This assignment aims to incorporate the instructor-recommended revisions or changes

This assignment aims to incorporate the instructor-recommended revisions or changes from Topic 3, “Rough Draft – Research Critiques and Evidence-Based Practice Proposal,” to develop a 1,500-1,750-word final draft. Use the “Research Critiques and Evidence-Based Practice Proposal Guidelines” document to organize your essay. Questions under each heading should be addressed in the structure of a formal paper. To complete this assignment, you must cite at least four peer-reviewed sources. Sources must have been published within the past five years, be appropriate for the assignment criteria, and be relevant to nursing practice. Research Critiques and Evidence-Based Practice Proposal Research Critiques and Evidence-Based Practice ProposalType 2 diabetes is a growing public health concern, significantly impacting the quality of life and increasing healthcare costs. Effective management of this condition is crucial for preventing complications and enhancing patient outcomes. This literature review synthesizes research findings on diabetes self-management education and support (DSMES) programs, focusing on technology-enabled interventions. The aim is to provide a detailed overview that informs evidence-based practice changes, ultimately improving patient care for adults with type 2 diabetes. PICOT QuestionPICOT: In adults with type 2 diabetes (P), how does the implementation of technology-enabled DSMES interventions (I) compared to traditional DSMES programs (C) affect glycemic control and self-management behaviors (O) over six months (T)? Identified Practice Problem The prevalence of type 2 diabetes continues to rise, leading to increased morbidity, mortality, and healthcare expenditures. Traditional DSME programs often fail to fully engage patients, resulting in suboptimal self-management behaviors and poor glycemic control. The integration of technology into diabetes education offers a promising solution to address these challenges. By employing digital tools and platforms, healthcare providers can enhance patient engagement, tailor educational interventions, and ultimately improve health outcomes Review of the LiteratureQualitative Peer-Reviewed ArticlesArticle 1: Greenwood et al. (2017)Purpose/Aim: This systematic review evaluates the impact of technology-enabled DSMES interventions on various clinical, behavioral, and psychosocial outcomes.Method: The authors synthesized findings from 101 studies, encompassing randomized controlled trials and observational studies, with 21,867 participants with diabetes. They employed a narrative synthesis approach to analyze the findings.Key Findings: The review concluded that technology-enabled DSMES interventions significantly improve glycemic control, self-management behaviors, and psychosocial outcomes. Interventions were particularly effective when they were personalized, interactive, and incorporated behavior change techniques.Relevance to PICOT: This study underscores the importance of integrating technology into diabetes management programs. The evidence suggests that nurse-led self-management education programs that include technology components can effectively enhance glycemic control in adults with type 2 diabetes , directly supporting my PICOT question. Article 2: Torenholt et al. (2014)Purpose/Aim: This qualitative review explores the dynamics of patient-provider communication within evidence-based practice (EBP) settings in chronic illness management.Method: The review included 13 qualitative studies, analyzing the communication experiences of patients and healthcare providers using thematic analysis Key Findings: Effective communication is essential for successful diabetes management. Patients frequently felt their individual needs were not adequately addressed, while providers expressed constraints imposed by guidelines and protocols associated with EBP.Relevance to PICOT: This article emphasizes the need for collaborative communication strategies within DSMES programs to better meet patient needs. Effective communication is vital for the successful implementation of educational interventions and can significantly influence patient engagement and outcomes.Quantitative Peer-Reviewed ArticlesArticle 3: Song et al. (2020)Purpose/Aim: This integrative review assesses the characteristics and effectiveness of DSME programs specifically tailored for older adults with type 2 diabetes. Method: The review analyzed 23 studies involving a total of 4,995 older adults, examining a variety of DSME interventions through thematic analysis.Key Findings: DSME programs designed for older adults were effective in improving glycemic control, self-management behaviors, and overall quality of life. Programs that included individualized education, peer support, and technology-based components were particularly effective Relevance to PICOT : This research reinforces the assertion that targeted interventions can effectively address the unique challenges faced by older adults with diabetes, aligning with the aims of my PICOT question and the need for focused educational strategies Article 4: Luo et al. (2019) Purpose/Aim: This systematic review and meta-analysis identify factors influencing self-management in Chinese adults with type 2 diabetes .Method: The study reviewed 47 articles, encompassing 14,993 participants, to identify sociodemographic, clinical, psychosocial, and healthcare-related factors influencing self-management.Key Findings: Factors such as older age, lower education levels, longer diabetes duration, higher BMI, and poorer psychological well-being were associated