Health Education Among Adults With Diabetes Mellitus Assignment

Health Education Among Adults With Diabetes Mellitus Assignment

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A systematic search of the literature and critical appraisal of each article selected from the search are significant steps which ensure evidence from studies is worthy when used to inform practice (Cooper et al., 2018)Health Education Among Adults With Diabetes Mellitus Assignment. This paper presents the strategies I will use to systematically search the literature and critically appraise articles chosen to determine the best evidence for health education among adults with type 2 DM.

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Strategies for Conducting a Systematic Search/Review of the Literature to Answer the PICOT Question

To conduct a systematic search/review of the literature, I will consider keywords for the PICOT question on health education among adults with diabetes mellitus. The keywords for use in the search will be: adults with type 2 diabetes mellitus, health education, compared to no health education, glycemic control, reduced complication and time factor. The next step would be to search the electronic databases PubMed, CINAHL, and Cochrane Central for studies focusing on health education among adults with diabetes mellitus. The above keywords will be entered into the electronic databases to facilitate the search for relevant studies. Besides, the keywords will be searched individually to determine the number and type of search results.

Following the initial search, I will combine the searches to narrow search results. To combine the search, I will use Boolean connect “AND” (for example, type 2 diabetes mellitus and patient education)Health Education Among Adults With Diabetes Mellitus Assignment. By combining search, one can derive a few more manageable articles or search results, with a higher likelihood of answering the clinical question. Besides, I will place limits on final search results to achieve a narrower search outcome. At this step, only articles written in English and published within the last five years will be chosen for review.

Strategies for Critical Appraisal of the Literature to Determine the Best Evidence

            The appraisal will commence with a rapid critical appraisal that will determine the level of evidence, methodology and usefulness of each study. The systematic reviews of randomized controlled trials or meta-analyses belong to a level I audience; hence are the most reliable source and provide the best evidence to answer a clinical question (Tenny & Varacallo, 2018). The critical appraisal will also involve using a guide that will cover the purpose of the study, sample size, the validity of instruments used, data analysis, untoward events during the study, how results fit with other studies, and the implication of the study to clinical practice. According to Melnyk & Fineout-Overholt (2019), the critical appraisal should involve determining the study results’ validity and how they would help in patient care. Overall, a critical appraisal of each article will help determine its worth to practice by identifying its levels of evidence and quality.

References

Cooper, C., Booth, A., Varley-Campbell, J., Britten, N., & Garside, R. (2018). Defining the process to literature searching in systematic reviews: a literature review of guidance and supporting studies. BMC medical research methodology, 18(1), 1-14. https://doi.org/10.1186/s12874-018-0545-3

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. https://b-ok.africa/dl/5010066/6e27c8

Tenny, S., & Varacallo, M. (2018). Evidence based medicine (EBM). Treasure Island: StatPearls Publishing Health Education Among Adults With Diabetes Mellitus Assignment.

According to Sarker et al. (2022), the burden caused by type 2 diabetes mellitus causes significant concerns to healthcare systems hence requiring robust measures to ensure patients’ safety from complications of the condition including non-pharmacological strategies. Studies show that the knowledge and practice of a disease or condition significantly contribute to the overall outcomes of treatment (Le et al., 2021). With that said, some patients with type 2 diabetes develop complications due to inadequate information about the different aspects of self-management. My EBP change project proposal seeks to develop effective health education to improve outcomes of type 2 diabetes.

Population – adults with type 2 diabetes mellitus

Intervention – health education

Comparison – no health education

Outcome – glycemic control and reduced complications of type 2 diabetes Time – three months

The picot question is: Among adults with diabetes mellitus (P), does health education (I), compared with no health education (C) result in glycemic control and reduced complications of diabetes (O) within three months (T)?Health Education Among Adults With Diabetes Mellitus Assignment

I arrived at this question because of the need for improved care and reduced complications of diabetes reported at our primary care facility. Over the past four months, I have noticed that patients reporting to our unit have a higher understanding than in previous months. Within the four months, patients reporting for scheduled visits present with high blood glucose levels and glycated hemoglobin, four with neuropathy, retinopathy, and foot problems, which have been attributed to uncontrolled, type 2 DM. This statistic is unacceptable and requires immediate measures to curb it. Despite planning for frequent follow-up visits and counseling on adherence, our patients require extra measures to improve their outcomes. Chawla et al. (2019) highlight that effective health education helps improve glycemic control, impedes the progression of DM and prevents subsequent complications. By this PICOT question, I propose implementing comprehensive health education on managing type 2 DM to promote self-management, glycemic control and reduced complications.

The PICOT question will guide the search for relevant evidence from previously published literature. With the identification of supporting evidence, I will implement the intervention to help abate the burden of poor self-management of type 2 DM within our patient population Health Education Among Adults With Diabetes Mellitus Assignment.

References

Chawla, S., Kaur, S., Bharti, A., Garg, R., Kaur, M., Soin, D., Ghosh, A., & Pal, R. (2019). Impact of health education on knowledge, attitude, practices and glycemic control in type 2 diabetes mellitus. Journal of family medicine and primary care, 8(1), 261–268. https://doi.org/10.4103/jfmpc.jfmpc_228_18

Le, N. K., Turnbull, N., Van Dam, C., Khiewkhern, S., & Thiabrithi, S. (2021). Impact of knowledge, attitude, and practices of Type 2 diabetic patients: A study in the locality in Vietnam. Journal of education and health promotion, 10, 72. https://doi.org/10.4103/jehp.jehp_712_20

Sarker, A., Das, R., Ether, S., Islam, M. S., & Saif-Ur-Rahman, K. M. (2022). Non-pharmacological interventions for the prevention of type 2 diabetes in low-income and middle-income countries: a systematic review of randomised controlled trials. BMJ open, 12(6), e062671. https://doi.org/10.1186/s13643-020-01550-z

Once you have selected a PICOT question. Discuss your strategies for conducting a systematic search/review of the literature in order to answer your question. Explain how you will critically appraise the literature you have selected to determine the best evidence for this assignment.

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Expectations:

Citations: At least three high-level scholarly peer-reviewed references in APA format from within the last 5 years
Please read the questions well to ensure you answer all asked questions correctly Health Education Among Adults With Diabetes Mellitus Assignment