This document provides instructions for a 1,500-1,750 word paper on the relationship between obesity and diabetes. It involves revising a PICOT statement from a previous assignment, finalizing qualitative and quantitative research critiques based on instructor feedback, and proposing evidence-based practice changes by linking the research to the identified nursing problem. The paper must follow APA guidelines and include an abstract. Sample sections of qualitative and quantitative research critiques on studies examining the relationship between obesity and diabetes are also provided.

1. NRS433V Relationship Between Obesity & Diabetes PICOT
NRS433V Relationship Between Obesity & Diabetes PICOTNRS433V Relationship Between
Obesity & Diabetes PICOTDetails:Prepare this assignment as a 1,500-1,750 word paper
using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines
below.PICOT StatementRevise the PICOT statement you wrote in the Topic 1
assignment.The final PICOT statement will provide a framework for your capstone project
(the project students must complete during their final course in the RN-BSN program of
study).Research CritiquesIn the Topic 2 and Topic 3 assignments you completed a
qualitative and quantitative research critique. Use the feedback you received from your
instructor on these assignments to finalize the critical analysis of the study by making
appropriate revisions.The completed analysis should connect to your identified practice
problem of interest that is the basis for your PICOT statement.Refer to “Research Critique
Guidelines.” Questions under each heading should be addressed as a narrative in the
structure of a formal paper.Proposed Evidence-Based Practice ChangeDiscuss the link
between the PICOT statement, the research articles, and the nursing practice problem you
identified. Include relevant details and supporting explanation and use that information to
propose evidence-based practice changes.Prepare this assignment according to the APA
guidelines found in the APA Style Guide, located in the Student Success Center. An abstract
is not required.ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSRunning head:
NURSING RESEARCH PROJECT – QUALITATIVE RESEARCH Nursing Research Project:
Qualitative Research Name Course Date 1 NURSING RESEARCH PROJECT – QUALITATIVE
RESEARCH 2 Nursing Research Project: Qualitative Research The research project focuses
on the evaluation of the evidence existing regarding the relationship between obesity and
diabetes mellitus type II. This research project mainly focuses on the adult population,
which is the most affected by this chronic disease. The present report critically analyzes the
qualitative information provided by the Look AHEAD research group (2003) regarding this
topic. The group specializes in the evaluation of the different causes of diabetes and the
design of an appropriate prevention strategy. Background information Even while the
cause-effect relationship between obesity and diabetes mellitus type II has been studied in
detail, there have been only a few studies that systematically evaluated the causes and
impact that obesity poses on diabetes, and on the common complications of the disease on
the long run. This lack of information has failed the multiple strategies implemented to try
to prevent the disease, such that the number of diabetic people in the United States
continues to increase year after year, to the point that physicians currently refer to it as an

2. epidemy. In this regard, the strategies developed so far had focused on the weight loss of
the individual. However, as they did not address the entirety of the problem, the impact on
the incidence rate of diabetes was negligible in most of the cases. NRS433V Relationship
Between Obesity & Diabetes PICOTThe evaluation carried out by the Look AHEAD research
group (2003) is thus crucial for the development of efficient, long-term strategies to reduce
the risk of contracting the disease. The research questions addressed through the study is: •
Why do weight loss procedure fail to reduce the risk of diabetes? • What other factors may
affect the relationship between obesity and diabetes? • How should these factors be part of
the long-term effective preventive strategy? NURSING RESEARCH PROJECT – QUALITATIVE
RESEARCH 3 Method of the study While the Look AHEAD research group (2003) uses some
elements of quantitative research such as the comparison with a control group, the survey
carried out is mainly qualitative in the sense that it focuses on the evaluation of the
qualitative differences between both the intervention group and the control group. In this
regard, the study evaluates the risk of developing the disease in the two groups by
comparing how long each of the individuals of the groups takes to produce the first
symptoms of the disease, and whether or not the implemented strategies are effective at
prolonging this time. Moreover, the study focuses on the evaluation of several variables,
such as the presence of cardiovascular diseases, or the symptoms of common complications
of the disease like nephropathy, circulatory problems that lead to the necrosis and
amputation of the limbs or glaucoma. The overall objective of including these variables in
the study is to assess not only the risk of developing the disease but most importantly how
obesity affects diabetes and how it may accelerate the process leading to earlier
complications. Additionally, the independent variable, that is the intervention carried out on
the test group is as well of qualitative nature, as it evaluates the combined application of
intensive lifestyle changes including both dieting and exercising. This research approach
founds over the exhaustive evaluation of the published literature regarding the relationship
between obesity and diabetes. In this regard, the Look AHEAD research group (2003) has
evaluated several of the most relevant studies published in the prior five years. In such
literature review, the researchers considered both qualitative and quantitative methods to
gain a broader point of view and evaluate the possible variables to include in the study
carried out. Moreover, this extensive literature review enabled the researchers to build a
NURSING RESEARCH PROJECT – QUALITATIVE RESEARCH 4 robust conceptual framework
in which to found the current research, hence resulting in a logic flow of the analyses
carried out and the conclusions derived from such analyses. The implemented strategy
includes: • Training sessions oriented to provide necessary information about diabetes and
the impact of obesity on diabetes • Weight loss and regular weight monitoring • Exercising
Main results of the study According to the obtained results, the obesity of the individuals
would not only increase the incidence rate of diabetes but also of suffering from
cardiovascular diseases. As a result, they observed how the higher body mass index of the
individuals seemed to relate to a higher incidence rate of both diabetes and cardiovascular
diseases. Moreover, the results obtained highlight how obese diabetic patients are more
likely to experience cardiovascular complications at a substantially earlier stage than non-
obese diabetics. NRS433V Relationship Between Obesity & Diabetes PICOTThe obtained

