Examine the use of research and evidence based practice in healthcare Michael M. Evans Evidence-Based Practice Protocol to Improve Glucose Control in Individuals with Type 2 Diabetes Mellitus.

Type 2 Diabetes

Student Name

Date

school

Type 2 Diabetes

Introduction

Diabetes is a multifaceted disease that affects over 29 million individuals in the United States although most of them are not aware they are sick. The prevalence of diagnosed diabetes is higher among certain minorities such as Alaska Natives, American Indians, Hispanics, Asian Americans and non-Hispanic Black. Its reduces muscle, liver and adipose tissue insulin sensitivity to as well as a decrease pancreatic b-cell function leading which can impair insulin secretion. Diabetes mellitus (DM) can be in form of Type 1 DM, gestation DM, type 2 DM, Pre-DM or medication-induced DM while all bear high levels of blood glucose. Lately, new antidiabetic medications have been adopted for the treatment of T2DM, including dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide 1(GLP-1) receptor agonists, anamylin analogue, and sodium-glucose cotransporter 2 (SGLT2) inhibitors. Of all cases of diabetes, 90% – 95% is accounted by type 2 DM (Olokoba, Obateru & Olokoba, 2012). It is characterized by the body failing to use insulin properly because of the relative deficiency in insulin or insulin resistance. Failure to manage type 2 diabetes appropriately can cause grave complications such as neuropathy, retinopathy and cardiovascular diseases. .

Problem

Diabetes Mellitus type 2 has become an epidemic in the adult population and managing the glucose levels has become a serious problem with close to 285 million people worldwide affected (International Diabetes Federation. 2011). The number of Americans people affected by type 2 diabetes mellitus has continued to grow by 1.9 million cases every year. The problem has been rampant on older people in the United States who account for 10.9 million cases. Among the factors identified as drivers of type 2DM epidemic is physical inactivity, increased age of the U.S. population, increase in the sub-populations prone to diabetes and obesity epidemic. The cost of type 2DM is enormous and in 2012, approximately $176 billion was used in direct medical costs and $69 billion in lost due to lack of productivity.

Review of the Literature

Author Article Title Describe Relevance to the Problem Statement
1. SLO #1: Discuss various research designs Lew, K. N., &
Wick, A.

Pharmacotherapy of
Type 2 Diabetes

Mellitus: Navigating

Current and New

Therapies

Descriptive, correlational and review
research designs. The three

forenamed research designs were

used in the article.

2. SLO #2: Compare and contrast select research designs Espeland et al. Intensive Weight
Loss Intervention

in Older Individuals:

Results from the Action

for Health in Diabetes

Type 2 Diabetes Mellitus

Trial

A Randomized controlled clinical trial
design

Research was done on individuals to

determine the impact of weight lost

to the diabetes mellitus. Real data

was collected based on the

observations made by the researchers.

3. SLO #3: Examine the use of research and evidence based practice in healthcare Michael M. Evans Evidence-Based Practice Protocol to Improve Glucose Control in Individuals with Type 2 Diabetes Mellitus. Follow-up telephone interventions by
APRN on blood sugar control can

assist in controlling type 2 Diabetes

Mellitus.

The procedure is done to support

Standard treatment.

4. SLO #4: Deconstruct select research studies Reid, T. S. (2014). Improving Patient
Outcomes with Effective

Treatment Strategies in

the Management of

Type 2 Diabetes Mellitus

Descriptive and semi-experimental.
The research conducted a survey on

the methods of improving patients’

outcome with effective treatment

strategies.

SLO1: Discussion of Various Designs

1. Will be able to use a cross-sectional descriptive correlational design, in future to perform various research related to nursing field.

2. Will be able to demonstrate my knowledge on random controlled clinical trials in determining an impact of the researched phenomena.

3. Will demonstrate the ability I have learned about descriptive and semi- experimental designs to find result that would improve specific issues.

4. Will be able to use follow-up telephone interventions to collect data that can be used as inference for various research outcome.

SLO2: Compare and Contrast select research Designs

1. The first research used combined research designs i.e. cross-sectional, descriptive and correlational design in its research.

2. The second used a single research design i.e. random controlled clinical trials to reach individual privately.

3. The third used follow- up telephone intervention to collect research data from various sample

4. The fourth used two research designs i.e. descriptive and semi-experimental design to determine important strategies to patient well-