Development of evidence-based practice change proposal i

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  1. New practice approaches
  2. Interprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Practices of culturally sensitive care

Submission Ide: 3dcd21dc-d508-4cb3-bb74-9dd186274874

32% SIMILARITY SCORE 7   CITATION ITEMS 4   GRAMMAR ISSUES 0   FEEDBACK COMMENT
Internet Source   0%
Institution   32%

Makoya Suomie

PICOT Question Paper

Summary

 956 Words  

Community Education Intervention

Diabetes is prevalent in the United States, affecting more than 37.3 million Americans.

The disease involves a metabolic disorder that happens because of elevated levels of bloodstream

Community Education Intervention

Student’s Name

Grand Canyon University

NRS-493-0505

DR. Vernon Thacker

3/28/22

glucose (Rooney et al., 2021). Without programs to encourage the population to adopt healthy

lifestyles, the population continues to be at an increased likelihood of developing associated

chronic diseases. According to Echouffo-Tcheugui & Selvin (2021), community health education

is key to promoting the population’s knowledge of healthy food and behaviors, like engaging in

physical activity and weight management, which can reverse diabetes). When poorly managed,

diabetes results in serious health outcomes, causing a broad range of body tissue and organs

damages, including kidneys, heart, nerves, and eyes. According to Moonesinghe et al. (2018),

risk factors for diabetes include overweight, large waist size, unhealthy diets, 45 years and

above, inactivity, ethnicity and gestational diabetes, smoking, and obstructive sleep apnea. The

community teaching project is important because, despite the high prevalence of diabetes among

Americans, most of them there are unaware that they live with the condition.

Evidence-based solution

The evidence-based intervention for diabetes conditions is implementing community

health education on diabetes prevention and management strategies. The program will help

reverse diabetes and prevent the associated complications like kidney, heart, nerves, and eyes

complications. The community program aims at increasing awareness of the important measures

for reversing diabetes (Andes et al., 2020).

Nursing Intervention

People living with diabetes require a high level of awareness of diabetes and the available

lifestyle strategies to manage and reverse the disease. Community teaching intervention on the

disease is an effective program to improve the population’s awareness of the healthy behaviors

and lifestyles to adopt for improved life quality. Andes et al. (2020) establishes community

education as effective in encouraging diabetic patients to eat healthy diets, engage in regular

physical activity, lose excess weight, and avoid smoking will help reverse diabetes and prevent

the related diseases, whose diabetes is a risk factor.

Patient Care

Lack of patient knowledge on living with diabetes conditions or little awareness of

effective evidence-based interventions to reverse diabetes improves the risk of developing

further health complications linked with diabetes like cardiovascular disease. Due to the wide

knowledge gap, most diabetes patients do not seek patient care, therefore, failing to prevent the

associated health outcomes and suffering from the increased cost of treating severe

complications. Community education will bridge this knowledge gap for better management of

the health problem. Through the intervention, the patient will be advised to seek healthcare

attention early to improve the care effectiveness for better health outcomes and life quality.

Health Care Agency

Diabetes health problem is a critical concern in the current system of healthcare because

 Unpaired braces, brackets, quotation m…: )

 Spelling mistake: Moonesinghe

 Student: Submitted to Grand Canyon University

 Student: Submitted to Grand Canyon University

 Student: Submitted to Grand Canyon University

 be advised: be advised

diabetes is a major risk factor for many chronic diseases, including cancer and cardiovascular,

which have burdened many care agencies, sometimes compromising the quality of services

delivered. The community health intervention intends to inform the community on the need to

adopt healthy behavior and culture, including seeking early interventions at the diseases’ earliest

stage to make treatment easy for the healthcare agencies. Additionally, with good knowledge of

diabetes prevention strategies, the organizations will not be overcrowded with chronic disease

patients, allowing such organizations to use the available resources to provide quality care to

those who urgently require it.

Nursing Practice

Public and community health nurses are responsible for implementing health promotional

interventions, including community education, for improving the population’s awareness of

healthy lifestyles to better their health and prevent health complications, such as diabetes.

