NRS-433V Rough Draft Quantitative Research Critique and Ethical Considerations-.docx

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RUNNING HEAD: Rough Draft Quantitative Research Critique and Ethical Considerations1Rough Draft Quantitative Research Critique and Ethical Considerations Sally ChuranaduNRS-433VFebruary 28th, 2019
RUNNING HEAD: Rough Draft Quantitative Research Critique and Ethical Considerations2Background of StudyPatients admitted to the hospital for Diabetic Ketoacidosis (or DKA) have a high rate of readmission within 30 days of being discharged. DKA is a comorbidity of diabetes, in which the ketones the body produces from burning fat (which occurs when the body does not have an adequate amount of available glucose) overwhelmed the body and the blood becomes acidic (ADA, 2018). A census done by the Morbidity and Mortality Weekly report had found in statistics from 2000 to 2014, that 30 million people suffer from DKA, with hospitalization rates increasing since 2009 by a rate of 54.9%, or 30.2 per 1000 persons. The rates were seen highest in those less than 45 years old (cite source). The rates have increased among all aged groups, andthe amount of new cases have increased exponentially in recent years, with primary diagnoses of DKA in the last year totalling 1,760,101 (Desai,Mehta, Mathias, Menon & Schubart, 2018 p.1631). DKA is a considerable problem throughout healthcare systems in the developed world. It affects people in all age groups, with middle and lower class patients being the most common (L Randall, 2011 p. 216). A study in 2017 had found that 16% of those admitted to the hospital with KEtoacidosis had a recurrent episode within 30 days (Benoit, Zhang, Geiss, Gregg & Albright, 2018 p. 363). Fatality rates from DKA were reported at 6.3 since 2014 (Randall, Begovic, Hudson, Smiley, Peng, Pite, Umpierrez & Umpierrez, 2011). The amount of hospitalizations have a basis in the lack of education given to those who have DKA. There is a considerable amount of youth who suffer from the disease, with the aforementioned highest age group of those who suffer from DKA being less than 45 years of age.Lack of adherence to regimen care can be attributed to patients not understanding the doctor’s care regimen, having insufficient knowledge themselves to carry out the regimen, lack of
RUNNING HEAD: Rough Draft Quantitative Research Critique and Ethical Considerations3availability of different tools, and lack of support from those around them (Hellman, 2014). This is especially true for lower income communities.

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