NRS433V Using Findings of Quantitative Studies Essay Write a critical appraisal that demonstrates comprehension of TWO QUANTITATIVE research studies. Use t

NRS433V Using Findings of Quantitative Studies Essay Write a critical appraisal that demonstrates comprehension of TWO QUANTITATIVE research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

*IMPORTANT*

PLEASE USE THE GUIDELINE ATTACHED WHEN WORKING ON THE PAPER

CLINICAL ISSUE IS ATTACHED. PLEASE USE THAT TOPIC OF THE ESSAY

IVE ALSO ATTACHED 3 QUANTITATIVE RESEARCH ARTICLES. YOU CAN USE TWO OF THEM IF YOU WANT OR FIND TWO UNIQUE ONES. Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words): The nursing practice problem that has become pronounced and can no longer be
ignored is handling diabetes patients. The number of patients that are experiencing diabetes each and every day is growing by a factor
of times five annually and the figure is not properly contained, (Meyer, 2017). Diabetes has been analyzed and found to be a lifestyle
disease and is also hereditary. The lifestyle part is more concentrated on since it has also been found that in a family of five siblings,
probably one would contact diabetes and on further research, it is found that their lifestyle is a bit careless as compared to the other
siblings. If it was only the hereditary factor that determined the occurrence then we would not have a reason to focus on the lifestyle
part. The challenges that nurse faces when handling these patients are varied for each patient is unique in their own way. The patients
with advanced diabetic condition are required to administer insulin jabs occasionally, (Ghaderian, Hayati, Shayanpour, & Mousavi,
2015). Since most of these patients experience a careless lifestyle pattern, some of them forget to take their medicine or don’t care so
much about their condition. At the end of the day, the condition worsens. Also these patients are required to give themselves these jabs
when they are not close to a person who can assist them. The nurses have faced a lot of challenges in teaching them on ways to administer
the jab effectively with cases where the syringe needle has stuck on somebodies tissues to cases where they miss the vein totally and the
process is not conducted as it should be. The patients need to administer insulin occasionally to facilitate breaking down of sugars to
give them energy. Actually diabetes is occasioned by the incapability of the body to breakdown sugars effectively as it is supposed to.
The challenge that the clinicians and nurses at large faces is ensuring that the patients are disciplined in the administering the insulin.
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Several researches have been conducted to enable patient get insulin intake without necessarily putting it on schedule as they are not
supposed to miss their dose. An evidence based practice has been proposed to enrich this research as different patients have unique
expectations and therefore need different approach to ensure that this research process is successful. For instance, patients below the age
of thirty are exposed to lots of gatherings and partying and are vulnerable as far as taking of alcohol is concerned. They are most likely
to miss their dose and therefore should be encouraged to eat diets that supplement their insulin and also given stronger medication that
they would require to take less number of times as compared with patients who are fifty years and above, (Ghaderian, Hayati,
Shayanpour, & Mousavi, 2015). Also patients between forty and fifty years are mostly married or in some sort of relationship and would
be advised to attend education sessions with their spouse so that their spouse can be better equipped as far as taking of them is concerned.
PICOT Question: “In patients between the ages of thirty and above with advanced diabetic condition why are clinicians reluctant in
using evidence based practice in encouraging taking of insulin jabs and therefore curbing the diabetic related cases that are currently
pronounced?”
2
Research Critique Guidelines – Part II
Use this document to organize your essay. Successful completion of this assignment requires that
you provide a rationale, include examples, and reference content from the studies in your
responses.
Quantitative Studies
Background
1. Summary of studies. Include problem, significance to nursing, purpose, objective, and
research question.
How do these two articles support the nurse practice issue you chose?
1. Discuss how these two articles will be used to answer your PICOT question.
2. Describe how the interventions and comparison groups in the articles compare to those
identified in your PICOT question.
Method of Study:
1. State the methods of the two articles you are comparing and describe how they are
different.
2. Consider the methods you identified in your chosen articles and state one benefit and one
limitation of each method.
Results of Study
1. Summarize the key findings of each study in one or two comprehensive paragraphs.
2. What are the implications of the two studies you chose in nursing practice?
Outcomes Comparison
1. What are the anticipated outcomes for your PICOT question?
2. How do the outcomes of your chosen articles compare to your anticipated outcomes?
Criteria
Article1
Article2
Article3
APA
(Haque, 2017). Ritrieved
(Benroubi, 2018).
(Benroubi, 2017).
formatte
from
Retrieved from
Retrieved from
d article
https://www.ncbi.nlm.nih.go http:/www.ncbi.nlm.nih.go
https://online
citation
v/pmc/articles/PMC424090
v/pmc/articles/PMC59648
library.wiley.com/doi/
with
6/.
85
full/10.1111/ijcp.1269
permali
1.
nk
How
This article under the name
This article Is closely
This article is related
does the
barriers of initiating insulin
related to the picot
