NR 505 Week 4: Collaboration Cafe

NR 505 Week 4: Collaboration Cafe

 Week 4 Article Review 
The selected article to be reviewed is related to the population section of the PICOT question. The publication titled Older Patients’ Preferences and Views Related To Nonface-To-Face Diabetes Chronic Care Management: A Qualitative Study From Southeast Louisiana was written by Bazzano et al. (2019).
              Description of the Purpose
This qualitative research aimed to explore older diabetic patients’ opinions and preferences regarding the care management methods nonface-to-face. Additionally, the study’s purpose is to use the results to improve diabetic care for this specific population. Patient information can also be utilized to enhance the quality of care and identify individual needs.
            Explanation of Research Design
The research design used the qualitative element of the Louisiana Experiment Assessing Diabetes Outcomes. Case study design and thematic analysis were used for patient interviews. Four coders classified data from interviews, field notes, and discussions. Central themes were conversed among the stakeholders and research team.
           Discussion of Sample
The study involved 30 participants, with an average age of 68.3 and 14.5 years since Type 2 diabetes (T2D) diagnosis. Most were female and Medicare-insured, while others had different insurance types. All participants had T2D with at least one coexisting chronic illness. About 13% participated in Nonface-To-Face Diabetes Chronic Care Management (NFF CCM) programs reimbursed by Medicare.
           Description of Data Collection Methods
Accordingly, 30 participants, including caregivers, were interviewed using a discussion guide. Between October 2017 and February 2018, interviews were conducted personally or by phone (Bazzano et al., 2019). Audio recordings and field notes were used, ensuring privacy. Researchers followed guidelines for reporting qualitative research and emphasized data completeness and trustworthiness. Tulane University Institutional Review Board permitted the study.
          Summary of Findings
This research found that patients felt that communicating with a health professional by phone was relevant. Some patients also noted that personalized relationships with their providers were more effective (Bazzano et al., 2019). Therefore, chronic care management programs must be flexible and responsive to meet individual needs.
          The Study’s Strengths and Limitations
One of the study’s strengths was that the results mirrored findings from other research articles. The research also had limitations, including challenges in recruiting participants from different health systems.
           Recommendation
 At the population level, future research should investigate whether enhancing diabetes care can be achieved by modifying NFF programming and support to eliminate distinctive barriers. 
          Reference
Bazzano, A., Monnette, A., Wharton, M., Price-Haywood, E., Nauman, E., Dominick, P., Glover, C., Hu, G., & Shi, L. (2019). Older patients’ preferences and views related to non-face-to-face diabetes chronic care management: A qualitative study from southeast Louisiana. Patient Preference and Adherence, 13, 901-911. https://doi.org/10.2147/ppa.s201072Links to an external site.

I was at an appointment with my mother-in-law a few years ago and the doctor insisted on speaking to me instead of the mother-in-law. She was fully capable of talking and understanding. It was just that she was in her 80s and slower to respond. She drove to the appointment! Totally capable but for whatever reason this doctor was not connecting with my mother-in-law.  After the appointment, she changed doctors and I was in full support. The kind of care that is offered to the elderly can be important. Ultimately, changing healthcare at that time, because of a communication issue, meant it took longer to identify cancer in her situation and it altered her healthcare. The next doctor she chose responded to emails and phone calls and spoke directly with her and she felt heard and understood. The told everyone she knew that was the best doctor she had ever had.

As the population changes, healthcare needs to stay up-to-date and change with those needs (Zhu et al., 2019). Studies such as the one you are using, tell us we need to better understand our patients and their needs to make sure we are addressing the population’s needs in the most effective way possible (Bazzano et al., 2019). This study is an excellent resource to apply to try to make policy change as it clearly shows how the patients want and need communication options/resources that their own trusted healthcare professional can provide. The quotations from the patients are impactful and well done in this article. By using the patient’s direct words, it really reinforces we can support long-term health by giving the patient better access to reliable resources for the education they trust and can understand.

