Day Procedure: A Case Study Of Bariatric Care In Nursing

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When I was at my clinical placement at Day Procedure Unit in Launceston, I found that many overweight patients were admitted for the endoscopy. During the time of admission, when I look at the patient history, I found type two diabetes mellitus patient who had bariatric surgery before. In this case, the issue is obesity and type 2 diabetes mellitus. From that time, I am interested in doing research about what is bariatric surgery and how effective it is compared to other non-surgical treatment. As a nurse, it is important to do evidence based research in nursing practice because it helps to gain knowledge about a specific issue, ensure patient safety and provide quality of care to the patient. Furthermore, if nurses examined the evidenced …show more content…
It contains five components population (p), intervention (I), comparison (C), outcomes (O) and time (T). The p means who is your patient? I is for what is the treatment or therapy, C is for what alternative, O means what is the outcomes or result and T means the time frame. These all components will support to facilitate the accurate information of the research clinical question (Riva J et al. 2012). The PICO is the formula that is used to research about above clinical question. As per my clinical question, the P is for the population that is type 2 diabetes and obese patients, I refer to Intervention which is bariatric surgery, C is for comparison non-surgical medical treatment and the O stand for outcomes which is increase diabetic remission and reduce mortality. The clinical that is been suggested to create is does bariatric surgery more effective than non-surgical medical treatment to increase diabetic remission in type 2 diabetes …show more content…
I have tried the following keywords in PubMed such as type 2 diabetes, obesity patient, bariatric surgery and medical treatment. However, the results resulted in systematic and scientific reviews and it does not meet the criteria of my research question. However, I have chosen the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database to search for the research article because it is the comprehensive database for nursing and allied health journals. It provides mostly the full article with many citations (McGowan 2014). The keywords used were diabetes, obesity patient, type 2 diabetes patient, overweight, surgery or operation, non-surgical treatment, bariatric surgery and medical treatment. At first, search, when I use diabetes and overweight and surgery or operation 78 articles were found. Next, the search narrowed by changing the year of publication to five years, the result came to 39 articles. Again, by limiting the search for Boolean/phrase by using type 2 diabetes AND medical treatment AND Bariatric surgery the results came to 16 articles. Lastly, by changing Booleans to type 2 diabetes patient AND medical treatment AND bariatric surgery the search resulted in 8 articles. Finally, a chosen article came in number one of these eight articles, which meet the criteria of my clinical research question. As a future nurse, it is important for the nurses to know how to research on the

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