Every nurse wants to enhance the quality of healthcare by using evidence-based practice. To facilitate this, nurses should continuously research to diversify their knowledge and understanding on a particular subject, problem, or patient population. As a result, the nurse’s exploration should be guided by a framework that will aid in the conceptualization of a focused clinical question. The process of identifying relevant, credible sources will conceivably give answers and, consequently, develop an appropriate patient care plan. The PICOT process is a framework that guides learning to start the research process required to sustain evidence-based practice (EBP) in the healthcare setting. The PICOT system takes into account the affected population, prospective interventions that can resolve the problem, how they compare to other care provision options, research results, and the time needed to provide the best care services. This research will describe diabetes type II as the specific practice issue that would benefit from the PICO(T) framework, define evidence and present criteria/rationale, explain findings and significance to the PICO(T), and state which relevant findings result in positive results.
Use of the PICO (T) Approach in Diabetics Type II
The management of type II diabetes is the practice area of concern discussed in this research. The evidence-based concern is that diabetes self-management education is essential to providing a tool for diabetic control to newly diagnosed patients. Still, it does not always result in behavior and metabolic regulation of blood sugars (Adegbe, 2019). As a result, a PICO study is required to determine the efficacy of a comprehensive and multi-disciplinary approach to patient education in blood glucose control compliance compared to conventional patient education. Exercise, diet, and health promotion were all part of traditional DSME. Others included a blood sugar diagnostics presentation, treatments, and disease education. To attain the set objectives, the PICOT question used includes “Does the use of wide-ranging and multi-disciplinary collaboration help to accomplish greater compliance with blood glucose regulation in adults with type 2 diabetes when compared to traditional patient education?”
Identification of Sources of Evidence
Multiple sources in diabetes research provide pertinent data on the patient education framework conventionally used in promoting self-care management and a comprehensive approach to diabetes management. Each of these sources offers invaluable information on quality standards in type 2 diabetes management. To respond to the PICO question, the research looked at various scientific nursing database systems that provided sufficient evidence on a comprehensive approach compared to conventional patient education in preventing type 2 diabetes attributable to non – compliance with self-care standards.
A wide range of sources is necessary to ensure that the evidence applies to various study contexts. Cochrane Library, PubMed, ProQuest, and CINAHL are the main databases identified as sources of evidence. The Cochrane Library is essential in the retrieval of systematic reviews capable of providing the evidence required. PubMed is another significant database that contains data from the United States National Library of Medicine, run by the National Institute of Health. As an essential component of evidence-based practice, ProQuest could be evaluated to provide the needed details from academic, government, and corporate entities. As a result, the databases used for the evidence-based practice PICO question on type 2 diabetes offered required data.
Findings from Articles
In the article, the interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios. McGill et al. (2017) assessed the effects of an integrative framework in type 2 diabetes treatment. According to the research results, practice settings require introducing interdisciplinary care to improve care for patients with type 2 diabetes, despite the challenges of constrained resources and hierarchical organization frameworks. Collaboration in diabetes treatment can enhance effective communication, timely responses, and patients’ access to the right specialist, optimizing the patient’s capacity to manage the condition and preventing complications that might harm glucose control and cardiometabolic risk elements (Boswell & Cannon, 2018). These initiatives are met on time by integrating an integrated framework to provide intervention strategies and education to patients.
In the article, Interprofessional collaboration in diabetes care: perceptions of family physicians practicing in or not in a primary health care team, Szafran et al. (2019) appraised a multi-disciplinary approach to managing type 2 diabetes. Based on the findings, family physicians revealed a high level of satisfaction and increased confidence with doctors when collaborating in a multi-disciplinary set for diabetes management. The interdisciplinary teams’ major players would include health care providers, practitioners, nurses, dieticians, physiotherapists, and social workers. Interdisciplinary collaboration enhanced delegation of responsibilities, making diabetes training more convenient and facilitating patient tracking and adjustments. These findings indicate that interdisciplinary collaboration might help address problems confronting the American healthcare system in type 2 diabetes treatment by suggesting that such a strategy could diverge from traditional interventions.
The Relevance of Findings from Articles
Every researcher is responsible for determining the significance of all research articles meant for study. As a result, they have the best available evidence for the research topic. As stated in the PICO question, the research aims to ascertain whether or not the interdisciplinary approach can provide a solution to the availability of standard practices in type 2 diabetes treatment. The outlined articles present a holistic overview of incorporating evidence-based initiatives to solve the problems linked to type 2 diabetes self-care management. According to McGill et al. (2017), the sources identified as forms of evidence are strongly similar to type 2 diabetes care, with an overarching high efficacy in using a multi-disciplinary collaborative effort team strategy to diabetic patient care in preventing complications. There are instrumental challenges in conventional patient education that an inter-disciplinary collaborative team strategy can resolve. These findings are consistent with the PICO question regarding identifying the appropriate methodologies to type 2 diabetes care.
The article drafted by Szafran et al. (2019) passes the CRAAP test regarding capability, jurisdiction, accuracy, intent, and significance. It’s from the journal Diabetes, Metabolic Syndrome, and Obesity. As a result, it is relevant to my research topic. The work acknowledges previous research in the field and verifies each argument with the prior study. It is crucial to my research since it demonstrates the significance of a diabetes self-management plan and an inter-disciplinary team methodology in reducing diabetic levels.
Conclusion
Diabetes is a major issue in the world today. A PICO approach, on the other hand, is effective in providing evidence-based solutions. As ascertained by identifying significant articles to my PICO, an interdisciplinary care approach is the single most important part of inpatient care compared to conventional practices. The findings suggested that interdisciplinary collaboration could be an effective strategy for reducing complications in type 2 diabetes patients by ensuring that guidelines are followed correctly and that patients receive the necessary level of support. Therefore, there is a decrease in the cost of inpatient care, enhanced patient results, and improved gratification.
