This document discusses a study that explored the experiences of patients newly diagnosed with type 2 diabetes regarding nutrition care provided by primary healthcare professionals. The study found 3 key findings:
1. Participants struggled to adjust to their diagnosis and made many attempts to improve their diet, but found it emotionally challenging to maintain healthy eating long-term.
2. Participants felt overwhelmed by conflicting nutrition advice from different sources and found initial directives from dietitians difficult to follow.
3. Participants felt rushed in consultations with healthcare providers and that their needs were not adequately heard, resulting in limited ongoing engagement with primary care services to support dietary changes.
The findings suggest primary healthcare professionals could enhance dietary support for these patients by acknowledging the
Evaluations of and Interventions for Non Adherence to Oral Medications as a P...NiyotiKhilare
The focus of this presentation will be medical non-adherence as a psychosocial issue in diabetes. The presentation will also focus elaborately on empowerment as an intervention amongst other interventions.
Compliance, concordance and empowerment in patients with type two diabetes me...NiyotiKhilare
This presentation compares the traditional model that focuses on compliance of the patient, with the new model which focuses on empowering the patient. The presentation will also focus elaborately on empowerment as an intervention for improved medical adherence in diabetic patients.
Explore and analyse concordance as a concept and empowerment as a strategic intervention to improve patient outcomes in diabetes.
Running head NUTRITION1NUTRITION 8Nutriti.docxtodd581
Running head: NUTRITION 1
NUTRITION 8
Nutrition
Student’s Name
Institutional Affiliation
Date
Nutrition
Introduction/Key Points
Topic and Question
Topic five: Interventions to improve additional nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?
Define the Topic and Question
This topic question is defined by interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. By introducing these interventions earlier, it will be possible to prevent people from being affected by chronic diseases.
Overview/Significance of the Problem
The acceptance and implementation of a healthy diet has been recognized as the foundation for managing, preventing, and fighting chronic diseases. However, the inability to be dynamic and diversify one’s life diet can lead to significant problems. It is also vital that people know that people acknowledge the importance of obeying dietary counsel since one’s adherence level can determine the efficiency of dietary treatment. The ability of one to diversify his diet reduces the risk of developing food allergy and intolerance (Ball et al., 2016). Additionally, the lack of education has been mostly associated with a poor quality and less diversified diet in people with diabetes (Tiew, Chan, Lye & Loke, 2014). It is, therefore, evident how the ability to diversify and be dynamic on one’s diet improves the nutritional status.
Article Search
Current and Credible Sources
When searching for my article, I established the Chamberlain Library as an essential tool to assist during the search. I started with my electronic database known as CINHAL where I successfully found the article.
Database search-terms and methods/ Number of articles located
While I was searching for the article, among the terms that I used was; what type of interventions improve adherence to recommendations on nutritional intake? The search provided me with 1,123 articles to refer from. Other search terms that I used were compliance, telemedicine, nutrition, dietary intervention, chronic disease, and adults. The types of articles were limited to be from the Chamberlain Library, written in English, academic journals, descriptive statistics, and full-text peer-reviewed articles. The publication year on the search filter was restricted to 2015 to 2020 to provide the most recent data.
List additional sources outside of ATI module
Main article, “Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focused consultations,” written by (Ball et al., 2016). Another article is “Factors Associated with Dietary Diversity Score among Individuals with Type 2 Diabetes Mellitus,” published by (Tiew, Chan, Lye & Loke, 2014). Another article is “Prevent Type 2 Diabetes in Kids” by (CDC, 2017).
Article Findings
Why this article?
I chose this article because it has been well.
Running head NUTRITION1NUTRITION 8Nutriti.docxglendar3
Running head: NUTRITION 1
NUTRITION 8
Nutrition
Student’s Name
Institutional Affiliation
Date
Nutrition
Introduction/Key Points
Topic and Question
Topic five: Interventions to improve additional nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?
Define the Topic and Question
This topic question is defined by interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. By introducing these interventions earlier, it will be possible to prevent people from being affected by chronic diseases.
Overview/Significance of the Problem
The acceptance and implementation of a healthy diet has been recognized as the foundation for managing, preventing, and fighting chronic diseases. However, the inability to be dynamic and diversify one’s life diet can lead to significant problems. It is also vital that people know that people acknowledge the importance of obeying dietary counsel since one’s adherence level can determine the efficiency of dietary treatment. The ability of one to diversify his diet reduces the risk of developing food allergy and intolerance (Ball et al., 2016). Additionally, the lack of education has been mostly associated with a poor quality and less diversified diet in people with diabetes (Tiew, Chan, Lye & Loke, 2014). It is, therefore, evident how the ability to diversify and be dynamic on one’s diet improves the nutritional status.
Article Search
Current and Credible Sources
When searching for my article, I established the Chamberlain Library as an essential tool to assist during the search. I started with my electronic database known as CINHAL where I successfully found the article.
Database search-terms and methods/ Number of articles located
While I was searching for the article, among the terms that I used was; what type of interventions improve adherence to recommendations on nutritional intake? The search provided me with 1,123 articles to refer from. Other search terms that I used were compliance, telemedicine, nutrition, dietary intervention, chronic disease, and adults. The types of articles were limited to be from the Chamberlain Library, written in English, academic journals, descriptive statistics, and full-text peer-reviewed articles. The publication year on the search filter was restricted to 2015 to 2020 to provide the most recent data.
List additional sources outside of ATI module
Main article, “Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focused consultations,” written by (Ball et al., 2016). Another article is “Factors Associated with Dietary Diversity Score among Individuals with Type 2 Diabetes Mellitus,” published by (Tiew, Chan, Lye & Loke, 2014). Another article is “Prevent Type 2 Diabetes in Kids” by (CDC, 2017).
Article Findings
Why this article?
I chose this article because it has been well.
Running head: NUTRITION 1
NUTRITION 8
Nutrition
Student’s Name
Institutional Affiliation
Date
Nutrition
Introduction/Key Points
Topic and Question
Topic five: Interventions to improve additional nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?
Define the Topic and Question
This topic question is defined by interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. By introducing these interventions earlier, it will be possible to prevent people from being affected by chronic diseases.
Overview/Significance of the Problem
The acceptance and implementation of a healthy diet has been recognized as the foundation for managing, preventing, and fighting chronic diseases. However, the inability to be dynamic and diversify one’s life diet can lead to significant problems. It is also vital that people know that people acknowledge the importance of obeying dietary counsel since one’s adherence level can determine the efficiency of dietary treatment. The ability of one to diversify his diet reduces the risk of developing food allergy and intolerance (Ball et al., 2016). Additionally, the lack of education has been mostly associated with a poor quality and less diversified diet in people with diabetes (Tiew, Chan, Lye & Loke, 2014). It is, therefore, evident how the ability to diversify and be dynamic on one’s diet improves the nutritional status.
Article Search
Current and Credible Sources
When searching for my article, I established the Chamberlain Library as an essential tool to assist during the search. I started with my electronic database known as CINHAL where I successfully found the article.
Database search-terms and methods/ Number of articles located
While I was searching for the article, among the terms that I used was; what type of interventions improve adherence to recommendations on nutritional intake? The search provided me with 1,123 articles to refer from. Other search terms that I used were compliance, telemedicine, nutrition, dietary intervention, chronic disease, and adults. The types of articles were limited to be from the Chamberlain Library, written in English, academic journals, descriptive statistics, and full-text peer-reviewed articles. The publication year on the search filter was restricted to 2015 to 2020 to provide the most recent data.
List additional sources outside of ATI module
Main article, “Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focused consultations,” written by (Ball et al., 2016). Another article is “Factors Associated with Dietary Diversity Score among Individuals with Type 2 Diabetes Mellitus,” published by (Tiew, Chan, Lye & Loke, 2014). Another article is “Prevent Type 2 Diabetes in Kids” by (CDC, 2017).
Article Findings
Why this article?
I chose this article because it has been well ...
Week 5 EBP ProjectAppraisal of EvidenceCLC EBP Research .docxcockekeshia
Week 5 EBP Project/Appraisal of Evidence
CLC: EBP Research Table
Citation
Include the APA reference note.
Abstract/Purpose
Craft a 100-150 word summary of the research.
Research/Study
Describe the design of the relevant research or study in the article.
Methods
Describe the methods used, including tools, systems, etc.
Setting/Subject
Identify the population and
the setting in which the study was conducted.
Findings/Results
Identify the relevant findings, including any specific data points that may be of interest to your EBP project.
Variables
Describe the independent and dependent variables in the research/study.
Implication for Practice
Articulate the value of the research to the EBP project your group has chosen.
Independent Variable
Dependent Variable
King-Shier, K.M., Mather, C., &LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies, 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003
This research aims to answer to better understand the decision-making process of eating a heart healthy diet and extent of physical activity. Also, are these decisions influenced by whether the subject lives in a rural or urban setting. The research proposal was the cultural issues effected participants decision making as well as place of residence. This research used a previous qualitative research design in which 42 cardiac patients (21 urban, and 21 rural) were interviewed about their diet and physical activity. The researchers then designed a model for interviewing regarding the decision-making process. The combination model was then given and tested with 647 cardiac patients (327 urban and 320 rural) from Canada. The results were based on 93.5% accuracy for diet and 97.5 % accuracy with physical activity. Results indicated that decision-making was less about place of residence and more about perception of control over health including time, effort, or competing priorities, receipt of appropriate clear information, and appeal of the activity.
A three-staged, multi-methods approach was used to develop and analyze the descriptive decision making model that patients use in making decisions regarding their cardiac lifestyle. A cross-sectional survey was used to interview patients one year post-cardiac catherization. These interviews were performed via telephone. A three stage decision tree model was then used to analyze the information offered. The stages were as follows: 1. Factors that were influential in decision making. 2. If and where failure had occurred for patients. 3. Did patients consistently, sometimes, or not at all engage in physical activity and a heart healthy diet. Results were then analyzed using statistical analysis.
Information was gathered from a previous series of qualitative interviews conducted with 42 cardiac patients (21 rural, 21 urban). Based on the infor.
Evaluations of and Interventions for Non Adherence to Oral Medications as a P...NiyotiKhilare
The focus of this presentation will be medical non-adherence as a psychosocial issue in diabetes. The presentation will also focus elaborately on empowerment as an intervention amongst other interventions.
Compliance, concordance and empowerment in patients with type two diabetes me...NiyotiKhilare
This presentation compares the traditional model that focuses on compliance of the patient, with the new model which focuses on empowering the patient. The presentation will also focus elaborately on empowerment as an intervention for improved medical adherence in diabetic patients.
Explore and analyse concordance as a concept and empowerment as a strategic intervention to improve patient outcomes in diabetes.
Running head NUTRITION1NUTRITION 8Nutriti.docxtodd581
Running head: NUTRITION 1
NUTRITION 8
Nutrition
Student’s Name
Institutional Affiliation
Date
Nutrition
Introduction/Key Points
Topic and Question
Topic five: Interventions to improve additional nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?
Define the Topic and Question
This topic question is defined by interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. By introducing these interventions earlier, it will be possible to prevent people from being affected by chronic diseases.
Overview/Significance of the Problem
The acceptance and implementation of a healthy diet has been recognized as the foundation for managing, preventing, and fighting chronic diseases. However, the inability to be dynamic and diversify one’s life diet can lead to significant problems. It is also vital that people know that people acknowledge the importance of obeying dietary counsel since one’s adherence level can determine the efficiency of dietary treatment. The ability of one to diversify his diet reduces the risk of developing food allergy and intolerance (Ball et al., 2016). Additionally, the lack of education has been mostly associated with a poor quality and less diversified diet in people with diabetes (Tiew, Chan, Lye & Loke, 2014). It is, therefore, evident how the ability to diversify and be dynamic on one’s diet improves the nutritional status.
Article Search
Current and Credible Sources
When searching for my article, I established the Chamberlain Library as an essential tool to assist during the search. I started with my electronic database known as CINHAL where I successfully found the article.
Database search-terms and methods/ Number of articles located
While I was searching for the article, among the terms that I used was; what type of interventions improve adherence to recommendations on nutritional intake? The search provided me with 1,123 articles to refer from. Other search terms that I used were compliance, telemedicine, nutrition, dietary intervention, chronic disease, and adults. The types of articles were limited to be from the Chamberlain Library, written in English, academic journals, descriptive statistics, and full-text peer-reviewed articles. The publication year on the search filter was restricted to 2015 to 2020 to provide the most recent data.
List additional sources outside of ATI module
Main article, “Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focused consultations,” written by (Ball et al., 2016). Another article is “Factors Associated with Dietary Diversity Score among Individuals with Type 2 Diabetes Mellitus,” published by (Tiew, Chan, Lye & Loke, 2014). Another article is “Prevent Type 2 Diabetes in Kids” by (CDC, 2017).
Article Findings
Why this article?
I chose this article because it has been well.
Running head NUTRITION1NUTRITION 8Nutriti.docxglendar3
Running head: NUTRITION 1
NUTRITION 8
Nutrition
Student’s Name
Institutional Affiliation
Date
Nutrition
Introduction/Key Points
Topic and Question
Topic five: Interventions to improve additional nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?
Define the Topic and Question
This topic question is defined by interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. By introducing these interventions earlier, it will be possible to prevent people from being affected by chronic diseases.
Overview/Significance of the Problem
The acceptance and implementation of a healthy diet has been recognized as the foundation for managing, preventing, and fighting chronic diseases. However, the inability to be dynamic and diversify one’s life diet can lead to significant problems. It is also vital that people know that people acknowledge the importance of obeying dietary counsel since one’s adherence level can determine the efficiency of dietary treatment. The ability of one to diversify his diet reduces the risk of developing food allergy and intolerance (Ball et al., 2016). Additionally, the lack of education has been mostly associated with a poor quality and less diversified diet in people with diabetes (Tiew, Chan, Lye & Loke, 2014). It is, therefore, evident how the ability to diversify and be dynamic on one’s diet improves the nutritional status.
Article Search
Current and Credible Sources
When searching for my article, I established the Chamberlain Library as an essential tool to assist during the search. I started with my electronic database known as CINHAL where I successfully found the article.
Database search-terms and methods/ Number of articles located
While I was searching for the article, among the terms that I used was; what type of interventions improve adherence to recommendations on nutritional intake? The search provided me with 1,123 articles to refer from. Other search terms that I used were compliance, telemedicine, nutrition, dietary intervention, chronic disease, and adults. The types of articles were limited to be from the Chamberlain Library, written in English, academic journals, descriptive statistics, and full-text peer-reviewed articles. The publication year on the search filter was restricted to 2015 to 2020 to provide the most recent data.
List additional sources outside of ATI module
Main article, “Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focused consultations,” written by (Ball et al., 2016). Another article is “Factors Associated with Dietary Diversity Score among Individuals with Type 2 Diabetes Mellitus,” published by (Tiew, Chan, Lye & Loke, 2014). Another article is “Prevent Type 2 Diabetes in Kids” by (CDC, 2017).
Article Findings
Why this article?
I chose this article because it has been well.
Running head: NUTRITION 1
NUTRITION 8
Nutrition
Student’s Name
Institutional Affiliation
Date
Nutrition
Introduction/Key Points
Topic and Question
Topic five: Interventions to improve additional nutritional status: What type of interventions improve adherence to recommendations on nutritional intake?
Define the Topic and Question
This topic question is defined by interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. By introducing these interventions earlier, it will be possible to prevent people from being affected by chronic diseases.
Overview/Significance of the Problem
The acceptance and implementation of a healthy diet has been recognized as the foundation for managing, preventing, and fighting chronic diseases. However, the inability to be dynamic and diversify one’s life diet can lead to significant problems. It is also vital that people know that people acknowledge the importance of obeying dietary counsel since one’s adherence level can determine the efficiency of dietary treatment. The ability of one to diversify his diet reduces the risk of developing food allergy and intolerance (Ball et al., 2016). Additionally, the lack of education has been mostly associated with a poor quality and less diversified diet in people with diabetes (Tiew, Chan, Lye & Loke, 2014). It is, therefore, evident how the ability to diversify and be dynamic on one’s diet improves the nutritional status.
Article Search
Current and Credible Sources
When searching for my article, I established the Chamberlain Library as an essential tool to assist during the search. I started with my electronic database known as CINHAL where I successfully found the article.
Database search-terms and methods/ Number of articles located
While I was searching for the article, among the terms that I used was; what type of interventions improve adherence to recommendations on nutritional intake? The search provided me with 1,123 articles to refer from. Other search terms that I used were compliance, telemedicine, nutrition, dietary intervention, chronic disease, and adults. The types of articles were limited to be from the Chamberlain Library, written in English, academic journals, descriptive statistics, and full-text peer-reviewed articles. The publication year on the search filter was restricted to 2015 to 2020 to provide the most recent data.
List additional sources outside of ATI module
Main article, “Understanding the nutrition care needs of patients newly diagnosed with type 2 diabetes: a need for open communication and patient-focused consultations,” written by (Ball et al., 2016). Another article is “Factors Associated with Dietary Diversity Score among Individuals with Type 2 Diabetes Mellitus,” published by (Tiew, Chan, Lye & Loke, 2014). Another article is “Prevent Type 2 Diabetes in Kids” by (CDC, 2017).
