What Is The Clinical Practice Gap In Enhancing The Quality Of Life For People With Diabetes?

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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 …show more content…
Therefore, it is imperative to identify what factors affecting them to uphold the regular exercise. By identifying the barriers, the solution can be suggested by focusing on ways to the overcome the identified barriers (Korkiakangas et al, 2009). Additionally, this information is needed in order to develop effective exercise counselling and to motivate diabetes patients to engage in regular exercise (Kirk et al, 2007). Given this gap, this literature review attempts to identify which factors influence on physical activity is predominant in diabetes patients.
Formulation of Research Question
Koshar (2006) stated that it is imperative to formulate research question in order to find relevant and good quality of the research. Therefore, PICO framework was used to formulate the clinical question (see table 1) because it allows the development a focused question allowing an appropriate literature search. PICO framework is believed to be the key to efficiently finding good quality of evidence-based decision for nursing practice (Ely and Scott, 2007)
The formulated research question is as follows:
What are the factors affecting compliance with physical activity in diabetes patient?
Table 1: PICO
P Population Patients with diabetes
I Intervention No
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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,

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