Diabetes management

Running head: DIABETES MANAGEMENT
1
In adult patient with diabetes, how effective are the bedside nurses in educating the patients on
diabetic management compared to patients that self-educate in preventing diabetic crisis during
hospital stay and after discharge?
Name
Institution
March 24, 2018
DIABETES MANAGEMENT
2
Introduction
The principles of diabetes management have changed significantly over the years. These
rapid changes have made it difficult for bedside nurses to keep up with the best diabetes
management practices that consider patient values and improve care. The quality of medical care
regarding the management of diabetes can be greatly compromised because of the lack of
knowledge on new and effective diabetes management practices. Diabetes is a difficult disease to
manage and has been identified as the 7
th
leading cause of death in the United States. The disease
affects about 24 million people in the country, an indication that effective treatment measures are
necessary. The key objective of this study is to determine how effective bedside nurses are in
educating adult patients on diabetes management compared to patients that self-educate in
preventing diabetes crisis during hospital stay and after discharge.
Article by Modic et al. (2014)
Modic et al. (2014) examine whether bedside nurses are equipped with the relevant
knowledge and skills to effectively manage diabetes. The study seeks to determine the extent to
which nurses are familiar, comfortable with, and knowledgeable on the principles of diabetes
management. It also aims to identify areas where there are persistent knowledge gaps even after
the nurses involved in the study have completed a four-hour educational program. The study
finds that nurses have limited knowledge on effective diabetes management approaches. It also
finds that age is negatively correlated to knowledge, an indication that older nurses do not find it
necessary to learn new ways of managing diabetes. The study also suggests that nurses may not
be aware that they are deficient in diabetes management knowledge, a factor that has contributed
to the low knowledge on effective management principles. The authors also establish that
DIABETES MANAGEMENT
3
training improved the knowledge of the nurses. However, it not clear if the gains made are
sustainable.
Reliability
Reliability refers to the degree to which the findings of a study are dependable. While
most studies aim to answer a research question or fill a research gap, not all study findings are
reliable or useful (Grove, Gray, & Burns, 2004). It is important for study findings to be reliable
to ensure that the information accessed by readers can be used to solve various challenges in the
real world. The type of reliability required for this study is inter-observer reliability. It means
that similar findings can be found in the outcomes of related studies. The findings of the research
article are reliable because similar findings have been realized in similar studies.
Validity
Validity refers to information presented in a research article being factually sound. The
use of statistical principles to analyse the findings of the study enhance its validity. Convergent
validity can be identified in the study.
Article Strengths and Weaknesses
The strength of the article lies in its use of a descriptive study approach to explore the
research question. Descriptive statistics summarizes the basic findings of a study making it easier
to examine the results. The key weakness of the article is that the study was done in a single
facility.
Clinical Practice Guideline Summary
The guideline identified is “Diabetic foot problems: prevention and management” found
on the U.S. Department of Health and Human Services website.
DIABETES MANAGEMENT
4
Fourth Resource Summary
Coffey (2016) finds that diabetes is a difficult disease to manage and has been identified
as the 7
th
leading cause of death in the United States. The disease affects about 24 million people
in the country, an indication that effective treatment measures are necessary. It also determines
that education on diabetes management improves the knowledge of bedside nurses caring for
patients with diabetes.
Conclusion
This paper establishes that education on diabetes management improves the knowledge
of bedside nurses caring for patients with diabetes. The study finds that nurses have limited
knowledge on effective diabetes management approaches. It also finds that age is negatively
correlated to knowledge, an indication that older nurses do not find it necessary to learn new
ways of managing diabetes. The study also suggests that nurses may not be aware that they are
deficient in diabetes management knowledge, a factor that has contributed to the low knowledge
on effective management principles. Healthcare organizations should educate nurses on new
diabetes management approaches to improve quality of care for diabetic patients.
DIABETES MANAGEMENT
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References
Coffey, A. (2016). The Impact of Diabetes Education on Nurses’ Knowledge of In-patient
Diabetes Management. Regis University.
Grove, S. K., Gray, J. R., & Burns, N. (2004). Understanding nursing research: Building and
evidence -based practice (6th ed.). Amsterdam: Saunders (W. B.) Co.
Modic, M. B., Vanderbilt, A., Siedlecki, S. L., Sauvey, R., Kaser, N., & Yager, C. (2014).
Diabetes management unawareness: what do bedside nurses know?. Applied Nursing
Research, 27(3), 157-161.
National Guideline Clearinghouse. (2018). Diabetic foot problems: prevention and management.
| National Guideline Clearinghouse. Guideline.gov. Retrieved 23 March 2018, from
https://www.guideline.gov/summaries/summary/49566/diabetic-foot-problems-
prevention-and-management?q=diabetes+management+

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