Bazzano, A., Monnette, A., Wharton, M., Price-Haywood, E., Nauman, E., Dominick, P., Glover, C., Hu, G., & Shi, L. (2019). Older patients’ preferences and views related to non-face-to-face diabetes chronic care management: A qualitative study from southeast Louisiana. Patient Preference and Adherence, 13, 901-911. https://doi.org/10.2147/ppa.s201072

Zhu, C., Xu, X., Zhang, W., Chen, J., & Evans, R. (2019). How health communication via Tik Tok Makes A difference: A content analysis of Tik Tok accounts run by Chinese Provincial Health Committees. International Journal of Environmental Research and Public Health, 17(1), 192. https://doi.org/10.3390/ijerph17010192

• Description of the purpose

The purpose of this study was to provide a qualitative study that focused on the misconceptions and barriers in which prevent parents from initiating childhood obesity interventions. Due to the prevalence of diabetes tripling over the last 3 decades, there is a need for intervention (Anderson, et al., 2019). For this reason, this study aimed to study the barriers for parents implementing early interventions to prevent childhood and adolescent obesity. There is a much higher risk of becoming obese as an adult if interventions aren’t provided early in childhood and followed through (Heller, et al., 2020).

• Explanation of research design

This research study uses data collected by trained researchers doing interviews. The interviews were one on one using a script, they were then analyzed by trained researchers and data was collected (Heller, et al., 2020).

• Discussion of sample

The sample population of this group was random. The researchers chose a convenience sample strategically chosen from 2 different States in the United States. They chose participants from providers who were experts in childhood obesity prevention. The participants were contacted for interviews via phone, face to face, and email (Heller, et al., 2020).  

• Description of data collection methods

The data was collected from interviews including in person and by phone, and they were recorded. This was collected via a trained researcher who conducted one-hour interviews. The interview questions sought to determine what obesity habits were observed in children. Those habits included physical activities, screen time, and eating habits (Heller, et al., 2020).

• Summary of findings

The study found that there are quite a few barriers to early intervention in childhood obesity. One major issue is the overfeeding of children from 0-2 years of age. The study found that there was a lack of education on portion sizes for small children. The introduction of cereal in the bottle to early in life and the introduction of vegetables to late in life. There were many gaps when it came to obesity prevention. Convenience, cultural, influence, and lack of knowledge. These are noted issues that parents faced when trying to implement early interventions to fight obesity. Another identified barrier was lack of community-based resources for the parents. The article goes on to say that providers, parents, and the community need more education and resources to provide better interventions for early prevention of childhood obesity (Heller, et al., 2020).

• Strengths of the study (minimum of 1)

The main strength of this study was the swiftness of the study. The researchers provided a qualitative analysis of misconceptions and barriers the prohibit parents from using obesity prevention techniques.

• Limitations of the study (minimum of 1)

The limitation in this study is the lack of a diverse sample population. The participants were limited to two states in the United States and did not represent a true depiction of misconceptions and barriers from multiple locations.

• Recommendations regarding potential application for future practice that are insightful and appropriate.

There is a profound need for interventions and resources for providers and patients battling obesity. This article proposes the profound need for education for parents with infants and toddlers. There needs to be education provided to parents with an emphasis on early childhood transitions with food. This could make a huge difference in the future practice if there was food focused education for parents.

Anderson, P. M., Butcher, K. F., & Schanzenbach, D. W. (2019). Understanding recent trends in childhood obesity in the United States. Economics & Human Biology, 34, 16-25.

Heller, Chiero, J. D., Trout, N., & Mobley, A. R. (2021). A qualitative study of providers’ perceptions of parental feeding practices of infants and toddlers to prevent childhood obesity. BMC Public Health, 21(1), 1–1276. https://doi.org/10.1186/s12889-021-11305-7

Qualitative/Mixed Methods Critique

Collaboration Café 

With new information continually emerging, professional nurses must be equipped to critique scholarly literature and discern its value for practice.  

Select one current, qualitative or mixed methods scholarly nursing article related to your PICOT question and determine its strengths, limitations, and potential application.

Complete the Johns Hopkins Nursing Evidence-Based Practice Appendix E Evidence Appraisal ToolLinks to an external site. Download Johns Hopkins Nursing Evidence Based Practice Appendix E Evidence Appraisal Tool. Once you’ve completed the tool, use your own words to summarize your appraisal of the article. Include the following:

• Description of the purpose
• Explanation of research design
• Discussion of sample
• Description of data collection methods
• Summary of findings
• Strengths of the study (minimum of 1)
• Limitations of the study (minimum of 1)
• Recommendations regarding potential application for future practice that are insightful and appropriate.

Attach the article to your post, in addition to including the full reference for the article in your post.

During the week, read a minimum of two articles posted by peers and add your thoughts about whether you feel their article would support an EBP change.

The John Hopkins tool does not need to be turned in, it is a worksheet for you to decide what type of article you have. 

For full credit, submit your initial post by Wednesday at 11:59 PM MT. Complete your two responses to peers by Sunday at 11:59 PM MT.

**To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.