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Running Head: PRE-DIABETES 1
Research Paper:
Pre-Diabetes
Firstname Lastname
Institute name
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PRE-DIABETES 2
Pre-Diabetes
The paper identifies the reason for selecting the topic, outlines the PICOT question,
describes the method for potentially integrating evidence found in clinical practice, and evaluates
the effectiveness of implemented methods.
Reason for Selecting the Topic
The topic selected for the paper is pre-diabetes. Pre-diabetes is defined as a condition
preceding diabetes in many patients (Khan et al. 2019). By definition, pre-diabetes is a condition
in which the fasting blood glucose levels range between 100mg/dl to 126 mg/dl (Geva et al.,
2019). Those who are pre-diabetic have strong chances of becoming diabetic sooner or later
(Hostalek, 2019). However, exercising caution during the pre-diabetes period can result in a
delay in the onset of type-2 diabetes mellitus (Colberg et al., 2010). This includes the adoption of
a healthy lifestyle with regular physical activity and dietary modifications (Shrestha & Ghimire,
2012).
The reason for choosing the topic is that it is a very important nursing practice problem.
The ideal interventions for pre-diabetes have been described to be lifestyle modifications.
Regular physical activity and dietary changes are the foremost lifestyle modifications which are
thought of having good effects not only in delaying the onset of type 2 diabetes mellitus in those
who have pre-diabetes, but also have a role in achieving optimal glycemic control in those who
are already suffering from diabetes mellitus (Shrivastava, Shrivastava & Ramasamy, 2013).
Outline of the PICOT Question
The PICOT question is formulated as follows:
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PRE-DIABETES 3
“In pre-diabetic clients, above the age of 35, prone to develop type-2 diabetes mellitus,
does an exercise and diet regiment compared no such exercise and diet regiment, delay the onset
of type-2 diabetes mellitus over one year?”
P: Population: Pre-diabetic client, above the age of 35 years, who are prone to develop
type 2 diabetes mellitus.
I: Intervention: Exercise and diet regimen.
C: Comparison: No exercise and diet regimen.
O: Outcome: Delay in the development of type 2 diabetes mellitus.
T: Time: One year.
Method for Possible Integration of Evidence found in Clinical Practice
The method for possible integration of evidence found in clinical practice is to integrate
the findings obtained from various sources of scientific evidence. These include the clinical and
nursing practice guidelines for the management of pre-diabetes and diabetes mellitus, expert
opinions from qualified clinicians, findings of original and primary research by investigators, and
systematic reviews and meta-analyses of studies already done by researchers. The findings from
the above-mentioned sources of evidence can be integrated after accessing, evaluating, and
synthesizing the evidence from various sources and determining the quality of evidence yielded
by each source.
Evaluation of Effectiveness of Implementation Methods
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PRE-DIABETES 4
The implementation of evidence obtained from the investigation of a nursing practice
problem through the PICO (T) format is done by using a nursing evidence-based practice change
model. One of the methods for implementing a nursing evidence-based change is the Johns
Hopkin’s model, which is aimed at simplifying the EBP process in 3 simple steps which include
proposing a nursing practice question, like the one stated above in the PICO (T) format,
obtaining the necessary evidence to answer the question in the light of findings from guidelines
and research studies, and translating the findings into the practice scenario to propose and
implement a practice change.
The effectiveness of the implementation methods is determined by measurement of the
change which occurs as a result of the implementation of the nursing practice change. This
includes a change in the incidence or prevalence of a disease or a reduction in a disease’s
outcomes.
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PRE-DIABETES 5
References
Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R.,
Chasan-Taber, L., Albright, A. L., Braun, B., American College of Sports Medicine, &
American Diabetes Association (2010). Exercise and type 2 diabetes: the American
College of Sports Medicine and the American Diabetes Association: a joint position
statement. Diabetes care, 33(12), e147e167. https://doi.org/10.2337/dc10-9990
Geva, M., Shlomai, G., Berkovich, A., Maor, E., Leibowitz, A., Tenenbaum, A., & Grossman, E.
(2019). The association between fasting plasma glucose and glycated hemoglobin in the
prediabetes range and future development of hypertension. Cardiovascular
diabetology, 18(1), 53. https://doi.org/10.1186/s12933-019-0859-4
Hostalek U. (2019). Global epidemiology of prediabetes - present and future
perspectives. Clinical diabetes and endocrinology, 5, 5. https://doi.org/10.1186/s40842-
019-0080-0
Khan, R., Chua, Z., Tan, J. C., Yang, Y., Liao, Z., & Zhao, Y. (2019). From Pre-Diabetes to
Diabetes: Diagnosis, Treatments, and Translational Research. Medicina (Kaunas,
Lithuania), 55(9), 546. https://doi.org/10.3390/medicina55090546
Shrestha, P., & Ghimire, L. (2012). A review about the effect of life style modification on
diabetes and quality of life. Global journal of health science, 4(6), 185190.
https://doi.org/10.5539/gjhs.v4n6p185
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PRE-DIABETES 6
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management
of diabetes mellitus. Journal of diabetes and metabolic disorders, 12(1), 14.
