Rough Draft Quantitative Research Critique and Ethical Considerations Background of The Study

Rough Draft Quantitative Research Critique and Ethical Considerations Background of The Study

Rough Draft Quantitative Research Critique and Ethical Considerations

Background of The Study

Diabetic ketoacidosis (DKA) makes patients get readmitted regularly within 30 days after they get discharged.. Diabetic ketoacidosis is a very serious complication of diabetes, mainly type 1 diabetes. DKA occurs when the blood sugar level is extremely high levels of ketones which are acidic substances that build up to levels that are dangerous in the body (Saydah et al., 2017). The mortality and morbidity weekly report that was recorded in the years from 2000 to 2004 indicates that around 30 million people suffer from DKA ads the rates of hospitalization increased from 2009 at a rate of around 54.9% there has been an increase in the rate among all aged groups and in the recent years there has been an increase in new cases of the patients with DKA. Diabetic ketoacidosis is a significant problem in the health care system, especially in the developed nations. The most affected individuals are of the lower class as well as the middle class and all groups of age are affected by the disease as well.. A study carried out in the past years indicated that about 16% of the patients admitted to the hospital suffering from ketoacidosis within 30 days had recurrent episodes. The rate of hospitalization may be based on the level of education that patients with DKA are given. There is a significant amount of youth suffering from DKA. Lack of adherence to the care regimen may be associated with the patient being unable to understand the care regimen of the doctor. Also, there may be inadequate knowledge by the patients to carry out the regimen and lack of support system and the tools for ensuring better care (Saydah et al., 2017). This study is purposed to determine the effectiveness of using Bournemouth education course As a way of self-management and its impact on the

3 outcomes of diabetic complications, Whereby Diabetic Ketoacidosis is included. This research serves to answer various questions including what would be the effects of a structured education to persons with diabetic complications that have recurrent episodes. Also, this research may answer questions like will an education system that has adequate time for individuals with DKA make use of the available skills have impact on the recurrent readmissions of the patients and their expected outcomes. Support for The Nursing Practice Issue. Diabetic ketoacidosis is a considerable issue to the health care system. This, therefore, makes it a significant problem to the health care institution and the patients too. There may be a financial burden incurred by the patients seeking treatment and enrolling for the education course that would help them get a better understanding of the issue. This research serves to determine the effectiveness of an education program on the Method of Study: Although the research does not show any risks related to attendance, the benefits of study involved decrease of the related outcomes of the diabetic patients. Informed consent was given to the individuals undertaking this study. Individuals who fitted this criterion and attended Bournemouth hospital were offered the program and they got engaged to the study if at all they consented. The review board should approve the study in the hospital for it to be carried out. The dependent and independent variables were be clearly defined. The education program known as BERTIE is the independent variable and the clinical outcomes are the dependent variables. (Humayun et al., 2018). The dependent variable uses specificity where Glycated hemoglobin

4 level is the main measure of outcome. Data collection methods included, indicating the history of the patient, collecting blood samples and measuring of weight. Collection of data was done within six months and one year to make sure that true adherence was measured. Questionnaire forms were used to fill data that included the annual incidence of DKA, the measure of the initial stage. Problem area diabetes questionnaire was completed, and blood samples were used to measure the HbA1c levels, and weight was measured as well (Izzy et al., 2018). This process was done to compare the baseline that the researchers set within six months post-BERTIE course and one- and 5-years post-course. The clinical auditor managed the data, and reporting of the outcomes was done using histograms and mean.A T-test was done to measure the BERTIE education's clinical outcomes. Results of the study There was an improvement of Glycosylated hemoglobin levels at six months and one year after the attendance of the course. There was no weight increase during this period. A reduction of hypoglycemia was noticed. Notable, there was no reduction in the DKA for the 151 individuals who participated. In the five years after the course, there has been an improvement in the Glycosylated hemoglobin baseline (Izzy et al., 2018). However, there has been a