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NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach SC

PICOT Questions and an Evidence-Based Approach

NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach SC

Elevated evidence-based therapeutic activities are a crucial component of evidence-based treatment. Among nursing staff as well as other academics from various professions, the PICOT approach streamlines the quest for reliable data. They use PICOT to generate solid clinical research queries before beginning clinical research by defining the multiple characteristics of a sound research topic. The inquiry concentrates on the major problem of the individual, the therapy / therapeutic intervention, potential alternate remedies, and the intended outcomes. Every one of these components should be available in order to construct a legitimate PICOT inquiry. It implies that scientists may utilize PICOT to build a full investigation by searching the literature for evidence to back up their primary idea. It is challenging to find high-quality medical information via literature studies.  Nevertheless, it is an integral part of EBP-based practice. The PICO(T) technique simplifies the hunt for credible material for nursing staff as well as other scientists of varied disciplines (Gregory et al., 2018).

Practice Issue via PICOT Approach

The major goal of this paper is to study the potential treatments of DM type II.   Diabetes self-management education is necessary for giving medically diagnosed patients with a mechanism for insulin management, but data show that this does not necessarily result in behavioral and high blood sugar regulation. As a result, a PICO(T) research is necessary to evaluate the efficacy of a complete and extensive health educational approach in terms of blood sugar control compliance to normal patient education. Regular exercise, nutrition, and education programs all are part of the traditional diabetes self-management education (DSME). According to the PICO(T) methodology, the question in this situation is whether complete self- management using interdisciplinary teams to obtain higher care delivery adherence by regulating blood sugar levels in diabetics is more successful than conventional ways. 

NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach SC

The formulated PICO(T) will be:

In patients with type II diabetes (P), does use of multidisciplinary approach for diabetes self-management (I) is more effective as compared to standard medications approach (C) to reduce the blood sugar levels (O)? 

The findings of this work contribute to the investigation of the application of the PICOT technique on DM type II patients. PICO(T) makes this much easier. PICO(T) stands for patient, intervention, comparison, outcome and time. That’s a mnemonic for the essential elements of a solid clinical question. It also helps to build the research methodology by identifying the key elements that should have been covered in the paper to address the research questions. This paper is written with the help of scholarly sources. The extensive information was scoured in order to formulate a suitable PICO(T) research topic. Moreover, the research has already been refined by concentrating on relevant material, including such peer-reviewed publications and other credible websites. The PICO(T) method purpose is to find research findings that fulfill quality standards.

Sources of Evidence Effective in Answering PICOT Questions

There are many sources of credible available information in every medical issue. Because resolving a health issue related with PICO(T) approach needs detailed research for actual information, most of this strives to provide the greatest solutions for enhanced patient care via standard techniques and guidelines. Getting the appropriate information requires having the relevant resource of information. There would be no answers to healthcare issues if all information came from a single source. PubMed is a large scientific resources acquisition website. It is a collection of scientific research papers. It’s a fantastic resource for the PICO(T) issue under consideration, including over 0.2 billion references and real-time discussion. ProQuest is yet another reliable resource of data. It serves as a repository for articles on EBP studies from academics, administration, and industries (Kilcrease, 2021). Unlike PubMed and ProQuest, CINAHL is a useful guide for academics and clinical professionals. It has the world’s finest selection of nursing and health journals. CINAHL papers are freely accessible and include conferences and also brief seminars on prevalent ailments.

NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach SC

The criteria by which articles will be chosen from the above-mentioned sources will be by using the CRAAP method. Only publications and articles from previous four to five years was taken from the sources. The timeliness and importance of the source was assessed. Only those articles will be selected which were peer reviewed or from a credible organization like World Health Organization or American Diabetes Association (Kilcrease, 2021). 

Best sources that are effective in answering the PICO(T) question includes, American Diabetes Association website, Journal of Diabetes Care, Nature Reviews Endocrinology, The Lancet Diabetes and Endocrinology and JAMA-J AM Med Assoc. All articles of mentioned resources are available on PubMed, CINAHIL and ProQuest. 

Findings from Articles or other Sources

As per a PubMed article of Dankoly et al. (2021), the emphasis of Diabetic therapeutic approaches in the modern period is on emerging strategies to give tailored quality care environments. Given breakthroughs in diabetes treatment, the research advises that obtaining optimum blood sugar control remains difficult. To tackle this, the research emphasizes the need of effectiveness and collaboration in assigning responsibilities, merging operations, and making the best use of multidisciplinary capabilities. The research also revealed that establishing a teaching community of health centers has the ability to improve the therapeutic results and patient care for people who have diabetes.