with poorer self-management. Facilitators of self-management included social support, self-efficacy, and access to healthcare.Relevance to PICOT: Understanding these factors is vital for designing effective DSMES interventions that address the unique needs and barriers faced by adults with type 2 diabetes . This insight directly informs the implementation of targeted educational strategies within my PICOT framework.Synthesis of Findings The four selected articles collectively highlight the effectiveness of technology-enabled DSMES interventions and emphasize the importance of tailored approaches that consider individual patient needs and preferences. The qualitative and quantitative studies provide a comprehensive understanding of the multifaceted nature of diabetes self-management.Summary of Key FindingsTechnology-Enabled Interventions: Effective in improving glycemic control and self-management behaviors (Greenwood et al., 2017). These interventions, particularly when personalized and interactive, significantly impact clinical and psychosocial outcomes. Patient-Centered Communication: Essential for fostering successful diabetes management and improving patient engagement (Torenholt et al., 2014). A collaborative approach is necessary to ensure individual patient needs are addressed.Targeted Programs for Older Adults: Particularly beneficial in enhancing outcomes among older populations (Song et al., 2020). Programs that incorporate individualized education and peer support yield positive results.Influential Factors: Factors such as social support and self-efficacy significantly impact self-management behaviors (Luo et al., 2019). Recognizing and addressing these factors is crucial for program success.Anticipated OutcomesImplementing technology-enabled DSMES interventions is expected to lead to:Improved Glycemic Control: By enhancing patient engagement and adherence to management strategies.Enhanced Self-Management Behaviors: Through personalized education and ongoing support.Increased Patient Satisfaction: By incorporating technology that aligns with patients’ preferences and lifestyles. These anticipated outcomes align with the goals of the PICOT question, aiming to provide evidence for effective practice changes. Comparison of OutcomesThe outcomes identified in the studies align closely with the anticipated results of the PICOT question. The systematic reviews and integrative analyses consistently demonstrate that technology-enhanced interventions result in better clinical outcomes and improved patient engagement compared to traditional approaches.Link Between PICOT Question and Research ArticlesThe selected articles provide substantial evidence linking the PICOT question to the identified nursing practice problem. They collectively support the need for innovative strategies, particularly technology-enabled solutions, to enhance diabetes self-management and improve patient outcomes.Evidence-Based Practice ProposalBased on the findings from the literature review, the proposed evidence-based practice change is to implement a nurse-led technology-enabled DSMES program for adults with type 2 diabetes. This program will incorporate mobile applications, telehealth consultations, and personalized education strategies tailored to individual patient needs.Implementation StepsProgram Development: Collaborate with healthcare professionals to design a comprehensive DSMES program that integrates technology. The program should include user-friendly mobile apps, telehealth platforms, and educational materials accessible to patients.Training: Provide training for nursing staff on technology use and effective communication strategies with patients. Staff should be equipped to facilitate patient engagement and support throughout the program.question. The systematic reviews and integrative analyses consistently demonstrate that technology-enhanced interventions result in better clinical outcomes and improved patient engagement compared to traditional approaches.Link Between PICOT Question and Research ArticlesThe selected articles provide substantial evidence linking the PICOT question to the identified nursing practice problem. They collectively support the need for innovative strategies, particularly technology-enabled solutions, to enhance diabetes self-management and improve patient outcomes.Evidence-Based Practice ProposalBased on the findings from the literature review, the proposed evidence-based practice change is to implement a nurse-led technology-enabled DSMES program for adults with type 2 diabetes. This program will incorporate mobile applications, telehealth consultations, and personalized education strategies tailored to individual patient needs.Implementation StepsProgram Development: Collaborate with healthcare professionals to design a comprehensive DSMES program that integrates technology. The program should include user-friendly mobile apps, telehealth platforms, and educational materials accessible to patients.Training: Provide training for nursing staff on technology use and effective communication strategies with patients. Staff should be equipped to facilitate patient engagement and support throughout the program. question. The systematic reviews and integrative analyses consistently demonstrate that technology-enhanced interventions result in better clinical outcomes and improved patient engagement compared to traditional approaches.Link Between PICOT Question and Research ArticlesThe selected articles provide substantial evidence linking the PICOT question to the identified nursing practice problem. They collectively support the need for innovative strategies, particularly