Discussion: Issues that Arise from Clinical Care
Discussion: Issues that Arise from Clinical Care
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Discussion: Issues that Arise from Clinical Care
The clinical problem that is of interest in the project is the issue of diabetes mellitus type 2 in African American patients. The prevalence rate of diabetes among African American people is higher than in any other ethnic background. Besides ethnicity, other factors such as body mass index, fasting glucose, and waist diameter determine the risk of individual developing diabetes. African Americans have been shown to have 60% increased risk of being affected by diabetes mellitus type 2 when compared to other populations such as the non-Hispanic whites. The risk of morbidity among the African American patients is also higher than that in other ethnicities. For example, they have twice the risk of morbidity when compared to the non-Hispanic white population. Diabetes mellitus type 2 is associated with effects that include hyperglycemia and hypoglycemia and complications of the eye and renal system (Dong et al., 2018). The prevalence and health effects of diabetes can however be prevented or lowered with the adoption of responsive interventions. They include the use of group discussions among the patients on the effective ways of managing the disease alongside the use of usual care.
Evidence-Based Solution
The proposed evidence-based solution that can be utilized to promote the effective management of diabetes mellitus type 2 among African American patients is the use of group discussion-based education on aspects related to self-care management. The group discussions provide the patients with the opportunities to share their experiences in the manner in which the disease can be managed effectively. The group discussions also provide them with the social support that they need for the effective management of diabetes. It is anticipated that an effective use of group discussions-based education on self-care and management of diabetes will promote the desired lifestyle and behavioral modification among the patients. Consequently, the proposed PICOT statement for the proposal is; in African American patients with diabetes mellitus type 2, does the use of group discussion-based education on self-care and management of diabetes promote effective disease management when compared to the use of usual care in seven months?
Nursing Intervention
The nursing interventions that will be utilized in the implementation of the above solution will comprise of several practices. Nurses working in the diabetic clinic will identify the potential patients to participate in the group discussions. They will be informed about the intervention and divided into groups of eight participants. The project will utilize four groups, which will result in 32 members in the group discussions. A nurse will lead the discussions in each of the groups aiming at exploring and improving the understanding of the patients about the management of diabetes. Each participant will be given an opportunity to share his or her experiences (Habibzadeh et al., 2017). The duration will be one hour on a weekly basis for five weeks.
Patient Care
The proposed solution will promote patient care in different ways. It will improve the understanding of the patients about the effect self-management of diabetes. It will also inform the about the effective ways in which the desired lifestyle and behavioral interventions for diabetes management can be achieved. The solution will also increase adherence to treatment among the patients, hence, the effective realization of the desired outcomes of treatment.
Health Care Agency
The health care agency will benefit in different ways from the solution. There will be the provision of quality nursing care to the patients. There will also be a reduction in the costs of healthcare. The cost of operations in the organization will also reduce due to low disease burden due to diabetes. Lastly, the dedication of the organization to promote quality, safety, and efficiency in its services will be achieved.
Nursing Care
The proposed solution will also have some effects on nursing care. It will encourage the utilization of evidence-based practice in nursing. It will also improve the quality of care that nurses give to their patients. Nurses will also be encouraged to explore additional ways in which patient-centered, high quality care can be given to the patients with diabetes. Through these ways, the nursing care and practice will be transformed in a positive way.
Conclusion
In summary, this paper has proposed an intervention that is effective in addressing the identified health problem. It has provided a PICOT question that will guide the development and implementation of the proposal. It has also provided information on the effect of the solution on health care agency, nursing care, and evidence-based practice. Therefore, effective implementation of the solution is expected to result in significant improvements in the outcomes of care for African American patients with diabetes.
References
Dong, Y., Wang, P., Dai, Z., Liu, K., Jin, Y., Li, A., … & Zheng, J. (2018). Increased self-care activities and glycemic control rate in relation to health education via Wechat among diabetes patients: A randomized clinical trial. Medicine, 97(50).
Habibzadeh, H., Sofiani, A., Alilu, L., & Gillespie, M. (2017). The effect of group discussion-based education on self-management of adults with type 2 diabetes mellitus compared with usual care: A randomized control trial. Oman Medical Journal, 32(6), 499.
Question Description
I’m studying for my Health & Medical class and need an explanation.
Topic: Reducing infection rates of central lines with more handwashing (nurses and patients)
Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
FYI from the class that will help with assignment:
Research Purpose
The research purpose is the statement of why the study is being undertaken. The purpose statement may be explicit or implicit but should be stated objectively. The research purpose is more specific than the research problem and is generated by way of deductive reasoning. The research purpose communicates the aim or goal of the study. In addition, the major variables to be studied, along with the population and setting, are identified in the research purpose (Cooper & Schindler, 2003).
