type 2 diabete
Adult patients
with type 2 diabetes with low
socioeconomic status and lack insurance need
the support from healthcare
providers. Primary care
provider has not yet adopted the standards of care
that will ensure that these patients attain
maximum benefits especially on their HbA1, and their
blood pressure and LDL target.
The
quantitative research article
I will analyze is the Factors with impact to
self-management in type 2 diabetes patients
quantitative systematic review.
By Bagnasco et al. (2013). This project
evaluates this study and its insights
towards evidence-based nursing practices
and Type 2diabetese standards
of care delivery.
Research Problem and PurposeType 2 Diabetes Mellitus is a condition that is manageable through adjustments of one’s lifestyle and keeping the glycemic in managing the disease to avoid long-term complications. Medication treatment for type 2 diabetes is expensive. The poor patient adhesion is obstacles to controlling the glucose level effectively. The researchers aim to describe a quantitative systematic review PROTOCOL to summarize critique and identify factors influencing self-management education.
Hypotheses and Research QuestionsThe research question is do personal characteristics impact on self-management education effectiveness
Hypothesis:1. Personal characteristics determine the self-management education effectiveness.
2. Education empowerment factors have a positive effect on self-management effectiveness.
1. Literature ReviewThe study uses relevant and current literature review as noted in the study’s literature review. The literature reviews reflective a comprehensive study on the standard medical care for diabetes. The studies show that keeping glycemia, effective self-management, weight and pressure under control for a long-term duration contributes to improved outcomes. The issues include avoiding macro and microvascular complications and overall improvement of life quality.
2. Theoretical or Conceptual FrameworkThe study does not show any conceptual or theoretical framework. However, all quantitative studies have a framework even when not explicitly expressed (Burns & Grove, 2009, p. 126). The study, therefore, has a borrowed structure related to factors influencing self-management as well as knowledge application in solving problems.
3. Population
Patients with type 2 diabetes
4. Protection of Human Research ParticipantsThe confidentially and privacy of participants is into consideration. They receive information about the aim of the study and possible risks.
5. Research DesignThe study design is from previous research studies. The randomized controlled trials a cohort and controlled trials are the eligible studies. There is the exclusion of qualitative, cross-sectional and case-control studies.
6. Instruments and Strategies for MeasurementThe researchers systematically searched MEDLINE, DARE and Joanna Briggs for reviews on factors that influence self-management. The manual exclusion and inclusion strategy is applicable in the selection of appropriately controlled trials from PsycINFO and Cochrane Library Published from January 1990– June 2012. The first screening is during the selection of articles and a second screening is according to the exclusion and inclusion criteria.
7. Data Collection
The researchers collect data according to the exclusion and inclusion criteria and using the ad-hoc structured form. The collection aims to find out the identification features, study/participants characteristics, setting, intervention and outcome
8. Data AnalysisThe narrative style is for reviewing report that is from the PRIS-MA criteria. The meta-analysis is according to the quantitative data.
9. Interpretation of ResultsThe initial summary of results was in accordance to data tabulations. The systematic review enabled the researchers to identify factors that impact on self-management among individuals with type two diabetes. The personal characteristics were the most relevant to factors relating empowerment and motivation.
10. Discussion of FindingsThe personal characteristics were the most crucial factors for empowerment and motivation. The systematic reviews managed to identify the appropriate model for self-management.
11. LimitationsThere was limited evidence demonstrating the relationship between the social-cognitive variables roles and self-management/ health literacy. Few studies showed the emotional domain that incorporates the emotional variables and social support. The reviewed studies indicated some characteristics, but they did not provide solutions.
12. ImplicationsNurses should include the personal characteristics that impact on self-management in their initial plan for patients with type 2 diabetes patient so as to gain a better understanding of the individual. Doing so, they will establish an appropriate nurse-person relationship.
13. RecommendationsThere is a need for nurses to incorporate the personal characteristics of an individual with type 2 diabetes in their initial assessment. It involves identifying the educational need of a patient and adopting the appropriate strategies such as educational intervention adjustments.
14. Research Utilization in Your PracticeThis study greatly informs my study on the necessary interventions for proving for the needs of type two patients with low income and is underinsured. Educating the targeted population means that the patients of low income and no insurance will control their glycogenic levels, and blood sugars through lifestyle changes and other personal intervention strategies. Thus, they will prevent the adverse effects of type 2 diabetes in the long term.
Research Problem and PurposeType 2 Diabetes Mellitus is a condition that is manageable through adjustments of one’s lifestyle and keeping the glycemic in managing the disease to avoid long-term complications. Medication treatment for type 2 diabetes is expensive. The poor patient adhesion is obstacles to controlling the glucose level effectively. The researchers aim to describe a quantitative systematic review PROTOCOL to summarize critique and identify factors influencing self-management education.
Hypotheses and Research QuestionsThe research question is do personal characteristics impact on self-management education effectiveness
Hypothesis:1. Personal characteristics determine the self-management education effectiveness.