Article Findings
Why this article?
I chose this article because it has been well ...
Week 5 EBP ProjectAppraisal of EvidenceCLC EBP Research .docxcockekeshia
Week 5 EBP Project/Appraisal of Evidence
CLC: EBP Research Table
Citation
Include the APA reference note.
Abstract/Purpose
Craft a 100-150 word summary of the research.
Research/Study
Describe the design of the relevant research or study in the article.
Methods
Describe the methods used, including tools, systems, etc.
Setting/Subject
Identify the population and
the setting in which the study was conducted.
Findings/Results
Identify the relevant findings, including any specific data points that may be of interest to your EBP project.
Variables
Describe the independent and dependent variables in the research/study.
Implication for Practice
Articulate the value of the research to the EBP project your group has chosen.
Independent Variable
Dependent Variable
King-Shier, K.M., Mather, C., &LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies, 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003
This research aims to answer to better understand the decision-making process of eating a heart healthy diet and extent of physical activity. Also, are these decisions influenced by whether the subject lives in a rural or urban setting. The research proposal was the cultural issues effected participants decision making as well as place of residence. This research used a previous qualitative research design in which 42 cardiac patients (21 urban, and 21 rural) were interviewed about their diet and physical activity. The researchers then designed a model for interviewing regarding the decision-making process. The combination model was then given and tested with 647 cardiac patients (327 urban and 320 rural) from Canada. The results were based on 93.5% accuracy for diet and 97.5 % accuracy with physical activity. Results indicated that decision-making was less about place of residence and more about perception of control over health including time, effort, or competing priorities, receipt of appropriate clear information, and appeal of the activity.
A three-staged, multi-methods approach was used to develop and analyze the descriptive decision making model that patients use in making decisions regarding their cardiac lifestyle. A cross-sectional survey was used to interview patients one year post-cardiac catherization. These interviews were performed via telephone. A three stage decision tree model was then used to analyze the information offered. The stages were as follows: 1. Factors that were influential in decision making. 2. If and where failure had occurred for patients. 3. Did patients consistently, sometimes, or not at all engage in physical activity and a heart healthy diet. Results were then analyzed using statistical analysis.
Information was gathered from a previous series of qualitative interviews conducted with 42 cardiac patients (21 rural, 21 urban). Based on the infor.
Telehealth methods to deliver dietary interventions in adults .docxjohniemcm5zt
Telehealth methods to deliver dietary interventions in adults with
chronic disease: a systematic review and meta-analysis1,2
Jaimon T Kelly,3 Dianne P Reidlinger,3 Tammy C Hoffmann,4 and Katrina L Campbell3,5*
3
Faculty of Health Sciences and Medicine,
4
Centre for Research in Evidence Based Practice, Bond University, Gold Coast, Australia; and
5
Nutrition and
Dietetics Department, Princess Alexandra Hospital, Brisbane, Australia
ABSTRACT
Background: The long-term management of chronic disease re-
quires the adoption of complex dietary recommendations, which
can be facilitated by regular coaching to support behavioral changes.
Telehealth interventions can overcome patient-centered barriers to
accessing face-to-face programs and provide feasible delivery methods,
accessible regardless of geographic location.
Objective: This systematic review assessed the effectiveness of
telehealth dietary interventions at facilitating dietary change in
chronic disease.
Design: A structured systematic search was conducted for all ran-
domized controlled trials evaluating multifactorial dietary interven-
tions in adults with chronic disease that provided diet education in
an intervention longer than 4 wk. Meta-analyses that used the ran-
dom-effects model were performed on diet quality, dietary adher-
ence, fruit and vegetables, sodium intake, energy, and dietary fat
intake.
Results: A total of 25 studies were included, involving 7384
participants. The telehealth dietary intervention was effec-
tive at improving diet quality [standardized mean difference
(SMD): 0.22 (95% CI: 0.09, 0.34), P = 0.0007], fruit and veg-
etable intake [mean difference (MD) 1.04 servings/d (95% CI:
0.46, 1.62 servings/d), P = 0.0004], and dietary sodium intake
[SMD: 20.39 (20.58, 20.20), P = 0.0001]. Single nutrients
(total fat and energy consumption) were not improved by tele-
health intervention; however, after a telehealth intervention, impor-
tant clinical outcomes were improved, such as systolic blood pressure
[MD: 22.97 mm Hg (95% CI: 25.72, 20.22 mm Hg), P = 0.05],
total cholesterol [MD: 20.08 mmol/L (95% CI: 20.16, 20.00 mmol/L),
P = 0.04], triglycerides [MD: 20.10 mmol/L (95% CI: 20.19,
20.01 mmol/L), P = 0.04], weight [MD: 20.80 kg (95% CI:
21.61, 0 kg), P = 0.05], and waist circumference [MD: 22.08 cm
(95% CI: 23.97, 20.20 cm), P = 0.03].
Conclusions: Telehealth-delivered dietary interventions targeting
whole foods and/or dietary patterns can improve diet quality, fruit
and vegetable intake, and dietary sodium intake. When applicable,
they should be incorporated into health care services for people with
chronic conditions. This review was registered at http://www.crd.
york.ac.uk/PROSPERO/ as CRD42015026398. Am J Clin Nutr
2016;104:1693–702.
Keywords: telehealth, diet quality, dietary, diet, fruit, vegetables,
chronic disease
INTRODUCTION
Chronic diseases are the leading cause of ill health, accounting
for .68% of all deaths worldwide (1). Chron.
Telehealth methods to deliver dietary interventions in adults .docxjacqueliner9
Telehealth methods to deliver dietary interventions in adults with
chronic disease: a systematic review and meta-analysis1,2
Jaimon T Kelly,3 Dianne P Reidlinger,3 Tammy C Hoffmann,4 and Katrina L Campbell3,5*
3
Faculty of Health Sciences and Medicine,
4
Centre for Research in Evidence Based Practice, Bond University, Gold Coast, Australia; and
5
Nutrition and
Dietetics Department, Princess Alexandra Hospital, Brisbane, Australia
ABSTRACT
Background: The long-term management of chronic disease re-
quires the adoption of complex dietary recommendations, which
can be facilitated by regular coaching to support behavioral changes.
Telehealth interventions can overcome patient-centered barriers to
accessing face-to-face programs and provide feasible delivery methods,
accessible regardless of geographic location.
Objective: This systematic review assessed the effectiveness of
telehealth dietary interventions at facilitating dietary change in
chronic disease.
Design: A structured systematic search was conducted for all ran-
domized controlled trials evaluating multifactorial dietary interven-
tions in adults with chronic disease that provided diet education in
an intervention longer than 4 wk. Meta-analyses that used the ran-
dom-effects model were performed on diet quality, dietary adher-
ence, fruit and vegetables, sodium intake, energy, and dietary fat
intake.
Results: A total of 25 studies were included, involving 7384
participants. The telehealth dietary intervention was effec-
tive at improving diet quality [standardized mean difference
(SMD): 0.22 (95% CI: 0.09, 0.34), P = 0.0007], fruit and veg-
etable intake [mean difference (MD) 1.04 servings/d (95% CI:
0.46, 1.62 servings/d), P = 0.0004], and dietary sodium intake
[SMD: 20.39 (20.58, 20.20), P = 0.0001]. Single nutrients
(total fat and energy consumption) were not improved by tele-
health intervention; however, after a telehealth intervention, impor-
tant clinical outcomes were improved, such as systolic blood pressure
[MD: 22.97 mm Hg (95% CI: 25.72, 20.22 mm Hg), P = 0.05],
total cholesterol [MD: 20.08 mmol/L (95% CI: 20.16, 20.00 mmol/L),
P = 0.04], triglycerides [MD: 20.10 mmol/L (95% CI: 20.19,
20.01 mmol/L), P = 0.04], weight [MD: 20.80 kg (95% CI:
21.61, 0 kg), P = 0.05], and waist circumference [MD: 22.08 cm
(95% CI: 23.97, 20.20 cm), P = 0.03].
Conclusions: Telehealth-delivered dietary interventions targeting
whole foods and/or dietary patterns can improve diet quality, fruit
and vegetable intake, and dietary sodium intake. When applicable,
they should be incorporated into health care services for people with
chronic conditions. This review was registered at http://www.crd.
york.ac.uk/PROSPERO/ as CRD42015026398. Am J Clin Nutr
2016;104:1693–702.
Keywords: telehealth, diet quality, dietary, diet, fruit, vegetables,
chronic disease
INTRODUCTION
Chronic diseases are the leading cause of ill health, accounting
for .68% of all deaths worldwide (1). Chron.
RESEARCH Open AccessTelecoaching plus a portion control pl.docxsyreetamacaulay
RESEARCH Open Access
Telecoaching plus a portion control plate
for weight care management: a
randomized trial
Jill M. Huber1, Joshua S. Shapiro2, Mark L. Wieland1, Ivana T. Croghan1, Kristen S. Vickers Douglas3,
Darrell R. Schroeder4, Julie C. Hathaway5 and Jon O. Ebbert1,6*
Abstract
Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-
related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational
interviewing paired with a portion control plate for obese patients in a primary care setting.
Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern
United States. Patients were randomized to either usual care or an intervention including telecoaching with a
portion control plate. The intervention was provided during a 3-month period with follow-up of all patients
through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist
circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included
measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks.
Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion
control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline
demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P = .038) and waist to hip ratio
(estimated treatment effect -.02, P = .037) at 3 months were observed in the telecoaching plus portion control plate
group compared to usual care. These differences were not statistically significant at 6 months. In females, the
telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI
at both 3 months (estimated treatment effect -1.6 kg, P = .016 and -0.6 kg/m2, P = .020) and 6 months (estimated
treatment effect -2.3 kg, P = .013 and -0.8 kg/m2, P = .025). In males, the telecoaching plus portion control
intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment
effect -0.04, P = .017), but failed to show a significant difference in weight and BMI.
Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese
primary care patients; however, changes depend upon sex.
Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/
NCT02373878.
Keywords: Obesity, Telecoaching, Portion control plate, Primary care, Patient-centered medical home
* Correspondence: [email protected]
1Division of Primary Care Internal Medicine, Department of Medicine,
Rochester, MN 55905, USA
6Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
Full list of author information is ...
To evaluate the benefits of Structured Medication Reviews in elderly Chinese ...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, To evaluate the benefits of Structured Medication Reviews in elderly Chinese patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Improving Medication Adherence among Type II Home Healthcare DMalikPinckney86
Improving Medication Adherence among Type II Home Healthcare Diabetic Patients
1
Improving Medication Adherence among Type II Home Healthcare Diabetic Patients
by
Bola Odusola-Stephen
Investigator's Background
The primary investigator is a registered nurse with 18 plus years experience in home healthcare. Also have experience in dealing with Type II diabetic patients and medication adherence issues.
Investigator works as a registered nurse in the home healthcare setting.
3
Topic Background
The topic on medication adherence among diabetic home healthcare patients using the MAP resources was chosen because there is a continue steady rise in chronic diseases that has resulted in more patient care options (Polonsky & Henry, 2016).
Home-based healthcare has existed since 1909 (Choi et al., 2019). Present-day, home-based healthcare is often selected due to an individual’s personal preferences.
While home-based healthcare is not appropriate for all patients, Szanton et al. (2016) noted that this care option is best when an individual’s condition can be managed without admission to a hospital.
The topic on medication adherence among diabetic home healthcare patients using the MAP resources was chosen because there is a continues steady rise in chronic diseases has resulted in more patient care options (Polonsky & Henry, 2016). Home-based healthcare has existed since 1909 (Choi et al., 2019). Present-day, home-based healthcare is often selected due to an individual’s personal preferences. While home-based healthcare is not appropriate for all patients, Szanton et al. (2016) noted that this care option is best when an individual’s condition can be managed without admission to a hospital.
4
Topic background
There is the need of addressing the lack of adherence to medication among type II diabetes patients.
The project will address the lack of adherence through the implementation of the MAP resources and evaluate the effectiveness.
There is the need of addressing the lack of adherence to medication among type II diabetes patients. The project will address the lack of adherence through the implementation of the MAP resources and evaluate the effectiveness.
5
Problem Statement
It is not known if or to what degree the implementation of the New York City Department of Health and Mental Hygiene Medication Adherence Project (MAP) resources impact patient medication adherence rates when compared to current practice among Type II diabetic home healthcare patients in urban Texas.
According to the healthcare agency’s electronic health record (EHR), home healthcare providers documented that ten percent of diabetic home healthcare patients are not adhering to their medication regimen.
Medication non-adherence can be ascribed to a lack of drug-related knowledge, high prescription prices, and a lack of understanding of the medication regimen. This is why reinforcing the need for this quality improvement project (Heath, 201 ...
Running Head QUANTITATIVE RESEARCH SUMMARY1QUANTITATIVE RESE.docxtodd581
Running Head: QUANTITATIVE RESEARCH SUMMARY 1
QUANTITATIVE RESEARCH SUMMARY 10
QUANTITATIVE RESEARCH SUMMARY
Student’s Name: Letzy Reyes
Institution: Grand Cayon University
Date: 06/10/2018
Nursing Practice Problem
P-(Problem) – elderly patients aged above 50 years admitted in hospital and having shown blood pressure disease signs. Patients not included in the research were pregnant women.
I-(Intervention) – the patients who are subject in this research will be subjected to therapeutic routine concerning hypertension. The blood pressure of all the patients was tested after administering hypertension medicine to the subjects. The resultant changes were recorded every day to determine the reaction and thus the group will make a conclusion.
C-(Comparison) – institutionalized quality methods will be regulated for hypertension and subjected to the group. The comparison between the groups will be done towards the end of the month in the group.
O-(Outcome) - there will be good relation between the hypertension medication and blood pressure.
T-(Time) – for the next one month the blood pressure will be monitored closely.
The nursing practice portion should be in paragraph form.
PICOT Statement
Elderly patients under hypertension medication together with pharmacological interventions can be maintained in hospitals to improve their blood pressure and with understanding the background and culture of the patients will be of great help in dealing with hypertension. Comment by Doreen Farley: Letzy, I know that this is not the PICOT question that we decided on. What happened to the PICOT?
In patients with hypertension, does the use of meditation along with pharmacological interventions compared to medications alone improve blood pressure? This was the PICOT from out last discussion on 6-1-18
This paper is supposed to be double space only. I am not sure why there is so much space in between concepts.
Introduction
Background of the study
The purpose of the study was to evaluate analyze how patients using hypertension medication along with pharmacological interventions compared to medications alone improve blood pressure. The bottom line of the study was to evaluate how different opinions on hypertension and the treatment of the disease and how such opinions differ from one place to another especially due to the difference in culture or ethnicity of these groups. In addition, the study will be evaluated on what the proposed interventions would do to improve the adherence to these groups. Comment by Doreen Farley: The study evaluated…
The proposed interventions from the research on the two articles will be of importance to the nursing field. There is the need for the nurses to connect, care and convey treatment for various groups of patients in our diverse community. These include taking treatment to patients from different ethnic and racial groups. When it comes to hypertension, nurses have been faced with challenges .
TYPE 2 DIABETES
TYPE 2 DIABETES 2
Type 2 Diabetes
Student Name
Date
school
Type 2 Diabetes
Introduction
Diabetes is a multifaceted disease that affects over 29 million individuals in the United States although most of them are not aware they are sick. The prevalence of diagnosed diabetes is higher among certain minorities such as Alaska Natives, American Indians, Hispanics, Asian Americans and non-Hispanic Black. Its reduces muscle, liver and adipose tissue insulin sensitivity to as well as a decrease pancreatic b-cell function leading which can impair insulin secretion. Diabetes mellitus (DM) can be in form of Type 1 DM, gestation DM, type 2 DM, Pre-DM or medication-induced DM while all bear high levels of blood glucose. Lately, new antidiabetic medications have been adopted for the treatment of T2DM, including dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide 1(GLP-1) receptor agonists, anamylin analogue, and sodium-glucose cotransporter 2 (SGLT2) inhibitors. Of all cases of diabetes, 90% - 95% is accounted by type 2 DM (Olokoba, Obateru & Olokoba, 2012). It is characterized by the body failing to use insulin properly because of the relative deficiency in insulin or insulin resistance. Failure to manage type 2 diabetes appropriately can cause grave complications such as neuropathy, retinopathy and cardiovascular diseases. .
Problem
Diabetes Mellitus type 2 has become an epidemic in the adult population and managing the glucose levels has become a serious problem with close to 285 million people worldwide affected (International Diabetes Federation. 2011). The number of Americans people affected by type 2 diabetes mellitus has continued to grow by 1.9 million cases every year. The problem has been rampant on older people in the United States who account for 10.9 million cases. Among the factors identified as drivers of type 2DM epidemic is physical inactivity, increased age of the U.S. population, increase in the sub-populations prone to diabetes and obesity epidemic. The cost of type 2DM is enormous and in 2012, approximately $176 billion was used in direct medical costs and $69 billion in lost due to lack of productivity.
Review of the Literature
Author
Article Title
Describe Relevance to the Problem Statement
1. SLO #1: Discuss various research designs
Lew, K. N., &
Wick, A.
