2.50
Hdl Handle:
http://hdl.handle.net/10755/622046
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Adherence a Review: T2DM in Haitian-Americans
Author(s):
Bivins, Balkys L.
Lead Author STTI Affiliation:
Lambda Chi
Author Details:
Balkys L. Bivins, MSN, ARNP, FNP-BC, Professional Experience: Nurse Practitioner Experience American Hospitalist Company 2009 - Present Responsible for assessing, diagnosing, and treating residents of skilled nursing and assisted living facilities. DA Medical Center: 2011-2014 Worked in a fast-paced, comprehensive, primary care practice with a large and diverse patient population CVS Pharmacy/Minute Clinic: 2010 Worked autonomously in a retail clinic environment. Mayo Clinic: 1997 - 1998 Rochester, MN Nurse Practitioner, Dept. of General Internal Medicine Teaching Experience Nova Southeastern University: 5/2014 - Present Adjunct Faculty Responsible for teaching, supervising and evaluating students enrolled in the Advanced Practice Registered Nursing program. Miami Dade College: 1/2014 – Present Miami, FL Adjunct Faculty Responsible for teaching, supervising and evaluating students enrolled in the Nursing Bridge Program. DA Medical Center: 954-971-0330 3/2011 - /2014 Margate, FL Family Nurse Practitioner Preceptors Nurse Practitioner Program students. Nursing Experience Mount Sinai Medical Center 1992 - 1996 Staff nurse Author Summary: Balkys Bivins is a board-certified family nurse practitioner from the University of Miami. Her previous employments include the world-renowned Mayo Clinic Rochester, MN. She has practiced in internal medicine and family medicine in South Florida, serving a diverse international clientele with a concentration in diabetes management. She is an adjunct professor of nursing in the APRN program at Nova Southeastern University and is currently completing her PhD at Barry University in Miami, Florida.
Abstract:

Purpose:

The incidence and prevalence of diabetes mellitus (DM) has soared globally due to socioeconomic, demographic, and lifestyle changes, and lack of social justice. In the United States, DM has become a costly epidemic that resulted in an annual healthcare cost of $245 billion in 2012. The total prevalence of diabetes in the U.S. is significant at 29.1 million, of which 97.3 % is attributed to Type II diabetes (T2DM). Among the populations affected by the disease and the challenges to effective diabetes treatment and management are Haitian Americans in the U.S. The aim of this review from 1979 to the present on the concept of adherence in diabetes research is to summarize and synthesize recent studies, relevant theories, and models that examine the components of adherence in diabetes management within various populations of individuals diagnosed with T2DM. In addition, this presentation will examine the cultural components of adherence with T2DM in various immigrants in the U.S. This review will address the limited research findings specific to Haitian Americans.

Methods:

On the issue of adherence research addressing T2DM in Haitian Americans, the review used the framework of Rodgers’ evolutionary process (2000). Its distinct components include: determining the concept to be studied, drafting a clear research question, defining the research process and gathering the pertinent information, synthesizing the research data and detailing specific conclusions, and research implications. Multiple searches were conducted using the terms “Haiti”, and “Haitians with diabetes”, yielding 18 articles on theories of cultural awareness in nursing. An in-depth review of the literature on adherence was generated from the year 1979 to the present with the following search engines: SocINDEX, PsycINFO, Medline, EBSCOhost, Eric, Cochrane, and CINAHL. Searching the term “adherence” resulted in 371,859 articles. Further restriction of the search scope to adherence and medication articles written in English resulted in 105,218 articles. Additionally, subcategorizing adherence and diabetes produced 4,578 articles. Search terms relating to adherence and diabetes management were added, revealing 846 articles. The investigation was further restricted by limiting the publication years to the period between 2010 and 2015 revealing 367 articles. Eventually, using keywords relevant to adherence to the treatment of diabetes uncovered 44 articles on adherence with diabetes. The studies reviewed by the researcher were chosen because they addressed adherence and its definitions, the components of Rodgers’ evolutionary process, culture, theoretical perspectives, and implications for nursing practice.