https://doi.org/10.1186/2251-6581-12-14

Unformatted Attachment Preview

Running Head: PRE-DIABETES 1 Research Paper: Pre-Diabetes Firstname Lastname Institute name PRE-DIABETES 2 Pre-Diabetes The paper identifies the reason for selecting the topic, outlines the PICOT question, describes the method for potentially integrating evidence found in clinical practice, and evaluates the effectiveness of implemented methods. Reason for Selecting the Topic The topic selected for the paper is pre-diabetes. Pre-diabetes is defined as a condition preceding diabetes in many patients (Khan et al. 2019). By definition, pre-diabetes is a condition in which the fasting blood glucose levels range between 100mg/dl to 126 mg/dl (Geva et al., 2019). Those who are pre-diabetic have strong chances of becoming diabetic sooner or later (Hostalek, 2019). However, exercising caution during the pre-diabetes period can result in a delay in the onset of type-2 diabetes mellitus (Colberg et al., 2010). This includes the adoption of a healthy lifestyle with regular physical activity and dietary modifications (Shrestha & Ghimire, 2012). The reason for choosing the topic is that it is a very important nursing practice problem. The ideal interventions for pre-diabetes have been described to be lifestyle modifications. Regular physical activity and dietary changes are the foremost lifestyle modifications which are thought of having good effects not only in delaying the onset of type 2 diabetes mellitus in those who have pre-diabetes, but also have a role in achieving optimal glycemic control in those who are already suffering from diabetes mellitus (Shrivastava, Shrivastava & Ramasamy, 2013). Outline of the PICOT Question The PICOT question is formulated as follows: PRE-DIABETES 3 “In pre-diabetic clients, above the age of 35, prone to develop type-2 diabetes mellitus, does an exercise and diet regiment compared no such exercise and diet regiment, delay the onset of type-2 diabetes mellitus over one year?” P: Population: Pre-diabetic client, above the age of 35 years, who are prone to develop type 2 diabetes mellitus. I: Intervention: Exercise and diet regimen. C: Comparison: No exercise and diet regimen. O: Outcome: Delay in the development of type 2 diabetes mellitus. T: Time: One year. Method for Possible Integration of Evidence found in Clinical Practice The method for possible integration of evidence found in clinical practice is to integrate the findings obtained from various sources of scientific evidence. These include the clinical and nursing practice guidelines for the management of pre-diabetes and diabetes mellitus, expert opinions from qualified clinicians, findings of original and primary research by investigators, and systematic reviews and meta-analyses of studies already done by researchers. The findings from the above-mentioned sources of evidence can be integrated after accessing, evaluating, and synthesizing the evidence from various sources and determining the quality of evidence yielded by each source. Evaluation of Effectiveness of Implementation Methods PRE-DIABETES 4 The implementation of evidence obtained from the investigation of a nursing practice problem through the PICO (T) format is done by using a nursing evidence-based practice change model. One of the methods for implementing a nursing evidence-based change is the Johns Hopkin’s model, which is aimed at simplifying the EBP process in 3 simple steps which include proposing a nursing practice question, like the one stated above in the PICO (T) format, obtaining the necessary evidence to answer the question in the light of findings from guidelines and research studies, and translating the findings into the practice scenario to propose and implement a practice change. The effectiveness of the implementation methods is determined by measurement of the change which occurs as a result of the implementation of the nursing practice change. This includes a change in the incidence or prevalence of a disease or a reduction in a disease’s outcomes. PRE-DIABETES 5 References Colberg, S. R., Sigal, R. J., Fernhall, B., Regensteiner, J. G., Blissmer, B. J., Rubin, R. R., Chasan-Taber, L., Albright, A. L., Braun, B., American College of Sports Medicine, & American Diabetes Association (2010). Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: a joint position statement. Diabetes care, 33(12), e147–e167. https://doi.org/10.2337/dc10-9990 Geva, M., Shlomai, G., Berkovich, A., Maor, E., Leibowitz, A., Tenenbaum, A., & Grossman, E. (2019). The association between fasting plasma glucose and glycated hemoglobin in the prediabetes range and future development of hypertension. Cardiovascular diabetology, 18(1), 53. https://doi.org/10.1186/s12933-019-0859-4 Hostalek U. (2019). Global epidemiology of prediabetes - present and future perspectives. Clinical diabetes and endocrinology, 5, 5. https://doi.org/10.1186/s40842019-0080-0 Khan, R., Chua, Z., Tan, J. C., Yang, Y., Liao, Z., & Zhao, Y. (2019). From Pre-Diabetes to Diabetes: Diagnosis, Treatments, and Translational Research. Medicina (Kaunas, Lithuania), 55(9), 546. https://doi.org/10.3390/medicina55090546 Shrestha, P., & Ghimire, L. (2012). A review about the effect of life style modification on diabetes and quality of life. Global journal of health science, 4(6), 185–190. https://doi.org/10.5539/gjhs.v4n6p185 PRE-DIABETES 6 Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of diabetes and metabolic disorders, 12(1), 14. https://doi.org/10.1186/2251-6581-12-14 Name: Description: ...
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