NUR 550 PICOT Evidence-Based Practice Project Proposal Worksheet Paper

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Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Article Title and Year Published	Research Questions/ Hypothesis, and Purpose/Aim of Study Struggling to meet your deadline ? Get assistance on NUR 550 PICOT Evidence-Based Practice Project Proposal Worksheet Paper done on time by medical experts. Don’t wait – ORDER NOW! Meet My Deadline	Design (Quantitative, Qualitative, or other)	Setting/Sample	Methods: Intervention/ Instruments	Analysis/Data Collection	Outcomes/Key Findings	Recommendations	Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal
Asante et al., The Diabetes Educator, https://doi.org/10.1177%2F0145721720954070	Pilot mobile phone intervention in promoting type 2 diabetes management in an urban area in Ghana: A randomized controlled trial Published: 2020	What is the effect of nurse-led mobile phone call intervention on glycemic management and adherence to self-management practices among patients with type 2 diabetes mellitus (T2DM). The purpose was to evaluate the feasibility and effectiveness of a of nurse-led mobile phone call intervention on glycemic management and adherence to self-management practices among patients with type 2 diabetes mellitus (T2DM) in Ghana.	Quantitative design- a randomized controlled trial.	Setting: a referral hospital (Diabetes Centre of Komfo Anokye Teaching Hospital) Sample: 60 patients with T2DM	Randomization into experimental and control group. The intervention group received up to 16 mobile phone calls for follow-up care while the control group received only usual care.	Data were collected via diary (records) and variables presented as means and standard deviations.	A1C was significantly lower in the intervention group than the control group. There was a significant improvement in foot care practices in the intervention group.	Mobile phone follow-up call by nurses emphasizing self-management practices can effectively improve glycemic and self-management among patients with diabetes.	The article supports post-discharge support for diabetic patients to improve adherence and self-management, essential in preventing the development of diabetic foot ulcers.
Shamsizadeh et al., Avicenna Journal of Nursing and Midwifery Care, http://dx.doi.org/10.30699/ajnmc.29.2.81	The effects of education and telephone nurse follow-up (tele-nursing) on diabetes management self–efficacy in patients with type 2 diabetic referred to Hamadans Diabetes Center in 2018 Published: 2021	Telephone nursing follow-up improves diabetes management practices after discharge. The purpose of the study was to evaluate the effects of telephone nursing follow-up on self-efficacy in women with T2DM.	Quantitative design- a clinical trial study via simple sampling.	Setting: Hamadan diabetes center. Sample: 58 type 2 diabetes patients.	Patients were divided into two groups through block randomization. The intervention group received telephone nursing providing tips on diabetic diet, timely medication, self-care etc.	Data collection was via demographic and disease questionnaire and analyzed via Diabetes Management Self-Efficacy Scales	The mean self-efficacy improved in the intervention after telephone nursing training.	Telephone nursing follow-up is an effective intervention for promoting self-efficacy among patients with diabetes.	The study demonstrates the role of telephone follow-up by nurses in teaching patients on intervention that can help prevent diabetic foot ulcers such as self-management, compliance, diabetic diet, and recreation and exercise.
Thupawirot, Journal of Preventive Medicine Association of Thailand https://he01.tci-thaijo.org/index.php/JPMAT/article/view/173652,	Effects of discharge planning and telephone follow up on HbA1c and nursing service satisfaction of diabetic patients and nurse’s job satisfaction Published: 2019	Discharge planning and telephone follow up improve health outcomes, satisfaction, and nurse’s job satisfaction. The purpose of the study was to evaluate the beneficial effects of discharge planning and telephone follow up in HbA1C of diabetic patients, satisfaction, and nurses’ job satisfaction.	Quantitative design- it is an experimental study.	Setting- Diabetes Center Sample: 70 patients	Randomized experimentation- the experimental group utilized discharge planning and follow-up care via telephone and the control group received usual care.	Data were collected via questionnaires and analyzed by mean, standard deviation, and t-tests.	Self-management outcomes and satisfaction were higher in experimental group than control group.	Discharge planning and telephone follow-up improve post-discharge diabetes care and should be implemented in diabetes centers	The study confirms the valuable impacts of telephone follow-up by nurses to help patients prevent negative disease development such as diabetic foot ulcers.
