Critique Nursing Journal Article

Complications from, and economic be associated with diabetes are on the rise. The concern is that this global health epidemic is only expected to worsen in the coming decades. One numerical research chew over aims to improve persevering outcomes specifically related to square-toed control of transmission line glucose level, by linking patient outcomes with health literacy and patient in consecrate. A quantitative study consisting of a convenience sample of 102 subjects from two urban health care centers was use.Patient demographics, socioeconomic status, and diabetes related acquaintance, and clinical slump were measured. The results of this study are mixed in supporting the hypothesis that low-downer health literacy directly impacts glycemic control. The 2010 light-emitting diodeger article titled, Impact of health literacy and patient trust on glycemic control in urban the States population from breast feeding Health and Sciences, hypothesizes a direct relationship i n the midst of a patients overall health literacy and the ability to maintain glycemic control.Also read thisCritique of Stuff Is Not repurchaseThe studys intent is to examine questions related to health literacy and a patients trust in their health care provider to make a connection to how well the subjects managed glycemic control. Questions related to potential embossment are also relevant. Author, Josephine M. Mancuso, PhD, ANP-BC from Marquette University, has published articles in the following nursing journals ledger Of Nursing Care Quality, Journal Of Professional Nursing Official Journal Of The American Association Of Colleges Of Nursing, Western Journal Of Nursing Research, and Nursing & Health Sciences.In this research study, the author seeks to examine correlational statistics between dependent and self-governing varyings. The venture purpose is often to generate hypotheses that can be tested in experimental research. In her study, Mancuso used the following set of eligibility criterion subjects were ? 18 years of age, fluent in English, confirmed diabetes type 1 or 2, HbA1c within 6 months of the study, and received treatment for diabetes at least twice in the previous year. Using the above criteria, 102 subjects total ere selected from two different urban healthcare clinics (Mancuso, 2010). This study aims to draw correlation between glycemic control (dependent variable) and overall health literacy and patient trust (independent variables). According to Polit & Beck, a dependent variable is what is measured in an experiment and what is affected during the experiment. The dependent variable responds to the independent variable. It is called dependent because it can non exist without the independent variable. An independent variable can be controlled and manipulated (Polit & Beck, 2010).Strength of this research is the highlighting positive effects of suitable glycemic control on overall health. The author states, Control of blood glucose is a central outcome of diabetes caution (2010). This suggests that with proper maintenance of blood glucose levels and by lowering the HbA1c by 1%, patients can extend their living expectancy 5-8 years with lowered risks of eye, kidney, and peripheral nerve complications (2010). Strength is also found in governance of statistical information from the American Diabetes Association.While conducting the study, Mancuso noned that 35% of participants achieved the desired HbA1c of ?7% (2010). She cites the ADA account that, 37% of adults diagnosed with diabetes in the USA achieve glycemic control (Mancuso, 2010). It is all important(predicate) for all individuals with diabetes to be mindful of blood glucose levels and HbA1c levels to reduce potential life- qualifying complications of diabetes. Finally, strength in the research is found in the correlation of a souls level of depression and trust in healthcare providers.Mancuso states, The current ?ndings are congruent with and conve y to the other studies that evaluated the in?uence of patient trust and depression on glycemic control (2010). This is important to healthcare professionals in part because communication can be hindered if depression is present. Recognizing depression and opening lines of communication is crucial in establishing patient trust (2010). When a patient trusts the health care professional, they will likely be more open to discussing symptoms, adherence to medication management, and non-compliance with health care regimen.With this information, the health care professional can make up a plan of care that is individualized and meets the unique learning style needs of every patient. improve patient trust will improve patient outcomes. Limiting characteristics that potentially threaten the validity of the results imply a relatively small sample size of a homogenous population, potential cultural curve and lack of congruent variables. If a sample size is too small, it whitethorn be diffi cult to escort any significance in the relationship between the variables.Also, a small sample size may not provide a representative distribution of the population being studied (Mancuso, 2010). In addition, the studys objective and design were