Development Of Evidence-Based Practice Change Proposal I

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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

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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

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 Spelling mistake: behaviours  behaviors

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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.

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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).