Results:

The analysis of research findings using Rodgers’ process (2000) identified the various factors for effective behavioral changes that impact adherence, diabetes management, and education in distinct and varied demographic groups. In addition, adherence to treatment of T2DM involves administration of medication, glucose monitoring, nutrition, and exercise. The researcher’s findings identified predominantly that adherence to treatment is a difficult process in managing T2DM. Although the review identified some factors as to why individuals do not adhere to treatment protocols, this difficult process remains elusive. Due to scarce literature on Haitian Americans, these studies, however, did not incorporate relevant theories that may explicate the dynamic, holistic, and culturally sensitive component necessary in the care of immigrant individuals, namely the Haitian Americans. Purnell’s model addresses this key cultural component directly but does not speak to the component of self-efficacy, a key factor in behavior modification. Therefore, nurses need to explore the complexity of T2DM management specific to the components of adherence, and how and why Haitian Americans face more challenges in managing T2DM.

Conclusion:

Globalization, demographic influences, lifestyle changes, the complexities of life, and increased prevalence of chronic illnesses, specifically T2DM, pose a challenge in nursing. Even though adherence is a significant component with effective management of a variety of health conditions, the utilization of theories, behavioral modification, and cultural influences on behavior are often not considered an integral part of the treatment plans of individuals with T2DM. It is imperative that future nursing studies be directed to effectively develop holistic nursing interventions, nursing education, the use of eclectic theories, and the utilization of multidisciplinary resources. The previously stated interventions may aid in the improvement of health outcomes, social justice, and quality of life in these marginalized and vulnerable Haitian Americans. ­

