Clinical Issue Article Analysis

This research article uses an exploratory qualitative design study to explore the beliefs and views of adolescents in regard to structured diabetes education, including how it should be organized and the topics that should be issued in the program.

These programs have been shown to be valuable in improving metabolic control and quality of life for those who participate. Adolescents are of greater need for structured diabetes education as they transition to adulthood. The researchers interviewed 21 adolescents between the ages of 13 and 19.The study took place in Northern Ireland, where they found participants from three diabetes clinics within the area. The participants had to be diagnosed with diabetes for at least one year, and spoke English.

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The focus groups were recorded using a digital Dedication; he recordings were transcribed word for word and analyzed through thematic content analysis. The study presented some limitations including smaller sample size, and lack of demographic data which creates the possibility for selection bias.The results showed that many adolescents found difficulties with social acceptance and knowledge of their condition to attain optimal control. Many participants expressed that complications of diabetes should not be addressed in these programs because they feel it is a method of tying to persuade compliance and unrealistic dietary expectations.

Another issue explored was the need for health professionals to acclimate to the lifestyle of communication, such as text messaging, which they felt was a better way of communicating.The study results concluded the need for specially prepared education programs for adolescents so that the issues addressed are realistic to the everyday use of this population. Jesters┬Âm, Lo Granaries, U. , Isakson, LLC. , H┬Ârenters. (2012).

Ideal versus Real Conditions for Type 2 Diabetes Care: Diabetes Specialty Nurses’ Perspectives. The Internet Journal of Advanced Nursing Practice. Volume 11 Number 2.

This was a research article that utilized a qualitative descriptive study to determine nurses’ specializing in type 2 diabetes perceptions of care, real versus real.An attempt to define “good care” utilizing the Swedish National Guidelines was undertaken. The quality indicators for care state that evidence and knowledge as updated, efficient, equal, secure, patient centered, and reasonably accessible. The guidelines should direct nurses and health care managers in planning care for those with diabetes. Patients perceive “good” care as one that is relational, focusing on dignity, respect, and autonomy. There were 21 diabetic nurse specialists, from 17 health care centers in northern Sweden, participated in three interviews that were focus group in format.A qualitative content analysis was utilized to determine how diabetic nurse specialists defined “good care’ conditions for the management of type 2 diabetes.

The study was approved, participants were informed and participation was voluntary. Each interview lasted between 50 to 90 minutes and all data was transcribed verbatim it was then reviewed by authors enabling a good understanding of the data obtained. This led to group concussions; the text was then reread to insure that the context corresponded to the aim.Once this data was sorted it was scrutinized and consolidated. The study found contradictions between real and ideal conditions for “good” care for type 2 diabetes.

The findings described four themes based on nurses’ perspectives of ideal verses real conditions for care of type 2 diabetes: 1). Counseling for diabetes should be based on equipping and guidance instead of medical domination. 2). Management should be built on a comprehensive model instead of medical model with patient centeredness becoming the focus. 3).Their demographic information is explained in the publishing.

The research findings describe the need to make clear the shared responsibility for diabetes self-management between teens and their parents. The categories of importance were distribution of responsibility, transfer of responsibility and clarification of responsibility. Despite the study limitations and need for further testing, the results are of importance in clinical practice as practitioners assist in diabetic education.Team Discussion The presented annotated bibliographies show that there are many qualitative design studies focused on diabetes in adolescents and the importance of education, treatment, and support. One of the studies used an exploratory qualitative design study to examine the views and beliefs of adolescents with aviates regarding a structured diabetes education program. The study design used focus groups of adolescent diabetics to discuss what topics they would like to talk about and how they would like it to be organized.

The researchers were able to analyze the data from the focus groups to conclude that there is a need for specially prepared education programs for adolescents with diabetes, which could ultimately lead to better outcomes and optimal health for this population. This study took a different approach and looked at diabetic nurse specialists perceptions of “good I’ type 2 diabetes care. It utilized a descriptive qualitative design to help differentiate between that of ideal care versus real care.The study involved 21 experienced diabetic nurse specialist from 1 7 health care clinics across northern Sweden in three focused interview groups. The researchers discovered that there were contradictions in care and four themes developed; 1 .

Counseling for diabetes should be based on equipping and guidance instead of medical domination. 2 Management should be built on a comprehensive model instead of medical model with patient centeredness becoming the focus. 3. Organization of care would be nurse-led not physician-led. 4.Policies should focus on quality Of care not equal standardized care. Physicians and nurses have two different approaches to management of type 2 diabetes, this care is complex and controlled by many factors, for this reason the patient, physician, and nurse should work together in a cohesive manner.

Another qualitative study was done in Sweden using the grounded theory method. The stud’s purpose was to collect information and produce theoretical knowledge about the process involved when teenagers with insulin pumps take or miss their bolus doses.Evidence was collected from interviews with twelve teenagers, four parents, and one diabetes nurse, over 1 7 months time frame.

Data was coded and analyzed until saturation point was reached. The findings demonstrated the need for shared responsibility and continued negotiation between diabetic adolescents and their parents Assignment Grading Criteria Week Four Select one article per Learning Team member, with a minimum of three, which investigate your chosen team topic through different qualitative methods. Discuss with the team to compare methods used in each article and decide n the appropriateness of the articles.