However, low knowledge of the condition and even living with the disease limits the community

nurses’ choice of the appropriate target population. The intervention will open the community’s

eyes to what is right for better health outcomes, reducing the burden of the public health practice.

Nurses can use the intervention to achieve the health promotional goal.

PICOT

For diabetes patients (P), is undergoing community education (I) compared to not

undergoing the education ( C) assist in reversing diabetes condition (O) within two years (T)

Population: the targeted population is the diabetes patients, aged 55 years and above. 37.3

million Americans have diabetes; however, 8.5 million people in the country are unaware of their

condition.

Intervention: the intervention is to implement community education on diabetes. The

educational intervention will encourage diabetic patients to eat healthy diets, engage in regular

physical activity, lose excess weight, and avoid smoking to help reverse diabetes.

Comparison: the intervention will be compared to no community education for reversing

diabetes. This may increase the risk of developing the diabetes complications and other chronic

diseases.

Outcome: the community teaching intervention educates diabetic patients on healthy behaviors

and lifestyles. The desired results will be reversing the diabetic condition.

 Student: Submitted to Grand Canyon University

 Student: Submitted to Grand Canyon University

 assist, assistance (help): assist  help

 Student: Submitted to Grand Canyon University

 Student: Submitted to Grand Canyon University

Time: the outcome is to be measured within two years.

References

Alaofè, H., Asaolu, I., Ehiri, J., Moretz, H., Asuzu, C., Balogun, M., … & Ehiri, J. (2017).

Community health workers in diabetes prevention and management in developing

countries. Annals of global health, 83(3-4), 661-675.

Andes, L. J., Cheng, Y. J., Rolka, D. B., Gregg, E. W., & Imperatore, G. (2020). Prevalence of

prediabetes among adolescents and young adults in the United States, 2005-2016 . JAMA

pediatrics, 174(2), e194498-e194498.

Echouffo-Tcheugui, J. B., & Selvin, E. (2021). Prediabetes and what it means: the

epidemiological evidence. Annual Review of Public Health, 42, 59-77.

Rooney, M. R., Rawlings, A. M., Pankow, J. S., Tcheugui, J. B. E., Coresh, J., Sharrett, A. R., &

Selvin, E. (2021). Risk of progression to diabetes among older adults with prediabetes.

JAMA internal medicine, 181(4), 511-519.

Unwin, N., Howitt, C., Rose, A. M., Samuels, T. A., Hennis, A. J., & Hambleton, I. R. (2017).

Prevalence and phenotype of diabetes and prediabetes using fasting glucose vs HbA1c in

a Caribbean population. Journal of global health, 7(2).

DQ2
Patrick Queisner

Research is an essential component of advancing the care provided within the profession.  Research helps to advance the profession and can be grouped into either qualitative or quantitative research. Although the methods are very different, they both play an important role in contributing to the validity of studies. Qualitative data is an interesting component of research as it is the research of words, emotions, meaning, experience, and theory (Vinson, 2020).  This allows for the researcher to look at perceptions, values, and opinions.  However, subjective data can provide vast amounts of information to that the researcher may need to decipher to answer their specific researcher question.  This may become somewhat overwhelming and take valuable time during the research process. This speaks to the importance of the nurse researcher taking steps to manage the amount of information that is obtained through the course of the study. 

In contrast, quantitative research uses the research to show change, correlation, and effect with the use of numerical data and statistical analysis (Vinson, 2020). Numerical data can be beneficial the researcher to identify changes within the study. This allows quantitative studies to have a smaller sample size than is required for a quantitative study to yield statistical probability. This can be beneficial for the researcher as research quantitative data may present. Regardless of the approach the nurse researcher, the ability to manage the data to be collected in a manner that provides usable data is an important to the success of the study. 

References

Vinson, J. (2019). Be the Change: Understanding Quantitative, Qualitative, & Mixed Methods in Holistic Nursing Research. Beginnings39(5), 14–16.