2. Education empowerment factors have a positive effect on self-management effectiveness.
1. Literature ReviewThe study uses relevant and current literature review as noted in the study’s literature review. The literature reviews reflective a comprehensive study on the standard medical care for diabetes. The studies show that keeping glycemia, effective self-management, weight and pressure under control for a long-term duration contributes to improved outcomes. The issues include avoiding macro and microvascular complications and overall improvement of life quality.
2. Theoretical or Conceptual FrameworkThe study does not show any conceptual or theoretical framework. However, all quantitative studies have a framework even when not explicitly expressed (Burns & Grove, 2009, p. 126). The study, therefore, has a borrowed structure related to factors influencing self-management as well as knowledge application in solving problems.
3. Population
Patients with type 2 diabetes
4. Protection of Human Research ParticipantsThe confidentially and privacy of participants is into consideration. They receive information about the aim of the study and possible risks.
5. Research DesignThe study design is from previous research studies. The randomized controlled trials a cohort and controlled trials are the eligible studies. There is the exclusion of qualitative, cross-sectional and case-control studies.
6. Instruments and Strategies for MeasurementThe researchers systematically searched MEDLINE, DARE and Joanna Briggs for reviews on factors that influence self-management. The manual exclusion and inclusion strategy is applicable in the selection of appropriately controlled trials from PsycINFO and Cochrane Library Published from January 1990– June 2012. The first screening is during the selection of articles and a second screening is according to the exclusion and inclusion criteria.
7. Data Collection
The researchers collect data according to the exclusion and inclusion criteria and using the ad-hoc structured form. The collection aims to find out the identification features, study/participants characteristics, setting, intervention and outcome
8. Data AnalysisThe narrative style is for reviewing report that is from the PRIS-MA criteria. The meta-analysis is according to the quantitative data.
9. Interpretation of ResultsThe initial summary of results was in accordance to data tabulations. The systematic review enabled the researchers to identify factors that impact on self-management among individuals with type two diabetes. The personal characteristics were the most relevant to factors relating empowerment and motivation.
10. Discussion of FindingsThe personal characteristics were the most crucial factors for empowerment and motivation. The systematic reviews managed to identify the appropriate model for self-management.
11. LimitationsThere was limited evidence demonstrating the relationship between the social-cognitive variables roles and self-management/ health literacy. Few studies showed the emotional domain that incorporates the emotional variables and social support. The reviewed studies indicated some characteristics, but they did not provide solutions.
12. ImplicationsNurses should include the personal characteristics that impact on self-management in their initial plan for patients with type 2 diabetes patient so as to gain a better understanding of the individual. Doing so, they will establish an appropriate nurse-person relationship.
13. RecommendationsThere is a need for nurses to incorporate the personal characteristics of an individual with type 2 diabetes in their initial assessment. It involves identifying the educational need of a patient and adopting the appropriate strategies such as educational intervention adjustments.
14. Research Utilization in Your PracticeThis study greatly informs my study on the necessary interventions for proving for the needs of type two patients with low income and is underinsured. Educating the targeted population means that the patients of low income and no insurance will control their glycogenic levels, and blood sugars through lifestyle changes and other personal intervention strategies. Thus, they will prevent the adverse effects of type 2 diabetes in the long term.
Bagnasco, A. Mora, R. Giacomo P, and
Sasso L (2013). Factors influencing
self-management in patients with type
2 diabetes: A quantitative systematic review protocol. Advanced Nursing
Journal. 1.64. 06/2013; 70(1). DOI: 10.1111/jan.12178. Source:
PubMed
- QUALITATIVE RESEARCH CRITIQUE
Mathew R, Gucciardi E, Melo M and
Barata, P (2012). Self-management experiences among men and women
with type 2 diabetes mellitus a qualitative analysis. BMC Family Practice 2012, 13:122
1. Research
Issue and Purpose
The aim of this study is to have a better understanding of the differences between self-management of diabetes and specific challenges, barriers and needs among women and men with type 2 diabetes mellitus. The study’s intention is to create a body of evidence showing gender-sensitive understanding of diabetes self -management into current clinical practices and interventions.
2. Researcher Pre-understandingsThe article does not mention the pre-understanding of the researchers. It does not disclose their personal perspectives and profession on this research problem.
3. Literature ReviewThe literature review is of high quality. It uses sources that are relevant and up-to-date. The studies show evidence showing how literature supports the existence of sex differences in respect to mortality and morbidity among men and d women. In cardiovascular diseases and stroke for men and T2DM for women. The researchers have managed to present a critique of the studies and not simply reporting them. They also provide an integrated summary as showing that there is a need for better understanding on how the self-management experiences of diabetes and similar or different to men and women. The literature review of this study is at the introduction section, and it is not explicitly identifiable.
4. Theoretical or Conceptual FrameworkThe articles' theoretical framework is on the gender theory. For example, in men they conceal illnesses as a way of preserving the traditional male values such as decision-making ownership, autonomy, and independence. Thus, men desire to maintain their traditional masculine characteristics.
