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RUNNING HEAD: Research Critiques & PICOT Statement Final Draft 1Research Critiques & PICOT Statement Final DraftSally ChuranaduNRS-433VMarch 16th, 2019
RUNNING HEAD: Research Critiques & PICOT Statement Final Draft 2Revised Picot StatementPopulation or ProblemThe current incident of DKA within the US is 2 episodes per 100 patient years of diabetes, with a n average of 21.6% of patients admitted for DKA being having four or more recurrent admissions (Mays, JAckson, Derby, Jess, Behrens, Satyender, Kho & Wallia 2016 p. 1671). IS is partly due to low patient compliance with diabetic regimen. The population would be patients aged 19-64 years as there is a high prevalence rate within this age range (Hekkala, 2010 p. 1500)InterventionPatient education is shown to improve recurrent diabetic ketoacidosis admissions (Bismuth & Laffel, 2007 p. 30). A patient centered methodology towards this education could substantially reduce the risk of recurrent admission.ComparisonIt seems like an adequate comparison would be inpatient educational approaches, as those two approaches seem to have contrasting outcomes according to the studies that will follow the Picotstatement.OutcomeTo identify the optimal educational approach that is effective for patient readmissions
RUNNING HEAD: Research Critiques & PICOT Statement Final Draft 3TimeA 30 day period after discharge, as there is a high amount of prevalence within this period (Hekkala, 2010 p. 1500)Picot questionFor patients aged between 19 to 64 years old, would patient-centered patient education, as opposed to regimen-focused patient education reduce the incidence of diabetic ketoacidosis readmissions within a 60 day cycle ?The purpose of this essay is to critique a qualitative and quantitative study concerning patient education and its relationship to readmission of patients with Diabetic Ketoacidosis. The quantitative and qualitative studies are Reducing episodes of diabetic ketoacidosis within a youth population: A focus group study with patients and families (Chafe, Albrechtsons, Hagerty, & Newhook, 2015), and Intensive structured education for type 1 diabetes management using BERTIE: Long-term follow-up to assess impact on glycaemic control and quality of life indices. (Humayun, Jenkins, Knott, Ryder, Shaban, Weiss, & Brooks, 2018) respectively. They were chosen given the their complimentary answering of the clinical problem of how patient-centered patient education, as opposed to regimen-focused patient education would reduce the incidence of diabetic ketoacidosis readmissions within a 60 day cycle for patients aged 19 to 64 years old.
RUNNING HEAD: Research Critiques & PICOT Statement Final Draft 4Background of StudyThere are differences in the two studies, given that the study done by (Chafe et al., 2015) is a qualitative study and the study done by (Humayun et al., 2018) is a quantitative study.