NR 702 Week 3 EBP Summary
Student Name
Chamberlain University
NR-702: DNP Project & Practicum I
Prof. Name
Date
Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Appendix G – Individual Evidence Summary Tool
EBP Question: [Insert EBP Question Here]
Date: [Insert Date Here]
The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Appendix G tool is designed to summarize individual sources of evidence during the evidence appraisal stage of an EBP project. Each study is categorized according to the type of evidence, population studied, key findings, limitations, and the assigned level of evidence and quality rating. This structured approach ensures clarity, promotes transparency, and allows the EBP team to compare findings across multiple sources.
Evidence Summary
The table below presents five studies that examined the effectiveness of Diabetes Self-Management Education and Support (DSMES) interventions for patients with type 1 and type 2 diabetes.
NR 702 Week 3 EBP Summary
Table 1
Individual Evidence Summary for DSMES Interventions
| Article No. | Author & Date | Evidence Type | Sample, Sample Size & Setting | Study Findings | Limitations | Evidence Level & Quality |
|---|---|---|---|---|---|---|
| One | Bekele et al. (2020) | Systematic review and meta-analysis (Quantitative) | 16 RCTs retrieved from PubMed, Medline, Scopus, BioMed Central, and Cochrane Library | DSMES improved patients’ knowledge, self-care ability, and quality of life, while reducing diabetes-related complications and healthcare costs. | Some included studies were older than five years, raising concerns about outdated information. | Level I-A, High quality |
| Two | Nkhoma et al. (2021) | Systematic review and meta-analysis (Quantitative) | 39 studies with 6,861 participants; databases: PubMed, Cochrane, Web of Science, EMBASE, Scopus | Digital DSMES interventions improved HbA1c levels and diabetes knowledge, showing potential in glycemic management. | Did not address digital illiteracy among older adults with limited technology access. | Level I-A, High quality |
| Three | Rohilla et al. (2021) | Umbrella review of systematic reviews (Quantitative) | 166 studies guided by PRISMA methodology | DSMES promoted self-care behaviors and enhanced glycemic control in patients with type 1 diabetes. | Lack of strategies to improve long-term adherence to lifestyle changes. | Level I-A, High quality |
| Four | Romero-Castillo et al. (2022) | Pilot randomized controlled trial | 131 participants divided into intervention (n=69) and control (n=62) groups at Virgen Macarena & Virgen del Rocio Hospitals | DSMES intervention improved glucose control in type 1 diabetes patients, supporting its clinical usefulness. | Limited generalizability due to small sample size and lack of adherence strategies. | Level II, High quality |
| Five | Tanaka et al. (2020) | Systematic review and meta-analysis of RCTs | 12 RCTs retrieved from Cochrane Library and other databases | DSMES enhanced health literacy and improved glycemic outcomes for newly diagnosed type 2 diabetes patients. | Some studies relied on outdated data, affecting reliability. | Level I-A, High quality |
Directions for Use of the Individual Evidence Summary Tool
Purpose
This tool helps EBP teams record and organize findings from individual evidence sources during the appraisal phase. It enables comparison across multiple studies by documenting study type, sample size, setting, and limitations while assigning an evidence level and quality rating.
Key Instructions
- Header: Include the EBP question and project date for reference.
- Article Numbering: Assign a number to each evidence source for easy referencing.
- Author and Date: Always list the lead author and year of publication.
- Evidence Type: Specify whether the study is an RCT, meta-analysis, systematic review, qualitative study, etc.
- Sample and Setting: Provide a quick overview of the study population, sample size, and setting.
- Findings: Report only results that address the EBP question.
- Limitations: Note constraints or biases identified by authors or observed by the reviewer.
- Evidence Level and Quality: Classify each source using the JHNEBP evidence hierarchy.
References
Bekele, B. B., Negash, S., Bogale, B., Tesfaye, M., Getachew, D., Weldekidan, F., & Balcha, B. (2020). The effectiveness of diabetes self-management education (DSME) on glycemic control among T2DM patients randomized control trial: Systematic review and meta-analysis protocol. Journal of Diabetes & Metabolic Disorders, 19(2), 1631–1637. https://doi.org/10.1007/s40200-020-00584-3
Nkhoma, D. E., Soko, C. J., Bowrin, P., Manga, Y. B., Greenfield, D., Househ, M., … & Iqbal, U. (2021). Digital interventions self-management education for type 1 and 2 diabetes: A systematic review and meta-analysis. Computer Methods and Programs in Biomedicine, 210, 106370. https://doi.org/10.1016/j.cmpb.2021.106370
Rohilla, L., Kaur, S., Duggal, M., Malhi, P., Bharti, B., & Dayal, D. (2021). Diabetes self-management education and support to improve outcomes for children and young adults with type 1 diabetes: An umbrella review of systematic reviews. The Science of Diabetes Self-Management and Care, 47(5), 332–345. https://doi.org/10.1177/26350106211031809
NR 702 Week 3 EBP Summary
Romero-Castillo, R., Pabón-Carrasco, M., Jiménez-Picón, N., & Ponce-Blandón, J. A. (2022). Effects of a diabetes self-management education program on glucose levels and self-care in type 1 diabetes: A pilot randomized controlled trial. International Journal of Environmental Research and Public Health, 19(23), 16364. https://doi.org/10.3390/ijerph192316364
Tanaka, R., Shibayama, T., Sugimoto, K., & Hidaka, K. (2020). Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials. Journal of Diabetes Investigation, 11(4), 1152–1166. https://doi.org/10.1111/jdi.13241