This literature review aims to discover the clinical practice gap in the delivery of safe and evidence-based practice when caring for people with diabetes. Among five domains of the National Health Service (NHS) Framework Outcomes 2016/17 (Department of Health [DoH], 2016) Domain 2 “enhancing the quality of life for people with long-term condition” has been chosen as it relates to the topic “Diabetes” as a long term condition. This assignment begins with the background information regarding diabetes and barriers to exercise, a brief explanation how this is relevant to Domain 2 and the clarification of why literature review is needed. It will follow on to examine the methodology for searching literature and the procedures followed to ensure
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The chosen topic for this literature review relates to Domain 2 which aims to enhance the quality of life for people with a long-term condition such as diabetes by supporting them in self-management of their condition (DoH, 2016). Lindstorm et al (2006) study found that a sedentary lifestyle is one reason behind today’s continuously increasing prevalence of diabetes patients. Jallinoja et al (2010) suggest that lifestyle changes such as healthy dietary habits, regular exercise helps to enhance the quality of life for the people who have already being diagnosed with diabetes. Similarly, Korkiakangas et al (2009) systematic review revealed that regular exercise is beneficial for the diabetic patient to improve insulin sensitivity and to maintain glycemic control. Further, Deshpande et al (2008) study confirms adherence with regular physical activity lessens the disease burden and reduces the morbidity and mortality associated with diabetes complications. However, some diabetes patients acknowledged that compliance with the physical activities can sometimes be challenging (Lascar et al, 2014; Casey et al, 2010). Foster (2010) suggest that the adults should do at least 150 minutes of moderate aerobic exercise such as cycling, fast walking or 75 minutes of vigorous aerobic activities such as running swimming every …show more content…
There are two paradigms in research (Ellis, 2013) and the selection of paradigm and subsequent methodology depends on the purpose of the study (Polit and Beck, 2007). Qualitative paradigm focused on exploring individual’s perceptions, attitudes and experience (Ellis, 2013; Parahoo, 2014) while the quantitative study focused on measuring cause and effects by laying emphasis on the number (Polit and Beck, 2010). Both quantitative and qualitative research methods generate valuable knowledge for providing evidence-based practice (EBP) (Aveyard, 2014; Barker, 2010). Though health education among patient is higher these days than ever before, Department of Health (2000) states the implicit use of EBP in the National Health Services (NHS) plan helps to promote safe and quality care for patients as well as reduce the cost of NHS spending. Furthermore, according to the hierarchy of evidence, random control trial is highly ranked in comparison to evidence derived from expert opinion and anecdotal experience (Parahoo, 2014). However, it is critical to identify which type of research method provides the best answers to specific clinical questions (Ellis,
The chosen topic for this literature review relates to Domain 2 which aims to enhance the quality of life for people with a long-term condition such as diabetes by supporting them in self-management of their condition (DoH, 2016). Lindstorm et al (2006) study found that a sedentary lifestyle is one reason behind today’s continuously increasing prevalence of diabetes patients. Jallinoja et al (2010) suggest that lifestyle changes such as healthy dietary habits, regular exercise helps to enhance the quality of life for the people who have already being diagnosed with diabetes. Similarly, Korkiakangas et al (2009) systematic review revealed that regular exercise is beneficial for the diabetic patient to improve insulin sensitivity and to maintain glycemic control. Further, Deshpande et al (2008) study confirms adherence with regular physical activity lessens the disease burden and reduces the morbidity and mortality associated with diabetes complications. However, some diabetes patients acknowledged that compliance with the physical activities can sometimes be challenging (Lascar et al, 2014; Casey et al, 2010). Foster (2010) suggest that the adults should do at least 150 minutes of moderate aerobic exercise such as cycling, fast walking or 75 minutes of vigorous aerobic activities such as running swimming every …show more content…
There are two paradigms in research (Ellis, 2013) and the selection of paradigm and subsequent methodology depends on the purpose of the study (Polit and Beck, 2007). Qualitative paradigm focused on exploring individual’s perceptions, attitudes and experience (Ellis, 2013; Parahoo, 2014) while the quantitative study focused on measuring cause and effects by laying emphasis on the number (Polit and Beck, 2010). Both quantitative and qualitative research methods generate valuable knowledge for providing evidence-based practice (EBP) (Aveyard, 2014; Barker, 2010). Though health education among patient is higher these days than ever before, Department of Health (2000) states the implicit use of EBP in the National Health Services (NHS) plan helps to promote safe and quality care for patients as well as reduce the cost of NHS spending. Furthermore, according to the hierarchy of evidence, random control trial is highly ranked in comparison to evidence derived from expert opinion and anecdotal experience (Parahoo, 2014). However, it is critical to identify which type of research method provides the best answers to specific clinical questions (Ellis,