Discussion: Proposed Research Design for PICOT Question (2 points): Content Proposed Research Design is applicable to PICOT question Response to Peer Posting Possible Points Possible Points 0.5 Points Research design is not well-defined and/or enough detail is not provided to guide the PICOT question Possible Points 1.0 Point 0 Points The research No research design is welldesign is defined and identified. described in No details are enough detail to provided to guide the guide the PICOT question PICOT question. 1.0 Point 0.5 Points 0 Points Detailed Response not detailed No peer response is response enough to provide posted provided to one guidance for the peer in response development of the to their research research design. design. Response provides guidance for the development of the research design. Comments/ Points Earned UTI is an infection that affects the urinary tract (urethra, ureter, kidneys, bladder, and prostate in men) and it is more prevalent in women than in men. Besides, diabetic patients are more prone to UTI further complicating their conditions which, if not well managed, may lead to costly medical care (Aswani et al., 2014). Therefore, this PICOT question focuses on preventing urinary tract infections in diabetic patients using EBP. The rationale that the researcher used to arrive at researching this area was that patients with type 2 diabetes mellitus had higher chances of being infected by UTI than those without diabetes (Aswani et al., 2014). A study indicated that 9% of the diabetic patients are at risk of getting UTI as compared to 6% of those without diabetes. On the other hand, a different study indicated that diabetic patients had a 60% higher risk of getting UTI as compared to other people without diabetes (Pagano et al., 2017). Poor circulation has been pointed out as one of the factors that increase the chance of diabetic patients getting UTI as it limits the ability of white blood cells to travel in the body and contain any infection effectively. On the other, the study uses women as opposed to members of both genders as women have a higher chance of contracting UTI than men hence the increasing the possibility of achieving more accurate results. PICOT Question In adult type 2 diabetic women (P) does increasing fluid intake to two liters per day (I) prevent the occurrence of UTI’s (O) when compared with patients who have less than 1 liter of fluid intake daily (C) over a period of three months (T). The PICOT elements are as follows: Population: Adult Diabetic Type 2 Patients Intervention: Taking two liters of water per day Comparison: One group of diabetic patients with increased fluid intakes of two liters per day vs a group of diabetic patients with regular fluid intake under one liter per day Outcome: Prevent incidents of UTI occurrences among diabetic type 2 females Time: Duration of the study will be 3 months during which urine samples will be collected every two weeks. References Aswani, S.M., Chandrashekar, U.K., Shivashankara, K.N., & Pruthvi, B.C. (2014). Usually turn non-diabetics. Australasian Medical Journal, 7(1), 29-34. Foxman, B., & Buxton, M. (2013). Alternative approaches to conventional treatment of acute uncomplicated urinary tract infection in women. Current Infectious Disease Reports, 15(2), 124-9. Pagano, M.J., Barbalat, Y., Theofanides, M.C., Edokpolo, L., James, M.B., & Cooper, K.L.(2017). Diagnostic yield of cystoscopy in the evaluation of recurrent urinary tract infection in women. Neurourology and Urodynamics, 36(3), 692-696.
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