Pharmacotherapy of
Type 2 Diabetes
Mellitus: Navigating
Current and New
Therapies
Descriptive, correlational and review
research designs. The three
forenamed research designs were
used in the article.
2. SLO #2: Compare and contrast select research designs
Espeland et al.
Intensive Weight
Loss Intervention
in Older Individuals:
Results from the Action
for Health in Diabetes
Type 2 Diabetes Mellitus
Trial
A Randomized controlled clinical trial
design
Research was done on individuals to
determine the impact o ...
Running head SEARCHING AND CRITIQUING THE EVIDENCE1SEARCHING .docxtoltonkendal
Running head: SEARCHING AND CRITIQUING THE EVIDENCE 1
SEARCHING AND CRITIQUING THE EVIDENCE 4
Searching and Critiquing the Evidence
Student’s Name
Institution
Date
Searching and Critiquing the Evidence
There are various research studies that have been done on the outcome of self-care on Type 2 Diabetes Mellitus patients. In most of the studies, the most prevalent results are that self-care is an effective method of improving the health and lifestyle outcomes of Type 2 Diabetes patients. Krishna and Boren (2008) conducted a systematic review of evidence-based studies done between 1996 and 2007. The study analyzed 18 researches done within the selected time period and found that using phone calls and text messages to assist diabetes patients could improve the self-management outcomes. Shrivastava et al. (2013) analyzed the effectiveness of self-management for the diabetes mellitus patients. The study found that self-care helps to reduce the rate of morbidity and mortality among diabetes patients.
In addition, Steinsbekk et al. (2013) conducted a meta-analysis comparing the differences between the outcomes of group based self-management education and routine treatment for Type 2 diabetes patients. The study analyzed 21 studies that included studied on 2833 participants. The results of the meta-analysis showed that group-based self-management education helped to improve the psychosocial, clinical, and lifestyle outcomes among the diabetes patients. Lastly, Tang et al. (2008) examined the impact of social support and quality of life on the self-care behaviors of African American Type 2 diabetes patients. The study followed an observational design with 89 African-American adults, who were aged 40 and above. The study found that social support is vital for self-management to be effective in diabetes treatment.
The selected studies have helped to strengthen the merit of my selected theoretical framework. The theory selected for the study was Dorothea Orem’s Self Care Theory. These studies have helped to demonstrate some important evidence-based facts about the effectiveness of self-care for diabetes patients hence helping to prove the credibility of the theory. The scrutiny of these studies has helped to discover the degree of effectiveness of this theory and the best application methods that can make it an effective approach to improving the outcomes of patients with Type 2 Diabetes Mellitus.
Levels of Evidence in the Articles
The classification of the level of evidence of a given research is important in evidence-based studies because they help to show how accurate, credible, or reliable a research is (Gray, Grove & Sutherland, 2017). The most prevalent evidence in the research articles analyzed is Level II evidence. Level II evidence is one that is obtained from at least one randomized control trial (Moran, Burson & Conrad, 2017). The articles by Krishna and Boren (2008) and Steinsbekk et al. (2013) conducted meta-analyses of various rese ...
Complementary medical health services: a cross sectional descriptive analysis...home
The clinic attracts people from a wide area in the metropolitan Toronto and surrounding region with
health concerns and diagnoses that are consistent with primary care, providing health education and addressing
acute and chronic health conditions. Further explorations into health services delivery from the broader
naturopathic or other complementary/alternative medical professions would provide greater context to these
findings and expand understanding of the patients and type of care being provided by these health professionals.
Nurse Staffing and Inpatient Hospital Mortality.Write a Memora.docxgibbonshay
Nurse Staffing and Inpatient Hospital Mortality.
Write a
Memorandum
(no more than 2 pages) directed to your faculty answering the questions:
What questions the did researchers try to answer?
What study design was chosen for this study? Why?
What data was collected? Why?
What biases the study was subjected to?
What conclusions were made?
How a healthcare manager can use this study to guide departmental staffing?
**Refer to credible sources following APA format when appropriate
.
NR360 INFORMATION SYSTEMS IN HEALTHCARE Required Un.docxgibbonshay
NR360 INFORMATION SYSTEMS IN HEALTHCARE
Required Uniform Assignment: Technology
Presentation
PURPOSE
The purpose of this assignment is to (a) explore and present an information technology used in the
healthcare system that supports the patient care experience and (b) develop the skills of team
communication, collaboration, and production.
Course Outcomes
This assignment enables the student to meet the following course outcomes.
• CO 1: Describe patient‐care technologies as appropriate to address the needs of a diverse patient
population. (PO 1)
• CO 5: Identify patient care technologies, information systems, and communication devices that
support safe nursing practice. (PO 5)
• CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to
data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)
• CO 8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing
care. (PO 8)
DUE DATE
See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.
TOTAL POINTS POSSIBLE
This assignment is worth a total of 240 points.
Requirements
1. For this team project, students will be assigned by faculty into teams of three to five individuals
depending upon class size.
2. Teams will receive a project grade based on assessment by the project rubric, which will then be
applied to each individual’s grade for the project minus points for lack of participation in the
development or presentation of the project.
3. The team leader will make all dropbox submissions for the course so that the
NR360 Technology Presentation Guidelines V1.docx Revised for SEP17 tz/css/slp 2
a. TURNITIN similarity index will not pickup inadvertent self‐plagiarism from another team
member’s submission
b. Course faculty will have only one submission to review and grade.
4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility.
a. Follow the best practices for PowerPoint construction & presentation
Preparing the Presentation
1. Prepare a PowerPoint presentation with speaker notes between 25‐30 slides, NOT including the
title and reference slides.
a. Speaker Notes
i. Outline and “script” the presentation for online students.
ii. Online students’ speaker notes should include the name of the student who
researched and presented the slide information.
iii. Campus students follow the guidelines of your course instructor.
b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to
PowerPoint slides.
c. Cite sources in APA format in the applicable slides and include the APA formatted
reference in your reference list slide(s) ‐ Minimum 6 references
d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g.,
quotation marks, i.
More Related Content
Similar to Understanding the nutrition care needs of patients newly diagn.docx
Telehealth methods to deliver dietary interventions in adults .docxjohniemcm5zt
Telehealth methods to deliver dietary interventions in adults with
chronic disease: a systematic review and meta-analysis1,2
Jaimon T Kelly,3 Dianne P Reidlinger,3 Tammy C Hoffmann,4 and Katrina L Campbell3,5*
3
Faculty of Health Sciences and Medicine,
4
Centre for Research in Evidence Based Practice, Bond University, Gold Coast, Australia; and
5
Nutrition and
Dietetics Department, Princess Alexandra Hospital, Brisbane, Australia
ABSTRACT
Background: The long-term management of chronic disease re-
quires the adoption of complex dietary recommendations, which
can be facilitated by regular coaching to support behavioral changes.
Telehealth interventions can overcome patient-centered barriers to
accessing face-to-face programs and provide feasible delivery methods,
accessible regardless of geographic location.
Objective: This systematic review assessed the effectiveness of
telehealth dietary interventions at facilitating dietary change in
chronic disease.
Design: A structured systematic search was conducted for all ran-
domized controlled trials evaluating multifactorial dietary interven-
tions in adults with chronic disease that provided diet education in
an intervention longer than 4 wk. Meta-analyses that used the ran-
dom-effects model were performed on diet quality, dietary adher-
ence, fruit and vegetables, sodium intake, energy, and dietary fat
intake.
Results: A total of 25 studies were included, involving 7384
participants. The telehealth dietary intervention was effec-
tive at improving diet quality [standardized mean difference
(SMD): 0.22 (95% CI: 0.09, 0.34), P = 0.0007], fruit and veg-
etable intake [mean difference (MD) 1.04 servings/d (95% CI:
0.46, 1.62 servings/d), P = 0.0004], and dietary sodium intake
[SMD: 20.39 (20.58, 20.20), P = 0.0001]. Single nutrients
(total fat and energy consumption) were not improved by tele-
health intervention; however, after a telehealth intervention, impor-
tant clinical outcomes were improved, such as systolic blood pressure
[MD: 22.97 mm Hg (95% CI: 25.72, 20.22 mm Hg), P = 0.05],
total cholesterol [MD: 20.08 mmol/L (95% CI: 20.16, 20.00 mmol/L),
P = 0.04], triglycerides [MD: 20.10 mmol/L (95% CI: 20.19,
20.01 mmol/L), P = 0.04], weight [MD: 20.80 kg (95% CI:
21.61, 0 kg), P = 0.05], and waist circumference [MD: 22.08 cm
(95% CI: 23.97, 20.20 cm), P = 0.03].
Conclusions: Telehealth-delivered dietary interventions targeting
whole foods and/or dietary patterns can improve diet quality, fruit
and vegetable intake, and dietary sodium intake. When applicable,
they should be incorporated into health care services for people with
chronic conditions. This review was registered at http://www.crd.
york.ac.uk/PROSPERO/ as CRD42015026398. Am J Clin Nutr
2016;104:1693–702.
Keywords: telehealth, diet quality, dietary, diet, fruit, vegetables,
chronic disease
INTRODUCTION
Chronic diseases are the leading cause of ill health, accounting
for .68% of all deaths worldwide (1). Chron.
Telehealth methods to deliver dietary interventions in adults .docxjacqueliner9
Telehealth methods to deliver dietary interventions in adults with
chronic disease: a systematic review and meta-analysis1,2
Jaimon T Kelly,3 Dianne P Reidlinger,3 Tammy C Hoffmann,4 and Katrina L Campbell3,5*
3
Faculty of Health Sciences and Medicine,
4
Centre for Research in Evidence Based Practice, Bond University, Gold Coast, Australia; and
5
Nutrition and
Dietetics Department, Princess Alexandra Hospital, Brisbane, Australia
ABSTRACT
Background: The long-term management of chronic disease re-
quires the adoption of complex dietary recommendations, which
can be facilitated by regular coaching to support behavioral changes.
Telehealth interventions can overcome patient-centered barriers to
accessing face-to-face programs and provide feasible delivery methods,
accessible regardless of geographic location.
Objective: This systematic review assessed the effectiveness of
telehealth dietary interventions at facilitating dietary change in
chronic disease.
Design: A structured systematic search was conducted for all ran-
domized controlled trials evaluating multifactorial dietary interven-
tions in adults with chronic disease that provided diet education in
an intervention longer than 4 wk. Meta-analyses that used the ran-
dom-effects model were performed on diet quality, dietary adher-
ence, fruit and vegetables, sodium intake, energy, and dietary fat
intake.
Results: A total of 25 studies were included, involving 7384
participants. The telehealth dietary intervention was effec-
tive at improving diet quality [standardized mean difference
(SMD): 0.22 (95% CI: 0.09, 0.34), P = 0.0007], fruit and veg-
etable intake [mean difference (MD) 1.04 servings/d (95% CI:
0.46, 1.62 servings/d), P = 0.0004], and dietary sodium intake
[SMD: 20.39 (20.58, 20.20), P = 0.0001]. Single nutrients
(total fat and energy consumption) were not improved by tele-
health intervention; however, after a telehealth intervention, impor-
tant clinical outcomes were improved, such as systolic blood pressure
[MD: 22.97 mm Hg (95% CI: 25.72, 20.22 mm Hg), P = 0.05],
total cholesterol [MD: 20.08 mmol/L (95% CI: 20.16, 20.00 mmol/L),
P = 0.04], triglycerides [MD: 20.10 mmol/L (95% CI: 20.19,
20.01 mmol/L), P = 0.04], weight [MD: 20.80 kg (95% CI:
21.61, 0 kg), P = 0.05], and waist circumference [MD: 22.08 cm
(95% CI: 23.97, 20.20 cm), P = 0.03].
Conclusions: Telehealth-delivered dietary interventions targeting
whole foods and/or dietary patterns can improve diet quality, fruit
and vegetable intake, and dietary sodium intake. When applicable,
they should be incorporated into health care services for people with
chronic conditions. This review was registered at http://www.crd.
york.ac.uk/PROSPERO/ as CRD42015026398. Am J Clin Nutr
2016;104:1693–702.
Keywords: telehealth, diet quality, dietary, diet, fruit, vegetables,
chronic disease
INTRODUCTION
Chronic diseases are the leading cause of ill health, accounting
for .68% of all deaths worldwide (1). Chron.
RESEARCH Open AccessTelecoaching plus a portion control pl.docxsyreetamacaulay
RESEARCH Open Access
Telecoaching plus a portion control plate
for weight care management: a
randomized trial
Jill M. Huber1, Joshua S. Shapiro2, Mark L. Wieland1, Ivana T. Croghan1, Kristen S. Vickers Douglas3,
Darrell R. Schroeder4, Julie C. Hathaway5 and Jon O. Ebbert1,6*
Abstract
Background: Obesity is a leading preventable cause of death and disability and is associated with a lower health-
related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational
interviewing paired with a portion control plate for obese patients in a primary care setting.
Methods: We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern
United States. Patients were randomized to either usual care or an intervention including telecoaching with a
portion control plate. The intervention was provided during a 3-month period with follow-up of all patients
through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist
circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included
measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks.
Results: A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion
control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline
demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m2, P = .038) and waist to hip ratio
(estimated treatment effect -.02, P = .037) at 3 months were observed in the telecoaching plus portion control plate
group compared to usual care. These differences were not statistically significant at 6 months. In females, the
telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI
at both 3 months (estimated treatment effect -1.6 kg, P = .016 and -0.6 kg/m2, P = .020) and 6 months (estimated
treatment effect -2.3 kg, P = .013 and -0.8 kg/m2, P = .025). In males, the telecoaching plus portion control
intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment
effect -0.04, P = .017), but failed to show a significant difference in weight and BMI.
Conclusion: Telecoaching with a portion control plate can produce positive change in body habitus among obese
primary care patients; however, changes depend upon sex.
Trial registration: ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/
NCT02373878.
Keywords: Obesity, Telecoaching, Portion control plate, Primary care, Patient-centered medical home
* Correspondence: [email protected]
1Division of Primary Care Internal Medicine, Department of Medicine,
Rochester, MN 55905, USA
6Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA
Full list of author information is ...
To evaluate the benefits of Structured Medication Reviews in elderly Chinese ...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, To evaluate the benefits of Structured Medication Reviews in elderly Chinese patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Improving Medication Adherence among Type II Home Healthcare DMalikPinckney86
Improving Medication Adherence among Type II Home Healthcare Diabetic Patients
1
Improving Medication Adherence among Type II Home Healthcare Diabetic Patients
by
Bola Odusola-Stephen
Investigator's Background
The primary investigator is a registered nurse with 18 plus years experience in home healthcare. Also have experience in dealing with Type II diabetic patients and medication adherence issues.
Investigator works as a registered nurse in the home healthcare setting.
3
Topic Background
The topic on medication adherence among diabetic home healthcare patients using the MAP resources was chosen because there is a continue steady rise in chronic diseases that has resulted in more patient care options (Polonsky & Henry, 2016).
Home-based healthcare has existed since 1909 (Choi et al., 2019). Present-day, home-based healthcare is often selected due to an individual’s personal preferences.
While home-based healthcare is not appropriate for all patients, Szanton et al. (2016) noted that this care option is best when an individual’s condition can be managed without admission to a hospital.
The topic on medication adherence among diabetic home healthcare patients using the MAP resources was chosen because there is a continues steady rise in chronic diseases has resulted in more patient care options (Polonsky & Henry, 2016). Home-based healthcare has existed since 1909 (Choi et al., 2019). Present-day, home-based healthcare is often selected due to an individual’s personal preferences. While home-based healthcare is not appropriate for all patients, Szanton et al. (2016) noted that this care option is best when an individual’s condition can be managed without admission to a hospital.
4
Topic background
There is the need of addressing the lack of adherence to medication among type II diabetes patients.
The project will address the lack of adherence through the implementation of the MAP resources and evaluate the effectiveness.
There is the need of addressing the lack of adherence to medication among type II diabetes patients. The project will address the lack of adherence through the implementation of the MAP resources and evaluate the effectiveness.
5
Problem Statement
It is not known if or to what degree the implementation of the New York City Department of Health and Mental Hygiene Medication Adherence Project (MAP) resources impact patient medication adherence rates when compared to current practice among Type II diabetic home healthcare patients in urban Texas.
According to the healthcare agency’s electronic health record (EHR), home healthcare providers documented that ten percent of diabetic home healthcare patients are not adhering to their medication regimen.
Medication non-adherence can be ascribed to a lack of drug-related knowledge, high prescription prices, and a lack of understanding of the medication regimen. This is why reinforcing the need for this quality improvement project (Heath, 201 ...
Running Head QUANTITATIVE RESEARCH SUMMARY1QUANTITATIVE RESE.docxtodd581
Running Head: QUANTITATIVE RESEARCH SUMMARY 1
QUANTITATIVE RESEARCH SUMMARY 10
QUANTITATIVE RESEARCH SUMMARY
Student’s Name: Letzy Reyes
Institution: Grand Cayon University
Date: 06/10/2018
Nursing Practice Problem
P-(Problem) – elderly patients aged above 50 years admitted in hospital and having shown blood pressure disease signs. Patients not included in the research were pregnant women.
