Concept Synthesis Guidelines Instructions Complete a focused literature synthesis on a key concept related to your actual or anticipated DNP project. General paper requirements: • 5 page limit (excl

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Concept Synthesis Guidelines Instructions Complete a focused literature synthesis on a key concept related to your actual or anticipated DNP project.

General paper requirements:

• 5 page limit (excluding title page, abstract, references, and appendices (tables and figures). •

You are free to use (APA, etc.). You must note your style on the title page (last line) and use it properly.

  • Since doctoral students are expected to publish, one recommendation is to identify a journal you are likely to target with your DNP project results, review their author guidelines/requirements, and practice using the journal’s required format for this paper.

• Use of a citation manager (e.g., EndNote or RefWorks) is highly recommended. They are available for free from the UCF Library website. Tutorials and other resources for each citation manager are also available through the UCF Library website.

• A minimum of 20 appropriate citations are required for this paper.

As this is doctoral level work, appropriate citations are peer-reviewed journal articles or sufficiently authoritative websites (e.g., CDC, AHRQ, NIH, recognized professional organizations, etc.).

• Sections of the paper (in order) are: o Abstract o Introduction o Methods o Synthesis of findings o Discussion o References o Appendices Helpful Resources Literature Review Process Tutorial https://guides.library.harvard.edu/c.php?g=310271&p=2071512

Reliability and Validity in Quantitative Studies https://ebn.bmj.com/content/ebnurs/18/3/66.full.pdf Reliability and Validity in Qualitative Studies https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4535087/ Abstract Succinctly summarizes all important elements of the pap

