Chronic Pain Management Discussion Paper
Research Topic, Problem, and Question
Complete this worksheet to develop your research focus for this course. To help you better understand the main parts of research, this topic will be the basis for other assignments in the course.
Identify a Research Topic
Grove, Gray, and Polit (2015) define a research topic as “a concept or broad issue that is important to nursing, such as acute pain, chronic pain management, coping with illness, or health promotion” (p. 131)Chronic Pain Management Discussion Paper.
Define your broad research topic in one to two sentences.
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Management of Type 2 Diabetes: Best Practices for Facilitating Awareness and Self-Management
Identify your Research Problem
Grove, Gray, and Polit (2015) explain that a research problem “is an area in which there is a gap in the knowledge needed for nursing practice” (p.131).
Write your research problem and explain the significance and background in a 175- to 260-word narrative.
Diabetes is a crucial problem in the United States, and the growth in cases increases the need for creating awareness on the best practices to address the problem. While understanding the causes of the condition is imperative, the bigger issue should be whether care providers and patients are aware of the ways through which care quality can be improved. The nursing practice particularly plays an important role in patient-centered care and the advancement of evidence-based practice. In diabetes management, patient-centered care entails patient education and engagement to encourage better self-management practices. The main challenge in diabetes management is that patients and primary caregivers experience problems in self-care and self-management, which can lead to negative patient outcomes. Self-care and self-management are essential practices in healthcare because they empower the population to look after its physical, emotional, and mental health from an educated perspective. The lack of sufficient synthesis of the treatments and care practices that can reduce complications that result from the risk factors remains a challenge in the health sector. Having noted that attainment of self-care and management can reduce the potential of complications arising from diabetes, it is inevitable to suggest best practices that can improve the quality of care. There is an increased need to use evidence-based practices to promote patient and family education to support the management of Type 2 diabetes among Americans. In proposing the best practices, it is essential to consider the use of evidence-based approaches founded on the patient, intervention, comparison, outcome and (sometimes) time (PICOT) health care strategy Chronic Pain Management Discussion Paper.
Develop your Research Question
Research questions should be short, probing, and take variables into account (Grove, Gray & Polit, 2015). Although the PICOS format is not required, your question should address patient, intervention, comparisons, outcomes for practice, and study design.
Develop a one-sentence research question.
In adults at-risk and diagnosed with type 2 diabetes, does the implementation of comprehensive and multidisciplinary collaboration, including self-care management and awareness creation, help promote positive compliance to blood sugar control measures in comparison to conventional patient education? Chronic Pain Management Discussion Paper
Finding Evidence
The review of published literature is essential in the planning and design of research investigations, as well as in professional decision-making. When it comes to making decisions about care, evidence-based practice means focusing on the best evidence available, as well as the skills of a practitioner and the needs and values of the patient. When practitioners conduct a literature review, they may identify the best research information to guide their practices and develop guidelines and standards that are founded on strong evidence. A literature review of three peer-reviewed articles aims to answer the question of “In adults at-risk and diagnosed with type 2 diabetes, does the implementation of comprehensive and multidisciplinary collaboration, including self-care management and awareness creation, help promote positive compliance to blood sugar control measures in comparison to conventional patient education?”
Collaborative Care Model for Diabetes in Primary Care Settings
Abdulrhim et al. (2021) published an article in BMC Health Services Research in which they sought to investigate the efficacy of the Collaborative Care Model (CCM) in diabetes management in a primary hospital environment from the perspectives of patients with diabetes and medical personnel. According to the authors, few studies have examined how diabetics and their medical professionals perceive CCM, as well as its obstacles and enablers.
Semi-structured interviews with patients and healthcare workers who had experienced CCM in Qatar throughout the years 2019 and 2020 were done using an exploratory case study technique. Using a deductive-inductive theme analysis technique to analyze and interpret the data, the semi-structured interviews were transcribed verbatim and the data was analyzed and interpreted. The study involved twelve clinicians with a mean age of 47.9 years (range: 29 to 64) and 8.9 years (range: 1 to 15) of involvement in diabetes care. In a similar vein, 12 individuals with type 2 diabetes who had been diagnosed for an average of 8.7 8 years and had an average age of 53 8 years were involved Chronic Pain Management Discussion Paper.
