Week 1: Role of Research and the Importance of the Searchable Clinical Question
* Please included references *
This week’s graded discussion topic relates to the following Course Outcome (CO).
CO5 Recognize the role of research findings in evidence-based practice. (POs 7 and 8)
The practice of nursing is deeply rooted in nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Professional nurses rely on research findings to inform their practice decisions; they use critical thinking to apply research directly to specific patient care situations. The research process allows nurses to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Nursing research helps nurses in a variety of settings answer questions about patient care, education, and administration.
As you contemplate your role in the research process, read the following article.
Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 19, S76–S77. doi:10.4103/2230-8210.155409. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-live (Links to an external site.)Links to an external site.
Choose one case study, and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked.
Identify whether the focus of your question is assessment, etiology, treatment, or prognosis.
Remember to integrate references.
I select the third case discussed in Kumar’s article “Type I diabetes Mellitus – Common Cases.” The 80-year-old retired army officer who lives alone that was on insulin and other OHAs, however, still experiencing hypoglycemic episode (Kumer, 2015).
Question: Will long acting basal insulin, Degludec – Tresiba® , reduce the occurrence of hypoglycemic episodes in adults with uncontrolled Type II Diabetes Mellitus?
P: Adults with uncontrolled Type II Diabetes Mellitus
I: Long acting insulin Degludec
C: no use of long acting insulin
O: Reduce the occurrence of hypoglycemic episodes
T: no time element
The focus of this question is related to treatment of uncontrolled Type II Diabetes Mellitus in adults.
Studies have shown that Degludec has reduce the risk of severe hypoglycemia by 40% compared to other long acting insulins. Degludec has also reduced the risk of overnight severe hypoglycemia by 53% (Dmowska & Kennedy, 2017). Tresiba® is available in an easily use FlexTouch® pen. This would be beneficial for the retired solider in this case and other adult diabetic patient who have difficulty with medication administration/regimen.
Week 1: Colonial Identities
The colonies of New England, the Mid –Atlantic and the Upper and Lower South developed their own forms of culture, conduct and commerce. Given the choice, where would you have preferred to live?
Week 1: The Cost of Expansion
Explain how and why slavery developed in the American colonies. Why couldn’t colonists use indentured servants as they had in the past? How would you describe the differences between slaves and indentured servants?