Riangkam et al., Journal of Health Research, https://doi.org/10.1108/JHR-02-2021-0126	Effects of a mobile health diabetes self-management program on HbA1C, self-management and patient satisfaction in adults with uncontrolled type 2 diabetes: A randomized controlled trial Published: 2021	Telephone follow-up is more effective than usual care in diabetes self-management. The purpose of the study was to examine the effects of mobile health diabetes self-management program (MHDSMP) on diabetes behaviors, glycemic control, and self-management, among other factors.	Quantitative design- it is a three-arm parallel group, randomized controlled trial.	Setting: medical center in Thailand Sample: 129 patients (43 in each group)	Patients were randomly assigned to the MHDSMP, telephone follow-up, and usual care group. Outcomes were evaluated after three months.	Data were collected via questionnaires and descriptive statistics conducted (mean, standard deviation, and percentages)	HbA1C decreased from 7.72 to 7.65% in the telephone follow-up group and from 7.89 to 7.72% in the usual care group. The MHDSMP group scored the best from 7.80 to 7.17%	The MHDSMP program is the best post-discharge approach for patients with diabetes. Telephone follow-up has better outcomes than usual care.	The article illustrates the statistical difference between telephone follow-up and usual care in diabetes management post-discharge. It recommends the use of telephone follow-up over usual care since it has better self-management outcomes.
Pichayapinyo, International Journal of Nursing Practice, https://doi.org/10.1111%2Fijn.12781	Feasibility study of automated interactive voice response telephone calls with community health nurse follow‐up to improve glycaemic control in patients with type 2 diabetes Published: 2019	What are the effects of automated voice response calls and follow up notifications on diabetes control? The study examined the feasibility and acceptance of self-care assistance program for poorly controlled T2DM.	Quantitative and qualitative (mixed-methods single-arm pre-post trial)	Setting- primary care settings in suburban Thai provinces Sample- 6 nurses and 35 type 2 diabetes patients	Patients received automated Interactive Voice Response (IVR) calls for about 5-10 minutes weekly for 12 weeks and feedback messages recorded.	Data were collected via baseline questionnaires (quantitative) and semi-structured exit interviews (qualitative)	Follow-up care helped to reduce the mean glycated hemoglobin by 0.9%. Other reported outcomes included high adherence to medication, frequent foot care, and reduced carbohydrate consumption.	Primary care settings should intensify follow-up care programs via telephones and emails to improve foot care, adherence, and other positive outcomes.	The article explains the benefits of telephone follow-up in improving foot care routine, which is critical in preventing diabetic foot ulcers/wounds.
Hanifi et al., Oman Medical Journal, https://doi.org/10.5001%2Fomj.2019.26	Effect of consultation and follow-up phone calls on biochemical indicators and intradialytic weight gain in patients undergoing hemodialysis Published: 2019	What is the effect of consultation and follow-up phone calls in patients undergoing hemodialysis? The study evaluated the effects of consultation and follow-up phone calls on biochemical indicators and intradialytic weight gain (IWG) in patients undergoing hemodialysis.	Quantitative design- it is a double-blind, randomized clinical trial.	Setting: Zanjan, Iran Sample: 86 patients	Patients were assigned into experimental and control group followed by 28 follow-up calls over 12 weeks.	Interviews and chart reviews were used to collect data. Biochemical indicators were measured/analyzed at baseline and in 4th, 8th, and 12th week.	There was a statistical significant difference (p < 0.050) at the 8th and 12th week.	Consultation and follow-up phone calls are recommended for patients undergoing hemodialysis.	The study demonstrates the benefits of follow-up phone calls by nurses to reduce the risk for diabetes adverse development like diabetic foot ulcers.