Reducing blood glucose levels with one unit, as per Gregory et al., (2018), lowers the risk of cardiovascular disorders by 20%. As per the report, diabetes treatment is a difficult task. It requires skilled and devoted teammates to participate in patient-centered evidenced based process. The central emphasis is the diabetic patient’s participation in treatment regimen. The recommendation as per the article is to form a multidisciplinary approach. A multi-disciplinary strategy to therapy, as per Cornell et al. (2019), has the most beneficial influence upon blood sugar concentration. The work of such scholars gives instances of multidisciplinary approach accomplishments at various medical centers. Despite significant roadblocks, including such fiscal limits, the proactive approach remains the best and most effective technique.

According to Wichit et al. (2019), the notion of patient-centered multidisciplinary approach is fundamental to diabetes self-care. Continuous self-activities such as food, exercising, preventative medicine measurements, adherence to medication, including self-monitored sugar levels are required for effective diabetic care. Patient-centered multidisciplinary therapy has the potential to enhance diabetic self-management as well as patients’ standard of living, along with that play an essential role in developing self-care habits. Patient-centered care (PCC) is indeed a famous and developing healthcare change initiative that aims to offer courteous and preferred treatment that is consistent with individual beliefs in decision-making.

Relevance of Findings from Chosen Sources of Evidence to Making Decision

NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach SC

Each investigator must assess the relevancy of all research papers under discussion. If they accomplish this, they will have the finest possible evidence for these kind of research questions. Zuñiga et al. (2020) presented a peer-reviewed research in the prestigious source PubMed. It’s a current journal that’s still within the five-year restriction, indicating that the information is current. The papers are important for study since they adopt a multidisciplinary approach towards the under-discussion issue of DM type II and blood glucose management. The study also highlights the importance of a teaching network for professionals to keep up to date on care delivery. This is both useful and dependable for my study. The study has contributed to my PICO(T) by proving the viability of the multidisciplinary team method.

Brocco et al. (2020) provides a study inquiry that satisfies the CRAAP criteria, acknowledges the accomplishments of past researchers in the subject, and backs up each claim with past studies. It is significant to my research because it demonstrates the value of a diabetes self-management plan and multi-disciplinary collaboration strategy in lowering a person’s blood sugar levels. Zuñiga et al. (2020) not just demonstrate the significance of a multidisciplinary strategy, but also emphasize it as the best and far more successful method of achieving glucose control. This also covers the several challenges that the approach has in regards of prepping researchers for the expected limitations in data gathering.

These studies are relevant to given PICO(T) question and helps to make a decision regarding the given research issue of DM type II. From all the studies, it can be clearly seen that no doubt, standard medication therapy is helpful in diabetes control but patient centred multi-disciplinary approach increases the outcomes many folds and is far much beneficial as compared to standard medications approach. 

Conclusion

Diabetes is a serious clinical emergency in today’s modern world. However, a PICO(T) process might give EBP based solutions. As per the classification of relevant publications of the PICOT, the interdisciplinary approach to providing quality healthcare is the greatest and most crucial aspect of patient care when compared to the traditional medication methods. We can confidently state that a multidisciplinary approach to diabetes management is more successful than the usual medications. As a result, care delivery expenditures are reduced, patient results are increased, and therapy effectiveness is enhanced.

References

Brocco, E., Ninkovic, S., Marin, M., Whisstock, C., Bruseghin, M., Boschetti, G., Viti, R., Forlini, W., & Volpe, A. (2020). Diabetic foot management: multidisciplinary approach for advanced lesion rescue. The Journal of cardiovascular surgery59(5), 670–684. https://doi.org/10.23736/S0021-9509.18.10606-9

NURS FPX 4030 Assessment 3 PICO(T) Questions and an Evidence-Based Approach SC

Dankoly, U. S., Vissers, D., El Farkouch, Z., Kolasa, E., Ziyyat, A., Rompaey, B. V., & Maamri, A. (2021). Perceived Barriers, Benefits, Facilitators, and Attitudes of Health Professionals Towards Multidisciplinary Team Care in Type 2 Diabetes Management: A Systematic Review. Current diabetes reviews17(6), e111020207812. https://doi.org/10.2174/1573399816999201110200126

Gregory, N. S., Seley, J. J., Dargar, S. K., Galla, N., Gerber, L. M., & Lee, J. I. (2018). Strategies to prevent readmission in high-risk patients with diabetes: the importance of an interdisciplinary approach. Current Diabetes Reports18(8), 54. https://doi.org/10.1007/s11892-018-1027-z

Kilcrease, B. (2021). Evaluating sources with the CRAAP test. In Falsehood and Fallacy (pp. 47-74). University of Toronto Press.

Wichit, N., Mnatzaganian, G., Courtney, M., Schulz, P., & Johnson, M. (2019). Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes. Diabetes research and clinical practice123, 37–48. https://doi.org/10.1016/j.diabres.2016.11.013

Zuñiga, J. A., Huang, Y. C., Cuevas, H., Vasquez, L., & García, A. A. (2020). An interdisciplinary approach using case management and clinical pharmacy improves results for people with diabetes. Research in social & administrative pharmacy: RSAP16(10), 1387–1391. https://doi.org/10.1016/j.sapharm.2020.01.011

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