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Chamberlain University
NR-702: DNP Project & Practicum I
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EBP Question:Â [Insert EBP Question Here]
Date:Â [Insert Date Here]
The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Appendix G tool provides a framework to summarize evidence during the appraisal stage of an evidence-based practice (EBP) project. It organizes studies by type, population, findings, limitations, and the assigned level and quality of evidence. This systematic approach promotes transparency, enhances clarity, and enables teams to compare findings across multiple sources of evidence to guide clinical decision-making.
The following section outlines the findings of five studies that evaluated the impact of Diabetes Self-Management Education and Support (DSMES) interventions in patients with type 1 and type 2 diabetes. The evidence highlights improvements in patient knowledge, glycemic control, and quality of life.
Table 1
Individual Evidence Summary for DSMES Interventions
| Article No. | Author & Date | Evidence Type | Sample, Sample Size & Setting | Study Findings | Limitations | Evidence Level & Quality |
|---|---|---|---|---|---|---|
| One | Bekele et al. (2020) | Systematic review and meta-analysis (Quantitative) | 16 RCTs obtained from PubMed, Medline, Scopus, BioMed Central, and Cochrane Library | DSMES improved patient knowledge, self-care skills, quality of life, and reduced diabetes-related complications and healthcare costs. | Several studies included were older than five years, raising concerns about data relevance. | Level I-A, High quality |
| Two | Nkhoma et al. (2021) | Systematic review and meta-analysis (Quantitative) | 39 studies with 6,861 participants from PubMed, Cochrane, Web of Science, EMBASE, Scopus | Digital DSMES significantly improved HbA1c levels and diabetes-related knowledge, suggesting strong potential in glycemic control. | Lack of focus on digital illiteracy among older adults limited applicability. | Level I-A, High quality |
| Three | Rohilla et al. (2021) | Umbrella review of systematic reviews (Quantitative) | 166 studies evaluated using PRISMA guidelines | DSMES promoted adherence to self-care behaviors and enhanced glycemic control in type 1 diabetes. | Limited strategies for sustaining long-term lifestyle adherence were noted. | Level I-A, High quality |
| Four | Romero-Castillo et al. (2022) | Pilot randomized controlled trial | 131 participants; intervention group (n = 69), control group (n = 62) at Virgen Macarena & Virgen del Rocio Hospitals | DSMES led to improved glucose management in type 1 diabetes, demonstrating clinical utility. | Small sample size limited generalizability; adherence challenges remained unaddressed. | Level II, High quality |
| Five | Tanaka et al. (2020) | Systematic review and meta-analysis of RCTs | 12 RCTs retrieved from Cochrane Library and related databases | DSMES enhanced health literacy and improved glycemic outcomes, especially for newly diagnosed type 2 diabetes patients. | Some included studies relied on outdated data, limiting reliability. | Level I-A, High quality |
The Individual Evidence Summary Tool allows EBP teams to systematically organize and record findings from individual studies during the evidence appraisal stage. This structured process enhances comparison across studies and strengthens the validity of evidence used in clinical practice.
Header:Â Clearly include the EBP question and project date.
Article Numbering:Â Assign each evidence source a number for clarity.
Author and Date:Â Record the first author and year of publication.
Evidence Type:Â Indicate whether the source is a randomized controlled trial (RCT), systematic review, meta-analysis, qualitative study, or other design.
Sample and Setting:Â Provide a concise summary of the study population, sample size, and research context.
Findings:Â Report only results relevant to the EBP question.
Limitations:Â Highlight any constraints, such as sample size, outdated data, or methodological weaknesses.
Evidence Level and Quality:Â Use the JHNEBP hierarchy to classify the strength and quality of evidence.
Bekele, B. B., Negash, S., Bogale, B., Tesfaye, M., Getachew, D., Weldekidan, F., & Balcha, B. (2020). The effectiveness of diabetes self-management education (DSME) on glycemic control among T2DM patients randomized control trial: Systematic review and meta-analysis protocol. Journal of Diabetes & Metabolic Disorders, 19(2), 1631–1637. https://doi.org/10.1007/s40200-020-00584-3
Nkhoma, D. E., Soko, C. J., Bowrin, P., Manga, Y. B., Greenfield, D., Househ, M., … & Iqbal, U. (2021). Digital interventions self-management education for type 1 and 2 diabetes: A systematic review and meta-analysis. Computer Methods and Programs in Biomedicine, 210, 106370. https://doi.org/10.1016/j.cmpb.2021.106370
Rohilla, L., Kaur, S., Duggal, M., Malhi, P., Bharti, B., & Dayal, D. (2021). Diabetes self-management education and support to improve outcomes for children and young adults with type 1 diabetes: An umbrella review of systematic reviews. The Science of Diabetes Self-Management and Care, 47(5), 332–345. https://doi.org/10.1177/26350106211031809
Romero-Castillo, R., Pabón-Carrasco, M., Jiménez-Picón, N., & Ponce-Blandón, J. A. (2022). Effects of a diabetes self-management education program on glucose levels and self-care in type 1 diabetes: A pilot randomized controlled trial. International Journal of Environmental Research and Public Health, 19(23), 16364. https://doi.org/10.3390/ijerph192316364
Tanaka, R., Shibayama, T., Sugimoto, K., & Hidaka, K. (2020). Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials. Journal of Diabetes Investigation, 11(4), 1152–1166. https://doi.org/10.1111/jdi.13241
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