The choice of this topic and question is based on the fact that despite the high prevalence of diabetes among adolescents in the United States, the use of DSMES among DM patients is relatively low, yet it depicts adequate glycemic control (Macido & McAuley, 2019). In this case, it should be borne in mind that DSMES as a tool has long been effective in improving overall health. Therefore, it was decided to choose the topic of diabetes management and the PICO(T) question (In United States’ adolescents with diabetes mellitus (P), how does the provision of DSMES by nurses (I) affect their knowledge (C) on diagnosis and compliance with the treatment methods (O)?).
Answering this question will help improve the DSMES toolkit in diabetes management. In addition, adolescents will be adequately aware of their diagnosis and the importance of monitoring their health and physical condition in addition to clinical treatment. Thus, getting an answer to the question posed, medical practitioners, can confidently say that in addition to adolescents and professionals covered by this topic, it will also reach people at risk of diabetes.
Moreover, the answer to the PICO(T) question may shed light on the economics of using the DMES tool by nurses in different clinics and settings. This will help streamline the process of integrating various treatments and their application based on factors available when examining budgets in hospitals around the United States. Given that DSMES improves hemoglobin levels to A1c levels and demonstrates high levels of treatment adherence, the answer to the PICO(T) question may also be helpful to other health experts. Based on the DSMES indicators, they will be able to build or improve existing models for treating and preventing autoimmune diseases.
Reference
Macido, A., & McAuley, C. (2019). A Nurse-Led Inpatient Diabetes Self-Management Education and Support Program to Improve Patient Knowledge and Treatment Adherence. Journal of Health Education Teaching, 2019; 10(1), 1-10.