes self-management education from the time they are diagnosed with type 2 diabetes; they are also supposed to be provided with an ongoing self-management support as is required. One of the issues that students often have a problem in developing PICOT questions is the prevention of ulcers. By being able to recognize the various challenges in the management of Type 1 or 2 diabetes, the American Diabetes Association suggest that each patient needs to receive Diabetes self-management Education the physical, the emotional and social ability of the individual to work and relate (Wooley & Kinner, 2016). 1/14/2018 12:40:59 PM Part II- PICOT Diabetes Self-Management Education . Weaver, R. R., Lemonde, M., Payman, N., & Goodman, W. M. The social, economic, and cultural resources were responsible for undermining the management of patient's diet among the low-income groups. The author argues that most case type 2 diabetes is associated with Microvascular complications that include neuropathy, retinopathy, and nephropathy. Problem Statement 2021. Also, even with the advent in the implementation of diabetes self-management education, other factors like the social, economic, and cultural issues affect the way that different patients are going to receive the application. This is especially true for people that are far from the available hospital facilities as it was discovered by while investigating the importance of telehealth education among Americans in the military zones. The New England Journal of Medicine. PICOT Question: Population: Bariatric adolescents considering or undergoing gastric bypass surgery.. Some of the complications associated with type 2 diabetes include cardiovascular disease, kidney. Cummingham, A.T., Crittendon, D. R., White, N., Mills, G.D., LaNoue, M.D. QOL also did not show any improvement and was very important regarding Diabetes Self-Management Education and an outcome to measure future trials. Copyright 2020  . Conclusion. Also, the program is often implemented generally and ignores issues such as the years lived with diabetes, the stigma associated with newly diagnosed patients, and reliability of technology-assisted training. More studies should be done to understand the Diabetes Self-Management Education intervention characteristics and whether this can be used in improving any form of consistency in improving the HbA1c in this population. In this regard, the participants felt that individual needs need to be considered among other issues like social, economic, and cultural differences. et al.(2014). 2021, https://www.paperdue.com/essay/picot-statement-for-type-2-diabetes-management-2152144, Introduction Can you help me with a good picot question? In an adult ambulatory family practice office ages 18-64 with poorly controlled type II diabetes (HgbA1c > 8%) ... patient-provider relationship and electronic interventions on participation and adherence for diabetes education with diabetes education in ambulatory care is … In most case, the practice given is related to all patients and does not like at the unique individual needs. Clinical questions can be further divided into two major areas: Background Questions and Foreground Questions. Background Questions refer to general knowledge and facts. The PICOT question is as follows. The majority of the information that can be used to inform answers to background questions are found in reference resources like Encyclopedias, … Wooley & Kinner, (2016)  adds that Diabetes self-management Education will look at the different demands in the quality of life that include the emotional, physical, and social wellbeing of the individuals. There is a lot of demand to ensure the management of this complex condition, which has also affected the different decisions regarding the Quality of Life. Meaning PICO Question: How do pregnant women (P) newly diagnosed with diabetes (I) experience reporting their blood sugar levels (O) to their healthcare providers? A good PICO will be specific and define terms and outcomes if necessary. Glycemic Management of Type 2 Diabetes Mellitus. If you have clearly identified the main elements of your question using the PICO format, it will be easy to write your question statement. Although diabetes is usually associated only with drug treatment and changing eating habits, physical activity should also be considered a type of therapy for the disease. In most cases, the studies found that even with the program is well implemented; it was evident that social, cultural, economic and ethnic practices will affect the lifestyle of these patients making it difficult for the application of diabetes self-management education to succeed (Wooley & Kinner, 2016). Current about 12.7% of African Americans have been diagnosed by Type 2 diabetes. Mardanian Dehkordi & Abdoli, (2017),  also found that the content of Diabetes Self-Management Education is an essential part of the care that calls for the delivery of appropriate education material to individuals. This is because they are less likely to have control over HbA1c than the non-Hispanic whites (Mardanian Dehkordi & Abdoli, 2017). To help you create the perfect PICOT questions of preventing ulcers here is an example of a PICOT question preventing pressure ulcers: 27(1): 66-9. O-Weight loss. P-women diagnosed with diabetes. PICO Question, Childhood Obesity. PICOT