technology-enabled solutions, to enhance diabetes self-management and improve patient outcomes.Evidence-Based Practice ProposalBased on the findings from the literature review, the proposed evidence-based practice change is to implement a nurse-led technology-enabled DSMES program for adults with type 2 diabetes. This program will incorporate mobile applications, telehealth consultations, and personalized education strategies tailored to individual patient needs.Implementation StepsProgram Development: Collaborate with healthcare professionals to design a comprehensive DSMES program that integrates technology. The program should include user-friendly mobile apps, telehealth platforms, and educational materials accessible to patients.Training: Provide training for nursing staff on technology use and effective communication strategies with patients. Staff should be equipped to facilitate patient engagement and support throughout the program. Patient Engagement: Involve patients in the development of the program to ensure it meets their needs and preferences. This could involve focus groups, surveys, or pilot testing phases to gather patient feedback.Evaluation: Establish metrics to evaluate the effectiveness of the program in improving glycemic control and patient satisfaction over time. This could include regular assessments of HbA1c levels, patient adherence rates, and qualitative feedback from participants.Expected Impact on Patient CareThe proposed changes are expected to lead to significant improvements in patient outcomes, including:Better Glycemic Control: Enhanced monitoring and management strategies through technology can lead to lower HbA1c levels and reduced risk of diabetes-related complications.Increased Self-Management Behaviors: Personalized interventions will empower patients to take an active role in their diabetes management, leading to sustained behavioral changes.Enhanced Quality of Life: Improved health outcomes and patient satisfaction will contribute to a better overall quality of life for adults with type 2 diabetes .Anticipated Challenges and SolutionsWhile implementing this evidence-based practice change, several challenges may arise: Technological Barriers: Some patients may lack access to or familiarity with technology. To address this, the program can offer training sessions and provide alternative options for those less comfortable with digital tools. Staff Resistance: Nursing staff may be hesitant to adopt new technologies or modify existing practices. To mitigate this, involve staff in the planning process and provide ongoing support and education about the new program’s benefits.Funding and Resources: Securing funding for technology initiatives can be challenging. Explore partnerships with local organizations or seek grant opportunities to support program implementation.This literature review demonstrates the critical role of technology-enabled DSMES interventions in addressing the nursing practice problem of diabetes management. The synthesis of qualitative and quantitative research findings provides a robust foundation for the proposed evidence-based practice change. By implementing a nurse-led, technology-driven DSMES program, healthcare providers can significantly improve outcomes for adults with type 2 diabetes ultimately enhancing the quality of care delivered in clinical settings. This comprehensive approach not only addresses the immediate needs of patients but also sets the stage for sustainable health improvements in the management of type 2 diabetes .In summary, the integration of technology into diabetes self-management education presents an innovative solution to longstanding challenges in patient engagement and care delivery. By tailoring interventions to meet the unique needs of diverse patient populations, healthcare providers can foster improved health outcomes and empower individuals to take charge of their diabetes management Revisions and changes indicated in the rough draft from instructor feedback for the introduction of nursing practice problem are thoroughly and accurately integrated into the final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for the statement of PICOT question are thoroughly and accurately integrated into final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for description of how the method of study in each of the four articles answers the associated research question are thoroughly and accurately integrated into final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for summary of the key findings of the four studies are thoroughly and accurately integrated into final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for explanation of anticipated outcomes for PICOT question, are thoroughly and accurately integrated into final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for comparison of outcomes of the four articles to the anticipated PICOT outcome, are thoroughly and accurately integrated into final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for description of the link between the PICOT question, research articles, and the identified nursing problem are thoroughly and accurately integrated into final draft OR no changes were indicated. Revisions and changes indicated in the rough draft from instructor feedback for proposal of evidence-based practice change to improve outcomes of patient care for identified setting are thoroughly and accurately integrated into final draft OR no changes were indicated. The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience. The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose. Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."