DQ2

Virginia Gallardo

With a vast amount of research available, it can be quite a challenge for the nursing community to evaluate evidence. Some studies can be prone to bias. However, one method of evaluating evidence is by using the nursing research pyramid. This hierarchy of evidence provides a visual and systematic depiction of forms of research; those that are the least reliable will be at the bottom of the pyramid, while those that are more reliable are at the top (Ingham-Broomfield, 2016). Those at the top of the pyramid are systematic reviews. This is considered the most reliable source of evidence because the likelihood of bias is minimal. Thus, if nurses would like to incorporate changes into their practice based on findings from these studies, they are more likely to produce the same effects. Meta-analyses are also at the top of the pyramid because it is a pooled analysis of several randomized controlled trials (Ingham-Broomfield, 2016). The least reliable evidence can be found at the bottom of the pyramid, and this includes ideas and opinions. Nurses can use this pyramid to help them understand which levels of research are more reliable. Another strategy is to consider the online article bibliometric indices since it can estimate the impact of the research and the interest of the scientific community has on it (Antonelli & Donelli, 2020). 

Reference

Antonelli, M., Donelli, D. (2020). Reading and understanding scientific articles. Clinical Teacher, 17(6), 612. https://doi-org.lopes.idm.oclc.org/10.1111/tct.13159

Ingham-Bloomfield, R. B. (2016). A nurses’ guide to the hierarchy of research designs and evidence. Australian Journal of Advanced Nursing, 33(3), 38-43

Submission Ide: 4f403fe7-0484-4474-b679-bebec9114759

17% SIMILARITY SCORE 4   CITATION ITEMS 8   GRAMMAR ISSUES 0   FEEDBACK COMMENT
Internet Source   0%
Institution   17%

Makoya Suomie

PICOT Question Paper

Summary

 968 Words  

Community Education Intervention

Diabetes is prevalent in the United States, affecting more than 37.3 million Americans.

The disease involves a metabolic disorder that happens because of elevated levels of bloodstream

 Spelling mistake: Caynon  Cannon

 Spelling mistake: Unversity  University

Community Education Intervention

Student’s Name

Grand Caynon Unversity

NRS-493-0505

DR. Vernon Thacker

4/1/22

glucose (Rooney et al., 2021). Without programs to encourage the population to adopt healthy

lifestyles, the population continues to be at an increased likelihood of developing associated

chronic diseases. According to Echouffo-Tcheugui & Selvin (2021), community health education

is key to promoting the population’s knowledge of healthy food and behaviors, like engaging in

physical activity and weight management, which can reverse diabetes). When poorly managed,

diabetes results in serious health outcomes, causing a broad range of body tissue and organs

damages, including kidneys, heart, nerves, and eyes. According to Moonesinghe et al. (2018),

risk factors for diabetes include overweight, large waist size, unhealthy diets, 45 years and

above, inactivity, ethnicity and gestational diabetes, smoking, and obstructive sleep apnea. The

community teaching project is important because, despite the high prevalence of diabetes among

Americans, most of them there are unaware that they live with the condition.

Evidence-based solution

Community health education is an EBP intervention for preventing and reversing

diabetes in the population. The program will help reverse diabetes and prevent the associated

complications like kidney, heart, nerves, and eyes complications. The community program aims

at increasing awareness of the important measures for reversing diabetes (Andes et al., 2020).

Nursing Intervention

People living with diabetes require a high level of awareness of diabetes and the available

lifestyle strategies to manage and reverse the disease. Community teaching intervention on the

disease is an effective program to improve the population’s awareness of the healthy behaviours

and lifestyles to adopt for improved life quality. Community teaching intervention is effective in

helping diabetic patients adopt healthy diets, engage in physical exercise activity, weight

management, and cease smoking, which helps reverse diabetes.

Patient Care

Inadequate health literacy on diabetes, combined with being unaware of living with the

condition, prevents people from implementing effective practices for reversing diabetes

condition and increases the risk of developing more complications and even resulting in death.

