Article 1: DePue, J. D. et al. (2013). Nurse–community health worker team improves diabetes care in American Samoa. Diabetes Care, 36.
Article 2: Scholes, C. et al. (2012).A qualitative study of young people’s perspectives of living with type 1 diabetes: do perceptions vary by levels of metabolic control?. Journal of Advanced Nursing.
Backgrounds and Aims
Article I:
- The study responds to reports that poor and high risky families in American Samoa have high levels of obesity, cardiovascular risks and diabetes.
- Thus, it sought to evaluate the effectiveness of culturally-adapted nurse-led primary cares to support control and self-management measures of diabetes.
Article 2:
- This study responds to findings that cases of Type 1 Diabetes Mellitus are rising among adolescence.
- Therefore it sought to explore the perceptions of the youths regarding their demanding lives and diabetes illness.
Purpose
Methodology
Interpretations of Findings
Article 1:
- The study showed that the nurse-CHW team was effective in improving self management measures of diabetes patients.
- This was attained by taking into account their cultural values and poor-resourced conditions.
Article 2:
- Participants that had high HbA1cs were more likely to perceive that the cure for their condition would be found.
- However, they had negative sentiments about their condition at initial stage, received less parental care and practiced less self-management.
- Those with low HbA1cs expressed uncertainty about the cure of their condition being found. However, they received parental support, and they were more diligent about their conditions.
- Both healthcare system and parents are very much needed to help the two groups to cope up with their conditions well.
- In both cases, too, participants expressed similar sentiments, reporting that healthcare authorities used authoritarian means while interacting with them.
Synthesis of Information
Studies indicate that people from poor and high risky populations are more likely to suffer from diabetes than they are those from well off regions (DePue et al., 2013). When individuals become aware that their diabetic conditions are worse, or cannot be cured, they will be more diligent in their self-management about the condition (DePue et al., 2013; Scholes, et al. 2012). However, in all cases, when patients receive necessary care from both parents and healthcare system psychologically, conceptually, materially, socially and health wise, they are likely to adopt positive perception about their conditions and practice self management well(DePue et al., 2013; Scholes, et al. 2012).
Recommendations
Article 1 and Article 2
- The next research should employ a bigger sample and feature more geographical areas with different settings.
- The participants should also be blinded to avoid developing relationship with researchers.
Applications of Research in Nursing
Article 1:
- The research brings more evidence-based practices on the Nursing literature by showing the ability of CHWs in improving diabetic outcomes in underserved communities.
Article 2:
- The article brings an implication that nurses should be giving young people relevant and encouraging information about their condition to manage their diabetic conditions, and interact positively with peers and medical professionals in the management of their disease.
References
DePue, J. D. et al. (2013).Nurse–Community Health Worker Team Improves Diabetes Care
in American Samoa. Diabetes Care, 36.
Scholes, C. et al. (2012).A qualitative study of young people’s perspectives of living with
type 1 diabetes: do perceptions vary by levels of metabolic control?. Journal of Advanced Nursing.
