Janet Lewis PICOT 2 
How do adult Hispanics with newly diagnosed type 2 diabetes perceive barriers to implementing dietary and lifestyles changes to reduce A1C levels in the first 3 months after diagnosis?
P- (Population) adult Hispanics with newly diagnosed type 2 diabetes.
I- (issue of interest) recognized stressors and barriers to implementing dietary and Healthy lifestyle changes.
C- (Comparison group) No appropriate comparison group of interest.
O- (Outcome) reduced A1C levels.
T- (Time frame) 3 months after initial diagnosis.
As Healthcare transform into primary care, the importance of education and teaching the public, community, schools, and family members, and most of all our patients about the importance of Diabetes prevention and decreasing complications related to diabetes. As a future nurse practitioner with the desire to serve the Hispanic community, a knowledge of perceived barriers in assisting this population is necessary to provide effective care. Certain antecedents to perceived barriers may be sense of control, self-efficacy, and empowerment (McCloskey & Flenniken, 2010, p. 111). Also, Hispanic Americans perspectives of health compared to that of the provider may be additional barriers to reaching desired outcomes (Hunt, Arar, Larme, Rankin, & Anderson, 1998, p. 657). I pose the preceding PICOT question as a starting point to understanding perceived barriers to achieving controlled A1C levels as an indicator of positive glycemic control and health outcomes for Hispanic Americans.
References;
... Wiley, 1999, p. 111 –146 ... Koepsell TD, Wolf ME, McCloskey L, Buchner DM, and LDL goals among people with diabetes, 1988–2010 care.diabetesjournals.org/content/29/8/1942.full.pdf&member... Janet,
You choose a very good topic. You identified all of your components of the PICOT except for (C) Comparison. My suggestion would be to compare those patients who implement dietary and healthy lifestyles with those who do not. This gives you some way to evaluate your outcome.
P- (Population) adult Hispanics with newly diagnosed type 2 diabetes.
I- (issue of interest) recognized stressors and barriers to implementing dietary and Healthy lifestyle changes.
C- (Comparison group) No appropriate comparison group of interest.
O- (Outcome) reduced A1C levels.
T- (Time frame) 3 months after initial diagnosis.
As Healthcare transform into primary care, the importance of education and teaching the public, community, schools, and family members, and most of all our patients about the importance of Diabetes prevention and decreasing complications related to diabetes. As a future nurse practitioner with the desire to serve the Hispanic community, a knowledge of perceived barriers in assisting this population is necessary to provide effective care. Certain antecedents to perceived barriers may be sense of control, self-efficacy, and empowerment (McCloskey & Flenniken, 2010, p. 111). Also, Hispanic Americans perspectives of health compared to that of the provider may be additional barriers to reaching desired outcomes (Hunt, Arar, Larme, Rankin, & Anderson, 1998, p. 657). I pose the preceding PICOT question as a starting point to understanding perceived barriers to achieving controlled A1C levels as an indicator of positive glycemic control and health outcomes for Hispanic Americans.
References;
... Wiley, 1999, p. 111 –146 ... Koepsell TD, Wolf ME, McCloskey L, Buchner DM, and LDL goals among people with diabetes, 1988–2010 care.diabetesjournals.org/content/29/8/1942.full.pdf&member... Janet,
You choose a very good topic. You identified all of your components of the PICOT except for (C) Comparison. My suggestion would be to compare those patients who implement dietary and healthy lifestyles with those who do not. This gives you some way to evaluate your outcome.
References: ... Wiley, 1999, p. 111 –146 ... Koepsell TD, Wolf ME, McCloskey L, Buchner DM, and LDL goals among people with diabetes, 1988–2010 care.diabetesjournals.org/content/29/8/1942.full.pdf&member... Janet, You choose a very good topic. You identified all of your components of the PICOT except for (C) Comparison. My suggestion would be to compare those patients who implement dietary and healthy lifestyles with those who do not. This gives you some way to evaluate your outcome. Review the article “ Asking the Clinical Question:A Key Step in Evidence-based Practice” located in your course material section. Good start to your project. In addition, your paper was submitted late so there will be a point deduction. Please ensure that you submit your assignments by the due date and time. Tammy