The purpose of the Doctor of Nursing Practice (DNP) project is to develop an intervention to address adults patients diagnosed with type 2 diabetes mellitus (T2DM). The DNP PICOT question is: In adults with T2DM, in a primary care setting, will implementation of the Diabetes Self-Management Education and Support (DSMES) via mobile technology (text messaging) impact fasting blood sugars in 8- 10 weeks?
A comprehensive literature review of the current research was conducted to identify current evidence-based practice interventions to decrease fasting blood glucose levels in patients with T2DM. A systematic literature review is vital to the review procedure and must provide a clear method as to how the literature findings were identified (Cooper et al., 2018). Thus, relevant literature search strategies are a very important part of translating research into practice (Herrstrom et al., 2020). The articles were searched through Cochrane, MEDLINE, CINAHL, EBSCO, google scholars, and OVID technologies databases for the literature review. The keywords of “type 2 diabetes”, “evidence-based intervention and technology” “technology and reduction of fasting blood glucose” as part of the PICOT question. The DNP student utilized Boolean phrases to narrow and or broaden my search. Database filters based on inclusion and exclusion criteria including no articles older than 5 years, peer-reviewed journals, were used and narrowed down the number of articles after reviewing abstracts.
The three main themes that emerge from the research findings are a) DSMES toolkit is effective in improving communication and enabling self-care behaviors, (b) promotion of active patients’ participation in T2DM management, and (c) duration of intervention program influences T2DM outcomes (Dobson et al.,2017; Duffy et al., 2019; Greenwood et al 2017; McMillan et al., 2017; Nkhoma et al., 2021; Russell et al., 2017). Six research studies were reviewed (Dobson et al.,2017; Duffy et al., 2019; Greenwood et al 2017; McMillan et al., 2017; Nkhoma et al., 2021; Russell et al., 2017) that described the DSMES based intervention to address the problem of T2DM. Researchers identified that the DSMES intervention program through short text messaging can effectively reduce fasting blood glucose levels of patients diagnosed with T2DM (Dobson et al.,2017; Duffy et al., 2019; Greenwood et al 2017; McMillan et al., 2017; Nkhoma et al., 2021; Russell et al., 2017).
I will continue to work on my DNP project implementation by preparing my IRB pre-screening documents for approval. I am still working on my pre-screening documents but have completed my DNP practicum form in week one. I will consider success as I wait for the review and edits of my DNP project.
Cooper, C., Booth, A., Varley-Campbell, J., Britten, N., & Garside, R. (2018). Defining the process to literature searching in systematic reviews: A literature review of guidance and supporting studies. BMC Medical Research Methodology, 18(85),1-15. https://doi.org/10.1186/s12874-018-0545-3 (Links to an external site.) (Links to an external site.)
Dobson, R., Whittaker, R., Pfaeffli Dale, L., & Maddison, R. (2017). The effectiveness of text message-based self-management interventions for poorly-controlled diabetes: A systematic review. Digital Health, (3), 1-12. https://doi.org/10.1177/2055207617740315 (Links to an external site.)
Duffy, S., Svenson, J., Chavez, A., Kelly, M., & Wise, P. (2019). Empowering community health workers with mobile technology to treat diabetes. The Annals of Family Medicine, 17(2), 176-176. https://doi.org/10.1370/afm.2361 (Links to an external site.)
Greenwood, D. A., Gee, P. M., Fatkin, K. J., & Peeples, M. (2017). A systematic review of reviews evaluating technology-enabled diabetes self-management education and support. Journal of Diabetes Science and Technology, 11(5), 1015-1027.https://doi.org/10.1177/1932296817713506 (Links to an external site.)
Herrström K., Larsson S., Einberg E., Nilsson M., Blomqvist K.,& Garmy P. (2020). Assessment of search strategies in literature-review-based candidate theses within a nursing program. Advances in Medical Education and Practice,11,71-77. https://doi.org/10.2147/AMEP.S227547 (Links to an external site.) (Links to an external site.)
McMillan, K. A., Kirk, A., Hewitt, A., & MacRury, S. (2017). A systematic and integrated
review of mobile-based technology to promote active lifestyles in people with type 2
diabetes. Journal of Diabetes Science and Technology, 11(2), 299-307.
https://doi.org/10.1177/1932296816656018 (Links to an external site.)
Nkhoma, D. E., Soko, C. J., Banda, K. J., Greenfield, D., Li, Y. C. J., & Iqbal, U. (2021). Impact of DSMES app interventions on medication adherence in type 2 diabetes mellitus: systematic review and meta-analysis. BMJ health & care informatics, 28(1). https://doi.org/10.1136/bmjhci-2020-100291
Russell, N. M., Vess, J., Durham, C., & Johnson, E. (2017). Text-messaging to support diabetes self-management in a rural health clinic: A quality improvement project: OJNI. On-Line Journal of Nursing Informatics, 21(2) Retrieved from https://www.proquest.com/scholarly-journals/text-messaging-support-diabetes-self-management/docview/1984822511/se-2?accountid=11250