Due to the wide knowledge gap, most diabetes patients do not seek patient care, therefore, failing

to prevent the associated health outcomes and suffering from the increased cost of treating severe

complications. The PICOT project intervention aims at bridging this knowledge gap to help

diabetic patients manage their condition better for improved health outcomes. Through the

intervention, the patient will be advised to seek healthcare attention early to improve the care

effectiveness for better health outcomes and life quality.

Health Care Agency

Diabetes health problem is a critical concern in the current system of healthcare because

diabetes is a major risk factor for many chronic diseases, including cancer and cardiovascular,

which have burdened many care agencies, sometimes compromising the quality of services

 Unpaired braces, brackets, quotation m…: )

 Student: Submitted to Grand Canyon University

 Spelling mistake: Moonesinghe

 Spelling mistake: behaviours  behaviors

 be advised: be advised

delivered. The community health intervention intends to inform the community on the need to

adopt healthy behavior and culture, including seeking early interventions at the diseases’ earliest

stage to make treatment easy for the healthcare agencies. Additionally, with good knowledge of

diabetes prevention strategies, the organizations will not be overcrowded with chronic disease

patients, allowing such organizations to use the available resources to provide quality care to

those who urgently require it.

Nursing Practice

Nurses have the duty to implement interventions that seek to improve the population’s

health outcomes. Some of the evidence-based health promotional initiatives include community

health teaching programs, which boost awareness of the best health behaviors to prevent disease

and manage conditions among the already sick patients for a better quality of life and health

outcomes. People with low health literacy are unlikely to make good choices about their health,

which negatively affect their health outcomes. The intervention will open the community’s eyes

to what is right for better health outcomes, reducing the burden of the public health practice.

Nurses can use the intervention to achieve the health promotional goal.

PICOT

For diabetes patients (P), is undergoing community education (I) compared to not

undergoing the education ( C) assist in reversing diabetes condition (O) within two years (T)

Population: the targeted population is the diabetes patients, aged 55 years and above. 37.3

million Americans have diabetes; however, 8.5 million people in the country are unaware of their

condition.

Intervention: the intervention is to implement community education on diabetes. The

educational intervention will encourage diabetic patients to eat healthy diets, engage in regular

physical activity, lose excess weight, and avoid smoking to help reverse diabetes.

Comparison: the intervention will be compared to no community education for reversing

diabetes. This may increase the risk of developing the diabetes complications and other chronic

diseases.

Outcome: the community teaching intervention educates diabetic patients on healthy behaviors

and lifestyles. The desired results will be reversing the diabetic condition.

 Redundant phrase: Some of the  Some

 Student: Submitted to Grand Canyon University

 assist, assistance (help): assist  help

 Student: Submitted to Grand Canyon University

 Student: Submitted to Grand Canyon University

Time: the outcome is to be measured within two years.

References

Alaofè, H., Asaolu, I., Ehiri, J., Moretz, H., Asuzu, C., Balogun, M., … & Ehiri, J. (2017).

Community health workers in diabetes prevention and management in developing

countries. Annals of global health, 83(3-4), 661-675.

Andes, L. J., Cheng, Y. J., Rolka, D. B., Gregg, E. W., & Imperatore, G. (2020). Prevalence of

prediabetes among adolescents and young adults in the United States, 2005-2016 . JAMA

pediatrics, 174(2), e194498-e194498.

Echouffo-Tcheugui, J. B., & Selvin, E. (2021). Prediabetes and what it means: the

epidemiological evidence. Annual Review of Public Health, 42, 59-77.

Rooney, M. R., Rawlings, A. M., Pankow, J. S., Tcheugui, J. B. E., Coresh, J., Sharrett, A. R., &

Selvin, E. (2021). Risk of progression to diabetes among older adults with prediabetes.

JAMA internal medicine, 181(4), 511-519.

Unwin, N., Howitt, C., Rose, A. M., Samuels, T. A., Hennis, A. J., & Hambleton, I. R. (2017).

Prevalence and phenotype of diabetes and prediabetes using fasting glucose vs HbA1c in

a Caribbean population. Journal of global health, 7(2).

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