Diabetes Sigurdardottir, A., Benediktsson, R., Article Critique

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c.. Is the treatment feasible in my clinical setting? Yes No Unknown

d. What are my patients/family's values and expectations for the outcome that is trying to be prevented and the treatment itself?

There are several implications from this study:

Identification of self-care needs are important to patients; mitigation of stronger, more invasive treatment options are thus prevented. However, some instruments are more useful than others in encouraging self-care or monitoring behavioral change.

Use of these treatment protocols and self-care instrumentation and measurement tends to create a more patient-centered care paradigm so that healthcare providers can focus on the more serious, medical care issues. Additionally, when educating people who have diabetes, effective time management protocols should focus on specific instruments that are individually tailored to that patient's needs and capacity for responsibility for their own issues. The research did show two major effects:

Answers from measurement issues help create a more robust dialog between nurses and patients.

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An informative dialog creates greater empowerment and the self-care abilities of people with diabetes. This increases the chance of a more healthful outcome, less chance of diabetic crises or issues that might involve more serious intervention.

However, that being said the study showed that various instruments can be used as outcome measures and tools for tracking self-care, knowledge, and helping to motivate patients. The authors do suggest more robust research regarding the clinical utility of many of the instruments in question.

Modified from Melnyk, B. (2004). Rapid Critical Appraisal of Randomized Controlled Trials (RCTs): An Essential Skill for Evidence-Based Practice, Melnyk, Pediatric Nursing Journal.

© Fineout-Overholt & Melnyk, 2005 This form may be used for educational,….....

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