I-(Intervention) – the patients who are subject in this research will be subjected to therapeutic routine concerning hypertension. The blood pressure of all the patients was tested after administering hypertension medicine to the subjects. The resultant changes were recorded every day to determine the reaction and thus the group will make a conclusion.
C-(Comparison) – institutionalized quality methods will be regulated for hypertension and subjected to the group. The comparison between the groups will be done towards the end of the month in the group.
O-(Outcome) - there will be good relation between the hypertension medication and blood pressure.
T-(Time) – for the next one month the blood pressure will be monitored closely.
The nursing practice portion should be in paragraph form.
PICOT Statement
Elderly patients under hypertension medication together with pharmacological interventions can be maintained in hospitals to improve their blood pressure and with understanding the background and culture of the patients will be of great help in dealing with hypertension. Comment by Doreen Farley: Letzy, I know that this is not the PICOT question that we decided on. What happened to the PICOT?
In patients with hypertension, does the use of meditation along with pharmacological interventions compared to medications alone improve blood pressure? This was the PICOT from out last discussion on 6-1-18
This paper is supposed to be double space only. I am not sure why there is so much space in between concepts.
Introduction
Background of the study
The purpose of the study was to evaluate analyze how patients using hypertension medication along with pharmacological interventions compared to medications alone improve blood pressure. The bottom line of the study was to evaluate how different opinions on hypertension and the treatment of the disease and how such opinions differ from one place to another especially due to the difference in culture or ethnicity of these groups. In addition, the study will be evaluated on what the proposed interventions would do to improve the adherence to these groups. Comment by Doreen Farley: The study evaluated…
The proposed interventions from the research on the two articles will be of importance to the nursing field. There is the need for the nurses to connect, care and convey treatment for various groups of patients in our diverse community. These include taking treatment to patients from different ethnic and racial groups. When it comes to hypertension, nurses have been faced with challenges .
TYPE 2 DIABETES
TYPE 2 DIABETES 2
Type 2 Diabetes
Student Name
Date
school
Type 2 Diabetes
Introduction
Diabetes is a multifaceted disease that affects over 29 million individuals in the United States although most of them are not aware they are sick. The prevalence of diagnosed diabetes is higher among certain minorities such as Alaska Natives, American Indians, Hispanics, Asian Americans and non-Hispanic Black. Its reduces muscle, liver and adipose tissue insulin sensitivity to as well as a decrease pancreatic b-cell function leading which can impair insulin secretion. Diabetes mellitus (DM) can be in form of Type 1 DM, gestation DM, type 2 DM, Pre-DM or medication-induced DM while all bear high levels of blood glucose. Lately, new antidiabetic medications have been adopted for the treatment of T2DM, including dipeptidyl peptidase-4 (DPP-4) inhibitors, glucagon-like peptide 1(GLP-1) receptor agonists, anamylin analogue, and sodium-glucose cotransporter 2 (SGLT2) inhibitors. Of all cases of diabetes, 90% - 95% is accounted by type 2 DM (Olokoba, Obateru & Olokoba, 2012). It is characterized by the body failing to use insulin properly because of the relative deficiency in insulin or insulin resistance. Failure to manage type 2 diabetes appropriately can cause grave complications such as neuropathy, retinopathy and cardiovascular diseases. .
Problem
Diabetes Mellitus type 2 has become an epidemic in the adult population and managing the glucose levels has become a serious problem with close to 285 million people worldwide affected (International Diabetes Federation. 2011). The number of Americans people affected by type 2 diabetes mellitus has continued to grow by 1.9 million cases every year. The problem has been rampant on older people in the United States who account for 10.9 million cases. Among the factors identified as drivers of type 2DM epidemic is physical inactivity, increased age of the U.S. population, increase in the sub-populations prone to diabetes and obesity epidemic. The cost of type 2DM is enormous and in 2012, approximately $176 billion was used in direct medical costs and $69 billion in lost due to lack of productivity.
Review of the Literature
Author
Article Title
Describe Relevance to the Problem Statement
1. SLO #1: Discuss various research designs
Lew, K. N., &
Wick, A.
Pharmacotherapy of
Type 2 Diabetes
Mellitus: Navigating
Current and New
Therapies
Descriptive, correlational and review
research designs. The three
forenamed research designs were
used in the article.
2. SLO #2: Compare and contrast select research designs
Espeland et al.
Intensive Weight
Loss Intervention
in Older Individuals:
Results from the Action
for Health in Diabetes
Type 2 Diabetes Mellitus
Trial
A Randomized controlled clinical trial
design
Research was done on individuals to
determine the impact o ...
Running head SEARCHING AND CRITIQUING THE EVIDENCE1SEARCHING .docxtoltonkendal
Running head: SEARCHING AND CRITIQUING THE EVIDENCE 1
SEARCHING AND CRITIQUING THE EVIDENCE 4
Searching and Critiquing the Evidence
Student’s Name
Institution
Date
Searching and Critiquing the Evidence
There are various research studies that have been done on the outcome of self-care on Type 2 Diabetes Mellitus patients. In most of the studies, the most prevalent results are that self-care is an effective method of improving the health and lifestyle outcomes of Type 2 Diabetes patients. Krishna and Boren (2008) conducted a systematic review of evidence-based studies done between 1996 and 2007. The study analyzed 18 researches done within the selected time period and found that using phone calls and text messages to assist diabetes patients could improve the self-management outcomes. Shrivastava et al. (2013) analyzed the effectiveness of self-management for the diabetes mellitus patients. The study found that self-care helps to reduce the rate of morbidity and mortality among diabetes patients.
In addition, Steinsbekk et al. (2013) conducted a meta-analysis comparing the differences between the outcomes of group based self-management education and routine treatment for Type 2 diabetes patients. The study analyzed 21 studies that included studied on 2833 participants. The results of the meta-analysis showed that group-based self-management education helped to improve the psychosocial, clinical, and lifestyle outcomes among the diabetes patients. Lastly, Tang et al. (2008) examined the impact of social support and quality of life on the self-care behaviors of African American Type 2 diabetes patients. The study followed an observational design with 89 African-American adults, who were aged 40 and above. The study found that social support is vital for self-management to be effective in diabetes treatment.
The selected studies have helped to strengthen the merit of my selected theoretical framework. The theory selected for the study was Dorothea Orem’s Self Care Theory. These studies have helped to demonstrate some important evidence-based facts about the effectiveness of self-care for diabetes patients hence helping to prove the credibility of the theory. The scrutiny of these studies has helped to discover the degree of effectiveness of this theory and the best application methods that can make it an effective approach to improving the outcomes of patients with Type 2 Diabetes Mellitus.
Levels of Evidence in the Articles
The classification of the level of evidence of a given research is important in evidence-based studies because they help to show how accurate, credible, or reliable a research is (Gray, Grove & Sutherland, 2017). The most prevalent evidence in the research articles analyzed is Level II evidence. Level II evidence is one that is obtained from at least one randomized control trial (Moran, Burson & Conrad, 2017). The articles by Krishna and Boren (2008) and Steinsbekk et al. (2013) conducted meta-analyses of various rese ...
Complementary medical health services: a cross sectional descriptive analysis...home
The clinic attracts people from a wide area in the metropolitan Toronto and surrounding region with
health concerns and diagnoses that are consistent with primary care, providing health education and addressing
acute and chronic health conditions. Further explorations into health services delivery from the broader
naturopathic or other complementary/alternative medical professions would provide greater context to these
findings and expand understanding of the patients and type of care being provided by these health professionals.
Nurse Staffing and Inpatient Hospital Mortality.Write a Memora.docxgibbonshay
Nurse Staffing and Inpatient Hospital Mortality.
Write a
Memorandum
(no more than 2 pages) directed to your faculty answering the questions:
What questions the did researchers try to answer?
What study design was chosen for this study? Why?
What data was collected? Why?
What biases the study was subjected to?
What conclusions were made?
How a healthcare manager can use this study to guide departmental staffing?
**Refer to credible sources following APA format when appropriate
.
NR360 INFORMATION SYSTEMS IN HEALTHCARE Required Un.docxgibbonshay
NR360 INFORMATION SYSTEMS IN HEALTHCARE
Required Uniform Assignment: Technology
Presentation
PURPOSE
The purpose of this assignment is to (a) explore and present an information technology used in the
healthcare system that supports the patient care experience and (b) develop the skills of team
communication, collaboration, and production.
Course Outcomes
This assignment enables the student to meet the following course outcomes.
• CO 1: Describe patient‐care technologies as appropriate to address the needs of a diverse patient
population. (PO 1)
• CO 5: Identify patient care technologies, information systems, and communication devices that
support safe nursing practice. (PO 5)
• CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to
data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)
• CO 8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing
care. (PO 8)
DUE DATE
See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.
TOTAL POINTS POSSIBLE
This assignment is worth a total of 240 points.
Requirements
1. For this team project, students will be assigned by faculty into teams of three to five individuals
depending upon class size.
2. Teams will receive a project grade based on assessment by the project rubric, which will then be
applied to each individual’s grade for the project minus points for lack of participation in the
development or presentation of the project.
3. The team leader will make all dropbox submissions for the course so that the
NR360 Technology Presentation Guidelines V1.docx Revised for SEP17 tz/css/slp 2
a. TURNITIN similarity index will not pickup inadvertent self‐plagiarism from another team
member’s submission
b. Course faculty will have only one submission to review and grade.
4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility.
a. Follow the best practices for PowerPoint construction & presentation
Preparing the Presentation
1. Prepare a PowerPoint presentation with speaker notes between 25‐30 slides, NOT including the
title and reference slides.
a. Speaker Notes
i. Outline and “script” the presentation for online students.
ii. Online students’ speaker notes should include the name of the student who
researched and presented the slide information.
iii. Campus students follow the guidelines of your course instructor.
b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to
PowerPoint slides.
c. Cite sources in APA format in the applicable slides and include the APA formatted
reference in your reference list slide(s) ‐ Minimum 6 references
d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g.,
quotation marks, i.
NUR3020Assignment 1 Application of Law and Ethics Modules.docxgibbonshay
NUR3020
Assignment 1: Application of Law and Ethics Modules
Contents
Objectives: Assignment one: 1
Process 1
Assignment Brief 2
Assignment Section One: Patient Safety/Nursing Care 2
Assignment Section Two: The Tort of Negligence 3
Assignment Section Three: Ethical Issues 3
Guidelines 4
References 4
Objectives: Assignment one:
After successfully completing this assignment students will:
1. Demonstrate an understanding of law and ethics in 21st Century registered nursing practice in Australia
2. Apply published theory to case situations.
3. Synthesise published material with the student’s own analysis to demonstrate appropriate conclusions.
4. Demonstrate professional communication in the accepted form of an Academic Assignment.
Process
1. Due Date: Monday, August 14, 2017 Extension to Tuesday, Aug 22nd.
2. Word limit is 2000 words – 10% deviation allowed
3. This piece of assessment is an individual submission; it is not group work – it must be your own and will be electronically tracked against other submissions.
4. Submitted via Study Desk, course site (only) - no emailed copies or hard copy accepted
5. Please submit Marking Guide as a separate document (in WORD).
6. APA6 referencing is required as per the USQ Library guide is expected.
7. The teaching team is not in a position to review drafts – but welcomes questions and outlines of your work and questions about areas you may find challenging! These can be in the Communities of Practice if you feel the question would benefit your peers, or emailed to Marie Cleary individually if you feel it is something of an individual nature.
8. Request for extensions are for extenuating circumstances and must be at least three days prior to due date. The examiner will request a ‘work in progress’ at the point of request.
Assignment Brief
Conduct an analysis of the Case: Findings of the Inquest into the death of Albert Eric Bruce Biffin addressing the three sections as outlined.
In the report of the Inquest into the death of Albert Eric Bruce Biffin1 the Coroner identified the medical cause of death as complications of an incarcerated umbilical hernia. It was known that Mr Biffin had a long medical history however was still relatively independent in his residential care environment. Mr Biffin died on February 27, 2013 at the age of 86.
A number of registered nurses, were involved in Mr Biffin’s care in the period February 24, 2013 to February 27, 2013. The role of the assistant in nursing, the endorsed enrolled nurse and the registered nurse were key within the chain of events that transpired and affected the deterioration and death of Mr Biffin.
In a chapter provided for you on DIRECT readings on the study desk for NUR3020, McDonald and Then (2014) discuss that while individuals can make errors, it also may be difficult to attribute to one person. (McDonald & Then, 2014, p. 134).
Assignment Section One: Patient Safety/Nursing Care
Section 1 - Conduct an analysis of the nur.
Numinous
Alienated
Bifurcate
Anthropocentric
Embody
Supernatural
Stultifying
Slogan
Ubiquitous
Justification
Contingently
Impermissible
Cannibalize
Antecedent
Utilitarian
Degradation
Ideology
Paradigm
Moral
Ethical
Dilemma
Essay 3 (20 points): Life
Context: Over the last two quarters, we have studied monster stories, real life “monstrous” events, and our
life-threatening fears to find that, as Stephen King said, they “make us feel alive.” Aside from forcing us to
consider our own mortality, your cultural stories (told last quarter -- sooo long ago!) also incorporated elements
of your historic and cultural lessons aimed at teaching you to be “good.”
Assignment: For this next paper, you’ll come to terms with the phrase “a good life,” forward other theorists’
research on the matter, and expand your findings by assessing/interpreting your own life.
Basic Requirements:
● MLA format
● Incorporate _____ sources to help you define your terms
● A minimum of 4 sources - only one may be from our past readings.
● A minimum of 3.5 pages (The Works Cited does not count as a page)
Skills Required:
● Research and critical selection of sources
● Citing like a boss
● Comparison/Contrast
● Careful use of language
● Paragraph content - discuss only ONE concept/perspective/aspect of work
● Paragraph organization (logical order of paragraphs)
● Paragraph cohesion (use of transitions and reasonable flow of ideas)
● Revision and final editing
.
nstructionsIn this assignment, you will use Microsoft Word o.docxgibbonshay
nstructions
In this assignment, you will use Microsoft Word or PowerPoint to create a detailed diagram and timeline of eight domestic and international terrorist events that have occurred. Four events must have occurred before 9/11, and four events must be from after 9/11.Further, you will be required to submit a paragraph that provides a brief synopsis of each terrorist event. Therefore, at least eight paragraphs should be present in your submission. Your synopsis of each event must include the following information.
Who was the terrorist or terrorist organization?
What was the terrorist’s or terrorist organization’s motive(s)?
Where did the terrorist events take place? Why did the terrorist or terrorist organization launch this attack?
When did the attack occur?
How did the terrorist or terrorist organization complete this attack? What tactics were used?
The length of the timeline will depend on how you organize the points. There is no specific length requirement as long as the criteria is met. You are required to use at least your textbook as an outside source. All sources used, including the textbook, must be cited and referenced according to APA guidelines.
Resources
.
NUR204: Week 7 Assignment Page 1
`
Assignment: Leadership
Assignment Overview
In this assignment, you will research and locate a current journal article on nursing leadership styles.
The article must be from a professional, peer-reviewed nursing journal published within the last 5
years; and then write a summary of your findings.
Assignment Details:
Perform the following tasks:
Complete the reading assignment and the interactive lesson before attempting this
assignment.
Research a current journal article on nursing leadership styles. The article must be from a
professional, peer-reviewed nursing journal published within the last 5 years.
Write a 1-2 page summary of your findings following the criteria below:
o First paragraph: summarize the major points of the article.
o Second paragraph: answer whether you support the leadership style, and why or
why not.
o Final paragraph: discuss the article as it relates to nursing practice.
o Use at least one additional outside source, such as your textbook.
o The summary should be written in APA style format and all sources must be
cited correctly.
Include the proper file naming convention: NUR204_wk7_assn_jsmith_mmddyyy.
Grading:
Criteria Excellent (3pts) Good (2pts) Needs Improvement
(1pt)
Pts.
Article - Citation from a
professional
peer-reviewed
nursing journal.
- Current within last 5
years
- Relates to nursing
leadership.
- Citation from nursing
journal.
- Out of date or
- Not related to nursing
leadership
- Citation not from a
nursing journal
- Article out of date or
not related to nursing
leadership.
First Paragraph - Concise summary of
key points of article.
- Writing is clear and
focused.
- Details are present.
- Concise summary of
key points.
- Writing is not clear or
focused.
- Some details present.
- Summary is not
concise.
- Writing is not clear or
focused.
- Details are missing.
Second Paragraph - Writing presents
support or non-support
of leadership style.
- Writing explains why
support or non-support
is given.
- Writing is clear and
logical.
- Writing presents
support or non-support.
- Writing does not
express reason for
support or non-
support.
- Writing is somewhat
unclear or not logical.
- Writing does not
present support or non-
support.
- Writing does not
express reason for
support or non-
support.
- Writing is unclear
and illogical.
NUR204: Week 7 Assignment Page 2
`
Third Paragraph - Writing is related to
nursing practice and
demonstrates analysis
and application.
- Writing is related to
nursing practice.
- Analysis and
application is weak.
- Writing is not related
to nursing practice.
- Missing analysis and
application.
Spelling/grammar/
APA
- Proper APA format is
used for citations.
- At least two sources
are included.
- Spelling and grammar
errors are few and
insignificant.
- Proper APA f.