incongruent. Lack of a control group threatens internal validity because it was not clear if any benefits observed accurately reflected correlation between dependent and independent variables. Perhaps with this low income demographic, simply having access to a physician would have been sufficient to foster improved patient outcomes. In addition, it is not clear how or why these urban health care centers were selected.Whether or not at that place is any affiliation persuade remains uncertain. External validity is questioned because it was not clear to whom the results would benefit. Potential bias is evidenced in the following statement by Mancuso, The use of such similar samples that capture the running(a) poor is rather generalized in it s interpretations. This could lead to potential bias as socioeconomic and demographic information was collected (2010). Additionally, patient trust develops from an initial vulnerability that eventually results in a credit on the provider to care for their interests and needs.If a person is feeling intimidated or their current health literacy level prevents them from fully understanding information given, faulty findings may be demonstrated in this quantitative study. Further limitation is discovered in the lack of identified disturbances that increased health literacy and patient trust. Whether an intervention is effective, on whom it is effective, how much benefit it produces and whether or not it is associated with negative outcomes should be addressed. Clearly, this study had many weaknesses that limit its value and the applicability of results.It is not clear why the study was not labeled simply as an exploratory qualitative study. Possibly further research exists on the topi c. Ultimately, the convenience sample of 102 patients with diabetes demonstrated that patient trust and patient depression was significant. In addition, there was a significant positive correlation between a test subjects lack of knowledge of diabetes management and low health literacy (Mancuso, 2010). denudation of the correlation between an increase in health literacy and an increase in diabetes knowledge was found (2010).A positive correlation was found between a patients HbA1c level and that patient scurvy from depression. A negative correlation was found between patient trust and HbA1c. As patient trust increased, HbA1c decreased (Mancuso, 2010). These results indicate that promotion of the patientprovider relationship, adequate depression screening in individuals with diabetes, as well as needed exploration of new strategies for diabetes education are much needed interventions in the goal of glycemic control.According to the study, the majority of participants who demonstrat ed poor glycemic control conversely demonstrated health literacy. It is not known how or why some individuals with satisfactory health literacy revealed poor glycemic control. Because of this, the study fails to connect health literacy and glycemic control in the test subjects (Mancuso, 2010). The significant variables related to proper glycemic control were patient trust and depression (Mancuso, 2010).Brega,et al state, results indicated that diabetes-related knowledge is a key mediator of the relationship between health literacy and glycemic control and highlighted the important association of diabetes knowledge with health behavior (2012). Similarly, a study by Coffman, Norton & Beene, acknowledged a knowledge deficiency related to diabetes. This lack of knowledge when coupled with low health literacy created obstacles to health care and prevented accommodate interventions (2012). The importance of the direction of this study is most relevant.The author attempts to address barri ers to glycemic control that lead to complications from diabetes. Disease complications and emerging costs associated with diabetes, is likened to a public health crisis that is projected to only get worse. The improvement of diabetes related outcomes could potentially positively impact all health care system. Future research in all areas of diabetic monitoring and teaching will be needed to advance the structure of diabetes education. The WHO estimates that 347 million people cosmopolitan have diabetes.The WHO projects that diabetes related deaths will double between 2005 and 2030 (2013). No longer is diabetes associated with the gluttonous rich. The WHO states, More than 80% of people with diabetes live in low and middle-income countries (WHO, 2013). Diabetes has become a disease of poverty in veritable countries. Incidents of diabetes is increasing most rapidly in developing countries, in theory, because industrialization and urbanization have led to a decrease in time to prep are a nutritious meal and costs associated with bright produce is prohibitive.Preservation of functional status and improvement in quality of life can be achieved with proper management of diabetes through adequate glycemic control. Depression and any correlation with patient trust of healthcare providers will need further investigation in other patient demographics. As we struggle to fight diabetes, ongoing encouragement of individuals to change their lifestyle choices may be the best way to proceed.