As the research purpose becomes clearer, the researcher must determine the feasibility of the study by examining the commitment required in time and money, as well as expertise required, subject availability, and any ethical considerations. An example of a clinical research purpose that might be deemed feasible is to determine if a relationship exists between the extent of participation in selected behaviors that may be detrimental to health and the propensity to take risks.
Review of Literature
The purpose for the review of literature is to gain a broad understanding of the available information related to the research problem. Relevant literature is examined, and provides credibility to the study being pursued. There are three steps to the review of literature process: locating relevant sources, critiquing the sources, and generating the written report of the resulting knowledge. Literature can be located through electronic literature searches of electronic databases, such as CINAHL, MEDLINE, Science Direct, and HealthSTAR, and print resources such as those found in libraries.
The literature review section should be written in an organized manner, beginning with the introduction, leading to the presentation of empirical and theoretical sources, and ending with the summary of relevant ideas. The information gained through the review of literature is logically organized and presented in the review-of-literature section of the report (Cooper & Schindler, 2003).
Research Question
Once the problem has been identified, the literature review completed, and the conceptual framework chosen, the research question needs to be formulated. The question may either be in the form of a statement, a question, or a hypothesis. The research question must be succinct, clear, and it must answer the question being studied.
Formulating the research question may be one of the most difficult steps of the research process. Usually, the initial dilemma is very broad, and must be narrowed to be reasonably studied. A research question should be based on facts, which will lead to the formulation of investigative questions. The question should be theoretical, practical, and feasible (Cooper & Schindler, 2003).
Hypothesis
The hypothesis is a prediction of the researcher’s expected findings of the research study. The hypothesis includes the variables to be studied and their relationships, the population to be studied, and the type of research to be conducted. The hypothesis also directs the measurement of variables, the selection of the design, and the interpretation of the findings. The findings of the study either indicate acceptance or non-acceptance of the hypothesis (Cooper & Schindler, 2003).
Research Purpose
The research purpose is the statement of why the study is being undertaken. The purpose statement may be explicit or implicit but should be stated objectively. The research purpose is more specific than the research problem and is generated by way of deductive reasoning. The research purpose communicates the aim or goal of the study. In addition, the major variables to be studied, along with the population and setting, are identified in the research purpose (Cooper & Schindler, 2003).
As the research purpose becomes clearer, the researcher must determine the feasibility of the study by examining the commitment required in time and money, as well as expertise required, subject availability, and any ethical considerations. An example of a clinical research purpose that might be deemed feasible is to determine if a relationship exists between the extent of participation in selected behaviors that may be detrimental to health and the propensity to take risks.
Review of Literature
The purpose for the review of literature is to gain a broad understanding of the available information related to the research problem. Relevant literature is examined, and provides credibility to the study being pursued. There are three steps to the review of literature process: locating relevant sources, critiquing the sources, and generating the written report of the resulting knowledge. Literature can be located through electronic literature searches of electronic databases, such as CINAHL, MEDLINE, Science Direct, and HealthSTAR, and print resources such as those found in libraries.
The literature review section should be written in an organized manner, beginning with the introduction, leading to the presentation of empirical and theoretical sources, and ending with the summary of relevant ideas. The information gained through the review of literature is logically organized and presented in the review-of-literature section of the report (Cooper & Schindler, 2003).
Research Question
Once the problem has been identified, the literature review completed, and the conceptual framework chosen, the research question needs to be formulated. The question may either be in the form of a statement, a question, or a hypothesis. The research question must be succinct, clear, and it must answer the question being studied.
Formulating the research question may be one of the most difficult steps of the research process. Usually, the initial dilemma is very broad, and must be narrowed to be reasonably studied. A research question should be based on facts, which will lead to the formulation of investigative questions. The question should be theoretical, practical, and feasible (Cooper & Schindler, 2003).
Hypothesis
The hypothesis is a prediction of the researcher’s expected findings of the research study. The hypothesis includes the variables to be studied and their relationships, the population to be studied, and the type of research to be conducted. The hypothesis also directs the measurement of variables, the selection of the design, and the interpretation of the findings. The findings of the study either indicate acceptance or non-acceptance of the hypothesis (Cooper & Schindler, 2003).
****Also attached are documents that will help you create a PICOT statement
wk_1_dq_1_picot__step_by_step..pdf
week_1__dq___1_c__ho
Discussion: Issues that Arise from Clinical Care
Discussion: Issues that Arise from Clinical Care
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Discussion: Issues that Arise from Clinical Care