NR360 We Can But Dare We.docx Revised 5 ‐ 9 .docxgibbonshay
NR360 We Can But Dare We.docx Revised 5 ‐ 9 ‐ 16 DA/LS/psb 07.14.16 1
NR360 INFORMATION SYSTEMS IN HEALTHCARE
Required Uniform Assignment: We Can, but Dare We?
PURPOSE
The purpose of this assignment is to investigate smartphone and social media use in healthcare and to
apply professional, ethical, and legal principles to their appropriate use in healthcare technology.
Course Outcomes
This assignment enables the student to meet the following course outcomes.
• CO #4: Investigate safeguards and decision‐making support tools embedded in patient
care technologies and information systems to support a safe practice environment for
both patients and healthcare workers. (PO 4)
• CO #6: Discuss the principles of data integrity, professional ethics, and legal
requirements related to data security, regulatory requirements, confidentiality, and
client’s right to privacy. (PO 6)
• CO #8: Discuss the value of best evidence as a driving force to institute change in the
delivery of nursing care (PO 8)
DUE DATE
See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.
TOTAL POINTS POSSIBLE
This assignment is worth a total of 240 points.
Requirements
1. Research, compose, and type a scholarly paper based on the scenario described below, and
choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons
learned in this class about technology, privacy concerns, and legal and ethical issues and
addressed each of these concepts in the paper, reflecting on the use of smartphones and social
media in healthcare. Consider the consequences of such a scenario. Do not limit your review of
the literature to the nursing discipline only because other health professionals are using the
technology, and you may need to apply critical thinking skills to its applications in this scenario.
2. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the
American Psychological Association, sixth edition, as well as the resources in Doc Sharing if you
have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take
NR360 INFORMATION SYSTEMS IN HEALTHCARE
NR360 We Can But Dare We.docx Revised 5 ‐ 9 ‐ 16 DA/LS/psb 07.14.16 2
advantage of the writing service SmartThinking, which is accessed by clicking on the link called
the Tutor Source, found under the Course Home area.
3. The length of the paper should be four to five pages, excluding the title page and the reference
page. Limit the references to a few key sources (minimum of three required).
4. The paper will contain an introduction that catches the attention of the reader, states the
purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment
criteria).
5. In the body of the paper, discuss the scenario in relation to HIPAA, leg.
NURS 6003 Transition to Graduate Study for NursingAca.docxgibbonshay
NURS 6003: Transition to Graduate Study for Nursing
Academic and Professional Success Plan Template
Prepared by:
<INSERT NAME>
This document is to be used for NURS 6003 Transition to Graduate Study for Nursing to complete Assessments 1-6. Just as importantly the document serves to organize your thoughts about planning for your academic and professional success.
For specific instructions see the weekly assessment details in the course, or ask your instructor for further guidance.
Week 1 | Part 1: My Academic and Professional Network
I have identified and secured the participation of the following academic (at least two) and professional (at least two) individuals and/or teams to form the basis of my network. This network will help me to clarify my vision for success and will help guide me now and in the future.
Directions: Complete the information below for each member of your network. For more than four entries repeat the items below with details of your additional network member(s) in the ‘ADDITIONAL NETWORK MEMBERS’ section.
NETWORK MEMBER 1
Name:
Title:
Organization:
Academic or Professional:
Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse:
Notes:
NETWORK MEMBER 2
Name:
Title:
Organization:
Academic or Professional:
Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse:
Notes:
NETWORK MEMBER 3
Name:
Title:
Organization:
Academic or Professional:
Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse:
Notes:
NETWORK MEMBER 4
Name:
Title:
Organization:
Academic or Professional:
Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse:
Notes:
ADDITIONAL NETWORK MEMBERS
Week 2 | Part 2: Academic Resources and Strategies
I have identified the following academic resources and/or strategies that can be applied to success in the nursing practice in general or my specialty in particular.
Directions: In the space below Identify and describe at least three academic resources or strategies that can be applied to the MSN program, and at least threeprofessional resources that can be applied to success in the nursing practice in general or your specialty in particular. For each, explain how you intend to use these resources, and how they might benefit you academically and professionally.
Academic Resource/Strategy 1
Academic Resource/Strategy 2
Academic Resource/Strategy 3
Professional Resource/Strategy 1
Professional Resource/Strategy 2
Professional Resource/Strategy 3
ADDITIONAL RESOURCES/STRATEGIES
Week 3 | Part 3: Strategies to Promote Academic Integrity and Professional Ethics
I have analyzed the relationship between academic integrity and writing, as well as the relation.
NURS 6241 Strategic Planning in Healthcare Organizations.docxgibbonshay
NURS 6241: Strategic Planning in Healthcare Organizations
Strategic Plan Issue
Prepared by:
<INSERT NAME>
This document is to be used for NURS 6241: Strategic Planning Issue in Healthcare Organizations to complete the Module 1 Assessment, in which you identify a strategic planning issue for your Strategic Plan. This document serves to organize your thoughts about planning for your strategic plan issue.
Identify a strategic plan issue that has significant impact on your organization and/or community.
In a total of 1–2 pages, briefly address each component below related to your proposed issue:
· Historical analysis of issue
· Explanation of how evidence from the literature supports the need to address this issue (Note: Include appropriate resources.)
· Past attempts by various individuals and groups to address this issue
· Stakeholders who should be included in the strategic planning process
· Financial implications of the project for the organization
How to Identify a Strategic Plan Issue
Use the questions in the worksheet below to guide your identification of a strategic plan issue that has significant impact on your organization and/or community.
What is the organization for which you will create a strategic plan?
What is the mission or vision of this organization?
How is the organization currently meeting its mission or vision?
Is there a specific segment of the organization that is ineffective or may be financially underperforming?
What are some notable achievements, successes, or failures of the organization?
· Could a plan be devised to address or extend anything notable you identified above?
Consider the performance of services offered by the organization. Do the services offered effectively or efficiently meet their intended goals?
· Could a plan be devised to meet or improve current or future organizational goals?
Identify current trends in the field of healthcare or trends that are specific to the organization you are addressing (this could include political or economic issues).
· What strategic plan could be developed to position the organization to meet these trends successfully?
Additionally, consider the impacts of each of following on the issue you are considering:
· Historical analysis of issue
· Evidence from the literature
· Past attempts by various individuals and groups to address this issue
· Stakeholders which should be included in the strategic planning process
· Financial implications for the organization
Looking Ahead: Strategic Plan
In this course, you will create a nine-section strategic plan to address an issue that you will identify in Week 2. In the Week 11 Discussion, you will share the Executive Summary of your Strategic Plan with your colleagues. Please see the Strategic Plan Overview and Template for complete directions.
· Due Day 7 of Week 2
· Identifying a Strategic Plan Issue (1 page)
· Due Day 7 of Week 5
· Section 1: Summary of the Issue (2–3 pages)
· Section 2:.
Now you should have started your actual work for the project. The wo.docxgibbonshay
Now you should have started your actual work for the project. The work may involve some design, testing, field study, interviews and data collection.
Write your work development with the following items:
1. Title of your project
2. Update on your experimental/field study as reference to your project plan and timeline
a) Any design you made - drawings
b) Any place your visited
c) Any people you interviewed
d) Any data you collected
3. Your next plan for the project development
8 pages
.
NUR204: Week 9 Assignment Page 1
`
Assignment: Change Paper
Assignment Overview
In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need
of change. Observe a healthcare environment, focusing on areas of the nursing process that are
inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change
theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen
change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness
of the plan and include a timeline for your change proposal. Finally, reflect on how your change
affects the nursing profession.
Assignment Details:
Perform the following tasks:
Complete the reading assignment and the interactive lesson before attempting this
assignment.
Assess a current semi-direct or indirect nursing situation that is in need of change.
o Observe your healthcare environment, focusing on areas of nursing process that
are inefficient, unsafe, or problematic in nature.
o Diagnose the problem and choose a nursing change theory that suits the change
you want to make.
o Propose a detailed plan based on your chosen change theory, explaining how
to implement change.
o Develop criteria to evaluate the effectiveness of the plan and include a timeline for
your change proposal.
o Reflect on how your change affects the nursing profession.
Write a 3-5 page paper following the criteria below:
o Your paper should include primary sources and include at least two peer-
reviewed nursing journal articles.
o Citations should be in your own words and not direct quotes.
o Include a title page, running head, appropriate headings, and reference page.
o The paper should be double spaced, written in Times New Roman, 12-point font,
follow APA style format, and cite all sources correctly.
Include the proper file naming convention: NUR204_wk9_assn_jsmith_mmddyyy.
Grading:
Criteria Excellent (3pts) Good (2pts) Needs Improvement
(1pt)
Pts.
Research - Cited 4 or more
reliable sources.
- Sufficient information
provided to support
topic.
- Research in-depth,
revealing new insight.
- Cited 4 or more
reliable sources.
- Adequate information
provided to support
topic.
- Research is
superficial.
- Missing citations or
unreliable sources
used.
- Information does not
support research topic.
- Research is not
relevant to paper.
NUR204: Week 9 Assignment Page 2
`
Content - Appropriate topic is
chosen that relates
directly to the nursing
process.
- Proposed plan
contains specific ideas
for change.
- Change theory is
included and proposal
follows theory.
- Timeline is included for
change proposal.
- Reflection is provided.
- Appropriate topic is
chosen that relates
directly to the nursing
process.
- Proposed plan is
included but missing
specifics.
.
NSG3036 W2 ProjectResearch Template NameCite both articles r.docxgibbonshay
NSG3036 W2 Project
Research Template Name
Cite both articles reviewed in APA style:
***In the template, any direct quotes from the articles needs to only include the page number.
Week 2 Template
Quantitative Article
Qualitative Article
Summarize the two assigned articles. In a paragraph, describe in your own words what the study was about and what the researchers found.
Identify and describe the problem for each article
Identified the purpose statement for each article
Identified hypothesis and/or research questions depending on the methodology used in the articles.
After analyzing, discuss
each article’s significance to nursing practice.
Identify two details to support the study being quantitative or qualitative
Name:
Growth Mindset
Task 1: Read the article Transforming Students’ Motivation to Learn, by Carol S. Dweck, Winter 2008, (following pages)before coming to class. Highlight the things you find interesting as you read.
Task 2: Think about yourself and your own mindset about mathematics and Engineering. Think about your personal science history in light of what Carol S. Dweck and her graduate students have discovered about mindsets and learning.
Write a draft of a paragraph or two about your reaction to this article. You might include thoughts about the following.
· How did the article make you feel?
· Do you believe you have a fixed mindset or a growth mindset? Explain why.
· How might the article influence how your approach to your classes, particularly Engineering and Science classes, this semester?
Bring a copy of this with you to class next time we meet. We might / will use our responses to generate discussion and a list of things we can do to help us move toward and maintain a growth mindset.
Task 3: Review the draft of a paragraph or two you wrote before the class discussion next week. Revise these paragraphs if necessary and incorporate your thoughts on the mindset article in your Draft. Be sure to address the specific questions raised in Task 2.
Transforming Students’ Motivation to Learn Carol S. DweckWinter 2008
This is an exciting time for our brains. More and more research is showing that our brains change constantly with learning and experience and that this takes place throughout our lives.
Does this have implications for students' motivation and learning? It certainly does. In my research in collaboration with my graduate students, we have shown that what students believe about their brains — whether they see their intelligence as something that's fixed or something that can grow and change — has profound effects on their motivation, learning, and school achievement (Dweck, 2006). These different beliefs, or mindsets, create different psychological worlds: one in which students are afraid of challenges and devastated by setbacks, and one in which students relish challenges and are resilient in the face of setbacks.
How do these mindsets work? How are the mindsets communicated t.
Nur 6053. Mod2 Wk3 Assignment Developing Organizational Policies .docxgibbonshay
Nur 6053. Mod2 Wk3 Assignment: Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
To Prepare:
· Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
· Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
· Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
· Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
· Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
· Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
· Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
RUBRIC
Excellent
Good
Fair
Poor
Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following:
· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
23 (23%) - 25 (25%)
The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected.
20 (20%) - 22 (22%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected.
18 (18%) - 19 (19%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate.
0 (0%) - 17 (17%)
The response describes at least two competin.
NR103 Transition to the Nursing Profession 3-Minute ReflectionW.docxgibbonshay
NR103 Transition to the Nursing Profession 3-Minute Reflection
"WHY COMMUNICATION IS IMPORTANT AS NURSE"
Required criteria
1. Writes about the assigned topic.
2. Demonstrates strong evidence of reasoned reflection.
3. Demonstrated depth of original thought.
.
NRS-493 Individual Success PlanREQUIRED PRACTICE HOURS 100 Direct.docxgibbonshay
NRS-493 Individual Success Plan
REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.
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Complete Contact Information
Student Information
GCU
Name:
E-mail:
Phone Number:
Course Faculty Information
GCU
Name:
E-mail:
Phone Number:
Practicum Preceptor Information
Practice Setting
Name:
E-mail:
Phone Number:
ISP Instructions
Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.
In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A). General Requirements
Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:
· Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.
Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).
Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.
· Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.
Topic
Graded Assignment
Indirect Clinical Assignments
Topic 1
1. Individual Success Plan
2. Reflection Journal Entry
1. List of potential topics for the change proposal
Topic 2
1. Topic Selection Approval Paper
2. Reflection Journal Entry
1. Search the literature for supporting journal articles
2. Summary of topic category; community or leadership
Topic 3
1. PICOT Question Paper
2. Reflection Journal Entry
1. List of objectives
Topic 4
1. Literature Evaluation Table
2. Reflection Journal Entry
1. List of measurable outcomes
Topic 5
1. Reflection Journal Entry
1. Summary of the strategic plan
2. Midterm E.
NUR 48200 Nursing Leadership and Management Module 2 A.docxgibbonshay
NUR 48200
Nursing Leadership and Management
Module 2 Assignment
The Speed of Trust, Part 2
Overview: The Principle of Credibility
Our credibility is such an integral part of who we are, that we often take it for granted. But think of what it would be like to lose your credibility, your reputation. How do you regain what you have developed over years? Think of some of the disgraced politicians or celebrities. As a nurse, your credibility is your most valuable asset.
This assignment is worth 15 points.
Objectives
• Analyze the evolving professional nursing roles of leader/manager within a dynamic health care team
• Evaluate several management theories.
• Recognize several leadership styles and associated behaviors.
• Identify the leadership style that would be best for you.
Directions
Before completing this assignment, read the second section (p 27-124) of Covey’s
The Speed of Trust
.
In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your own experiences and opinions. You should critically reflect on your personal experiences and apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.
Consider a person you want to trust, perhaps a manager or an elected official.
• Discuss how you might determine their credibility using the four cores of credibility discussed by the author.
• Discuss how this person might fall short in one of the cores.
• Reflect on your own leadership experience and ability. How do you see your current status using the four cores of credibility?
• How might you be viewed professionally using the four cores?
Grading Rubric
Tasks
Accomplished
Proficient
Needs Improvement
Not Acceptable
The Speed of Trust Part 2
Quality paper, with thorough content and minimal
grammar or spelling errors.
Good paper, but a few omissions in content or more
than 2 errors in spelling or grammar
Fair to poor paper, difficult to follow or
lacking in pertinent content, or many
spelling or grammar
errors
Very poor paper, very late paper, or no paper at all.
15 Points
15
14-12
11-8
7-0
.
NRFThe National Response Framework (NRF) is a guide to how.docxgibbonshay
NRF
The National Response Framework (NRF) is a guide to how the nation responds to all types of disasters and emergencies.
The NRF is used to prevent, prepare for, respond to, and recover from terrorist attacks, major disasters, and other emergencies.
The NRF also established a fundamental mission to (1) engage partnerships; (2) tiered response; (3) flexible and adaptable operational capability; (4) unity of effort through unified command; and (5) readiness to act.
The governor coordinates state resources and provides the guidance for all types of incidents.
NIMS
The National Incident Management System (NIMS) focus is to better improve the nation's response to emergencies. Its goal is a better system that can more efficiently allocate resources in the event of a disaster and facilitate cooperation among diverse entities and agencies.
NIMS guides all levels of government, non-governmental organizations (NGO), and the private sector to work together to prevent, protect against, mitigate, respond to, and recover from incidents.
A comprehensive, nationwide, systematic approach to incident management, including the command and coordination of incidents, resource management, and information management
A set of concepts and principles for all threats, hazards, and events across all mission areas (Prevention, Protection, Mitigation, Response, Recovery)
Scalable, flexible, and adaptable; used for all incidents, from day-to-day to large-scale
Standard resource management procedures that enable coordination among different jurisdictions or organizations
ICS
Management system designed to enable effective and efficient domestic incident management by integrating a combination of facilities, equipment, personnel, procedures, and communications operating within a common organizational structure.
Structured to facilitate activities in five major functional areas: command, operations, planning, logistics, Intelligence & Investigations, finance and administration.
Purpose of enabling incident managers to identify the key concerns associated with the incident often under urgent conditions without sacrificing attention to any component of the command system.
The National Response Framework (NRF) is the guide that established the fundamental mission to engage partnerships, tiered responses, and unit efforts. In short, the NRF is responsible for all the planning and preparedness that goes into the support of the communities.
