Assignment: Background of the Nursing Practice Problem

Assignment: Background of the Nursing Practice Problem

Assignment: Background of the Nursing Practice Problem

Short Paper Instructions as follow:

Use 7th ed. APA (title page, body of the paper – maximum 2 pages of narrative body, citation formatting, and reference page).

Submit a refined background of the nursing practice problem. Max 2-3 paragraphs. Provide citations.

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Identify a theory, theoretical framework, or conceptual model that may help explain your findings and provide rationale. Learners should refer to retrieved articles or your theory textbook. Maximum 1 paragraph.

Report your final PICO(T) question.

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Explain how your PICO(T) question evolved and the reason for the change OR substantiate why there was no need to change the developed PICO(T) question. Maximum 1 paragraph.

PICOT QUESTION

For children with ages of 3-12 who are diagnosed with type 1 diabetes and hospitalized with Diabetes Ketoacidosis, monitoring can prevent these hospitalizations, finger sticks glucose monitors or transdermal glucose monitor

P = children age of 3-12 with type 1 diabetes hospitalized with diabetes ketoacidosis

I = transdermal glucose monitor

C = finger stick glucose monitor

O = Decreases DKA hospitalizations

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PICOT Question

Background of the Nursing Practice Problem

Type 1 diabetes in younger children can be extremely challenging for various reasons. One is the fact that they are still learning how to communicate, sharing symptoms and abnormal physiological and psychosocial functions are not quite there yet to share and tell the symptoms they are experiencing. Parents often struggle to maintain and manage the sugars to avoid hyper or hypoglycemic levels unless there is constant sugar monitoring (Arafa & Alwakeel, 2020). Uncontrolled glucose levels often lead to Diabetic ketoacidosis (DKA) and hospitalizations.

Studies suggest that a transdermal glucose monitor can be an easier, less painful, and more effective way to maintain and help monitor the management of diabetes type 1 in younger children (Hilliard et al., 2019). This is because it tracks daily glucose levels and reports hyper or hypoglycemia episodes. The method is a better way to manage diabetes and give insulin treatments. My research aims to identify whether transdermal glucose monitoring can be validated to decrease DKA hospitalizations.

Theory

Orem’s Theory of Self-Care Deficit is the identified theory that can help explain my research findings and provide rationale.  The self-care theory states that every person has self-care needs and the right and ability to meet these needs themselves except when their ability is compromised in some way. Self-care requisites are universal since they are common to all human beings and associated with human functioning and life processes (Yip, 2021). The theory applies to my research since the child with diabetes or their caregiver must understand how to monitor their glucose levels, decide the interventions needed to address abnormal glucose levels, and implement them.

PICO(T) question: For children aged 3-12  with type 1 diabetes and hospitalized with Diabetes Ketoacidosis (P), can Transdermal glucose monitoring (I) compared to Finger stick glucose monitoring (C) decrease DKA hospitalizations (O) within six months (T)?

How the PICO(T) Question Evolved

The PICOT question was derived from my hairdresser’s confession that transdermal glucose monitoring has changed her child’s life by minimizing hospital visitations and hospitalization. It has also alleviated the struggles in caring for her 3-year-old with diabetes. Consequently, I came up with a clinical inquiry into how continuous glucose monitoring (CGM) can help reduce hospitalizations among diabetics. Since CGM can be performed using various devices, I changed my PICOT intervention to be specific to Transdermal glucose monitoring. Furthermore, I change the population from the general diabetes population to children 3-12 years with Type I diabetes.

References

Arafa, S. M., & Alwakeel, M. E. (2020). Effect of caring for children with type I diabetes on parent’s life. The Scientific Journal of Al-Azhar Medical Faculty, Girls, 4(1), 66-70. DOI: 10.4103/sjamf.sjamf_4_20

Hilliard, M. E., Levy, W., Anderson, B. J., Whitehouse, A. L., Commissariat, P. V., Harrington, K. R., Laffel, L. M., Miller, K. M., Van Name, M., Tamborlane, W. V., DeSalvo, D. J., & DiMeglio, L. A. (2019). Benefits and Barriers of Continuous Glucose Monitoring in Young Children with Type 1 Diabetes. Diabetes Technology & Therapeutics, 21(9), 493–498. https://doi.org/10.1089/dia.2019.0142

Yip, J. (2021). Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem’s Self-Care Deficit Nursing Theory. SAGE open nursing, 7, 23779608211011993. https://doi.org/10.1177/23779608211011993

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