Li et al., Health Informatics Journal, https://doi.org/10.1177%2F1460458221997893	Home telemonitoring for chronic disease management: Perceptions of users and factors influencing adoption Published: 2021	What is the effect of telemonitoring on the care of individuals living with chronic disease? The study investigated the experiences of patients and clinicians in a care augmenting telemonitoring service.	A mixed-methods approach	Setting: five Australian states Sample: 56 patients and clinician groups	A multi-site trial evaluating perceived impacts.	Data were collected via questionnaires and interviews and analyzed by researchers via Excel data analysis software	Telemonitoring improved patients’ experiences post-discharge by empowering them with knowledge about symptoms to watch, health monitoring, self-care, and management of health condition. It helped nurses to be involved in patient care after discharge.	Follow-up after discharge helps patients and nurses to prevent the development of chronic diseases such as diabetes to unmanageable levels.	The article discusses the impacts of telephone monitoring to improve health management after discharge. Such knowledge helps to minimize risks that increase the risk of diabetic foot ulcers among diabetic patients.
Lemelin et al., Diabetes Technology & Therapeutics, https://doi.org/10.1089/dia.2019.0324	Improved glycemic control through the use of a telehomecare program in patients with diabetes treated with insulin Published: 2020	Telehomecare has positive outcomes on standard after-clinic care for diabetic patients. The study compared telehomecare and standard care outcomes on clinical efficacy, nursing interventions, and medical visits among diabetic patients.	Quantitative design-a prospective non-inferiority clinical trial.	Setting: diabetes center outpatient clinic Sample: 92 participants	Participants were assigned to experimental and control group. Outcomes at three months were compared to baseline.	Health activities and adjusted feedback were recorded and analyzed via ANCOVA and univariate linear regression analysis.	Telehomecare group was associated with a significant decline in A1c levels at three months. Nursing interventions such as communication and adherence were higher in telehomecare group than control group.	Telehomecare characterized by frequent communication/monitoring from care providers is recommended.	The study confirms the benefits of telephone care in improving health outcomes among patients with diabetes. This can help to reduce the risk for diabetic foot ulcers.
Ogunlana et al., International Journal of Qualitative Studies on Health and Well-being, https://doi.org/10.1080/17482631.2021.1945206	Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems Published: 2021	Minimal knowledge and awareness delay reporting of foot symptoms in patients with diabetes. The study explored the causes of delayed interventions/presentation of patients with diabetic foot ulcers.	Qualitative: it was an explorative qualitative study.	Setting: diabetes foot clinic in Nigeria Sample: 8 patients with diabetes	Researchers explored the lived experiences of patients with diabetes.	Data were collected via in-depth interviews and analyzed thematically via deductive reasoning.	Knowledge and awareness of foot challenges, risk perception, and health seeking behaviors hampered response towards diabetic foot development and complications.	Enhancing knowledge and awareness and controlling negative health seeking behaviors are recommended to avoid delays in response towards diabetic foot development. The positive outcomes can be achieved through follow-up care.	The article demonstrates the importance of improved knowledge and awareness to reduce the risk of diabetic foot complications. Nurses can intervene through follow-up calls.
Orozco‐Beltrán, Endocrinology, Diabetes & Metabolism, https://doi.org/10.1002/edm2.220	Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool Published: 2021	Experiences with care vary according to patients’ demographic variables and health care-related characteristics. The purpose of the study was to evaluate experience with health care among patients with T2DM	Quantitative research design- a cross sectional survey.	Setting: primary care centers in Spanish communities Sample: 451 T2DM patients	A cross-sectional study- patients with T2DM were surveyed	Researchers assessed patient experiences via Instrument for Evaluation of the Experience of Chronic Patients’ (IEXPAC) questionnaire. Multivariate analyses helped to analyze experiences and tools during follow-up care by nurses and physicians.	Continuity of care score was high among patients who received a follow-up call or visit by a care provider.	Follow-up calls and visits are effective methods for improving patient care experiences.	The study emphasizes the need for follow-up calls to improve self-management, which is critical in preventing diabetic foot ulcers.

