CP – Week 9 Discussion 2nd REPLY

Reply to the following discussion by challenging the post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language.  
It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. 
KR Discussion:
 
PICOT Question “ In older adults aged 65 years or older living in the community with diabetes (Population) does a nurse practitioner led evidence based health education program on diabetes self-management (Intervention) compared to current protocols (Control) increase diabetes self-management efficacy (Outcome) in a period of  4 months? (Time)”

Who will benefit from receipt of this evidence?

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Two groups of people will benefit from this evidence. That is, primary care providers, (nurse practitioners), and registered nurses, as well as community residing older adults with diabetes. The evidence from the EBP will assist registered nurses and nurse practitioners in developing and implementing evidence based programs for improving diabetes self-management informed by current research. Nurse practitioners are skilled and trained to provide care in population groups across all ages, and are crucial in implementing evidence based preventive interventions and chronic disease management such as diabetes (Woo et al., 2017).

Where will this evidence have the greatest impact?

The evidence will greatly impact diabetes self-management efficacy for older community dwelling adults that are at elevated risks for diabetes associated poor health outcome and complications due to specific risk factors such as low social support, pre-existing conditions, inadequate diabetes self-management knowledge and low health services utilization (Kalyani et al., 2017).

What resources are needed?

Being a health education based type of EBP, the program is relatively inexpensive and includes costs for education materials such as posters, brochures, and hiring of venue for administering health education.  Technology for projection educational material s may also increase costs.

Who is the most appropriate audience?

Nurse practitioners, registered nurses, home based care givers.

What are the benefits of this evidence to your selected audience?

Sharing of the evidence will improve diabetes self-management efficacy in community dwelling older adults thus reducing the burden of mortality, comorbidity, and associated treatment costs (Kalyani et al., 2017).

What are the potential risks of failing to disseminate this evidence?

When left unmanaged, type 2 diabetes can cause various forms of serious health complications that are categorized as micro vascular and macro vascular. Micro vascular complications of type 2 diabetes entail nervous system disorders (neuropathy), damage to the renal system (nephropathy), and eyesight complications (retinopathy)  (Kalyani et al., 2017). Common macro vascular complications for type 2 diabetes  are cardiovascular diseases , heightened chances of stroke,  and peripheral vascular diseases that  are characterized by amputations originating from  non-healing  surface injuries and gangrene(Kalyani et al., 2017).Diabetes also puts a huge cost burden to the health system  making self-management desirable. Failure to disseminate the evidence from the EBP translates to missed opportunities of reducing diabetes health and cost burdens in community dwelling older adults.

What are the barriers to dissemination of evidence?

According to Kreuter and Wang (2016), major barriers in dissemination of evidence can be traced to inappropriate audience choice, poor communication strategy, and limitations in dissemination mediums or methods. The major barrier in evidence dissemination for this project is access to the vital audience, and difficulty in identifying an appropriate mode of dissemination due to the large volume of information involved.
The preferred mode of dissemination is a PowerPoint presentation. PowerPoint allows collaborative presentations of data with multiple uses that enhances effective way of communication with the audience through various designs as well as facilitating exportation to different formats (Shigli et al., 2016).
References
Kreuter, M. W., & Wang, M. L. (2016). From evidence to impact: Recommendations for a dissemination support system. New Directions for Child and Adolescent Development, 2015(149), 11-23. https://doi.org/10.1002/cad.20110
Kalyani, R. R., Golden, S. H., & Cefalu, W. T. (2017). Diabetes and aging: Unique considerations and goals of care. Diabetes Care, 40(4), 440-443. https://doi.org/10.2337/dci17-0005
Shigli, K., Agrawal, N., Nair, C., Sajjan, S., Kakodkar, P., & Hebbal, M. (2016). Use of PowerPoint presentation as a teaching tool for undergraduate students in the subject of gerodontology. The Journal of Indian Prosthodontic Society, 16(2), 187. https://doi.org/10.4103/0972-4052.167940
Woo, B. F., Lee, J. X., & Tam, W. W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources for Health, 15(1). https://doi.org/10.1186/s12960-017-0237-9
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