PICOT Question Development and Literature Review
The Modeling and Role Modeling Theory of nursing developed by Erickson provides a useful means of analyzing and presenting options for solutions of my research area. The theory is based on the concept that nurses must appropriately use models to guide patients to better health decisions. In the theory, modeling is the process by which the nurse seeks to know and understand the patient's personal model of his or her own world, as well as learns to appreciate its value and significance. Modeling recognizes that each patient has a unique perspective of his or her own world. These perspectives are called models. The nurse uses the process to develop an image and understanding of the patient's world from that patient's unique perspective. Role modeling is the process by which the nurse facilitates and nurtures the individual in attaining, maintaining, and promoting health. It accepts the patient as he or she is unconditionally, and allows the planning of unique interventions. According to this concept, the patient is the expert in his or her own care, and knows best how he or she needs to be helped.
This theory works to support a solution to the problem of dietary barriers occurring in Asian-Americans to reduce A1C levels recently after diagnosis. The theory can be applied by providing nurses with accurate and disciplined means to treat patients in a proactive manner. Nursing as an art is explained in this modeling theory and the ability to those in this profession to draw upon their creative forces stand to become better healers than those mired in impractical convention.
Part 2 Literature Review
Deng et al. (2013) presented interesting qualitative information regarding immigrant adaptation to Western norms of medical practice. The authors of this research article attributed the progress of this relationship as "acculturation." The acculturation and its ultimate impact on the treatment of type 2 diabetes is explored and reviewed in this research article. The data contained in this article can be applied directly to the data gathered in my research effort as many of the same topics are of a shared interest. The article also presents some ideas for further research and practical solutions to help guide this phenomenon.
Tripp-Reimer (2001) presented an interesting manner in which to approach the problem and epidemic of diabetes. The research focused on the impact of cultural and the creation of barriers that are inadvertently set during medical treatment processes involved with diabetes. The research article is an offering of a solution to the problem. The research ultimately concluded that "addressing barriers arising from the health care system involves locating services within the targeted community to maximize access, offering a broad array of health and social services to increase efficiency and continuity, maintaining a consistent staff, hiring and retaining bilingual, bicultural staff, expanding hours of operation, and emphasizing family and community involvement with regard to graphics, posters and pictures, music, and seating arrangements, " (p.20).
The information contained within the data reported from Diabetes.org provided a useful set of data to examine the problem of the disease. The data captured in this literature provided applicable statistical information regarding the span of diabetes research. This article is very useful because it adds qualitative description to the problems involved with diabetes. Since the focus of this paper deals with a more specific inquiry of people, the research presented in this literature is an excellent source for contrast and comparison.
Keogh et al. (2011) presented a research paper that investigated the practice of interventions for the problem of type 2 diabetes. Through the use of case study, this article explained the usefulness of participating in family base intervention that targets misconceptions regarding type 2 diabetes. Specifically improvements in A1C levels were documented with psychological, family based interventions regarding the disease. The case and effect relationships established in this paper are cogent and applicable to the research question of the subject of this paper. By identifying a solution to the problem, the hypothesis can be modified to include the impact of this model.
Levin et al. (1997) presented a useful template of incorporating abstract psychological ideas into quantitative analysis forms. Their research aimed to summarize the suggestions and guidance of the Quantitative Methods Working Group convened by the National Institutes of Health (NIH) in support of the NIH Office of Alternative Medicine. The study described the efforts of this group to normalize methods of analyzing alternative medical approaches. The article concluded that alternative medicine inquiries are substantially supported by traditional means of research. As a result a 7 point manifesto was created...
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