Identifying a Problem (Pls Link this paper to the PICOT statement)In a paper of no more than 800 words describe the nature of the problem issue or educational deficit. Include the following in your discussion:

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Identifying a Problem (Pls Link this paper to the PICOT statement)In a paper of no more than 800 words describe the nature of the problem issue or educational deficit. Include the following in your discussion:

In a paper of no more than 800 words describe the nature of the problem issue or educational deficit. Include the following in your discussion:
1. The setting and/or context in which the problem issue or educational deficit can be observed.
2. Detailed description of the problem issue or educational deficit.
3. Impact of the problem issue or educational deficit on the work environment the quality of care provided by staff and patient outcomes.
4. Gravity of the problem issue or educational deficit and its significance to nursing.
5. Proposed solution to address the problem issue or educational deficit.
Review Topic 1: Checklist. This resource will assist you in organizing your work and will provide additional information regarding the assignment.
Pls. provide 3 references.
Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.
You are required to submit this assignment to Turnitin. TURNITIN score <15% *** Identifying your Problem Paper have to be related to the PICO question. Special Instruction: On the paper Pls put this subtitle (So the paper is organize in this manner) 1. Introduction 2. Identifying a Problem 3. Impacted of Problem 4. Solution to the problem identified 5. Conclusion Lastly can you do a PICOT regarding this paper? Also the other File is References pls link the paper that you will be doing with this literature/references.. Thank you. Selecting Sources of Literature Cruz M. Weigensberg M. J. Juang T. T. Ball G. Shalib G. Q. and M. I. Goran. (2004). The Metabolic Syndrome in Overweight Hispanic Youth and the Role of Insulin Sensitivity. Journal of Clinical Endocrinology and Metabolism. 89(1): 108-113. This article specifically addresses Hispanic youth and their tendency to have diabetes. It brings to light the seriousness of the issue and the need for a new care approach by care providers. Valuable statistical information is provided about this patient population. For example Hispanics are among the most common race to have diabetes. The article supports my proposed changes. Diabetes Statistics. (2013). American Diabetes Association. Retrieved from http://www.diabetes.org/diabetes-basics/diabetes-statistics/ This is a useful source for statistical information about diabetes. It does not necessarily support my proposed changes but it rather provides useful background information about the topic. Examples of statistical information compare and contrast obesity rates among children and adults in the U.S. Freeborn D.S. and S.O. Roper (2013). The Influence of an Insulin Pump Experience on Nursing Students Understanding of the Complexity of Diabetes Management and Ways to Help Patients: a Qualitative Study. Journal of Nursing Education and Practice. 3(3):52-60. This is a very valuable article because it directly supports my proposed changes. The article describes a nurse training program which successful integrated what I proposed. For example nurses were sent home with insulin pumps and told to experience what it was like to have diabetes for a day. The outcomes of the study showed great success. Kaufman K. (2010). A New Business Model for Hospitals. Trustee. Retrieved from http://www.trusteemag.com/trusteemag_app/jsp/articledisplay.jsp?dcrpath=TRUSTEEM AG/Article/data/05MAY2010/1005TRU_FEA_NewBusiness&domain=TRUSTEEMAG This article focuses on alternative approaches to nursing and medical staff training in hospitals. While it does not specifically address diabetes patients it is a useful background source. Keogh K.M. Smith S.M. White P. Mcgilloway S. Kelly A. Gibney J. and ODowd T. (2011). Psychological Family Intervention for Poorly Controlled Type 2 Diabetes. American Journal of Managed Care. 17.2. Pg. 105-113. This article has influenced me to include a family element in my proposed changes as it indicates that family has a large impact on the individual suffering from Type 2 Diabetes. This is especially the case for young children. Levin J. Glass T. A. and Lawrence K. H. (1997). Quantitative Methods in Research on Complementary and Alternative Medicine: A Methodology Manifesto. Journal of Medical Care. 35.11. Pp 1079-1094. Complementary and alternative medicine is an area in which many nurses have yet to explore but it is very relevant for this specific topic. Childrens parents or caregivers may seek complementary and alternative medicine or CAM as a possible way to assist their child in coping with Type 2 Diabetes. It is important for nurses to be flexible in their assistance so that other areas are considered as well to fit the patients needs. Li R. and R. Bilik (2013). Medical Costs Associated with Type 2 Diabetes Complications and Comorbidities. The American Journal of Managed Care. 19(5): 421-429. Medical costs is another statistical aspect which I wish to include in my paper. It is important to drive home the point that the medical costs associated with diabetes are astronomical which indicates that there is a strong need to approach the issue in a new way. Lin C. and Ruo-Nan Jueng. (2009). Applying Orems Theory to the Care of a Hypertension Patient Undertaking Self Care. Case Manager. 152. 110-115. With this source I will consider including philosophical nursing ideas such as the Orems Theory which assists with many self-care situations such as coping with diabetes. It is important to consider nursing philosophy especially in a situation such as children suffering with diabetes because it requires a psychological element. Martin M.A. Swider S.M. Olinger T. Avery E. Lynas C.M.T. Carlson K. and S.K. Rothschild. (2011). Recruitment of Mexican American Adults for an Intensive Diabetes Intervention Trial. Ethnicity and Disease. 21(12): 7-12. Martins article provides another beneficial outlook of diabetes from a racial perspective as it is well-known that certain races are more prone to diabetes than others. Although this focusses mainly on adults it does provide valuable statistical information as well as ideas for creating a more effective treatment program for those suffering with diabetes. Meloni A. R. DeYoung M. B. Best J. H. Han J. and M. Grimm. (2013). Treatment of Patients with Type 2 Diabetes with Exenatide Once Weekly versus Oral Glucose- lowering Medications or Insulin Gargine. Cardiovascular Diabetology. 12(48): 2-14. I knew that I could not focus entirely on the emotional aspect of diabetes treatment in my research so I decided to include a more technical approach a well. Melonis article compares treatment options involving Exanatide treatment in comparison to oral glucose lowering medicine treatment. I wanted to use this to show that nurses need to be trained in all aspects of diabetes including the technical and social/emotional aspect. Sabo B. (Jan 31 2011) Reflecting on the Concept of Compassion FatigueOJIN: The Online Journal of Issues in Nursing Vol. 16 No. 1 Manuscript 1. Compassion fatigue was a concept I wanted to mention as many nurses may experience it while trying to assist children in coping with diabetes. This task can be very daunting and wearingespecially when the nurse is burned out or discouraged by his or her progress. It is important that my proposed program puts into place efforts to prevent compassion fatigue. Saks M. (1995). Professions and the Public Interest: Medical Power Altruism and Alternative Medicine. Psychology Press. Print. This was an interesting article which I thought would be beneficial for exploring the emotional aspects of diabetes and how children may better cope with the required lifestyle changes. Type 2. (2013). American Diabetes Association. Retrieved from http://www.diabetes.org/diabetes-basics/type-2/ I obtained information from the diabetes.org website about Type 2 Diabetes to ensure that my definitions and background information is correct. This website does not assist with my proposed changes but it provides general background information about diabetes. Wahbeh H. Elsas S. Oken B. (2008). Mind-body interventions. Retrieved from

 

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