Question: In African Americans with diabetes type II, how does exercise compared to a sedentary lifestyle affect their quality of life? The researcher investigated how social relationships, economic resources, economic circumstance, and dietary management was critical during diabetes self-management education. Marguerite, N.J. & Edward, J.B. (2004). In this regard, the authors suggest three types of intervention measuring the quality of life; two of this also showed the improvements in the quality of life concerning Diabetes Self-management Education participants. The traditional approach to diabetes education has been one of the health professional imparting knowledge about diabetes and its management to the patient with diabetes … Among the highest types of risk for Type 2, Microvascular complications will include peripheral arterial disease, artery disease, and healthy. The study looked at Diabetes Self-management practices that are aimed at giving people with the Type 1 or 2 Diabetes with the confidence to actively manage the disease in conjunction with the healthcare provider. It has become evident that the traditional methods of diabetes management education and ignorance of technology provides a lot of insufficiencies when it comes to patient education for patients of the 21st century. Pharmacotherapy for Long-term Control of Type II Diabetes Mellitus Jessie Hu, MS3 1/16/2013 Background PICO Question: In adult patients with DM Type II, does the use of glyburide as initial therapy provide better Hba1c control than metformin? These standards are not supported to look at a single approach but will be focussed on delineating the standard practices among the excellent and effective Diabetes self-management education strategies. We've had an issue with bowel prep administration for inpatient colonoscopies. Diabetes self-management education is an essential element of care for all people that live with diabetes and those that are found to be at risk of developing it (Fain, 2017). One of the most difficult parts of effecting meaningful change in an organizational setting is obtaining the necessary approval from top management and then achieving "buy-in" from fellow staff members. Providing diabetes prevention and management education to millions of people at risk for type 2 diabetes in the United States is a challenge to health care clinicians. Method of obtaining necessary approval(s) and securing support from your organization's leadership and fellow staff. Electronic Inspiration LLC. Need help with PICOT question. Reference PICOT Question: Do the adult patients with type II diabetes (P), who follow self-management education including via in person counseling (I) have have decreased hemoglobin A1c in blood glucose (O) level in contrast to those, (C) who do not follow any dietary intervention or … According to an analysis by Zhang & Chu, (2018)  Diabetes, self-management Education participants demonstrated a reduction of HbA1c with an initial follow up, and reduction on attenuation to up to 0.24% at the follow-up points 4 or more months after the initial intervention (Cunningham et al., 2018). Ensure the use of appropriate physical space as a way of improving  Diabetes Self-Management Education. It is also evident that diabetes self-management education is most adhered to by high-class individuals as they are usually motivated when it comes to the maintenance of the diet. In most cases, the patient would attend the classes as a mandatory requirement in receiving healthcare services from the diabetes center, and target endocrinology, however, did not consider their needs to have been counted for regarding the said classes (Mardanian Dehkordi & Abdoli, 2017). 1. Six pages in length, fi... premier. Diabetes Care. Sector as it stands at exceeding 5% of the population across the globe. Acculturation, Dietary Acceptability, and Diabetes Management among Chinese in North America. Powers, M. A., Davidson, J., & Bergenstal, R. M. Glucose pattern Management is useful in increasing confidence in the patient's diabetes self-management. Low-income groups are also more likely to develop nephropathy and retinopathy complication, which means that they may likely to be hospitalized with complications associated with diabetes Lavelle et al., (2016). It was noted that only two questions, number 8 and 11 had a significant increase based on the post test results. I'm interested in the education to staff/patients and if this will increase or improve the quality of inpatient colonoscopies. There are several relevant models for the implementation of Diabetes self-management education and support. The above literature also provided a significant difference when it comes to Type 1 and types two prevalence of diabetes regarding race. Part II- PICOT Diabetes Self-Management Education, Section 5: Literature Critique and Identification of Gaps. According to the study, beginner living with diabetes were satisfied with the content to provide in Diabetes Self-Management Education. However, the above review has indicated that diabetes self-management education is not only about providing training to individuals diagnosed with both type 1 and type 2 diabetes. Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.. In conclusion, diabetes self-management education is essential when it comes to the improvement of the patient quality of life and health. It is essential to ensure a multi-disciplinary approach which can be used in the diabetes education and can, without doubt, ensure that there is proper delivery of diabetes management information by experts in different fields, in the end, this will maximize the learning process of each. PICO (T) questions should have four concepts or components that help in making a clinical decision. The Meta-Analysis results indicated that there was a non-significant effect on the Diabetes Self-Management education on HbA1c in Africa-Americans. Also, there are racial and ethnic disparities that play around type 2 diabetes morbidity and mortality in the country, which is common among African Americans (Mardanian Dehkordi & Abdoli, 2017). Diabetes Management Role Of Health Education, Relation between Evidence Based Practice and the Quadruple Aim, Discussion- Cellular Processes and the Genetic Environment, Concepts of Neurological and Musculoskeletal Disorders – Part 2, Developing a Culture of Evidence-Based Practice, Sexually Transmitted Infection Case Study, Concepts of Neurological and Musculoskeletal Disorders, Tips for writing the best nursing assignment, How to Choose The Best Nursing Assignment Topic, Why You Need an Online Nursing Assignment Help. Due to the high levels of heterogeneity in the HbA1c finding,  in respect to the present evidence by wide CIs and 12  values, it indicated the need for a more rigorously designed DSME trials regarding African Americans. The researcher continues to prove that to these individuals that have lived with diabetes for more than a decade; the content was repetitive and too general. They are thus standards that can be used in the areas of accreditation and recognition they also provide for the right guidance for the non-recognized, non-credited providers and healthcare programs (Reyes, Tripp-Reimer, Parker, Muller, & Laroche, 2017). control among persons with type 2 diabetes. Also, regarding their physical activity; Provision of ongoing education with a primary focus on the Glucose pattern management, behaviors and problem solving, which positively influences the levels of glucose and meet the challenges. To understand the patient's social, economic, and cultural influences to construct ways to ensure health capability, health, and chronic disease self-management. C-Workout. Don’t know how to write a PICO question nursing? Deng, F. Zhang, A. However, in some regions like Middle East and North Africa the prevalence stands at 20% making the burden of type 2 diabetes to be recognised internationally. It is essential to understand that if the American society is to delay or prevent the complications of diabetes, then they have to look at various lifestyle elements that are related to changes in lifestyle which is also very essential among individuals with pre-diabetes as an ongoing effort for the prevention of the disease. The researcher discovered that the ability to watch one's healthy diet and general lifestyle habits could help improve the primary care of people living with diabetes (Weaver, Lemonde, Payman, & Goodman, 2014). The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The PICOT question is: How does the standard health education to implement patient-specific dietary and lifestyle modifications compare to patients who receive culturally tailored diabetes education and the reduction of mean blood sugar levels among Asian Americans diagnosed for type 2 diabetes 2-3 weeks after education is provided? It can be helpful to classify your question based on the clinical domain(s) it falls under. REDUCED CARBOHYDRATE DIET EDUCATION 1 Review of Literature CHAPTER 1 INTRODUCTION Background To appreciate the need for this evidence-based practice project (EBP), it is critical to understand what diabetes mellitus (DM) is and the differentiation between type 1 diabetes (T1D) and type 2 diabetes (T2D). The examples, below, are based on cases drawn from the second edition of the Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice [Online] (1). From the results, it was found that the current Diabetes Self-Management Educational approach practices do not meet the needs and expectations of the PWD attending different programs. Quantitative using a descriptive phenomenological approach. Concerning the various study in these reviews, multiple gaps were identified. There are many elements to developing a good clinical question. Using the PICOT model, the population will be children; the intervention will be dietary and physical education, the comparison is when there is no nutritional and physical guidance, the outcome anticipated is the reduction of weight and other issues related to health, and, finally, time is the next two years. PICOT Question. Faramarz, I. Also, it is essential to consider the physical environment as it assures the right attention is given to the improvement of diabetes education. Also (Watson et al., 2018) found that the use of technology such as telemedicine is a growth trend in Diabetes Self-Management Education, by ignoring the use of technology is also another aspect of improving the quality of life and management of diabetes. A PICOT question should compare interventions or actions by healthcare professionals as they care for patients.

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