According to the findings of the research, the participants reported having simple access to and communication with knowledgeable Healthcare practitioners. The patients liked the additional period spent with Healthcare personnel, the regular follow-up appointments, and the education services that gave them the confidence to control their blood sugar levels on their own. Healthcare practitioners stated that their self-interest in and dedication to caring for patients with diabetes was essential to providing effective CCM.
In general, this article would be appropriate for inclusion in a literature review. This is due to the fact that it has been able to give considerable new information about the worth and effect of interdisciplinary care models in diabetes care within a primary care context, emphasizing concrete successes like explicit role definitions and working interactions between patients and clinicians, improved health outcomes, and the practicality of applying the model in different care environments.
Interprofessional Collaboration in Diabetes Care
In their article published in the BMC Family Practice Journal, Szafran et al. (2019) sought to examine the degree to which healthcare practitioners cooperate with other clinicians in the care of diabetes type 2 patients. They compared family practitioners who are members of an interdisciplinary medical team known as a Primary Care Network (PCN) to practitioners who are not members of a PCN. A study of family doctors in Alberta, Canada, was conducted to determine the following factors: which clinicians they refer to or with whom they have cooperative agreements when managing diabetics; contentment and trust in other clinicians’ engagement in diabetes treatment; and perceived impact of having other practitioners engaged in diabetes management. Chi-squared and Fishers Exact tests were utilized.
It was discovered by the study’s results that family practitioners who are connected with a PCN report engaging additional medical practitioners in the treatment of diabetics to a larger extent than family practitioners who are not associated with a PCN. When it comes to how well health care workers collaborate, a variety of elements are at play. These include the establishment of trust, effective communication, and clearly defined roles and responsibilities Chronic Pain Management Discussion Paper.
For inclusion in a literature review, this research is appropriate because it offers new and important information on family practitioners’ perspectives of interprofessional teamwork in the care of diabetes type 2 patients, as well as on the impact that being a member of a healthcare team has on practitioners’ practice.
Multidisciplinary Collaboration in the Treatment of Patients with Type 2 Diabetes in Primary Care
According to their research published in the journal of Medical Internet Research, Conca et al. (2018) set out to determine if the manner in which practitioners coordinate their activities had an impact on the medical outcomes of diabetes patients. According to the authors, healthcare procedures are very adaptable and diverse, and healthcare providers are capable of collaborating in a number of different methods to manage diabetes.
This article offers an approach centered on the application of process mining to uncover trends of teamwork between physicians, nurses, and dietitians in the management of diabetics and to correlate these trends with the clinical progression of the patients. In order to control variability, clustering was employed as part of the preprocessing of data, and afterward, process mining was used to determine trends that may emerge. A total of 3369 people with type 2 diabetes were observed in three different health care facilities in Santiago, Chile. Thereafter, people with at least two documented HbA1c test results were added to allow for the measurement of their individual progression. There were a total of 2843 patients that satisfied these criteria.
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In the study’s results, it was discovered that the use of process mining methods to the electronic medical records of care settings allows for the investigation of teamwork among healthcare practitioners. The benefit of the selected technique is that it generates models that are simple to comprehend for healthcare professionals. With the use of these representations, the practitioners under consideration may be able to see the work being done at the care settings and have a better understanding of how their procedures are being carried out in practice, thus improving health outcomes for diabetes patients. For the reason that it gives a chance for medical facilities to learn how their procedures are being implemented and which kinds of teamwork result in greater results, this article is appropriate for inclusion in a literature review Chronic Pain Management Discussion Paper.
References
Abdulrhim, S., Sankaralingam, S., Ibrahim, M. I., Diab, M. I., Hussain, M. A., Al Raey, H., Ismail, M. T., & Awaisu, A. (2021). Collaborative care model for diabetes in primary care settings in Qatar: A qualitative exploration among healthcare professionals and patients who experienced the service. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06183-z
Conca, T., Saint-Pierre, C., Herskovic, V., Sepúlveda, M., Capurro, D., Prieto, F., & Fernandez-Llatas, C. (2018). Multidisciplinary collaboration in the treatment of patients with type 2 diabetes in primary care: Analysis using process mining. Journal of Medical Internet Research, 20(4), e127. https://doi.org/10.2196/jmir.8884
Szafran, O., Kennett, S. L., Bell, N. R., & Torti, J. M. (2019). Interprofessional collaboration in diabetes care: Perceptions of family physicians practicing in or not in a primary health care team. BMC Family Practice, 20(1). https://doi.org/10.1186/s12875-019-0932-9