Week 10 Module Discussion Board: Developing and Researching an Evidence-Informed Public Health (EIHP) PICOT Question

1. Think of a policy issue that interests you.

***Using the health policy PICOT Question Template, formulate a question for the topic***

2. Share your PICOT question with us, as well as your plan for collecting the global and local evidence related to the topic.
3. Where will you get the information for each (global and local)?
4. Specifically, how will you find the information?

Week 10 Module Reading Assignments

Read the following from the course textbooks (Chapter 8) for week 10 assignment:

 

Loversidge, J. & Zurmehly, J. (2019). Evidence-Informed Health Policy: Using EBP to Transform Policy in Nursing and Healthcare. Indianapolis, IN: Sigma Global Nursing Excellence.

 

 

Discussion Board Initial Posting Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRelevance to the topic or problem	20 pts Exemplary 18-20 points. The posting directly addresses key issues, questions, or problems related to the text and the discussion activity. The posting applies course concepts well, connecting them to the actual activity. 17 pts Satisfactory 15-17 points. The posting addresses key issues, questions or problems related to the text and the discussion activity, but in some cases only indirectly or obliquely. It does not always apply course concepts fully. 0 pts Unsatisfactory 0-14 points. The posting does not directly address the question or problem posted by the discussion activity.	20 pts
This criterion is linked to a Learning OutcomeInsight and application of course concepts	40 pts Exemplary 37-40 points. The posting offers original or thoughtful insight, analysis, or observation that demonstrates a strong grasp of concepts and ideas pertaining to the discussion topic. 36 pts Satisfactory 30-36 points. The posting does offer some insight, analysis, or observation related to the topic, but may not demonstrate a full understanding or knowledge of concepts and ideas pertaining to the discussion topic. 0 pts Unsatisfactory 0-29 points. The posting does not offer any significant insight, analysis or observation related to the topic. No knowledge or understanding is demonstrated regarding concepts and ideas pertaining to the discussion topic.	40 pts
This criterion is linked to a Learning OutcomeUse of evidence and support	25 pts Exemplary 23-25 points. The posting supports all claims and opinions with either rational argument or evidence. Evidence is documented with appropriate citations. 22 pts Satisfactory 19-22 points. The posting generally supports claims and opinions with evidence or argument, but may leave some gaps where unsupported opinions still appear. 0 pts Unsatisfactory 0-18 points. The posting does not support its claims with either evidence or argument. The posting contains largely unsupported opinion.	25 pts
This criterion is linked to a Learning OutcomeGrammar, Punctuation & APA	15 pts Exemplary 14-15 points. The posting has less than 3 errors in grammar, Punctuation, and/or APA. 13 pts Satisfactory 11-13 points. The posting has 3-5 errors in Grammar, Punctuation, and/or APA. 0 pts Unsatisfactory 0-10 points. The posting has more than 5 errors in Grammar, Punctuation, and/or APA.	15 pts
Total Points: 100

Developing & Researching an EIPH PICOT Question

Diabetes has become a public health concern in today’s society due to related deaths and health impacts. Its effective management requires a multidisciplinary approach that is guided by the application of evidence-based public health interventions (WHO, 2021). Diabetes is a chronic condition that is characterized by excessive levels of glucose in the blood. The disease usually occurs when the body is unable to secrete sufficient insulin, a hormone that plays a role in the control of blood glucose concentration. This form of diabetes is known as type 2 diabetes. Diabetes also occurs when the body is unable to effectively utilize the insulin that is produced by the pancreas. This form of diabetes is known as type 1 diabetes (WHO, 2021). The common effect of uncontrolled diabetes is hyperglycemia. Hyperglycemia leads to severe damage to body organs and it is the primary cause of mortality and morbidity in patients with diabetes.

Nurses should participate in research to generate evidence that can be applied to reduce mortality rates due to diabetes. World Health Organization statistics indicate that approximately 9% of adults have diabetes. In the year 2020 alone, about 1.5 million people died due to diabetes as the direct cause of death (WHO, 2021). Deaths due to diabetes have been on the rise and are expected to rise even further by the year 2025 (WHO, 2018). Diabetes-related deaths are attributed to higher-than-optimal blood glucose levels. Essentially, poor blood glucose monitoring is directly associated with morbidity and mortality in patients with diabetes. The World Health Organization further reports that premature mortality rates due to diabetes are higher in low-income countries than in high-income countries.

Evidence-based treatment interventions for patients with diabetes are dietary management and drug use. These interventions help to lower the concentrations of blood glucose thereby preventing morbidity and mortality. Many patients, especially those residing in rural areas, face a great challenge when it comes to diabetes management at home due to limited knowledge about glucose monitoring (Haghighatpanah et al., 2018). Therefore, it is anticipated that educating adults with diabetes about glucose monitoring can help to lower premature mortality rates. Before this intervention can be applied to adult patients with diabetes, it is important to conduct research with the aim of gathering evidence that will tell its effectiveness or ineffectiveness.

PICOT

P: Adult diabetes patients

I: Provide daily nurse-led education about glucose monitoring at home

C: Medications alone

O: Reduced premature mortality rates

T: 6 months

How does providing daily nurse-led education about glucose monitoring at home compared to medications alone affect premature mortality rates within 6 months in adults with type 2 diabetes? 

To effectively address the above question, the primary investigator will collect both local and global data related to the chosen intervention and premature mortality rates due to type 2 diabetes. The investigator’s plan for collecting both global and local evidence related to premature mortality rates among adults with type-2 diabetes is to conduct a comprehensive literature search of global health data, local health statistics, and current empirical studies. Websites such as the World Health Organization, the Centers for Disease Control and Prevention, and Demographic and Health Surveys will serve as sources of global health data. The American Diabetes Association website, as well as the State and Local Statistics, will serve as sources of local health data. The investigator will obtain additional data from current peer-reviewed nursing journals local in various nursing databases.

References

WHO. (2021). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes

WHO. (2018). Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1

Haghighatpanah, M., Nejad, A., Haghighatpanah, M., Thunga, G., & Mallayasamy, S. (2018). Factors that correlate with poor glycemic control in type 2 diabetes mellitus patients with complications. Osong Public Health and Research Perspectives, 9(4), 167–174. https://doi.org/10.24171/j.phrp.2018.9.4.05