The National Incident Management System (NIMS) guides the government officials and organizations in the private sector regarding the necessary recourses for the emergencies they are faced with daily. The system is set-up to be resourceful towards any kind of national emergency event, whether it’s to mitigate, prevent, protect against, respond to, and recover from.
The Incident Command System (ICS) assist in bring the necessary tools and plans of action to the major areas in an emergen.
Now that you have identified the revenue-related internal contro.docxgibbonshay
Now that you have identified the revenue-related internal control that relates to the five assertions (existence, completeness, accuracy or valuation, rights and obligations, and presentation and disclosure), the test of controls will need to be identified for each assertion and internal control.
For this assignment, you will write and submit 400–500 words that set specific tests of internal controls for the 5 internal controls related to management assertions that you identified for the previous assignment.
.
Now its time to dig deeper! Discover a different oral condition.docxgibbonshay
Now it's time to dig deeper! D
iscover a different oral condition that is related/caused by a non-oral disease/condition or infection.
Your text submission will state and explain the non-oral condition so we can learn about the its oral affects (appearance/characteristics, treatments, etc.).
Be sure your resource(s) are reliable and obtainable. Other students need the resource to further increase their knowledge to complete part two. So make sure it works!
.
Now that you have completed your project and are in the last week of.docxgibbonshay
Now that you have completed your project and are in the last week of the course, reflect on your experience and growth by addressing the following:
Reflect on your time in the course and provide two examples that describe the manner in which your own theories of instructional design and development have matured or changed since the beginning of this course.
.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...
Understanding the nutrition care needs of patients newly diagn.docx
1. Understanding the nutrition care needs of patients newly
diagnosed
with type 2 diabetes: a need for open communication
and patient-focussed consultations
Lauren BallA,C, Ruth DavmorA, Michael LeverittB, Ben
DesbrowA, Carolyn EhrlichA
and Wendy ChaboyerA
AMenzies Health Institute Queensland, Griffith University,
Gold Coast 4222, Qld, Australia.
BSchool of Human Movement and Nutrition Sciences, The
University of Queensland,
Brisbane 4072, Qld, Australia.
CCorresponding author. Email: [email protected]
Abstract. Patients who are newly diagnosed with type 2 diabetes
mellitus (T2DM) commonly attempt to modify their
dietary intake after receiving nutrition care from primary health
professionals. Yet, adherence to dietary recommendations
is rarely sustained and factors influencing adherence are poorly
understood. This study exploredT2DMpatients’ experiences
of dietary change and their views on how primary health
professionals can best support long-term maintenance of dietary
change.Apurposive sample of 10 individuals recently
diagnosedwithT2DMparticipated in three individual semi-
structured
qualitative telephone interviews: at baseline, then at 3 and 6
months after recruitment. Interview questions were modified
from the initial interview inorder to investigate
emergingfindings.A two-step data analysis process occurred
2. throughcontent
analysis of individual interviews andmeta-synthesis of findings
over time. Participants initiallymadewide-ranging attempts
to improve dietary behaviours, butmost experienced negative
emotions from the restraint required tomaintain a healthy diet.
Participants felt confused by the conflicting advice received
from health professionals and other sources such as friends,
family, internet and diabetes organisations. Participants
frequently reported feeling rushed and not heard in
consultations,
resulting in limited ongoing engagement with primary
healthcare services. These findings suggest that there is
opportunity
for primary health professionals to enhance the dietary support
provided to patients by: acknowledging the challenges of
sustained improvements in dietary intake; open communication;
and investing in patient relationships through more
patient-focussed consultations.
Additional keywords: chronic disease, general practice, primary
care, nutrition therapy, nutritional management.
Received 28 April 2015, accepted 18 August 2015, published
online 5 October 2015
Introduction
Type 2 diabetes mellitus (T2DM) is a lifestyle-related chronic
disease and leading cause of morbidity andmortality in
Australia
(Australian Institute of Health andWelfare 2007). Over 5%of
the
Australian population has been diagnosed with T2DM, and an
additional 0.9% is predicted to be diagnosed annually
(Australian
Bureau of Statistics (ABS) 2012). T2DM is typically diagnosed
3. and managed in the primary healthcare setting, and patients
with
T2DM receive health care from a variety of primary health
professionals (Diabetes Australia 2012). Importantly, the health
outcomes of patients with T2DM are influenced by their dietary
intake (Coppell et al. 2010). Therefore, facilitating patients
to have a healthy dietary intake is a key component of T2DM
management (Diabetes Australia, Royal Australian College of
General Practitioners (RACGP) 2008; National Health and
Hospitals Reform Commission 2009).
Patients who are newly diagnosed with T2DM commonly
attempt to modify their dietary intake after receiving nutrition
care from primary health professionals (Castro-Sánchez and
Avila-Ortiz 2013). In the first 6 months after diagnosis, patients
often experience changes to their enjoyment of food while
trying
to follow a recommended diet, and most report only temporarily
adherence to dietary recommendations (Castro-Sánchez and
Avila-Ortiz 2013). The United Kingdom Prospective Diabetes
Study was the largest clinical research study into diabetes
management (n = 3867 participants), and has shown that
establishing short-term optimal glycaemic control in the early
stages after diagnosis reduces the risk of macro- and micro-
vascular complications, as well as all-cause mortality 10 years
after diagnosis (Murray et al.2010).Given the influenceofdietary
intake on glycaemic control of patientswith T2DM,
investigating
ways to further support patients to maintain healthy dietary
behaviours in the early stages after diagnosis is important.
Exploring patients’ experiences and perceptions is crucial
to understanding how to provide patient-centred care. Patient-
centred care is an approach to health care that meets the specific
4. Journal compilation � La Trobe University 2016
www.publish.csiro.au/journals/py
CSIRO PUBLISHING
Australian Journal of Primary Health, 2016, 22, 416–422
Research
http://dx.doi.org/10.1071/PY15063
mailto:[email protected]
needs, values and beliefs of patients (McMillan et al. 2013) and
is
regarded as imperative to the optimal management of chronic
disease, including T2DM (Holman and Lorig 2000). Many
primary health professionals, such as GPs, practice nurses and
dietitians, report providing ‘nutrition care’ to patients, referring
to
anypractice conducted to support patients to improve their
dietary
intake (Ball et al. 2010; Ball et al. 2012). Recent investigations
into the nutrition care provided by primary health professionals
indicate that patient-centred care is not always achieved, and
this
may be hindering the efficacy of nutrition care for chronic
disease
management (Ball et al. 2012; Ball et al. 2013; Ball et al. 2014).
Given the importance of optimal dietary intake in T2DM self-
management, it is necessary for primary health professionals
to better understand the experiences, challenges and needs of
patients attempting to improve their dietary behaviours in order
to provide effective patient-centred nutrition care.
The aim of this study was to examine the perceptions of
patientswho have been recently diagnosedwith T2DMregarding
5. nutrition care provided by primary healthcare professionals.
Specifically, the study explored patients’ experience of dietary
change and their views on how primary health professionals
could best support long-termmaintenance of dietary change.
This
understanding can be used to facilitate health professionals to
provide nutrition care that addresses the needs and experiences
of patients.
Methods
This study utilised a longitudinal, qualitative design to describe
the perceptions and experiences of patients who have recently
been diagnosed with T2DM. The study was approved by
the Griffith University Human Research Ethics Committee
(reference number PBH/09/14/HREC).
Participant recruitment
A purposive sample of individuals with T2DM (<4 months since
diagnosis) was recruited via e-newsletters and social media
pages of Diabetes Australia, and state branches of Diabetes New
SouthWales,DiabetesQueensland,Diabetes SouthAustralia and
Diabetes Tasmania. The sampling strategy aimed to recruit a
combination of male and female, young and old, employed and
unemployed/retired participants. Potential participants who
contacted the research team were provided with a plain
language
information sheet, before being asked to provide consent and
attend an initial interview.
Data collection
Each participant was involved in three individual semi-
structured
6. telephone interviews; at baseline, and then at 3 and 6months
after
recruitment into the study.A semi-structured interviewguidewas
developed for each round of interviews. Interviews included
questions such as: ‘How has your recent diagnosis influenced
your feelings about food?’; ‘Describe your interactions with
health professionals regarding food and healthy eating’; and ‘At
this moment, how could health professionals be most helpful
in supporting you in healthy eating?’ Elaboration probing,
clarification probing and attention probing were utilised to
gain a deeper understanding of the participants’ perceptions
(Liamputtong 2010). Interview questions were modified from
the initial interview in order to investigate emerging findings
(Thomson and Holland 2003).
All interviewswere conducted by one investigator (RD), were
30–60min in length and were digitally recorded and transcribed
verbatim. Immediately after each interview, an entrywasmade in
a reflective journal that outlined the impressions of the
interview.
Data collection and analysis were conducted concurrently;
recruitment and data collection continued until data saturation
was considered to have been achieved. In practical terms,
saturation was considered to have been reached when no new
responses and subsequent preliminary categoriesweredetectedas
interviews progressed (Strauss and Corbin 2007).
Data analysis
A two-step data analysis process was used for this study. First,
content analysis was used to analyse the verbatim transcripts
because it allows an in-depth understanding of the participants’
nutrition care needs (Graneheim and Lundman 2004; Hsieh and
Shannon 2005). Analysis of verbatim transcripts involved an
iterative process of reading the transcripts to become familiar
with the data, generating initial subcategories, searching for
7. categories, reviewing the categories and, finally, labelling the
categories (Graneheim and Lundman 2004; Hsieh and Shannon
2005). Triangular analysis was conducted by two investigators
(LB andRD), who independently generated initial subcategories,
and then compared and discussed to reach agreement. Second,
a meta-synthesis approach was undertaken to synthesise and
interpret the data across the three time points (Sandelowski and
Barroso 2007). The process involved extracting the
subcategories
and interpreting them in order to identify higher order
categories
that transcend findings from each period. Regular meetings
were
held with the whole research team in which emerging findings
were critically reviewed, ensuring that the identified and
defined
subcategories accurately reflected the data for transferability
and
credibility.
Results
Ten individuals participated in the study, each completing three
interviews. The participants consisted of three males and seven
females, and their ages ranged from 27 to 74 years. A summary
of
the three categories and subcategories that emerged from the
analysis are displayed in Table 1.
What is known about the topic?
* Patients newly diagnosed with type 2 diabetes
commonly attempt to modify their dietary intake after
receiving nutrition-related care. Adherence to dietary
recommendations is rarely sustained and factors
influencing adherence are poorly understood.
8. What does this paper add?
* The results suggest that there is opportunity to enhance
the dietary support provided to patients by investing
in patient relationships through more patient-focussed
consultations and open communication.
Nutrition care for type 2 diabetes mellitus Australian Journal of
Primary Health 417
Adjusting to diagnosis
The first category encompassed the impact of being diagnosed
with T2DM on participants’ perceptions about the food they eat
and their broader dietary intake. The adjustment process
involved
considerable emotional adaptation, which occurred at different
rates among participants. Initially, participants reported feeling
shocked and surprised at being diagnosed with T2DM. Most
considered their usual dietary intake to be healthy, and this
added
to the challengeof coming to termswith having a long-
termhealth
condition:
I’ve always considered [that] we ate healthy . . . It never
entered my mind that I would have sugar diabetes.
(Participant 7, Interview 1)
The diagnosis of T2DM appeared to have an immediate
negative impact on participants’ views about dietary intake in
general, particularly in social situations when others reacted to
the news:
All the sad faces, they say, ‘Oh, you’ve got diabetes.’
9. People are now scared to cook for me. It’s actually
intimidated them to think they can’t actually cook normal
food. (Participant 8, Interview 1)
Three and six months after the initial interview, participants
began to adapt to the diagnosis of T2DM, generally moving on
from the initial shock and feelingmore in control, as the
following
statements from the same participant in successive interviews
demonstrate:
I keep saying tomyself, ‘I’mnot depressed, I’mnot allowed
to be depressed.’ I got so depressedwhen I was diagnosed,
of course, and I don’t feel quite as black as that, but I don’t
feel that I’m in control of myself at the moment, either.
(Participant 7, Interview 2)
I’ve accepted it now, and just have a little swear and curse
every now and then. It’s been a little bit easier lately, I’m
handling it better. (Participant 7, Interview 3)
After adjusting to thediagnosis, participantswantedcontinued
improvement in their management of T2DM, even beyond the
goals suggested by their supporting health professionals:
The doctor said she was really happy with my BGL [blood
glucose level] at 6.5, but I think maybe below 6 is better.
I know it’s quite difficult, but I want to try anyway.
(Participant 5, Interview 3)
Modifying dietary behaviours
The second category related to participants’ experiences of
modifying their dietary behaviours in order to improve their
blood glucose management and other health outcomes. These
experiences ranged from logistical considerations of food
10. preparation to broad emotional adaptation to having different
dietary behaviours compared with before diagnosis.
Initially,wide-ranging attempts to improvedietary behaviours
were undertaken by participants. Participants experienced an
emotional impact of restricting their diet, as well as managing
ongoing changes:
I’vemade somewholesale changes to theway I vieweating,
what I eat and [now I pay] particular attention, like stuff
like food labels . . .making sure I eat three meals a day and
don’t skip meals. (Participant 2, Interview 1)
As time progressed, participants had differing experiences
of sustaining dietary changes, with some finding that
monitoring
blood sugar levels provided useful feedback on food choices:
I’ve got to the stage now where I don’t think too much
about the diet because . . . you’re just in the habit of
eating healthy meals. I know now what I should be
eating, and what are ‘sometimes’ foods. (Participant 2,
Interview 2)
You know you’ve eaten the right thing because the [blood
sugar] reading is lower. (Participant 6, Interview 2)
Table 1. Categories and subcategories emerging from the
interviews
Category Definition Subcategories
Adjusting to diagnosis Impact of being diagnosed with T2DM
on perceptions
about food and dietary intake
11. *Shocked and surprised at being diagnosed with T2DM
*Immediate negative views about dietary intake
*Beginning to move on from the initial shock of diagnosis
*Wanting continued improvement beyond suggested goals
Modifying dietary
behaviours
Patient experiences of modifying their dietary behaviours
in an attempt to improve management of blood glucose
levels and other health outcomes, ranging from
logistical considerations of food preparation to broad
emotional adaptation to eating differently to before
diagnosis
*Wide-ranging attempts to improve dietary behaviours
*Emotional impact of restricting diet and managing ongoing
changes
*Differing experiences of sustaining dietary changes
*Maintaining a healthy dietary intake continues to be a
challenge
*Monitoring blood sugar levels provides useful feedback on
food choices
*Feeling aware of the consequences of not eating healthy foods
Receiving support from
health professionals
Experiences of interacting with health professionals and
discussing food and dietary intake
*Receiving overwhelming, conflicting nutrition information
*Receiving initial directives from dietitians is challenging
*Ongoing engagement with primary care services is limited
12. and not highly valued
*Feeling rushed and not heard in consultations
418 Australian Journal of Primary Health L. Ball et al.
However, formany participants,maintaining a healthy dietary
intake continued to be a challenge as time progressed, mostly
because it felt restrictive:
It’s a challenge . . . I’ve beenputting abitmore onmyplate,
having a second serve of something . . . It’s the old habits
. . . It’s not something I could maintain. (Participant 3,
Interview 2)
I’m getting to the point where I’m cheesed off with always
having to have diabetic biscuits and other things. You get
bored with them. I’m feeling I’mhaving tomake a sacrifice
that other people don’t have to. (Participant 9, Interview 3)
Despite the challenge of maintaining a healthy dietary intake,
some participants reported feeling aware of the consequences of
not eating healthy foods:
I can’t see myself drifting back to eating the same way as
I was, because I know what the consequences are.
(Participant 2, Interview 3)
Receiving support from health professionals
The third category related to participants’ experiences of
receiving nutrition care from health professionals. Participants’
perceptions extended beyond the content of advice provided by
health professionals to broader experiences of support and
13. communication in healthcare consultations.
When participants were initially diagnosed with T2DM, they
received an overwhelming amount of conflicting nutrition
information. The information came from health professionals as
well as dietary advice from friends, family, online sources and
T2DM organisations:
I kept finding somuch controversy it mademyhead spin . . .
They say you have protein, you have carbs, and you have
your veggies and stuff. Well, then you read no meat, no
animal protein, none of this . . . Who is right and who is
wrong? I found it confusing. (Participant 2, Interview 1)
Participants found their initial interactions with dietitians to
be challenging because of the direct, instructional nature of
the nutrition care provided:
A few days after I was diagnosed, I went to a dietitian and
she laid it all out . . . I wasn’t impressed. This woman was
just there to purposefully lay down a diet . . . to put me in
line and show me this, that and that. (Participant 1,
Interview 1)
I’d had a nice lead-in with the educator and then, all of a
sudden, I saw the dietitian and shewas laying down the law
and I was thinking, ‘This is a bit of a turnaround!’
