Introduction
Diabetes is one of the most common diseases in the world that causes thousands of deaths in different countries every year. Also, people might have various problems in their cardiovascular systems, skin ulcer, and other unfortunate outcomes due to the disease mentioned above. The research, which will be analyzed in the following paper, describes Iranian population’s problems related to diabetes. This paper is intended to discuss various principles of necessary evidence-based nursing practices implemented by medical personnel in Iran to treat local patients.
Evidence-Based Nursing Practices in Diabetes
It is essential to state that people of Iranian origin have the highest rate of diabetes occurrence in the world. Although the disease is just an infection that has to be controlled and treated on a daily basis, it leads to other serious health issues (Varaei, Salsali, & Cheraghi, 2013). One of the most common problems caused by diabetes is a foot ulcer in people from Iran. Approximately five percent of all patients who suffer from an enormous level of sugar in their blood have foot ulcer (Varaei et al., 2013). Basing on the number of individuals with this disease outcome, it would be advantageous to invent an appropriate treatment method.
The research by Varaei et al. (2013), which addresses the given issue, provides adequate instructions as to the treatment operations of foot ulcer. The central goal of similar studies was to identify whether particular evidence-based practices are able to make patients benefit from them and to analyze positive outcomes of the applied treatment strategy.
Summary of the Scholarly Research
As it is already mentioned above, the population of Iran has a permanent threat of foot ulcer and diabetes occurrence as almost five thousand residents of the country suffer from this disease every year. The evidence-based nursing practice is intended to analyze and identify appropriate methods of treatment to lower the increasing rate of patients with diabetes (Gardner, Hillis, Heilmann, Segre, & Grice, 2013).
The research considered in the discussed paper is built according to the standards of the quasi-experimental method with the help of nineteen medical workers with bachelor degrees. It would be proper to say that the research was lasting for three months to determine whether the chosen approach was beneficial for patients or not. To have a better understanding of the results summarized each week, all the collected data was rendered into statistical information (Gardner et al., 2013).
It is essential to mention that nurses should obtain specific education before working with people who have diabetes as general knowledge is not enough to address the problem consciously. The duties of nurses who participated in the discussed study required them to monitor the level of sugar in patients’ blood, educate the members of the sample, control the infection, and heal the wounds on people’s feet by using specific medicine and moistening their skin (Rasolabadi et al., 2015). These practices showed positive results as Iranian patients with diabetes were feeling better after three weeks of the healing process.
Discussion of the Scholarly Research
The evaluation of the study results identified that old people have more chance of being infected with diabetes and Alzheimer’s disease than the young population of Iran. Also, people who do not have high living standards are more likely to face these health issues. It would be proper to mention that members of the medical personnel were analyzing whether evidence-based nursing practices were necessary and efficient in the given case (Varaei et al., 2013).
Basing on the positive outcomes of Iranian patients, EBP is considered to be helpful for individuals who required professional assistance. Another important factor is the education of nurses who try to treat the foot ulcer in people with diabetes.
It would be proper to mention that nurses might introduce their patients to specific methods of self-treatment, which will improve their satisfaction of the entire healing process (Chin, Liang, Wang, Hsu, & Huang, 2014). However, these practices should be based on interdisciplinary intervention. Patients value the support provided to them by professional medical workers in a suitable framework. The findings that were outlined after the research are described below.
The first statement mentioned in the study is that all members of sampling (both nurses and patients) reconsidered their attitudes toward evidence-based practice as it demonstrated positive outcomes during the process of foot ulcer treatment (Chin et al., 2014). Many materials as to the appropriate implementation of evidence-based practices were reviewed by medical personnel to provide necessary services to the sample.
It would be proper to state that the subsequent method of intervention (that was applied during the second and third months of the study) showed completely different results in comparison to the strategy of initial treatment. Therefore, evidence-based nursing practices should be used to help the population of Iran and other people who suffer from diabetes and foot ulcer in different parts of the world as it increases the therapy quality.
Criticism
Many professionals criticise the described study for using the experimental design to analyze various medical interventions and their effectiveness in the appliance to patients of Iranian ethnic background (Varaei et al., 2013). Also, there are no sound scientific methods used due to particular limitations. Moreover, the nurses did not undergo an educational course by experts before treating the members of the research sample.
Intervention Presentation & Conclusion
Evidence-Based Nursing Practices in Diabetes
- Educating Iranian patients with diabetes;
- Applying moisture medicine to patients’ feet;
- Monitoring the level of sugar;
- Monitoring the patients’ blood pressure;
- Controlling the infection development;
- Healing the wounds on patients’ feet.
Summary of the Scholarly Research
- Iranians with diabetes have foot ulcers;
- Nurses should undergo educational course;
- Quasi-experimental approach was used;
- Evidence-based practice showed positive results;
- Five percent of Iranians have diabetes;
- Bachelor nurses participated in the study.
Findings of the Scholarly Research
- Patients benefit from evidence-based practices;
- Patients are satisfied when educated;
- Sampling members changed views on EBP;
- Subsequent intervention is better than initial;
- EBN increases foot ulcers therapy quality;
- Medical personnel searched for relevant information.
Main Ideas and Information
- Research led to positive outcomes, whereas its practices might be used to treat diseases that require similar approach;
- Diabetes occurs predominately in old people;
- Poor people are also at risk of being infected with diabetes as their living conditions are not appropriate for following a healthy lifestyle in Iran;
- Appropriate knowledge is essential for treatment;
- Poor people have foot ulcers.
Significance to Nursing Practice
- Proof based self-treatment satisfies patients;
- Interdisciplinary intervention education satisfies patients;
- Proof based knowledge enhances patients’ benefits;
- Patients value professional assistance as it is essential to know that a medical worker’s actions to heal a person are adequate;
- Reasonable medical examination is important.
New Intervention Integration
- Improvement of skills by EBN;
- Additional education to help patients;
- Implementing the results of exploration;
- Inspirational disposition’s advancement;
- Applying the EBP in other cases.
References
Chin, Y., Liang, J., Wang, W., Hsu, B. R., & Huang, T. (2014). The role of foot self-care behavior on developing foot ulcers in diabetic patients with peripheral neuropathy: A prospective study. International Journal of Nursing Studies, 51(12), 1568-1574. Web.
Gardner, S. E., Hillis, S. L., Heilmann, K., Segre, J. A., & Grice, E. A. (2013). The neuropathic diabetic foot ulcer microbiome is associated with clinical factors. Diabetes, 62(3), 923-930. Web.
Rasolabadi, M., Khaledi, S., Ardalan, M., Kalhor, M., Penjvini, S., & Gharib, A. (2015). Diabetes research in Iran: A scientometric analysis of publications output. Acta Informatica Medica, 23(3), 160-164. Web.
Varaei, S., Salsali, M., & Cheraghi, M. A. (2013). Implementation of evidence-based nursing practice for diabetic patients: An Iranian experience. International Journal of Nursing Practice, 19(1), 73-80. Web.