Research Critiques and PICOT Question Guidelines – Final Draft Use this document to organize the content from your four studies into your final draft. Successful completion of this assignment requires

Expert Solution Preview

Introduction:
As a medical professor responsible for designing and conducting lectures, evaluating student performance, and providing feedback through assignments and examinations, it is essential to address nursing practice problems. In this final draft, the nursing practice problem chosen is to improve care in Type 2 diabetic patients, particularly those with comorbidities. The purpose of this paper is to provide a critical analysis of four research articles, including two qualitative and two quantitative studies. This paper will discuss the significance of the four articles, their interventions and comparison groups, their methods, key findings, ethical considerations, and anticipated outcomes to identify potential evidence-based practice changes.

Updated PICOT Question:
P: Type 2 diabetic patients with comorbidities
I: Implementation of an interprofessional approach to managing diabetes care
C: Traditional diabetes management approach
O: Improved management of Type 2 diabetes and comorbidities, including better quality of life and reduced healthcare costs
T: Within one year of intervention implementation

Background of Studies:
The four studies identified include; “Enhancing Care for People with Type 2 Diabetes and Multimorbidity: A Qualitative Study Exploring the Care and Support Experiences of Patients and Healthcare Professionals,” “The Effects of a Nurse-Led Collaborative Model of Care on Type 2 Diabetes in Inner-City Outpatient Clinics,” “Examining the Impact of Multidisciplinary Collaborative Care on Management of Patients with Type 2 Diabetes in Primary Care,” and “A Comparative Study of the Effects of Team-Based Collaborative Diabetes Care on Clinical and Patient-Reported Outcomes in Primary Care.” These studies aim to identify ways to enhance care for Type 2 diabetic patients with comorbidities and evaluate the effectiveness of collaborative care models compared to traditional diabetes management approaches. The four studies have a significant impact on nursing practice by providing evidence to support interprofessional approaches to diabetes management.

How the Four Articles Support the Nursing Practice Problem:
The four articles will be used to answer the updated PICOT question by investigating the impact of interprofessional approaches on diabetes management. The studies’ interventions and comparison groups involved the use of an interdisciplinary team of healthcare providers in managing diabetes care. In contrast, the traditional diabetes management approach entails a single provider’s care. These studies demonstrated that interprofessional care models have positive impacts on the quality of life, healthcare costs, and diabetes management outcomes among diabetic patients with comorbidities.

Method of Studies:
The four research studies used varying methods, including qualitative, quantitative and mixed methods. The benefit of using a mixed methods approach is that it provides a more comprehensive analysis of data, utilizes a diverse range of data collection methods, and allows researchers to cover multiple research questions. The limitation of using mixed methods is that it requires more resources and expertise, making it challenging to conduct. Quantitative studies are beneficial since they are specific and precise, allowing for comparisons between groups, making them useful in developing evidence-based practices. Qualitative studies, on the other hand, provide a deeper understanding of patients’ experiences, making them suitable for developing interventions.

Results of Studies:
The studies’ key findings indicated that interprofessional approaches to diabetic care improve patient satisfaction, reduce healthcare costs, improve disease management outcomes, and enhance healthcare providers’ job satisfaction. The four studies provide insights into the interventions required to improve diabetes care for Type 2 diabetics with comorbidities. The studies demonstrate that the implementation of interprofessional teams led to significant improvements in diabetes management outcomes compared to traditional diabetes management approaches.

Ethical Considerations:
Some of the ethical considerations encountered in conducting research include confidentiality, informed consent, and privacy. The researchers in the four articles considered these ethical considerations by ensuring that participants had adequate information on the research study’s purpose, voluntariness, and potential risks and benefits before consenting. The participants had the right to withdraw at any time.

Outcomes Comparison:
The anticipated outcomes for the updated PICOT question are improved management of Type 2 diabetes and comorbidities, better quality of life, and reduced healthcare costs. The outcomes of the four articles demonstrate that interprofessional teams improve patient satisfaction, reduce healthcare costs, improve clinical outcomes, and enhance healthcare providers’ job satisfaction. The four studies support the anticipated outcomes identified in the PICOT question by demonstrating that interprofessional approaches are effective in improving diabetes care.

Proposed Evidence-Based Practice Change:
The link between the PICOT question, the research articles, and the nursing practice problem identified is the implementation of interprofessional care teams in managing diabetes care for Type 2 diabetic patients with comorbidities. Based on the evidence provided by the four articles, a proposed evidence-based practice change for the identified setting is to implement interprofessional care teams that include endocrinologists, nutritionists, pharmacists, and mental health professionals to improve diabetes management outcomes.

Conclusion:
In conclusion, the use of interprofessional care teams has demonstrated significant benefits in the management of Type 2 diabetes among patients with comorbidities. Nursing professionals can use this evidence to develop evidence-based practices aimed at improving diabetes management outcomes. Nursing professionals can collaborate with other healthcare providers to develop interventions that enhance diabetes care by utilizing interprofessional care teams.