Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

Evidence-based solution
Nursing intervention
Patient care
Health care agency
Nursing practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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PICOT Question Paper

According to the World Health Organization, more than 500 million individuals worldwide are affected by diabetes. According to the research, nearly 1.6 million individuals die every year as a result of problems related to diabetes. Diabetes affects a considerable percentage of people and is regarded to be one of the leading causes of mortality in society, necessitating the implementation of preventative strategies. A prominent risk factor for type 2 diabetes is obesity, a prevalent occurrence. Among the most prevalent issues related to diabetes in the population is a lack of adequate education regarding type 2 diabetes, insufficient physical activity, and poor nutrition among those living with the disease. Type 2 diabetic patients have a high risk of rehospitalization, which was identified in the prior assignment as a major problem area. Discharge education, which encourages patients to take responsibility for their own health after they leave the hospital, was proposed as a solution to the problem. The PICOT question generated is as follows: In type 2 diabetic patients who are likely to be rehospitalized (P), does the provision of patient teaching before discharge (I) compared to no provision of education (C), enhance their self-management and minimize their rehospitalization rates (O) in one month after discharge (T)?”

Evidence-based Solution

The evidence-based approach selected for type 2 diabetic patients was the provision of discharge education. Nutritional planning for such patients, prescription lists with medical directions, correct usage and disposal of needles, and the significance of follow-ups will be covered during the education. Patients will be educated before they are discharged, and the nurses will be coached through this process. Care education will be provided to patients before their discharge by the nurses in collaboration with the medical center supervisors ((Dehnabi et al., 2017). Nurses are in charge of ensuring that patients are cared for in a coordinated manner. Families of patients should get and learn the skills and knowledge they need from these professionals. They must also refer patients to community-based services or public agencies to support them when in their homes.

Nursing Intervention

When it comes to lowering readmissions, nurses are at the forefront of the effort. By collaborating with other diabetes professionals in the field, nurses can ensure that type 2 diabetic patients get high-quality treatment and are informed of the fundamentals of self-management techniques when they are discharged from the hospital. Nursing interventions comprise giving patients with high-risk diabetes the resources they need, coordinating their care, and educating them after they leave the hospital. The nurses may also contact the patient’s family members to ensure that they are attentive to the patient’s well-being. In order to reduce the cost of medical services and minimize readmission rates, the patient’s family is responsible for ensuring that the patient adheres to the prescribed drug and nonpharmacological treatments (Gregory et al., 2018). Furthermore, it is suggested that nurses acquire extra education to become diabetes ambassadors, who will operate as the touchpoint across each medical unit and in the community as a whole.

Patient Care

Readmission rates in individuals with diabetes have a significant impact, particularly if the readmission occurs within one month following discharge. Patients’Patients’ life quality suffers, as do their overall happiness, and their family bear the brunt of the burden. As a result, this study is valuable to type 2 diabetic individuals because it will have an influence on patient care, encourage patients to take more responsibility for their own health, and result in decreased hospital readmissions after discharge.

Health Care Agency

The American Diabetes Association is a healthcare organization that has a connection to the problem of hospital readmissions for individuals with type 2 diabetes. This non-profit agency in the United States focuses on teaching people about diabetes and assists individuals who are impacted by the disease by sponsoring studies into ways of managing, preventing, and curing diabetes. Diabetes education and promotion are also part of the agency’s mission, which is to reduce the prevalence of diabetes-related illnesses and the incidence of diabetic complications in general (Chamberlain et al., 2016). Consider the American Diabetes Association’sAssociation’s publication of the Standards of Medical Care in Diabetes, which was presented in 2016. This was aimed at equipping physicians, patients, scholars, insurers, and other stakeholders with information on the aspects of diabetes management, overall care objectives, and techniques for evaluating the care quality.

Nursing Practice

Nursing practice is concerned with the preservation, maintenance, and improvement of health and capabilities, the prevention of illness and harm, the relief of pain and anguish, and the promotion of recovery, among other things. This study will improve nursing practice while also encouraging people to take more control of their own health care decisions. The goal is to lower hospital readmissions and improve the overall quality of treatment for individuals with diabetes type 2.



American Diabetes Association. (2018). 14. Diabetes care in the hospital: standards of medical care in diabetes—2018. Diabetes Care, 41(Supplement 1), S144-S151. https://doi.org/10.2337/dc18-S014

Chamberlain, J. J., Rhinehart, A. S., Shaefer Jr, C. F., & Neuman, A. (2016). Diagnosis and management of diabetes: synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes. Annals of internal medicine, 164(8), 542-552. https://doi.org/10.7326/M15-3016

Dehnabi, A., Navipour, H., Radsepehr, H., & Al- Reza Tadayonfar, M. (2017). Effect of discharge planning on metabolic factors in type 2 diabetic patients. Journal of Client-centered Nursing Care, 251-262. https://doi.org/10.32598/jccnc.3.4.251

WHO. (2020). Diabetes: Key Facts. https://www.who.int/news-room/factsheets/detail/diabetes