In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. See

Full APA formatted citation of selected article.

Article #1

Article #2

Article #3

Article #4

Ayatollahi, H., Mirani, N., Nazari, F., & Razavi, N. (2018). Iranian healthcare professionals' perspectives about factors influencing the use of telemedicine in diabetes management. World Journal of Diabetes, 9(6), 92–98. https://doi.org/10.4239/wjd.v9.i6.92

Jepma, P., Snaterse, M., Du Puy, S., Peters, R. J. G., Scholte op Reimer, W. J. M. (2021). Older patients’ perspectives toward lifestyle-related secondary cardiovascular prevention after a hospital admission—a qualitative study. Age and Ageing, 50(3), 936–943. https://doi.org/10.1093/ageing/afaa283

Alageel, S., Gulliford, M. C., Wright, A., Khoshaba, B., & Burgess, C. (2020). Engagement with advice to reduce cardiovascular risk following a health check programme: a qualitative study. Health Expectations, 23(1), 193-201.  

https://doi.org/10.1111/hex.12991

Halloway, S., Wilbur, J., Schoeny, M. E., et al. (2020). Feasibility of a Lifestyle Physical Activity Intervention to Prevent Memory Loss in Older Women With Cardiovascular Disease: A Mixed-Methods Approach. Canadian Journal of Nursing Research, 52(4), 278-289. https://doi.org/10.1177/0844562119856233

Evidence Level *

(I, II, or III)

Level III

Level III

Level III

Level III

Conceptual Framework

Describe the theoretical basis for the study ( If there is not one mentioned in the article, say that here).**

Not mentioned

Not mentioned

Not mentioned

Not mentioned

Design/Method

Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

This study used quantitative method. It used Likert scale questionnaire

Qualitative approach through the use of semi-structured interviews

Qualitative study. Used individual semi-structured interviews

Mixed-methods approach was used

Combined quantitative measures with qualitative data

Sample/Setting

The number and characteristics of

patients, attrition rate, etc.

The study did not mention the sample size

The study involved older cardiac patients which is in line with my picot question on Older adults with cardiovascular disease

The study did not mention the sample size

The study did not mention the sample size

Major Variables Studied

List and define dependent and independent variables

Dependent: Factors influencing the use of telemedicine in diabetes management. Independent: Perspectives of healthcare professionals.

Dependent: “Social factors, and self-worth of older cardiac patients regarding lifestyle-related secondary preventions post-hospital admission” (Jepm, et al., 2021)

Dependent: “Factors that influence participation in and compliance with medications and lifestyle modification programs among people at medium or high risk of CVD” (Alageel, et al., 2020)

Dependent: “Feasibility, acceptability, and preliminary effects of lifestyle physical exercise interventions to prevent memory decline in elderly women with cardiovascular conditions” (Halloway, et al., 2020).

Measurement

Identify primary statistics used to answer clinical questions ( You need to list the actual tests done).

Likert scale questionnaire

Semi-structured interviews

Semi-structured interviews

The method used was mixed-methods approach.

Data Analysis Statistical or

Qualitative findings

( You need to enter the actual numbers determined by the statistical tests or qualitative data).

Statistical analysis of Likert scale responses

Qualitative thematic analysis of interview transcripts

Thematic analysis of interview transcripts

Quantitative and qualitative data analysis, including concept analysis and thematic identification

Findings and Recommendations

General findings and recommendations of the research

Elements shaping telemedicine application in the context of diabetes care were analyzed based on the healthcare professionals' views.

Older cardiac patients expressed various factors influencing their attitudes and social influences towards lifestyle modifications

Various factors influencing participation and compliance with CVD risk management interventions were identified

Feasibility and preliminary effects in the competence and initial manifestations of life physical exercises programs for the prevention of women memory disease in the elderly

Appraisal and Study Quality

Describe the general worth of this research to practice.

What are the strengths and limitations of study?

What are the risks associated with implementation of the suggested practices or processes detailed in the research?

What is the feasibility of use in your practice?

The study provides valuable insights into healthcare professionals' perspectives on telemedicine in diabetes management, but the lack of sample details and conceptual framework limits its generalizability and depth

The study offers rich insights into factors influencing lifestyle modifications among older cardiac patients, contributing to patient-centered care, but lacks sample details and a conceptual framework

This research adds to the understanding of factors influencing participation in CVD risk management programs, but lacks sample details and a conceptual framework

The mixed-methods approach enhances understanding of intervention feasibility, but the study lacks sample details and a conceptual framework, limiting its generalizability and depth.

Key findings

Factors influencing allow healthcare providers to determine telemedicine's role diabetes management are from their side

Various factors influencing older cardiac patients' attitudes towards lifestyle modifications

Factors influencing participation and compliance with CVD risk management interventions

Feasibility and preliminary effects show initial findings of test-based programs of physical workouts to decrease memory decline in women who are 60 and over with cardiovascular diseases.

Outcomes

Understanding healthcare professionals' perspectives on telemedicine in diabetes management

Insights into factors influencing older cardiac patients' attitudes towards lifestyle modifications

Identification of factors influencing participation and compliance with CVD risk management interventions

Assessment of feasibility and preliminary results of lifestyle activities intervensions to prevent memory impairment in elderly women suffering from cardiovascular disease.

General Notes/Comments

According to this study, when healthcare professionals overlooks patients needs, this can be devastating which need to be addressed in future.

Older patients can effectively use lifestyle interventions to improve cardiovascular health.

This article gives good interventions for helping address compliance with CVD risk management interventions

This article gives good interventions for helping address memory decline in elderly women with CVD