NRHL 5503 Evidence Based Nursing Practice


Find a research article or evidence-based article that is focused on a specific intervention for diabetes treatment in children or adults.

The main idea of research findings regarding a particular patient population is summarized in this summary.

The research must contain current, comprehensive, and relevant clinical findings for diabetes and nursing practice.

Complete the following parts of the assignment based on the Summary of Research Findings from the Evidence-Based ProjectaEUR’Paper on Diabetes. This paper describes a new diagnostic tool for diabetes treatment in children and adults.


Diabetes is a medical condition in which blood glucose levels rise dramatically.

This could be due to a decrease in the production of insulin hormone (produced from pancreas).

There are two types of diabetes: Type 1 or Type 2.

Type 1 is due to an underproduction insulin. It affects children and young adults. Type 2 is due to a desensitization in the cells of your body to insulin. This is more common in middle-aged and older adults. However, both types are possible.

Gestational Diabetes can also be seen in pregnant women. However, the effects stop after the birth.

This report focuses on one intervention that was implemented for adults with diabetes.

It examines the impact of the intervention on a specific population and determines its relevance to nursing practice.

Summary of the Intervention

Karstoft and colleagues (2013) examined the feasibility and effect of free walking training (specific intervention), on type 2 adults with diabetes (specific population). This research focused on body composition, glycemic control, and physical fitness.

Because type 2 diabetes patients are at high risk for all causes of death, the intervention that focuses on walking is free and easy to do is important.

To test the effects of walking exercises on diabetics, a random controlled study was conducted.

Advertisement and contact with a diabetes organization were used to select participants with type 2 diabetes.

All participants were subject to medical screening.

Comparison of continous walking training (CWT) and interval walking training (IWT), was used to evaluate the effectiveness of IWT.

Participants were randomly assigned to one of three groups: control, IWT or CWT.

Each participant was given a pedometer. Those assigned to the training group had to complete a V02 talk test.

This was important as the research’s core objective was to evaluate the efficacy and energy expenditure of IWT and CWT. The VO2 peak test was used to measure energy expenditure.

The IWT required subjects to do 3 minutes fast walking followed by 3 minutes slow walking.

The CWT group was required to do CWT at a higher level than the target.

Training sessions were held for four months and lasted 60 minutes per session (Karstoft, et al. 2013, 2013).

In the end, IWT was more effective than CWT at improving body composition, physical fit and glyecmic control.

Training group showed improvements in physical fitness, but this was only for IWT and not CWT groups.

CWT also showed no improvements in body composition or glycemic control (Karstoft et. al., 2013,).

Interval walking can be considered an effective treatment to maintain and treat type 2 diabetes.

Evaluation of the Study:

Type 2 diabetics are very fond of free walking and training programs.

The only problem with studies that support free walking intervention was the fact that there were no benefits for diabetic patients (Morton and al., 2010).

The intensity of this training could be impacting the results.

A high-intensity training program for diabetic patients showed a striking contrast. This intervention led to a dramatic improvement in patient’s health outcomes, but it was limited by feasibility issues found in many research (Little et al. 2011; Gillen & Gibala 2013,).

Without expert supervision, such interventions were impossible to implement.

There was a need to find interventions that could improve the health of diabetic patients and be easily accessible for all adults.

Karstoft and colleagues (2013) made a significant contribution to this research. They evaluated the effects of interval-walking, which is a cycle of slow and speedy walking.

This research is unique in its focus on the feasibility and effectiveness of such interventions.

Karstoft and colleagues (2013) demonstrated the effectiveness of IWT in diabetic patients based on energy expenditure, improved symptoms, and feasibility in the target population.

This evidence supports the use of IWT to treat type 2 diabetes.

This is also relevant for nursing practice as nurses can use this intervention to help diabetic patients in primary care.

Sargent, Parker, & Parker (2012) found that primary care nurses are able to provide a large amount of preventive and chronic disease management services.

As part of a multidisciplinary primary care team, nurses can help diabetic patients to incorporate IWT into their daily lives.

They can also help diabetic patients lose weight, improve their physical condition, and maintain a healthy glycaemic balance.

American Diabetes Association.

Diabetes diagnosis and classification.

Diabetes care, 38 (Supplement 1): S8-S16.

High-intensity interval training is a time-efficient strategy for improving health and fitness.

Applied Physiology, Nutrition and Metabolism, 39(3), 409-412.

Effects of interval-walking training in free-living on body composition and glycemic control in type 2 diabetics.

Diabetes care, 36(2): 228-236.

Patients with type 2 diabetes are more likely to have hyperglycemia if they do interval training at low volumes and high intensity.

Journal of applied biology, 111(6): 1554-1560.

Walking training at a prescribed heart rate improves cardiorespiratory fitness, but not glycaemic control for people with type 2.

Journal of sports sciences, 28(1): 93-99.

A systematic review of nurse-led lifestyle interventions in primary care for chronic disease risk factors related to obesity:

Obesity reviews, 13 (12), 1148-1171.

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