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Health, Medicine, Nursing
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PICOT Question and Literature Search on Diabetes in Children

Article Instructions:

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.
Use the "Literature Evaluation Table" to complete this assignment.
Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
The PICOT question will provide a framework for your capstone project.
Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Article Sample Content Preview:
Literature Evaluation Table
Student Name:
Summary of Clinical Issue:
Today, cases of diabetes in children are reported to be rising at a higher rate. In the United States, around 210,000 teenagers below twenty years diagnosed with diabetes in 2020. Between 2014 and 2015, specialists reported 18,291cases of type 1 diabetes in children aged 10–19 years and 5,758 cases of type 2 diabetes. The National Institutes of Health reported that every year there is an increase of 1.8% of type 1 diabetes and an increase of 4.8% of type 2 diabetes (Dabelea et al., 2014). Although both type 1 and 2 are increasing in children, type 1 diabetes is reportedly much more common in children than type 2 diabetes. Children who develop diabetes complications are faced with more risk of health challenges throughout their life, and they need utmost care from their parents and health care professionals. Studies have proved diabetes to be a manageable disease if the disease management practices such as healthy eating, being physically active and taking insulin are observed. When the guidelines of diabetes management are not complied with, they increase diabetes-related complications risks such as kidney problems, eye problems, nerve damage, and other health-related effects (Dabelea et al., 2014). Evaluation of differences in results of diabetic children who observe the diabetes guidelines to those who do not observe the guidelines is crucial to find out which groups have a higher risk of developing complications related to diabetes.
PICOT Question: Among diabetic children patients (P), how does adopting various lifestyles (I)
Compared to non-adaptation of new lifestyles (C), reduce the risk of diabetes-related complications (O) for a
Period of one year(T)?
Criteria

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APA-Formatted Article Citation with Permalink

Dabelea, D., Mayer-Davis, E., Saydah, S., Imperatore, G., Linder, B., & Divers, J. et al. (2014). Prevalence of Type 1 and Type 2 Diabetes Among Children and Adolescents From 2001 to 2009. JAMA, 311(17), 1778. https://doi.org/10.1001/jama.2014.3201

Cameron, F., & Wherrett, D. (2015). Care of diabetes in children and adolescents: controversies, changes, and consensus. The Lancet, 385(9982), 2096-2106. https://doi.org/10.1016/s0140-6736(15)60971-0

Ciccone, M., Bux, F., Cortese, Aquilino, Pomo, & Mola et al. (2010). Feasibility and effectiveness of a disease and care management model in the primary health care system for heart failure and diabetes (Project Leonardo). Vascular Health And Risk Management, 297. https://doi.org/10.2147/vhrm.s9252

How Does the Article Relate to the PICOT Question?

The article investigates the rate by which Type 1 and Type 2 Diabetes spreads in children

The article focuses on how to minimize short-term complications of diabetes among teenagers

The article focuses on the effects of introducing trained and specialized nurses into health care systems.

Quantitative, Qualitative (How do you know?)

An observational study approach was adopted.

In the article, a qualitative descriptive study was used.

Qualitative design study using a convenience sampling of nur...
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