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Systematic Review Presentation

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Alexandria Hernandez

on 21 February 2016

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Transcript of Systematic Review Presentation

Personal Characteristics:
Cognitive status
Emotional status
Knowledge of disease
Decision making habits
Social life
Coping skills
and more!
"Do personal characteristics influence the effectiveness of self-management education?" (p. 189).

The Question
Data Extraction
Data will be extracted independently by two researches with a third researcher available to resolve disagreements.

Data collection categories:
Study characteristics
Aim/objectives, study design, inclusion/exclusion criteria
Participants characteristics
age,gender, stage, education, marital status, socioeconomic status, comorbidity, etc.
Intervention of self-management education
Outcomes/ Self-care behavior measures
Potential Impact on Clinical Practice
A systematic protocol is a predetermined plan that studies follow to obtain accurate data
This protocol is intended to be used to collect valuable data regarding patient empowerment and factors affecting self-management education.
The data collected will assist healthcare professionals to empower patients with diabetes in the most effective way based on personal characteristics.
The Sample
Inclusion/Exclusion Criteria:
Study Design: RCT, Control clinical trials, Cohort Studies
Patients with Type-2 Diabetes older than 18 years with description of characteristics
Self-management education
includes description, type, and length of intervention
The researchers will attempt to contact authors of studies lacking key information to clarify.
If no reply within 15 days, the studies are excluded
Strengths and limitations are not identified
Exact sample size was not included. However, authors noted that the sample was exhaustive.

Alexandria Hernandez RN, BSN, CPN
Systematic Review Presentation
Search Strategy
Quality Appraisal
Data Analysis
Factors influencing self management in patients with type-2 diabetes: a quantitative systematic review protocol
NUR 518
Self-management is defined as "the persons' ability to manage symptoms, treatment, the physical and psychosocial consequences and changes in lifestyle that living with a chronic disease implies" (p. 189).
PICOS Question





Patients with Type-2 Diabetes
Diabetes self management Ediucation
RCT, Control trials, Cohort Studies
Diabetes self-management Behaviours, HbA1C, Personal Characteristics influencing education effectiveness.
Researchers clearly described:
Criteria for selection of primary studies
MEDLINE, CINAHL, The Cochrane Library, and PsycINFO
January 1990- June 2012
Diabetes Mellitus, Type-2, Self-management or Self-care, Patient education, population characteristics or patent factors
Search comprehensive and exhaustive
A PRISMA flowchart was included in this literature review.
Methodological quality of the primary studies will be assessed using the criteria of McMaster University:
Individually by two researchers using a critical review form
Disagreements were solved by a third researcher
A clearly defined set of criteria used to appraise the quality of each article.
The Aim:

"To describe a protocol for a quantitative systematic review, to identify critique and summarize factors that influence self-management" (p.189).
Bagnasco, A., Di Giacomo, P., Da Rin Della Mora, R., Catania, G., Turci, C., Rocco, G., & Sasso, L. (2014). Factors influencing self-management in patients with type 2 diabetes: A quantitative systematic review protocol.
Journal Of Advanced Nursing, 70
(1), 187-200. doi:10.1111/jan.12178

The Cochrane Collaboration, (2015). Cochrane Handbook for Systematic Reviews. Retrieved from
(The Cochrane Collaboration, 2015).
(Bagnasco, Di Giacomo, Da Rin Della Mora, Catania, Turci, Rocco, Sasso, 2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)

Polit, D. F., & Beck, C. T. (2012). Nursing Research research: Generating and assessing evidence for nursing practice (9th ed.). Retrieved from University of Phoenix eBook Collection database.

(Bagnasco et. al.,2014)
The review is reported according to the PRISMA guidelines in a narrative style.
If possible, A meta analysis will be developed using the quanitative data.
According to Polit & Beck (2012), The PRISMA reporting guidline is useful for systematic reviews of RCTs like the ones used in this study.
Characteristics and factors influencing self-management were selected based on this review protocol.
Motivtion and empowerment impact the effectiveness of self-management education.
The review results such as the personal characteristics influencing self-management could be used to gain a deeper understanding of individual patients.
This would allow a more effective nurse-patient relationship by assisting the nurse to:
identify individual educational needs
adopt appropriate stategies
adjust inerventions to promote empowerment and personal motivation

(Bagnasco et. al.,2014)
This study's conclusion is unclear.

The protocol nature of this study sets up for a great systematic review to be completed, but results are not defined.

Sample is not clearly defined as this is a systematic review protocol.

Personal Characteristics are extensively defined.

Applicable to nursing and healthcare providers as they are partners and educators for patients with type-2 diabetes.

Integration approach used the guidelines of the Centre for Reviews and Dissemination for quantitative research studies
PICO Question (Participants, Interventions, Comparison, Outcomes)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
(Bagnasco et. al.,2014)
Inclusion and exclusion criteria should be used to select the sample.
(Polit & Beck, 2012)
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