References

Asante, E., Bam, V., Diji, A. K. A., Lomotey, A. Y., Owusu Boateng, A., Sarfo-Kantanka, O., … & Adjei, D. (2020). Pilot mobile phone intervention in promoting type 2 diabetes management in an urban area in Ghana: A randomized controlled trial. The Diabetes Educator, 46(5), 455-464. https://doi.org/10.1177%2F0145721720954070

Hanifi, N., Ezzat, L. S., & Dinmohammadi, M. (2019). Effect of consultation and follow-up phone calls on biochemical indicators and intradialytic weight gain in patients undergoing hemodialysis. Oman Medical Journal, 34(2), 137–146. https://doi.org/10.5001/omj.2019.26

Lemelin, A., Godbout, A., Paré, G., & Bernard, S. (2020). Improved glycemic control through the use of a telehomecare program in patients with diabetes treated with insulin. Diabetes Technology & Therapeutics, 22(4), 243-248. https://doi.org/10.1089/dia.2019.0324

Li, J., Varnfield, M., Jayasena, R., & Celler, B. (2021). Home telemonitoring for chronic disease management: Perceptions of users and factors influencing adoption. Health Informatics Journal, 27(1), 1460458221997893. https://doi.org/10.1177%2F1460458221997893

Ogunlana, M. O., Govender, P., Oyewole, O. O., Odole, A. C., Falola, J. L., Adesina, O. F., & Akindipe, J. A. (2021). Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems. International Journal of Qualitative Studies on Health and Well-being, 16(1), 1945206. https://doi.org/10.1080/17482631.2021.1945206

Orozco‐Beltrán, D., Artola‐Menéndez, S., Hormigo‐Pozo, A., Cararach‐Salami, D., Alonso‐Jerez, J. L., Álvaro‐Grande, E., … & Ferreira de Campos, K. (2021). Healthcare experience among patients with type 2 diabetes: A cross‐sectional survey using the IEXPAC tool. Endocrinology, Diabetes & Metabolism, 4(2), e00220. https://doi.org/10.1002/edm2.220

Pichayapinyo, P., Saslow, L. R., Aikens, J. E., Marinec, N., Sillabutra, J., Rattanapongsai, P., & Piette, J. D. (2019). Feasibility study of automated interactive voice response telephone calls with community health nurse follow‐up to improve glycaemic control in patients with type 2 diabetes. International Journal of Nursing Practice, 25(6), e12781. https://doi.org/10.1111%2Fijn.12781

Riangkam, C., Sriyuktasuth, A., Pongthavornkamol, K., Kusakunniran, W., & Sriwijitkamol, A. (2021). Effects of a mobile health diabetes self-management program on HbA1C, self-management and patient satisfaction in adults with uncontrolled type 2 diabetes: A randomized controlled trial. Journal of Health Research. https://doi.org/10.1108/JHR-02-2021-0126

Shamsizadeh, M., Shaadi, S., Mohammadi, Y., & Borzou, S. R. (2021). The effects of education and telephone nurse follow-up (tele-nursing) on diabetes management self–efficacy in patients with type 2 diabetic referred to Hamadans Diabetes Center in 2018. Avicenna Journal of Nursing and Midwifery Care, 29(2), 81-90. http://dx.doi.org/10.30699/ajnmc.29.2.81

Thupawirot A. (2019). Effects of discharge planning and telephone follow up on HbA1c and nursing service satisfaction of diabetic patients and nurse’s job satisfaction. Journal of Preventive Medicine Association of Thailand , 4 (2), 151–161. Retrieved from https://he01.tci-thaijo.org/index.php/JPMAT/article/view/173652

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The purpose of this assignment is to provide research evidence in support of the PICOT you developed for your selected topic.

Conduct a search for 10 peer-reviewed, translational research articles published within the last 5 years that demonstrate support for your PICOT. You may include previous research articles from assignments completed in this course. Use the “Literature Evaluation Table” provided to evaluate the articles and explain how the research supports your PICOT.

Once your instructor returns this assignment, review the feedback and make any revisions necessary. If you are directed by your instructor to select different articles in order to meet the assignment criteria or to better support your PICOT, make these changes accordingly. You will use the literature evaluated in this assignment for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

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