Concept Synthesis Guidelines Instructions Complete a focused literature synthesis on a key concept related to your actual or anticipated DNP project. General paper requirements: • 5 page limit (excl
Author Sample/Setting Methods Results Themes Limitations Kunz, S. et al Racial and ethnic minorities, rural, and impoverished populations  This case study contributes to a gap in the peer-reviewed literature 59 community members & 77 MCHC patients completed pre- and post-surveys. Both groups indicated improved healthy eating habits To increase awareness and understanding of the disease, and trained lay leaders delivered diabetes education curriculum to community members. Lack of data collected to document the effectiveness of the Consortium. Whereas the program evaluation team collected pre- and post-data from diabetes education participants Finbråten, H. S. et al Poor diabetes knowledge, poor glycemic control, and diabetic retinopathy in people with type 2 diabetes (T2DM) to low Health literacy. This cross-sectional study was conducted based on data from adults with T2DM For people with T2DM, higher levels of HL were associated with higher levels of education, better overall health conditions and higher self-perceived empowerment. To reflect the health literacy (HL) skills needed for managing (T2DM) in everyday life. HL in people with T2DM should be measured from a broader perspective than basic skills, such as proficiency in reading and writing. Just below one-third had compulsory comprehensive school as their highest completed education, and about the same fraction had completed education at a university or university college level Kannenkeril, D., et al A total of 111 Caucasian men and women with T2DM (defined by fasting glucose≥126 mg/dl or HbA1c≥6.5% or on blood glucose lowering medication and 54 without T2DM A cross-sectional analysis of baseline data of various interventional studies in subjects w/ & w/o T2DM, all performed at the Clinical Research Unit of the Department of Nephrology and HTN Study population consisted of 111 subjects with T2DM and 54 subjects without T2DM. Compared to subjects without T2DM, subjects with T2DM were older and more frequently women. Studies the outcome of micro- and macrovascular complications in T2DM patients with intensive or standard therapy (retinopathy, nephropathy and cardiovascular events) Central hemodynamic parameters like cPP were non-invasively assessed, our ICD measurements are based on perfusion images and our method, our only valid for patients with T2DM with median diabetes duration of 48 months and cannot be extrapolated to other stages of T2DM or type-1 diabetes Galasso P. et al Black women with type 2 diabetes mellitus (T2DM) in an urban setting Qualitative study was to examine perceived barriers to adoption of lifestyle changes for type 2 diabetes prevention among a diverse group of low-income women with a history of gestational diabetes mellitus (GDM). Black women identified ways in which their participation in a culturally competent intervention of diabetes care and education helped them to change dietary behaviors Assess shopping habits, the use of community resources for food supplementation, use of restaurant/fast-food establishments, dining habits, food purchasing and consumption, and food preparation methods Barriers to medical nutrition therapy identified included low income, time constraints, competing demands, and knowledge deficits. References Finbråten, H. S., Guttersrud, Ø., Nordström, G., Pettersen, K. S., Trollvik, A., & Wilde-Larsson, B. (2020). Explaining variance in health literacy among people with type 2 diabetes: the association between health literacy and health behavior and empowerment. BMC Public Health, 20(1), 161. https://doi.org/10.1186/s12889-020-8274-z Galasso P, Amend A, Melkus GD, & Nelson GT. (2005). Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus. Diabetes Educator, 31(5), 719–725. Kunz, S., Ingram, M., Piper, R., Wu, T., Litton, N., Brady, J., & Knudson, A. (2017). Rural Collaborative Model for Diabetes Prevention and Management: A Case Study. Health Promotion Practice, 18(6), 798–805. https://doi.org/10.1177/1524839917712730 Signorello, L. B., ScD., Schlundt, D. G., et al. (2007). Comparing diabetes prevalence between African Americans and whites of similar socioeconomic status. American Journal of Public Health, 97(12), 2260-7. https://www.proquest.com/scholarly-journals/comparing-diabetes-prevalence-between-african/docview/215092037/se-2?accountid=10003
Concept Synthesis Guidelines Instructions Complete a focused literature synthesis on a key concept related to your actual or anticipated DNP project. General paper requirements: • 5 page limit (excl
Summary Ebsco host Medline “Type 2 diabetes literacy, Prevention*” Explaining variance in health literacy among people with type 2 diabetes: the association between health literacy and health behavior and empowerment. To reflect the health literacy (HL) skills needed for managing type 2 diabetes (T2DM) in everyday life, HL in people with T2DM should be assessed from a broader point of view than basic skills, such as competence in reading and writing. The HLS-Q12, based on the European Health Literacy Survey Questionnaire (HLS-EU-Q47), assesses four cognitive spheres of influence across three health domains. International studies on people with T2DM show contradicting results regarding the correlation between HL and general health and HL and glycemic control. Knowledge is necessarily related between HL and empowerment for those with T2DM. The aims were to examine the association between i) HL and general health and diabetes outcomes. HL and health behaviors and HL and empowerment in people with T2DM. Upon assessment, adults with T2DM responded to a paper-and-pencil self-administered questionnaire. A multiple regression analysis was applied to explore the association between HL, as measured by the HLS-Q12, and health conditions, HbA1c, health behaviors, and empowerment. The people with T2DM and higher levels of HL were associated with higher levels of education, better overall health conditions, and higher self-perceived empowerment. By no means did empirical evidence support either the link between HL and glycemic control or the link between HL and health behaviors was found. The independent variables were education level, overall health condition, and empowerment, which explained about one-third of the observed variance in HL. Reference: Finbråten, H. S., Guttersrud, Ø., Nordström, G., Pettersen, K. S., Trollvik, A., & Wilde-Larsson, B. (2020). Explaining variance in health literacy among people with type 2 diabetes: the association between health literacy and health behavior and empowerment. BMC Public Health, 20(1), 161. https://doi.org/10.1186/s12889-020-8274-z Ebsco “type 2 diabetes in the impoverished communities.” Rural Collaborative Model for Diabetes Prevention and Management: A Case Study  Diabetes disproportionately affects racial and ethnic minorities, rural and impoverished populations. A diabetes prevention and management program is essential in communities where they lack many resources. Community health worker (CHW) roles are created to reach and support distinct populations as providers and educators focused exclusively on health education and patient navigators individually coached patients with chronic disease management issues for the high-risk patient population. Multisector partnerships allowed the program to offer health and social services around diabetes care. The partners also supported provider engagement through continuing education workshops and digital story screening to encourage referrals to the program. Multisector organizations, partnering with critical access hospitals for diabetes management and prevention, and using different types of CHWs to implement programs that target high- and low-risk populations are innovative and valuable components. Reference: Kunz, S., Ingram, M., Piper, R., Wu, T., Litton, N., Brady, J., & Knudson, A. (2017). Rural Collaborative Model for Diabetes Prevention and Management: A Case Study. Health Promotion Practice, 18(6), 798–805. https://doi.org/10.1177/1524839917712730 ProQuest: “diabetes type 2 in the impoverished community.”   Comparing Diabetes Prevalence Between African Americans and Whites of Similar Socioeconomic Status The prevalence of type 2 diabetes exists beyond what may be attributable to differences in socioeconomic status (SES) and other modifiable risk factors. We analyzed data from 34 331 African American and 9491 White adults aged 40 to 79 years recruited into the ongoing Southern Community Cohort Study. Participants were enrolled at Community health centers and had similar socioeconomic circumstances and risk factor profiles. We used logistic regression to estimate the association between race and prevalence of self-reported diabetes after considering age, SES, health insurance coverage, body mass index, physical activity, and hypertension. Several risk factors did not support higher diabetic prevalence rates among African Americans than among Whites. Our findings suggest that significant differences in diabetics prevalence between African Americans and Whites may reflect differences in established risk factors for the disease, such as SES, that typically vary according to race.   Reference: Signorello, L. B., ScD., Schlundt, D. G., et al. (2007). Comparing diabetes prevalence between African Americans and whites of similar socioeconomic status. American Journal of Public Health, 97(12), 2260-7. https://www.proquest.com/scholarly-journals/comparing-diabetes-prevalence-between-african/docview/215092037/se-2?accountid=10003 Ebsco “type 2 diabetes or type 2 diabetes mellitus or t2dm AND impoverished or poverty or low income or poor communities.” Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus. This search was to explore food purchasing, preparation, and consumption among black women with type 2ndiabetes Mellitus (T2DM) in an urban setting to assess barriers to medical nutrition therapy recommendations. A telephone survey was established to assess and monitor shopping habits, community resources for food supplementation, restaurant/fast-food establishments, acceptable dining habits, food purchasing and utilization, and food preparation techniques. Black women found ways in which their participation in the survey healed them to change some things culturally and implement in the change to help control diabetes, and education helped them change dietary behaviors. The most significant change included purchasing, preparation, and portion size. Culturally sensitive interventions regarding diabetes are an effective way to overcome some of the barriers to medical nutrition therapy. Comments provided by this survey suggest that identification of more affordable healthy food resources in the local community and the stores is necessary. In addition, access issues such as transportation to grocery stores should be on the agenda for public policy issues.  Reference: Galasso P, Amend A, Melkus GD, & Nelson GT. (2005). Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus. Diabetes Educator, 31(5), 719–725.

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