Assignment: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Assignment: The Use of Clinical Systems to Improve Outcomes and Efficiencies

Assignment: The Use of Clinical Systems to Improve Outcomes and Efficiencies

The Use of Messaging Systems in Improving the Self-Management of Diabetes 1 Mellitus (T1DM) and Diabetes 2 Mellitus (T2DM)

The rising prevalence of type 2 diabetes necessitates wide-reaching and low-cost interventions to achieve more effective self-management. The self-management of T1D is challenging for patients and their relatives. Patients and their relatives must self-monitor blood glucose levels and observe hypoglycemia symptoms, including constant hunger, blurred vision, tiredness, and managing insulin treatment, and conducting other activities to prevent diabetes complications. Similarly, the management of T2D is associated with some challenges, especially among patients living in remote places where health care is not readily accessible. Consequently, messaging systems have been introduced to enhance communication between the patients and their care providers. This annotated bibliography will summarize studies about using the messaging system to improve self-management of diabetes 1 Mellitus (T1D) and diabetes 2 Mellitus (T2D).

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Annotated Bibliography

Dobson, R et al.  (2018). Effectiveness of text message-based diabetes self-management support program (SMS4BG): two arms, parallel randomized controlled trial. BMJ; 361 doi: https://doi.org/10.1136/bmj.k1959

            In this parallel randomized controlled trial, Dobson et al. (2018) examined the efficacy of text messages supporting diabetes self-management. The authors utilized a two-arm, parallel randomized controlled trial as their study design. The study was conducted in both Primary and secondary healthcare services provided to diabetes patients in New Zealand. The study involved 366 participants aged 16 years and above with poorly controlled diabetes. A tailored package of text messages was sent to the intervention group for up to nine months alongside their usual care. These text messages provided patients with information, motivation, support, and reminders regarding their diabetes self-management and recommendable lifestyle behaviors. Only usual care was provided to the control group. An automated content management system was designed to deliver the messages. The study findings indicated that a tailored, text message-based resulted in a significant reduction in glycemic control (HbA1) after nine months. Therefore, it was learned that a customized, text message-based effectively reduces HbA1 among diabetes patients.

Abaza, H & Marschollek, M. (2017). SMS education for the promotion of diabetes self-management in low- & middle-income countries: a pilot randomized controlled trial in Egypt. BMC Public Health; 17 (962): 2-19.  DOI 10.1186/s12889-017-4973-5

            Abaza and Marschollek (2017) conducted a pilot randomized controlled trial in Egypt to assess the effect of SMS education in promoting diabetes self-management among diabetes patients in middle- and low-income countries. The study was triggered by the ubiquity of mobile phones in these countries. Abaza and Marschollek (2017) selected Misr University for Science & Technology hospital in Cairo-Egypt as their setting for a 12-week randomized controlled trial during a diabetes education program. The participants were diabetes patients who owned a mobile phone. The participants could either read SMS messages or were residing with someone who could read for them. The researchers sent 3880 messages to the participants within 12 weeks. The study’s primary and secondary outcomes were changes in HbA1c and satisfaction with the program, respectively. The study findings indicated that the patients achieved the targeted HbA1c reductions and were fully satisfied with the program. This study indicates improvements in HbA1c and efficiencies in self-management of diabetes. Therefore, it was learned that SMS messages should be incorporated into clinical practices to enhance the self-management of diabetes.

Nelson, L, A et al. (2021). Effects of a Tailored Text Messaging Intervention Among Diverse Adults with Type 2 Diabetes: Evidence From the 15-Month REACH Randomized Controlled Trial. Diabetes Care; 44(1): 26-34.

https://doi.org/10.2337/dc20-0961

            Nelson et al. (2021) conducted a Randomized Controlled Trial (RCT) to evaluate the impact of tailored text messaging intervention in enhancing self-management among diverse adults diagnosed with T2D. The participants of the 15-month randomized controlled trial (RCT) were Adults with type 2 diabetes. The participants received education/encouragement messages for 12 months. The researchers ensured that the participants received tailored texts about medication adherence, interactive texts, and nontailored texts to facilitate self-care behaviors. The outcome measures for this study included hemoglobin A1c (HbA1c), diabetes medication adherence, and self-efficacy. The study findings indicated significant improvement in medication adherence and diet through 12 months. Additionally, self-efficacy was reported through 6 months. This study indicates that sending texts to diabetes patients is an effective intervention for improving adherence, self-efficacy, and HbA1c. Therefore, it is learned that nurses should incorporate texting into their clinical practices to enhance diabetes self-care.

Wanget al. (2020). The role of text messaging intervention in Inner Mongolia among patients with type 2 diabetes mellitus: a randomized controlled trial. BMC Medical Informatics and Decision Making; 20 (90): 1-12. https://doi.org/10.1186/s12911-020-01129-7

This study was conducted to assess the effect of short messages service (SMS) on adherence of self-management among patients with diabetes. A panel of experts designed patient-centered health education messages and assessed the feasibility of those messages. The researchers divided the participants into two groups intervention group (IG) and a control group (CG). Evaluated messages were sent to the intervention group (IG), while regular education was provided to the control group (CG). The primary outcomes for this study were changes in control rates and plasma glucose, while improvements in diet control, weight control, and physical activities were the secondary outcomes. The researchers sent a total of 42 messages to the patients during the study period. The messages covered five main domains, including health awareness, physical activities, diet control, living habits, and weight control. The study findings indicated that the high-quality messages improved various domains, including health awareness, physical activities, diet control, living habits, and weight control. Therefore, the article indicates the effectiveness of SMS in improving the five areas, including health awareness, physical activities, diet control, living habits, and weight control. It was learned that nurses could incorporated text messages into their clinical practices to improve health awareness, physical activities, diet control, living habits, and weight control, thereby enhancing diabetes self-care among individuals diagnosed with the condition.

            These articles indicate that text messaging is an effective intervention in improving self-management among diabetes patients. The use of messaging system strengthens the relationship and enhanced interaction between health care professionals and diabetes patients, thereby enhancing self-management of T1D. Additionally, clinicians utilize text messaging to provide diabetes patients with information about recommended lifestyle changes, including taking low-calories food and regular exercise to improve glycemic control. Text messages improve various areas of diabetes care, including health awareness, physical activities, diet control, living habits, and weight control. Furthermore, the use of text messages results in an improvement in hemoglobin A1c (HbA1c), diabetes medication adherence, and self-efficacy. Therefore, care providers should incorporate text messaging into their clinical practices to enhance diabetes self-management.

References

Abaza, H & Marschollek, M. (2017). SMS education for the promotion of diabetes self-management in low- & middle-income countries: a pilot randomized controlled trial in Egypt. BMC Public Health; 17 (962): 2-19.  DOI 10.1186/s12889-017-4973-5

Dobson, R et al.  (2018). Effectiveness of text message-based diabetes self-management support programme (SMS4BG): a two-arm, parallel randomized controlled trial. BMJ; 361 doi: https://doi.org/10.1136/bmj.k1959

https://doi.org/10.2337/dc20-0961

Nelson, L, A. (2021). Effects of a Tailored Text Messaging Intervention Among Diverse Adults with Type 2 Diabetes: Evidence From the 15-Month REACH Randomized Controlled Trial. Diabetes Care; 44(1): 26-34.

Wanget al. (2020). The role of text messaging intervention in Inner Mongolia among patients with type 2 diabetes mellitus: a randomized controlled trial. BMC Medical Informatics and Decision Making; 20 (90): 1-12. https://doi.org/10.1186/s12911-020-01129-7

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New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
To Prepare:
Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
Use APA format and include a title page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.