5. ParticipantsThe study recruited 35 participants from Toronto Canada’s diabetes education center (DEC).
6. Protection of Human Research ParticipantsThe University Health Network Research Ethics Board gave the researchers an ethical approval to conduct the research. Participants were aware of maintaining their anonymity and confidentiality in the analysis of data
7. Research DesignThe research design is an inductive data driven thematic analysis. It uses a qualitative method of study to elaborate on a range of multi-dimensional aspects related to self-management among women and men with diabetes.
8. Data Collection/Generation MethodsData collection was individual interviews and focus groups. The researchers used thematic analysis for exploring the salient topic arising from the interviews and focus groups.
9. CredibilityYes.
10. Data AnalysisThe thematic data analysis is used to explore the merging topics from interviews and focus groups
11. FindingsFindings show the differences in challenges and needs of diabetes self-management among women and men
12. Discussion of FindingsThe men and women differences in their challenges and needs for diabetes self-management helps to inform gender-sensitive care, counseling and support for diabetic patients. These were the expected findings of the study. They are consistent with findings from previous studies.
13. LimitationsThe study population was from a largely urban and culturally diverse metropolitan city in Canada. Thus, findings may not be representative to the homogeneous populations. The study also had limited information on time spent and characteristics among foreign –born participants. The study did not collect any specific cultural and ethnic background.
14. Implications
The study gives insights on applying gender-sensitive matters in the self-care management of diabetes for men and women.
15. RecommendationsHaving the understanding of male and female needs and challenges of self –management can improve the care provided to men and women living with diabetes.
16. Research Utilization in Your PracticeMy study is about the provision of standard care of the low income and underinsured patients with Type 2 diabetes from the Hispanic community. This study provides insights on considering the genders-sensitive healthcare interventions that can help improves self-care practices among the Hispanic men and women living with diabetes.
The aim of this study is to have a better understanding of the differences between self-management of diabetes and specific challenges, barriers and needs among women and men with type 2 diabetes mellitus. The study’s intention is to create a body of evidence showing gender-sensitive understanding of diabetes self -management into current clinical practices and interventions.
2. Researcher Pre-understandingsThe article does not mention the pre-understanding of the researchers. It does not disclose their personal perspectives and profession on this research problem.
3. Literature ReviewThe literature review is of high quality. It uses sources that are relevant and up-to-date. The studies show evidence showing how literature supports the existence of sex differences in respect to mortality and morbidity among men and d women. In cardiovascular diseases and stroke for men and T2DM for women. The researchers have managed to present a critique of the studies and not simply reporting them. They also provide an integrated summary as showing that there is a need for better understanding on how the self-management experiences of diabetes and similar or different to men and women. The literature review of this study is at the introduction section, and it is not explicitly identifiable.
4. Theoretical or Conceptual FrameworkThe articles' theoretical framework is on the gender theory. For example, in men they conceal illnesses as a way of preserving the traditional male values such as decision-making ownership, autonomy, and independence. Thus, men desire to maintain their traditional masculine characteristics.
5. ParticipantsThe study recruited 35 participants from Toronto Canada’s diabetes education center (DEC).
6. Protection of Human Research ParticipantsThe University Health Network Research Ethics Board gave the researchers an ethical approval to conduct the research. Participants were aware of maintaining their anonymity and confidentiality in the analysis of data
7. Research DesignThe research design is an inductive data driven thematic analysis. It uses a qualitative method of study to elaborate on a range of multi-dimensional aspects related to self-management among women and men with diabetes.
8. Data Collection/Generation MethodsData collection was individual interviews and focus groups. The researchers used thematic analysis for exploring the salient topic arising from the interviews and focus groups.
9. CredibilityYes.
10. Data AnalysisThe thematic data analysis is used to explore the merging topics from interviews and focus groups
11. FindingsFindings show the differences in challenges and needs of diabetes self-management among women and men
12. Discussion of FindingsThe men and women differences in their challenges and needs for diabetes self-management helps to inform gender-sensitive care, counseling and support for diabetic patients. These were the expected findings of the study. They are consistent with findings from previous studies.
13. LimitationsThe study population was from a largely urban and culturally diverse metropolitan city in Canada. Thus, findings may not be representative to the homogeneous populations. The study also had limited information on time spent and characteristics among foreign –born participants. The study did not collect any specific cultural and ethnic background.
14. Implications
The study gives insights on applying gender-sensitive matters in the self-care management of diabetes for men and women.
15. RecommendationsHaving the understanding of male and female needs and challenges of self –management can improve the care provided to men and women living with diabetes.
16. Research Utilization in Your PracticeMy study is about the provision of standard care of the low income and underinsured patients with Type 2 diabetes from the Hispanic community. This study provides insights on considering the genders-sensitive healthcare interventions that can help improves self-care practices among the Hispanic men and women living with diabetes.
References
Mathew R, Gucciardi E, Melo M
and Barata, P (2012). Qualitative analysis
and Experiences of Self-management among women and men
with diabetes mellitus.Family Practice BMC, 13, p 122.
Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in College Essay Writing Service if you need a similar paper you can place your order from cheap essay help online.
Comments
Post a Comment