Feasibility, Benefits, and Risks

  1. What is the feasibility of implementing the practice change in your clinical setting?
  2. What are potential barriers to making the change?
  3. What risks are involved with making the practice change in your setting?
  4. What are the benefits of making the practice change?
  5. Does the time and cost justify change toward improving clinical outcomes?
  6. Which governing entities will need to grant permission for you to make a practice
    change? Will your work need to be approved by an Institutional Review Board (IRB)?

Feasibility, Benefits, and Risks
Feasibility of the implementation of change in practice
Undeniably, several studies have reported on the dramatic increase of Diabetes type 2,
especially among people below 30 years. This dramatic increase and complications
associated with the disease are important public health issues that must be addressed
amicably. Recent surveys have recommended that the application of education strategies
facilitates changes in lifestyle among patients diagnosed with diabetes Type 2. This is
specifically in subjects identified as high risk of developing diabetes type 2. Research
indicates that integration of the proposed practice in the clinical setting will reduce
approximately 60% risk of developing diabetes Type 2 within 3 years of intervention.
Secondly, the effects of these interventions are long- term (Inzucchi, et al., 2012).
Potential barriers for the implementation
One of the major barriers for the implementation of the practice is inadequate resources. This
will make it difficult for the healthcare providers to balance between their workloads and the
demand of practicing proposed intervention- integrative patient education. Other potential
barriers are organizational cultural and policy barriers that could lead to staff resistance. Due

Feasibility, Benefits, and Risks
to the low level of research in the clinical setting, most of the healthcare providers would be
sceptical regarding the evidence based research. Therefore, prior to the onset of the research,
the healthcare providers will be trained to ensure they understand the concept and project
outcomes (Inzucchi, et al., 2015).
Main Risks of the integration of the practice
The main risk involved in integration of the practice into the clinical setting is the concern
that too much content about diabetes type 2 could result in confusion and reduce its utility.
Additionally, communication barriers could reduce the opportunity for the patient-physician
interaction, which would make it difficult to realize the project’s objectives (Steinsbekk, et
al., 2012).
Benefits for integration of the practice into the clinical setting
Integrative patient education is beneficial as it will increase the patient’s ability of
understanding the disease pathophysiology, and in establishment of the relevant coping
strategies. This is because it will facilitate the process of diagnosis and treatment alternatives,
as well as the consequences of various patient activities. Additionally, it will help the patient
to make appropriate decision, thereby reducing the readmission rates, length of
hospitalization and slows the disease progression (Kayshap et al., 2013).
The intervention justifies the time as well as cost toward the improvement of the clinical
outcomes.
The proposed study is an expensive study as it involves a lot or resources such as educating
material, employment of additional nurse assistants and time. However, the outcome of the
ontervention justifies these costs as it increases patients satisfaction, improve the patient
compliance to the regulatory standards and improve the efficiency of care. Lastly, better
informed patients are more alert and attentive, which minimizes the risk of malpractice.
Ethical concerns

Feasibility, Benefits, and Risks
The researcher will seek permission from ethical review board committee at the institution.
The work will require to be approved by the IRB as it involves interaction with human
beings. This is to ensure that the study is safe and does not pose potential dangers to the
participants. Each of the participants will be required to fill in a consent form.

Feasibility, Benefits, and Risks
References
Inzucchi, S. E., Bergenstal, R. M., Buse, J. B., Diamant, M., Ferrannini, E., Nauck, M., … &
Matthews, D. R. (2012). Management of hyperglycemia in type 2 diabetes: a patient-
centered approach position statement of the American Diabetes Association (ADA)
and the European Association for the Study of Diabetes (EASD). Diabetes
care, 35(6), 1364-1379.
Inzucchi, S. E., Bergenstal, R. M., Buse, J. B., Diamant, M., Ferrannini, E., Nauck, M., … &
Matthews, D. R. (2015). Management of hyperglycemia in type 2 diabetes, 2015: a
patient-centered approach: update to a position statement of the American Diabetes
Association and the European Association for the Study of Diabetes. Diabetes
Care, 38(1), 140-149.
Kashyap, S. R., Bhatt, D. L., Wolski, K., Watanabe, R. M., Abdul-Ghani, M., Abood, B., …
& Kirwan, J. P. (2013). Metabolic Effects of Bariatric Surgery in Patients With
Moderate Obesity and Type 2 Diabetes Analysis of a randomized control trial
comparing surgery with intensive medical treatment.Diabetes care, 36(8), 2175-2182.
Steinsbekk, A., Rygg, L., Lisulo, M., Rise, M. B., & Fretheim, A. (2012). Group based
diabetes self-management education compared to routine treatment for people with
type 2 diabetes mellitus. A systematic review with meta-analysis. BMC health
services research, 12(1), 213.

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