to the picot question
article
in type 2 diabetes is closely
question in that it
in that it discusses
relate to
related to the picot question
emphasizes on the
some of the
the picot
whereby it argues why
importance on insulin
challenges that
question
clinicians are reluctant to
administration to patients
clinicians face in their
?
administer insulin to
suffering from type 2
efforts to advice
patients with diabetes which
diabetes. It states that
patients with type 2
is a phenomenon known as
while insulin has shown to
diabetes to start
psychological insulin
be very effective glucose
insulin. This is despite
resistance. It argues that
lowering therapy, it has
clear evidence that
clinician may delay
been shown that many
good glycaemic
administering of insulin
people with insulin treated
control despite
until it’s absolutely
T2DM have poor glycemic maximal oral glucose
necessary only after
control.
control.
alternative therapies have
been performed and have
failed to maintain glycemic
control.
Quantita Quantitative research- this is The article is a quantitative Quantitative research,
tive,
because going by the
research which is evident
this is evident in that
Qualitati definition, it is the
because going by the
going by the
ve, (How systematic, empirical
definition, it is a
definition which states
do you
investigation of observable
systematic, empirical
that it is an empirical
know?)
phenomena via statistical,
investigation of observable investigation of
mathematical or
phenomena via statistical,
observable
computational techniques.
mathematical
phenomena via
This research article Is made computational technique.
statistical
up of all these
Well this particular article
mathematical
characteristics which makes
comprises of all the
computational
it quantitative
characteristics explained.
technique. The whole
research is based on
those characteristics.
Researc
Insulin serves a good
h
purpose to patients suffering influenced by their
statemen from diabetes type 2.
t.
In most cases, patients are
families to use insulin.
Identifying the
barriers and
facilitators to start
patients with type 2
diabetes.
Researc
Barriers to initiating insulin
Perception of insulin use
Barriers and
h
in patients with type 2
in type 2 diabetes in
facilitators to starting
primary care
insulin in patients
Question diabetes.
with type 2 diabetes
Outcom
Thematic saturation relevant The search strategy
A total of 21 articles
e
to the objectives this paper
identified 147 papers for
were included in this
occurred by the tenth focus
screening, 70 of which
review.
group and never emerged
were fully appraised for
again.
eligibility.
Setting,
The study took place in the
The study took place in the The study took place
( where
USA where the first group
U.S.A
did the
was held in los Angeles,
America, Malysia and
study
Chicago and New York
Singapore
take
consequtively.
consequtively.
in United states of
place?)
Sample
Eighty seven people
The quantitative studies
Seven studies were
participated in 13 focus
were surveys based mainly
conducted in the
groups conducted in five
with cross sectional
united kingdom, (17-
countries. Groups were first
designs which included
19), two studies in
held in USA, los
1,476 patients.with T2DM
malaysia(,20,21)
Angeles(n=10),
receiving insulin.The
Singapore (22,23)
Chicago(n=8) and New
majority of the surveys
York (n=10). One group
were web based with some
was held in the u’s , two
being undertaken as face
groups were held in London
to face queationaires or by
and Munich and three
tele[phone.
groups were held each in
Stockholm and Roterdam
Method
Data collection and analysis
Thematic synthesis is a
Comprehensive
for this study were informed
process whereby new
research was carried
by the health belief model.
insights are identified
out using PUB MED
HBM is therefore based on
through integrating data
,Embase, CINAHL
the premise that health
from original studies and
and web of
behaviors are derived from
is one of a range of
science.(search dates
an individual’s perception
methods available for
upto 5 June 2014.) for
of a disease and his or her
synthesizing diverse forms
all tudies on barriers
capacity to avoid it.
of evidence. Thematic
and facilitators to
synthesis generally refers
initiating insulin in
to the integration of
patients with type 2
findings from quantitative
diabetes.
studies.
Key
On the basis of the findings,
The survey reported a
Barriers and
findings
the questions and responses
number of factors that
facilitators can be
of the
in the tool are important to
might mediate insulin use.
divided into 3
study
patients and clinicians
Glayemic control(66),
categories, patient
discussing the initiation of
injecting in public
related, healthcare,
insulin treatment and are
(59)problem with
professional and
presented in lay persons
injections (61, 69) insulin
system factors.
terminologies.
intesnsification (53)
injection related problems
(55).
Recomm It is important to understand
It is evident that there are
It is therefore crucial
endation
the patients beliefs about
indeed multiple barriers to
that clinicians are
s of the
barriers to insulin initiation
insulin uptake and
aware that barriers to
research
as early as possible in the
utilization in patients.
insulin still exist
er
disease process hence by
These barriers are common despite the
understanding these factors
and multileveled.
introduction of newer
early and using
Therefore, if these barriers
and safer insulin.
scientifically targeted
are to be overcome, a
Thus clinicians must
correct information to
multimodal approach
address patients fear
counter negative
providing targeted support
of needles and pain.
impressions.
to patients and enhancing
the primary care are
required.
++

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