Nursing Research Utilization Paper

The goal is to increase the percentage of understanding of diabetes and how to live empowered with diabetes. I will conduct outreach programs in various methods to reach the people to participate in the health program. My objective is done by specific, measurable, achievable, results-focused, and time-bound (SMART) goals. By May 31, 2018, an increase of 40% establishes one-on-one follow up education session with each individual and families through home visits or phone calls to monitor them to improve their lifestyles. By February 30, 2018, an increase of 80% distribution of brochures and with door to door interactions with the individuals in the community. By September 2018, increase 90% of people to engage in community health fair, classes, and exercise activities on diabetes and cardiovascular classes. This will introduce the individuals in social support that allow interactions with teaching and

Mhealth has reached the poorest of communities (U.S. Department of Health and Human Services, n.d.). More than 9 million patients email their physician in 2009 (Digital Health Care, 2010), because patients’ busy lifestyles do not allow time for an office visit for non-emergent health conditions. . In recent years, the expansion of mobile health (mhealth) technologies, including health text messaging, mobile phone applications, remote monitoring, and portable sensors, have changed the way health care is being delivered in the U.S. and globally (U.S. Department of Health and Human Services, n.d.). Patients like the convenience of communicating with his or her physician through advanced technology.

With increased levels of stress and psychological demand, the need for peer support and networking is evident. Both face-to-face and online options are available for support. One method of peer support is through online social networking support. Online support of the parents has been shown to significantly increase self-efficacy in managing diabetes¹³. Parents share experiences and provide support to one another leading to a positive impact in dealing with the distress of managing diabetes¹⁴.

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

According to Rural Health Information Hub (2017), the fundamental purpose of disease prevention is to keep individuals healthy. One implements health promotion interventions in an effort to promote healthy behaviors and to decrease the risks of developing chronic illnesses (RHIH, 2017). According to the ADA (2016) individuals that participate in health promotion behaviors are more likely to have better health outcomes compared to those who do not. The EBP change project has shown that educating patients with prediabetes can increase diabetes knowledge and promote an increase in health promotion behaviors. The EBP change project outcome has indicated that participants who completed the 6-week diabetes education program were able to increase their knowledge regarding type 2 diabetes. Therefore, with the positive outcome of the EBP change project, the EBP change project site can incorporate certain aspects of the diabetes education program into their patient education to increase diabetes knowledge, picking healthier food options and participants in activities that would increase physical fitness.

Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and

It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

Another randomized controlled trial on the use of text messaging to improve patient attendance at a primary health care clinic by Leong et al (2006) was performed. A total of 993 participants were divided into three groups as a control group (n=335), a

In the case of the reviewed study, care was delivered fruitfully to a group of sick individuals that were poorly controlled, and the main medium used included live phone calls. According to the review paper, new forms of interventions that are based on technology emphasize on the utilization of the internet, telephone, pagers, cell phones, email and web-based programs to monitor and measure the condition status of diabetes patients, report on various habits and symptoms and encourage changes in a number of aspects of the management of the disease. In the case of the reviewed study, the central aspect was improved glycemic control and better adherence to medication (Fisher & Dickinson, 2011).

The tools for the project plan includes a Demographic Survey Item from the Behavioral Risk Factor Surveillance Survey System (BRFSS) and a diabetic self-management (DMSQ) surveys questionnaire (Carter, Barba, Kautz, 2013). The Behavioral Risk Factor Surveillance System (BRFSS) is the nation's premier system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services (CDC, 2015). Whereas, The Diabetes Self-Management Questionnaire (DSMQ) is an instrument that assesses diabetes self-care activities associated with glycaemic control (Schmitt, Gahr, Hermanns, Kulzer, Huber and Haak, 2013). The ulilization of both BRFSS

First, the HBM insist individuals are likely to change behavior if they believe they are susceptible to certain condition, and the condition is severe enough. Cues to action provide a guide for individual to engage in the healthy behaviors. Benefits must overrule barriers, and the individual must have confidence that he or she can engage in this healthy behavior for the change to occur. To illustrate, one of the diabetes healthy people 2020 objective is to “Increase the proportion of adults with diabetes who perform self-blood glucose-monitoring at least once daily”

The review of literature section will define diabetes and prediabetes, identify the prevalence and major risk factors for diabetes, and present behavioral changes that can reduced the risk of developing diabetes. This section discusses the types of presentations and teaching methods that have been utilized in diabetes prevention and the health belief model. The final paragraphs in the review of literature present the learning theory and delivery method of instructional designs, which are ideal for a diabetes prevention program.

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,

On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.