(Participant 2, Interview 2)
Participants found that aside from the support provided by
dietitians, other health professionals, aswell as family and
friends
and online support, were helpful on occasions:
The diabetes educator . . . she handled me very well and I
felt different when I came out of there . . . They put it in
14. perspective, which is sort of what I needed. (Participant 2,
Interview 1)
There’s one lady at work, her husband has type 2 diabetes
and she tells me what she does with him, so yeah, that is
really good. (Participant 3, Interview 2)
Overall, participants had limited ongoing engagement with
primary healthcare services. This appeared to be a result of
limited
understanding about how the primary care system operated, and
the role of different health professionals, as well as the limited
value patients placed on the services provided in this setting:
TheGPgavemeoneof those ‘goand seefive people a year’
diabetes plans but I haven’t organised any of it . . . It’s not
a big deal, it’s just something I probably need to tick off
to keep everybody happy and then I can relax again for
another year. (Participant 8, Interview 2)
I didn’t quite understand what diabetes educators did or
the dietitians. (Participant 2, Interview 2)
Most participants thought that the support provided by primary
health professionals had considerable room for improvement
because they felt rushedandnotheard inconsultations,
andbecause
open communication was not always achieved:
They get you in there, they tell you you’ve got type 2 and
you’ve got to make these changes, and it always feels like
[they’re in] a rush to finish with you and get you out the
back door and start with a new case. (Participant 2,
Interview 3)
You’re talking to someone and they go, ‘Your half hour’s
15. up, I’ve got another patient waiting’. Nobody has got the
time to sit and take the time to talk. I find that very
frustrating and annoying. You just start to say something
and then you’ve got to leave.’ (Participant 1, Interview 3)
Differences in accommodating new dietary behaviours
The collective experiences of participants over time suggest that
individuals have different experiences in accommodating new
dietary behaviours after being diagnosed with T2DM. The
experiences of participants in this study appeared to be
influenced
by contextual conditions such as immediate family support and
responsibilities, confidence in existing food knowledge, and
familiarity with health professionals and the healthcare system.
Three archetypical experiences were apparent in this study.
First, some individuals appeared to take a factual and directive
approach to adjusting to their diagnosis and modifying their
dietary behaviours. In order to achieve this, they preferred clear
instructions from health professionals and felt most comfortable
eating in accordance with a predetermined plan. Positive
feedback from continued healthy eating (such as improved
blood
glucose management and weight loss) outweighed the negative
emotions felt from being restricted in their food choices, and
this
motivated continued adherence to the point of sustained
improvement in dietary behaviours.
Second, some individuals appeared to take an adaptive
approach to adjusting to their diagnosis, modifying their dietary
behaviours and seeking support from health professionals. The
initial shock of diagnosis reduced their confidence in making
dietary choices, and they placed considerable importance on
16. Nutrition care for type 2 diabetes mellitus Australian Journal of
Primary Health 419
guidance from health professionals and other sources of dietary
information (such as family, friends, internet and diabetes
organisations). Early improvements in dietary intake were not
considered sustainable because of the negative emotional
impact dietary restrictions had on their quality of life. However,
over time, adjustments to dietary intake that were considered
reasonable and achievable were made. These individuals
perceived themselves as having made general improvements in
their dietary behaviours that had positive impacts on blood
glucose management and other health outcomes. However, these
individuals also experienced regular occasions of making food
choices that were not viewed as ideal, and risked having a poor
dietary intake over time.
Third, some individuals experienced persistent negative
emotions after diagnosis and did not makemeaningful
adaptations
to their dietary behaviours over time. These individuals felt
overwhelmed by the conflicting information received from
health
professionals and other sources of dietary information, which
caused them to withdraw from the experience of making dietary
choices and receiving support. Improvements in blood glucose
management and other health outcomes appeared to be a result
of
undereating and avoiding social eating situations, which was not
identified in consultations with health professionals. These
individuals perceived themselves as requiring considerably
more
support thanwhat they feltwas available, andwere frustratedby
the
17. lack of immediate success when following guidelines provided
by
primary health professionals.
Discussion
This study contributes new information on patients’ experiences
of dietary change after being diagnosed with T2DM and their
views on howprimary health professionals can best support
long-
term maintenance of dietary change. Participants’ insights
resulted in the generation of three categories: adjusting to
diagnosis, modifying dietary behaviours and receiving support
from health professionals. This information is important
because
of the relationship that exists between healthcare experiences,
chronic disease self-management practices (including dietary
behaviours) and healthcare outcomes (Sequist et al. 2012).
Participants in this study experienced challenges in adjusting
to their recent diagnosis of T2DM; this had a direct negative
impact on their views about their dietary intake. Being
diagnosed
with T2DM is recognised as a particularly alarming and
emotional time for patients because it is viewed as a
transformation point from a healthy person to one who is aware,
frightened and sometimes embarrassed by having a long-term
health condition (Histock et al. 2001; Hillson 2014). The impact
of thediagnosis onparticipants’ attitude to foodwas
considerable,
including reduced confidence in what to eat, reduced enjoyment
of eating, and feeling uncomfortable eatingwith others,
including
family, peers and friends. These factors have the potential to
influence the effectiveness of nutrition care provided by
primary
health professionals, and health professionals should be aware
18. of
this when providing nutrition care to patients.
Previous studies investigating dietary changes after diagnosis
with T2DM report that following initial dietary changes,
patients
often move into an accommodation-adaptation phase regarding
their dietary intake (Castro-Sánchez and Avila-Ortiz 2013).
However, this finding was not apparent in all participants in the
current study, even6months after recruitment into the study (up
to
10 months after diagnosis). While some participants did report
positive perceptions about their dietary intake as time
progressed,
many participants continued to experience negative emotions
as a result of the restraint required to maintain a healthy diet,
and
the conflict between diet-related social activities and necessary
self-management behaviours. The three archetypical experiences
apparent in this study and the individual timelines in which
participants adjusted to changes in dietary intake highlight the
importance of flexible and tailored support for patients in
the months after diagnosis.
Participants in this study reported that they have received an
overwhelming amount of contradictory nutrition information
from health professionals and other sources. A recent survey of
Australian adults who self-identified as needing to improve
their
dietary behaviours suggested that nutrition information sources
perceived as most trustworthy, credible and effective included
dietitians, nutritionists and GPs, but the most frequently utilised
sources were the internet, friends, family and magazines (Cash
et al. 2014). The use of family as a source of information aligns
with family systems theory, which conceptualises families as a
19. system of interrelated parts that influence each other and
contribute to the growth or detriment of others (Bowen 1966).
Further, the participants in the current study reported limited
ongoing engagement with health professionals such as dietitians
and GPs, despite these sources being described in the recent
survey as the most trusted, credible and effective (Cash et al.
2014). Further understanding about how patients decide which
nutrition information sources to use is clearly required.
The support provided by primary health professionals to the
participants in this study was generally reported as requiring
significant improvement. Interestingly, the factors that
weremost
influential in patients’ experiences of receiving nutrition care
appeared to be open communication, not feeling rushed
andbeing
genuinely supported, rather than any specific nutrition advice or
approach. This appeared to be important for all participants but
particularly those who experienced persistent negative emotions
after diagnosis. Open communication and genuine support are
considered critical for building relationships with patients with
T2DM, and the way this is displayed is influenced by a health
professional’s own personality and the emotions they are
experiencing (Kowitt et al. 2015). Similar factors that influence
patients’ experiences of health care have been identified in
other
Australian population groups, such as new mothers, whose
perceptions of their healthcare quality were reduced when they
felt unsupported and hurried in consultations (Corr et al. 2015).
Collectively, this suggests that primary health professionals
could enhance the delivery of their care by investing in patient
relationships through longer, more patient-focussed
consultations
and open communication.
Study participants described situations in which health
20. professionals provided nutrition care that did not meet their
needs. FacilitatingAustralian primary healthcare professionals
to
provide nutrition care in a patient-centred manner is important
to optimise self-management of T2DM and reduce the risk of
complications. It has been suggested that compassion fatigue –
a
gradual lessening of compassion over time as a result of being
regularly exposed to patients’problems– is occurring amongGPs
420 Australian Journal of Primary Health L. Ball et al.
and other primary health professionals in Australia (Shrestha
and Joyce 2011). This lack of empathy from health
professionals
has been associated with significantly increased metabolic
complications in patients with T2DM (Canale et al. 2012).
Given
this association, strategies to reduce compassion fatigue and
subsequently enhance patient-centred care appear to …
IT STraTegy:
ISSueS and PracTIceS
This page intentionally left blank
21. IT STraTegy:
ISSueS and PracTIceS
T h i r d E d i t i o n
James D. McKeen
Queen’s University
Heather A. Smith
Queen’s University
Boston Columbus Indianapolis New York San Francisco Upper
Saddle River
Amsterdam Cape Town Dubai London Madrid Milan Munich
Paris Montréal Toronto
Delhi Mexico City São Paulo Sydney Hong Kong Seoul
Singapore Taipei Tokyo
Editor in Chief: Stephanie Wall
Acquisitions Editor: Nicole Sam
Program Manager Team Lead: Ashley Santora
Program Manager: Denise Vaughn
Editorial Assistant: Kaylee Rotella
Executive Marketing Manager: Anne K. Fahlgren
Project Manager Team Lead: Judy Leale
Project Manager: Thomas Benfatti
Procurement Specialist: Diane Peirano
Cover Designer: Lumina Datamantics
Full Service Project Management: Abinaya Rajendran at Integra
Software Services, Pvt. Ltd.
Cover Printer: Courier/Westford
Composition: Integra Software Services, Pvt. Ltd.
Printer/Binder: Courier/Westford
23. CoNTENTS
Preface xiii
About the Authors xxi
Acknowledgments xxii
Section I Delivering Value with IT 1
Chapter 1 DeVelopIng anD DelIVerIng on The IT Value
propoSITIon 2
Peeling the Onion: Understanding IT Value 3
What Is IT Value? 3
Where Is IT Value? 4
Who Delivers IT Value? 5
When Is IT Value Realized? 5
The Three Components of the IT Value Proposition 6
Identification of Potential Value 7
Effective Conversion 8
Realizing Value 9
Five Principles for Delivering Value 10
Principle 1. Have a Clearly Defined Portfolio Value
Management
Process 11
24. Principle 2. Aim for Chunks of Value 11
Principle 3. Adopt a Holistic Orientation to Technology Value
11
Principle 4. Aim for Joint Ownership of Technology Initiatives
12
Principle 5. Experiment More Often 12
Conclusion 12 • References 13
Chapter 2 DeVelopIng IT STraTegy for BuSIneSS Value 15
Business and IT Strategies: Past, Present, and Future 16
Four Critical Success Factors 18
The Many Dimensions of IT Strategy 20
Toward an IT Strategy-Development Process 22
Challenges for CIOs 23
Conclusion 25 • References 25
Chapter 3 lInkIng IT To BuSIneSS MeTrICS 27
Business Measurement: An Overview 28
Key Business Metrics for IT 30
v
vi Contents
Designing Business Metrics for IT 31
25. Advice to Managers 35
Conclusion 36 • References 36
Chapter 4 BuIlDIng a STrong relaTIonShIp
wITh The BuSIneSS 38
The Nature of the Business–IT Relationship 39
The Foundation of a Strong Business–IT
Relationship 41
Building Block #1: Competence 42
Building Block #2: Credibility 43
Building Block #3: Interpersonal Interaction 44
Building Block #4: Trust 46
Conclusion 48 • References 48
Appendix A The Five IT Value Profiles 50
Appendix B Guidelines for Building a Strong Business–IT
Relationship 51
Chapter 5 CoMMunICaTIng wITh BuSIneSS ManagerS 52
Communication in the Business–IT Relationship 53
What Is “Good” Communication? 54
Obstacles to Effective Communication 56
“T-Level” Communication Skills for IT Staff 58
Improving Business–IT Communication 60
Conclusion 61 • References 61
26. Appendix A IT Communication Competencies 63
Chapter 6 BuIlDIng BeTTer IT leaDerS froM
The BoTToM up 64
The Changing Role of the IT Leader 65
What Makes a Good IT Leader? 67
How to Build Better IT Leaders 70
Investing in Leadership Development: Articulating the Value
Proposition 73
Conclusion 74 • References 75
MInI CaSeS
Delivering Business Value with IT at Hefty Hardware 76
Investing in TUFS 80
IT Planning at ModMeters 82
Contents vii
Section II IT governance 87
Chapter 7 CreaTIng IT ShareD SerVICeS 88
IT Shared Services: An Overview 89
IT Shared Services: Pros and Cons 92
IT Shared Services: Key Organizational Success Factors 93
Identifying Candidate Services 94
27. An Integrated Model of IT Shared Services 95
Recommmendations for Creating Effective IT
Shared Services 96
Conclusion 99 • References 99
Chapter 8 a ManageMenT fraMework for
IT SourCIng 100
A Maturity Model for IT Functions 101
IT Sourcing Options: Theory Versus Practice 105
The “Real” Decision Criteria 109
Decision Criterion #1: Flexibility 109
Decision Criterion #2: Control 109
Decision Criterion #3: Knowledge Enhancement 110
Decision Criterion #4: Business Exigency 110
A Decision Framework for Sourcing IT Functions 111
Identify Your Core IT Functions 111
Create a “Function Sourcing” Profile 111
Evolve Full-Time IT Personnel 113
Encourage Exploration of the Whole Range
of Sourcing Options 114
Combine Sourcing Options Strategically 114
28. A Management Framework for Successful
Sourcing 115
Develop a Sourcing Strategy 115
Develop a Risk Mitigation Strategy 115
Develop a Governance Strategy 116
Understand the Cost Structures 116
Conclusion 117 • References 117
Chapter 9 The IT BuDgeTIng proCeSS 118
Key Concepts in IT Budgeting 119
The Importance of Budgets 121
The IT Planning and Budget Process 123
viii Contents
Corporate Processes 123
IT Processes 125
Assess Actual IT Spending 126
IT Budgeting Practices That Deliver Value 127
Conclusion 128 • References 129
Chapter 10 ManagIng IT- BaSeD rISk 130
A Holistic View of IT-Based Risk 131
29. Holistic Risk Management: A Portrait 134
Developing a Risk Management Framework 135
Improving Risk Management Capabilities 138
Conclusion 139 • References 140
Appendix A A Selection of Risk Classification
Schemes 141
Chapter 11 InforMaTIon ManageMenT: The nexuS
of BuSIneSS anD IT 142
Information Management: How Does IT Fit? 143
A Framework For IM 145
Stage One: Develop an IM Policy 145
Stage Two: Articulate the Operational
Components 145
Stage Three: Establish Information Stewardship 146
Stage Four: Build Information Standards 147
Issues In IM 148
Culture and Behavior 148
Information Risk Management 149
Information Value 150
Privacy 150
30. Knowledge Management 151
The Knowing–Doing Gap 151
Getting Started in IM 151
Conclusion 153 • References 154
Appendix A Elements of IM Operations 155
MInI CaSeS
Building Shared Services at RR Communications 156
Enterprise Architecture at Nationstate Insurance 160
IT Investment at North American Financial 165
Contents ix
Section III IT-enabled Innovation 169
Chapter 12 InnoVaTIon wITh IT 170
The Need for Innovation: An Historical
Perspective 171
The Need for Innovation Now 171
Understanding Innovation 172
The Value of Innovation 174
Innovation Essentials: Motivation, Support,
and Direction 175
31. Challenges for IT leaders 177
Facilitating Innovation 179
Conclusion 180 • References 181
Chapter 13 BIg DaTa anD SoCIal CoMpuTIng 182
The Social Media/Big Data Opportunity 183
Delivering Business Value with Big Data 185
Innovating with Big Data 189
Pulling in Two Different Directions: The Challenge
for IT Managers 190
First Steps for IT Leaders 192
Conclusion 193 • References 194
Chapter 14 IMproVIng The CuSToMer experIenCe:
an IT perSpeCTIVe 195
Customer Experience and Business value 196
Many Dimensions of Customer Experience 197
The Role of Technology in Customer Experience 199
Customer Experience Essentials for IT 200
First Steps to Improving Customer Experience 203
Conclusion 204 • References 204
Chapter 15 BuIlDIng BuSIneSS InTellIgenCe 206
Understanding Business Intelligence 207
The Need for Business Intelligence 208
32. The Challenge of Business Intelligence 209
The Role of IT in Business Intelligence 211
Improving Business Intelligence 213
Conclusion 216 • References 216
x Contents
Chapter 16 enaBlIng CollaBoraTIon wITh IT 218
Why Collaborate? 219
Characteristics of Collaboration 222
Components of Successful Collaboration 225
The Role of IT in Collaboration 227
First Steps for Facilitating Effective Collaboration 229
Conclusion 231 • References 232
MInI CaSeS
Innovation at International Foods 234
Consumerization of Technology at IFG 239
CRM at Minitrex 243
Customer Service at Datatronics 246
Section IV IT portfolio Development and Management 251
Chapter 17 applICaTIon porTfolIo ManageMenT 252
The Applications Quagmire 253
33. The Benefits of a Portfolio Perspective 254
Making APM Happen 256
Capability 1: Strategy and Governance 258
Capability 2: Inventory Management 262
Capability 3: Reporting and Rationalization 263
Key Lessons Learned 264
Conclusion 265 • References 265
Appendix A Application Information 266
Chapter 18 ManagIng IT DeManD 270
Understanding IT Demand 271
The Economics of Demand Management 273
Three Tools for Demand management 273
Key Organizational Enablers for Effective Demand
Management 274
Strategic Initiative Management 275
Application Portfolio Management 276
Enterprise Architecture 276
Business–IT Partnership 277
Governance and Transparency 279
Conclusion 281 • References 281
34. Contents xi
Chapter 19 CreaTIng anD eVolVIng a TeChnology
roaDMap 283
What is a Technology Roadmap? 284
The Benefits of a Technology Roadmap 285
External Benefits (Effectiveness) 285
Internal Benefits (Efficiency) 286
Elements of the Technology Roadmap 286
Activity #1: Guiding Principles 287
Activity #2: Assess Current Technology 288
Activity #3: Analyze Gaps 289
Activity #4: Evaluate Technology
Landscape 290
Activity #5: Describe Future Technology 291
Activity #6: Outline Migration Strategy 292
Activity #7: Establish Governance 292
Practical Steps for Developing a Technology
Roadmap 294
Conclusion 295 • References 295
35. Appendix A Principles to Guide a Migration
Strategy 296
Chapter 20 enhanCIng DeVelopMenT
proDuCTIVITy 297
The Problem with System Development 298
Trends in System Development 299
Obstacles to Improving System Development
Productivity 302
Improving System Development Productivity: What we
know that Works 304
Next Steps to Improving System Development
Productivity 306
Conclusion 308 • References 308
Chapter 21 InforMaTIon DelIVery: IT’S eVolVIng role 310
Information and IT: Why Now? 311
Delivering Value Through Information 312
Effective Information Delivery 316
New Information Skills 316
New Information Roles 317
New Information Practices 317
xii Contents
36. New Information Strategies 318
The Future of Information Delivery 319
Conclusion 321 • References 322
MInI CaSeS
Project Management at MM 324
Working Smarter at Continental Furniture International 328
Managing Technology at Genex Fuels 333
Index 336
PREFACE
Today, with information technology (IT) driving constant
business transformation,
overwhelming organizations with information, enabling 24/7
global operations, and
undermining traditional business models, the challenge for
business leaders is not
simply to manage IT, it is to use IT to deliver business value.