Keywords:
A review of research of type II diabetes mellitus using Rodger's evolutionary process; Cultural Competence in Haitian Americans with T2DM; Rodger's Evolutionary Process
Repository Posting Date:
21-Jul-2017
Date of Publication:
21-Jul-2017
Other Identifiers:
INRC17PST67
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleAdherence a Review: T2DM in Haitian-Americansen_US
dc.contributor.authorBivins, Balkys L.en
dc.contributor.departmentLambda Chien
dc.author.detailsBalkys L. Bivins, MSN, ARNP, FNP-BC, Professional Experience: Nurse Practitioner Experience American Hospitalist Company 2009 - Present Responsible for assessing, diagnosing, and treating residents of skilled nursing and assisted living facilities. DA Medical Center: 2011-2014 Worked in a fast-paced, comprehensive, primary care practice with a large and diverse patient population CVS Pharmacy/Minute Clinic: 2010 Worked autonomously in a retail clinic environment. Mayo Clinic: 1997 - 1998 Rochester, MN Nurse Practitioner, Dept. of General Internal Medicine Teaching Experience Nova Southeastern University: 5/2014 - Present Adjunct Faculty Responsible for teaching, supervising and evaluating students enrolled in the Advanced Practice Registered Nursing program. Miami Dade College: 1/2014 – Present Miami, FL Adjunct Faculty Responsible for teaching, supervising and evaluating students enrolled in the Nursing Bridge Program. DA Medical Center: 954-971-0330 3/2011 - /2014 Margate, FL Family Nurse Practitioner Preceptors Nurse Practitioner Program students. Nursing Experience Mount Sinai Medical Center 1992 - 1996 Staff nurse Author Summary: Balkys Bivins is a board-certified family nurse practitioner from the University of Miami. Her previous employments include the world-renowned Mayo Clinic Rochester, MN. She has practiced in internal medicine and family medicine in South Florida, serving a diverse international clientele with a concentration in diabetes management. She is an adjunct professor of nursing in the APRN program at Nova Southeastern University and is currently completing her PhD at Barry University in Miami, Florida.en
dc.identifier.urihttp://hdl.handle.net/10755/622046-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>The incidence and prevalence of diabetes mellitus (DM) has soared globally due to socioeconomic, demographic, and lifestyle changes, and lack of social justice. In the United States, DM has become a costly epidemic that resulted in an annual healthcare cost of $245 billion in 2012. The total prevalence of diabetes in the U.S. is significant at 29.1 million, of which 97.3 % is attributed to Type II diabetes (T2DM). Among the populations affected by the disease and the challenges to effective diabetes treatment and management are Haitian Americans in the U.S. The aim of this review from 1979 to the present on the concept of adherence in diabetes research is to summarize and synthesize recent studies, relevant theories, and models that examine the components of adherence in diabetes management within various populations of individuals diagnosed with T2DM. In addition, this presentation will examine the cultural components of adherence with T2DM in various immigrants in the U.S. This review will address the limited research findings specific to Haitian Americans.</p> <p><strong>Methods:</strong></p> <p>On the issue of adherence research addressing T2DM in Haitian Americans, the review used the framework of Rodgers’ evolutionary process (2000). Its distinct components include: <em>determining the concept to be studied, drafting a clear research question, defining the research process and gathering the pertinent information, synthesizing the research data and detailing specific conclusions, and research implications. </em>Multiple searches were conducted using the terms “Haiti”, and “Haitians with diabetes”, yielding 18 articles on theories of cultural awareness in nursing. An in-depth review of the literature on adherence was generated from the year 1979 to the present with the following search engines: SocINDEX, PsycINFO, Medline, EBSCOhost, Eric, Cochrane, and CINAHL. Searching the term “adherence” resulted in 371,859 articles. Further restriction of the search scope to adherence and medication articles written in English resulted in 105,218 articles. Additionally, subcategorizing adherence and diabetes produced 4,578 articles. Search terms relating to adherence and diabetes management were added, revealing 846 articles. The investigation was further restricted by limiting the publication years to the period between 2010 and 2015 revealing 367 articles. Eventually, using keywords relevant to adherence to the treatment of diabetes uncovered 44 articles on adherence with diabetes. The studies reviewed by the researcher were chosen because they addressed adherence and its definitions, the components of Rodgers’ evolutionary process, culture, theoretical perspectives, and implications for nursing practice.</p> <p><strong>Results:</strong></p> <p>The analysis of research findings using Rodgers’ process (2000) identified the various factors for effective behavioral changes that impact adherence, diabetes management, and education in distinct and varied demographic groups. In addition, adherence to treatment of T2DM involves administration of medication, glucose monitoring, nutrition, and exercise. The researcher’s findings identified predominantly that adherence to treatment is a difficult process in managing T2DM. Although the review identified some factors as to why individuals do not adhere to treatment protocols, this difficult process remains elusive. Due to scarce literature on Haitian Americans, these studies, however, did not incorporate relevant theories that may explicate the dynamic, holistic, and culturally sensitive component necessary in the care of immigrant individuals, namely the Haitian Americans. Purnell’s model addresses this key cultural component directly but does not speak to the component of self-efficacy, a key factor in behavior modification. Therefore, nurses need to explore the complexity of T2DM management specific to the components of adherence, and how and why Haitian Americans face more challenges in managing T2DM.</p> <p><strong>Conclusion:</strong></p> <p>Globalization, demographic influences, lifestyle changes, the complexities of life, and increased prevalence of chronic illnesses, specifically T2DM, pose a challenge in nursing. Even though adherence is a significant component with effective management of a variety of health conditions, the utilization of theories, behavioral modification, and cultural influences on behavior are often not considered an integral part of the treatment plans of individuals with T2DM. It is imperative that future nursing studies be directed to effectively develop holistic nursing interventions, nursing education, the use of eclectic theories, and the utilization of multidisciplinary resources. The previously stated interventions may aid in the improvement of health outcomes, social justice, and quality of life in these marginalized and vulnerable Haitian Americans. ­</p>en
dc.subjectA review of research of type II diabetes mellitus using Rodger's evolutionary processen
dc.subjectCultural Competence in Haitian Americans with T2DMen
dc.subjectRodger's Evolutionary Processen
dc.date.available2017-07-21T21:59:20Z-
dc.date.issued2017-07-21-
dc.date.accessioned2017-07-21T21:59:20Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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