3. result is thus highly alarming and warns about the necessity of developing effective weight
loss strategies to decrease the burden of severe complications on diabetic patients.
Nonetheless, the authors suggest the importance of monitoring the incidence that obesity
has on the developing of cardiovascular complications in people with diabetes in future
follow-up studies on the long-term, as well as the evaluation of the long-term effects of the
implemented lifestyle change strategy. For this purpose, the researchers suggest the
measurement of several variables on an annual or biannual basis. Among these variables,
the follow up would focus on specific NURSING RESEARCH PROJECT – QUALITATIVE
RESEARCH diagnostic criteria of diabetes and uncontrolled diabetes such as the level of
fasting blood glucose, the correct functioning of the kidneys through the measurement of
creatinine and the monitoring of cholesterol and triglycerides. It should as well consider
indicators of cardiovascular disease through the realization of a cardiovascular fitness test
and an electrocardiogram. Ethical considerations The researchers seem to have requested
the approval of an Ethical Review Board and have required the informed consent of the
5,000 people included in the study. Moreover, they provide all the necessary means to
protect both their private information and whether they are part of the treatment or the
control group. They also seem to have taken into account other potential ethical aspects of
concern, such as the voluntary participation in the study. They do not look to evaluate the
ethical considerations resulting from the inclusion of the different participants in either the
treatment or the control group. However, the fact that the selection of the two different
groups was random and used a website model independent from the researcher provides
all the participants with the same probability to be part of any of the two groups.
Conclusions The provided results and the proposed follow up are congruent with the planed
thesis statement and enable the researchers to evaluate whether or not obesity has any
incidence on the onset of both diabetes and its most common complications, such as
cardiovascular problems or nephropathy. NRS433V Relationship Between Obesity &
Diabetes PICOTMoreover, the extensive literature review carried out highlights the
importance of the study, as it tries to tackle a critical aspect relating obesity to the risk of
developing diabetes and how it will affect the prognosis of the disease. This information is
crucial for the 5 NURSING RESEARCH PROJECT – QUALITATIVE RESEARCH development of
an effective preventive strategy oriented at decreasing the high incidence rate of diabetes
mellitus type II among the American citizens. From this point of view, the information
provided in the selected paper does not only provide useful takeaways to nursing practice
but most importantly outlines the methods to use when evaluating the cause-effect
relationship with multiple other diseases. In this regard, the systematic approach to the
problem as that carried out by the researchers of the Look AHEAD group applies to any
other nursing research project. 6 NURSING RESEARCH PROJECT – QUALITATIVE
RESEARCH 7 Reference Look AHEAD Research Group. (2003). Look AHEAD (Action for
Health in Diabetes): design and methods for a clinical trial of weight loss for the prevention
of cardiovascular disease in type 2 diabetes. Controlled clinical trials, 24(5), 610-628.
Running Head: QUANTITATIVE RESEARCH CRITIQUE AND ETHICAL ISSUES Quantitative
Research Critique and Ethical Considerations Wendy Fernandez Grand Canyon University
NRS – 433V Cindy Mcdonald 09/24/2018 1 QUANTITATIVE RESEARCH CRITIQUE AND

4. ETHICAL CONSIDERATIONS 2 Quantitative Research Critique and Ethical Considerations
Background The previously presented case seeks to respond to the research questions
meant to identify the possible pieces of evidence that may show that weight loss
significantly contributes towards the reduction of Diabetes Mellitus type II amongst adults
in the US. This research question needs the researcher to look for the previously presented
pieces of evidence from both a qualitative as well as a quantitative approach which would,
NRS433V Relationship Between Obesity & Diabetes PICOT