Whereas until fairly recently,
decisions about IT could be safely delegated to technology
specialists after a business
strategy had been developed, IT is now so closely integrated
with business that, as one
CIO explained to us, “We can no longer deliver business
solutions in our company
without using technology so IT and business strategy must
constantly interact with
each other.”
37. What’s New in This Third Edition?
• Six new chapters focusing on current critical
issues in IT management, including
IT shared services; big data and social computing; business
intelligence; manag-
ing IT demand; improving the customer experience; and
enhancing development
productivity.
• Two significantly revised chapters: on delivering
IT functions through different
resourcing options; and innovating with IT.
• Twonew mini cases based on real companies
and real IT management situations:
Working Smarter at Continental Furniture and Enterprise
Architecture at Nationstate
Insurance.
• A revised structure based on reader
feedback with six chapters and two mini cases
from the second edition being moved to the Web site.
All too often, in our efforts to prepare future executives to deal
effectively with
the issues of IT strategy and management, we lead them into a
foreign country where
they encounter a different language, different culture, and
different customs. Acronyms
(e.g., SOA, FTP/IP, SDLC, ITIL, ERP), buzzwords (e.g.,
asymmetric encryption, proxy
servers, agile, enterprise service bus), and the widely adopted
practice of abstraction
(e.g., Is a software monitor a person, place, or thing?) present
formidable “barriers to
38. entry” to the technologically uninitiated, but more important,
they obscure the impor-
tance of teaching students how to make business decisions about
a key organizational
resource. By taking a critical issues perspective, IT Strategy:
Issues and Practices treats IT
as a tool to be leveraged to save and/or make money or
transform an organization—not
as a study by itself.
As in the first two editions of this book, this third edition
combines the experi-
ences and insights of many senior IT managers from leading-
edge organizations with
thorough academic research to bring important issues in IT
management to life and
demonstrate how IT strategy is put into action in contemporary
businesses. This new
edition has been designed around an enhanced set of critical
real-world issues in IT
management today, such as innovating with IT, working with
big data and social media,
xiii
xiv Preface
enhancing customer experience, and designing for business
intelligence and introduces
students to the challenges of making IT decisions that will have
significant impacts on
how businesses function and deliver value to stakeholders.
IT Strategy: Issues and Practices focuses on how IT is changing
39. and will continue to
change organizations as we now know them. However, rather
than learning concepts
“free of context,” students are introduced to the complex
decisions facing real organi-
zations by means of a number of mini cases. These provide an
opportunity to apply
the models/theories/frameworks presented and help students
integrate and assimilate
this material. By the end of the book, students will have the
confidence and ability to
tackle the tough issues regarding IT management and strategy
and a clear understand-
ing of their importance in delivering business value.
Key Features of This Book
• A focus on IT management issues as opposed to
technology issues
• Critical IT issues explored within their
organizational contexts
• Readily applicablemodels and frameworks for
implementing IT strategies
• Mini cases to animate issues and focus
classroom discussions on real-world deci-
sions, enabling problem-based learning
• Proven strategies and best practices from leading-edge
organizations
• Useful and practical advice and guidelinesfor
delivering value with IT
• Extensive teaching notes for all mini cases
A Different ApproAch to teAching it StrAtegy
The real world of IT is one of issues—critical issues—such as
40. the following:
• How do we know if we are getting
value from our IT investment?
• How can we innovate with IT?
• What specific IT functions should we seek
from external providers?
• How do we buildan IT leadershipteam that is
a trusted partner with the business?
• How do we enhance IT capabilities?
• What is IT’s role in creating an intelligent
business?
• How can we best take advantage of new
technologies, such as big data and social
media, in our business?
• How can we manage IT risk?
However, the majority of management information systems
(MIS) textbooks are orga-
nized by system category (e.g., supply chain, customer
relationship management, enterprise
resource planning), by system component (e.g., hardware,
software, networks), by system
function (e.g., marketing, financial, human resources), by
system type (e.g., transactional,
decisional, strategic), or by a combination of these.
Unfortunately, such an organization
does not promote an understanding of IT management in
practice.
IT Strategy: Issues and Practices tackles the real-world
challenges of IT manage-
ment. First, it explores a set of the most important issues facing
IT managers today, and
second, it provides a series of mini cases that present these
41. critical IT issues within the
context of real organizations. By focusing the text as well as the
mini cases on today’s
critical issues, the book naturally reinforces problem-based
learning.
Preface xv
IT Strategy: Issues and Practices includes thirteen mini cases—
each based on a real
company presented anonymously.1 Mini cases are not simply
abbreviated versions of
standard, full-length business cases. They differ in two
significant ways:
1. A horizontal perspective. Unlike standard cases that develop
a single issue within
an organizational setting (i.e., a “vertical” slice of
organizational life), mini cases
take a “horizontal” slice through a number of coexistent issues.
Rather than looking
for a solution to a specific problem, as in a standard case,
students analyzing a mini
case must first identify and prioritize the issues embedded
within the case. This mim-
ics real life in organizations where the challenge lies in
“knowing where to start” as
opposed to “solving a predefined problem.”
2. Highly relevant information. Mini cases are densely written.
Unlike standard
cases, which intermix irrelevant information, in a mini case,
each sentence exists for
a reason and reflects relevant information. As a result, students
42. must analyze each
case very carefully so as not to miss critical aspects of the
situation.
Teaching with mini cases is, thus, very different than teaching
with standard cases.
With mini cases, students must determine what is really going
on within the organiza-
tion. What first appears as a straightforward “technology”
problem may in fact be a
political problem or one of five other “technology” problems.
Detective work is, there-
fore, required. The problem identification and prioritization
skills needed are essential
skills for future managers to learn for the simple reason that it
is not possible for organi-
zations to tackle all of their problems concurrently. Mini cases
help teach these skills to
students and can balance the problem-solving skills learned in
other classes. Best of all,
detective work is fun and promotes lively classroom discussion.
To assist instructors, extensive teaching notes are available for
all mini cases. Developed
by the authors and based on “tried and true” in-class experience,
these notes include case
summaries, identify the key issues within each case, present
ancillary information about the
company/industry represented in the case, and offer guidelines
for organizing the class-
room discussion. Because of the structure of these mini cases
and their embedded issues, it
is common for teaching notes to exceed the length of the actual
mini case!
This book is most appropriate for MIS courses where the goal is
43. to understand how
IT delivers organizational value. These courses are frequently
labeled “IT Strategy” or
“IT Management” and are offered within undergraduate as well
as MBA programs. For
undergraduate juniors and seniors in business and commerce
programs, this is usually
the “capstone” MIS course. For MBA students, this course may
be the compulsory core
course in MIS, or it may be an elective course.
Each chapter and mini case in this book has been thoroughly
tested in a variety
of undergraduate, graduate, and executive programs at Queen’s
School of Business.2
1 We are unable to identify these leading-edge companies by
agreements established as part of our overall
research program (described later).
2 Queen’s School of Business is one of the world’s premier
business schools, with a faculty team renowned
for its business experience and academic credentials. The
School has earned international recognition for
its innovative approaches to team-based and experiential
learning. In addition to its highly acclaimed MBA
programs, Queen’s School of Business is also home to Canada’s
most prestigious undergraduate business
program and several outstanding graduate programs. As well,
the School is one of the world’s largest and
most respected providers of executive education.
xvi Preface
These materials have proven highly successful within all
44. programs because we adapt
how the material is presented according to the level of the
students. Whereas under-
graduate students “learn” about critical business issues from the
book and mini cases
for the first time, graduate students are able to “relate” to these
same critical issues
based on their previous business experience. As a result,
graduate students are able to
introduce personal experiences into the discussion of these
critical IT issues.
orgAnizAtion of thiS Book
One of the advantages of an issues-focused structure is that
chapters can be approached
in any order because they do not build on one another. Chapter
order is immaterial; that
is, one does not need to read the first three chapters to
understand the fourth. This pro-
vides an instructor with maximum flexibility to organize a
course as he or she sees fit.
Thus, within different courses/programs, the order of topics can
be changed to focus on
different IT concepts.
Furthermore, because each mini case includes multiple issues,
they, too, can be
used to serve different purposes. For example, the mini case
“Building Shared Services
at RR Communications” can be used to focus on issues of
governance, organizational
structure, and/or change management just as easily as shared
services. The result is a
rich set of instructional materials that lends itself well to a
variety of pedagogical appli-
45. cations, particularly problem-based learning, and that clearly
illustrates the reality of IT
strategy in action.
The book is organized into four sections, each emphasizing a
key component of
developing and delivering effective IT strategy:
• Section I: Delivering Value with IT is designed to
examine the complex ways that
IT and business value are related. Over the past twenty years,
researchers and prac-
titioners have come to understand that “business value” can
mean many different
things when applied to IT. Chapter 1 (Developing and
Delivering on the IT Value
Proposition) explores these concepts in depth. Unlike the
simplistic value propo-
sitions often used when implementing IT in organizations, this
chapter presents
“value” as a multilayered business construct that must be
effectively managed at
several levels if technology is to achieve the benefits expected.
Chapter 2 (Developing
IT Strategy for Business Value) examines the dynamic
interrelationship between
business and IT strategy and looks at the processes and critical
success factors
used by organizations to ensure that both are well aligned.
Chapter 3 (Linking IT
to Business Metrics) discusses new ways of measuring IT’s
effectiveness that pro-
mote closer business–IT alignment and help drive greater
business value. Chapter
4 (Building a Strong Relationship with the Business) examines
the nature of the
46. business–IT relationship and the characteristics of an effective
relationship that
delivers real value to the enterprise. Chapter 5 (Communicating
with Business
Managers) explores the business and interpersonal competencies
that IT staff will
need in order to do their jobs effectively over the next five to
seven years and what
companies should be doing to develop them. Finally, Chapter 6
(Building Better IT
Leaders from the Bottom Up) tackles the increasing need for
improved leadership
skills in all IT staff and examines the expectations of the
business for strategic and
innovative guidance from IT.
Preface xvii
In the mini cases associated with this section, the concepts of
delivering
value with IT are explored in a number of different ways. We
see business and
IT executives at Hefty Hardware grappling with conflicting
priorities and per-
spectives and how best to work together to achieve the
company’s strategy. In
“Investing in TUFS,” CIO Martin Drysdale watches as all of the
work his IT depart-
ment has put into a major new system fails to deliver value. And
the “IT Planning
at ModMeters” mini case follows CIO Brian Smith’s efforts to
create a strategic
IT plan that will align with business strategy, keep IT running,
and not increase
47. IT’s budget.
• Section II: IT Governance explores key concepts in how
the IT organization is
structured and managed to effectively deliver IT products and
services to the orga-
nization. Chapter 7 (IT Shared Services) discusses how IT
shared services should be
selected, organized, managed, and governed to achieve
improved organizational
performance. Chapter 8 (A Management Framework for IT
Sourcing) examines
how organizations are choosing to source and deliver different
types of IT functions
and presents a framework to guide sourcing decisions. Chapter 9
(The IT Budgeting
Process) describes the “evil twin” of IT strategy, discussing
how budgeting mecha-
nisms can significantly undermine effective business strategies
and suggesting
practices for addressing this problem while maintaining
traditional fiscal account-
ability. Chapter 10 (Managing IT-based Risk) describes how
many IT organizations
have been given the responsibility of not only managing risk in
their own activities
(i.e., project development, operations, and delivering business
strategy) but also
of managing IT-based risk in all company activities (e.g.,
mobile computing, file
sharing, and online access to information and software) and the
need for a holistic
framework to understand and deal with risk effectively. Chapter
11 (Information
Management: The Nexus of Business and IT) describes how new
organizational
48. needs for more useful and integrated information are driving the
development of
business-oriented functions within IT that focus specifically on
information and
knowledge, as opposed to applications and data.
The mini cases in this section examine the difficulties of
managing com-
plex IT issues when they intersect substantially with important
business issues.
In “Building Shared Services at RR Communications,” we see
an IT organiza-
tion in transition from a traditional divisional structure and
governance model
to a more centralized enterprise model, and the long-term
challenges experi-
enced by CIO Vince Patton in changing both business and IT
practices, includ-
ing information management and delivery, to support this new
approach. In
“Enterprise Architecture at Nationstate Insurance,” CIO Jane
Denton endeavors
to make IT more flexible and agile, while incorporating new and
emerging tech-
nologies into its strategy. In “IT Investment at North American
Financial,” we
show the opportunities and challenges involved in prioritizing
and resourcing
enterprisewide IT projects and monitoring that anticipated
benefits are being
achieved.
• Section III: IT-Enabled Innovation discusses some of the
ways technology is
being used to transform organizations. Chapter 12 (Innovation
with IT) examines
49. the nature and importance of innovation with IT and describes a
typical inno-
vation life cycle. Chapter 13 (Big Data and Social Computing)
discusses how IT
leaders are incorporating big data and social media concepts and
technologies
xviii Preface
to successfully deliver business value in new ways. Chapter 14
(Improving the
Customer Experience: An IT Perspective) explores the IT
function’s role in creating
and improving an …
TOPIC : Interventions to improve nutritional status: What type
of interventions improve adherence to recommendations on
nutritional intake?
Example Study:
· Interventions to enhance adherence to dietary advice for
preventing and managing chronic diseases in adults.
WRITTEN ASSIGNMENT:
· Read the study and answer the required questions for each
category
· Must write the paper using provided Summary Paper Format
on page #3.
· Grading Rubric/Description on page 4-5
ATI #3: Skills Module Contents: Summary Paper Format
· Bold for each Heading and Subheading
· Include in-text citations for all information/contents as needed
· Summary paper MUST be written in this format
50. Introduction and Key Points
Define the Topic and Question
· How do you interpret and/or understand the topic and question
you selected?
Overview/Significance of Problem
· Describe Overview and Significance of Problem of the topic
and question you selected
· Include in-text citations
Article Search
Current and credible resources: List Chamberlain library
Database(s) used
Database search-terms and methods
Number of articles located
List additional sources outside of ATI module: List all sources
you used for article search outside of ATI (CDC, American
Diabetic Association, etc.)
Article Findings
Why this article chosen?
How it addresses the topic? State the “Purpose/Aim of Study”
as the author stated in article
Type of Research conducted:
· Quantitative, Qualitative, Descriptive, or Mixed-Method
study?
· Briefly describe what was done (sample, methods,
measurement tools used)
Findings of Research: Comprehensively describe ALL Findings
51. in the article.
Evidence for Practice
Summary of Evidence
· Briefly summarize the overall purpose and findings.
How will this evidence improve current practice?
· Briefly describe what the current practice is.
· Describe how this evidence improve current practice?
How will this evidence decrease a gap in current practice?
· Briefly describe difference between the current knowledge,
skills, competence, practice, performance or patient outcomes
and the ideal or desirable state
· Describe how this evidence decrease a gap in the practice?
Any concerns or weaknesses in the evidence/finding? (Found in
Discussion)
Sharing of Evidence
Who would you share the information with? (colleagues, other
disciplines, patients, families)
How would you share this information? (in-services, health fair
for patients, educate healthcare professionals)
What resources would you need to accomplish this sharing of
evidence?
· List resources you may need for sharing the evidence as you
stated in above 2 questions (who and how) (i.e. administrator,
manager, support for materials….etc.)
Why would it be important to share this evidence with the