PICOT Question Assignment and Introduction

For this picot question assignment, you will write an introduction. Refer to Module 3: Lecture Materials & Resources (https://stu.instructure.com/courses/43902/pages/module-3-lecture-materials-and-resources) to help you complete this assignment.
Your Introduction must include:

• Your PICOT question.
• Purpose of or rationale for the scholarly project:
• Provide an evidence-based explanation of why it is necessary to complete your scholarly project and what benefit will be gained (health promotion, fiscal, and efficiency).
• Background on the problem or population of interest:
• Using primary sources, provide data on your topic.
• Providing the background will demonstrate the focused need for your project.
• Significance of the problem to nursing and health care:
• State how your problem or population of interest aligns with the larger interest of health care in the community.
• Create a context to why your topic is important.
• Benefit of the project to nursing practice:
• State what will be gained from your project.
• Describe the expected outcomes of your project to practice within your population and setting.
• Relate the outcomes to evidence-based guidelines and outcomes.
• Describe how your project may influence other populations or settings.

Submission Instructions for picot question:
The introduction is original work and logically organized.
The picot question paper is 2-3 pages in length and follows current APA format including citation of references. Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to the current APA style (the library has a copy of the APA
Manual).
Your submission will be reviewed for plagiarism with Turnitin.
12/03/2025, 07:50 Module 5 Assignment

https://stu.instructure.com/courses/43902/assignments/578760 1/3

Complete and submit the assignment by 11:59 PM ET on Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

SAMPLE ANSWER FOR THE PICOT QUESTION ASSIGNMENT

Introduction & PICOT Question Development

PICOT Question
In adult patients aged 18 and above with Type 2 Diabetes Mellitus (T2DM) residing in underserved communities, does the use of telehealth for diabetes management, compared to standard in-person care, improve glycemic control, medication adherence, and self-care behaviors over a 12-week period?

Purpose or Rationale for the Scholarly Project
This scholarly project aims to investigate how telehealth interventions help underserved populations better manage their Type 2 Diabetes Mellitus (T2DM). This approach is necessary because underserved populations encounter barriers that make it difficult to receive standard diabetes medical care due to geographic isolation, limited transportation, and provider shortages. Telehealth presents an efficient and economical solution by improving patient access to continuous healthcare services. The combination of telehealth interventions and their impact on diabetes control and patient behavior improves long-term outcomes, healthcare equity, and lowers healthcare costs by decreasing hospital admission rates and emergency room visits, resulting in improved resource management (Robson & Hosseinzadeh, 2021; Ward et al., 2023).

Background on the Problem or Population of Interest
The public health issue of Type 2 Diabetes Mellitus (T2DM) has the greatest impact on underserved populations who experience limited access to quality healthcare. People in these groups face elevated diabetes complications due to problems including limited healthcare access, transportation issues, insurance coverage, and poor literacy skills (Ward, Shah, & Waterfield, 2023a). Research by Mitchell et al. (2023) demonstrates that group telemedicine visits improve diabetes management for Black, African American, and Latina women with uncontrolled diabetes through virtual healthcare platforms.

Research shows that digital health tools, particularly continuous glucose monitoring (CGM), help underserved adults enhance their glycemic control while promoting patient engagement (Ndungu et al., 2025). Individuals who use CGM alongside virtual check-ups can benefit from immediate monitoring and clinical responses, providing essential support in settings where healthcare providers are limited. Ward et al. (2023) discovered that patients in urban, medically underserved areas who received telemedicine treatment experienced better medical results, demonstrating the necessity of advancing digital health solutions for chronic disease care. According to Chiaranai et al. (2024), research on pandemic-era restricted in-person care showed that telehealth proved effective in improving T2DM patient HbA1c levels. However, despite promising findings, there is limited research focused on its long-term effectiveness in underserved U.S. communities. Robson and Hosseinzadeh (2021) noted that while randomized controlled trials show telehealth improves diabetes outcomes, most studies lack diversity in population settings.

This project aims to fill this knowledge gap by evaluating whether telehealth can effectively support self-care behaviors, medication adherence, and glycemic control in populations historically excluded from high-quality diabetes management services. Establishing this link can support telehealth adoption as a standard care model in underserved settings and promote better health outcomes.

Significance of the Problem to Nursing and Health Care
The management of T2DM in underserved populations represents a crucial concern for both nursing and public health. Chronic disease disparities, particularly in diabetes care, contribute to preventable hospitalizations and long-term complications, placing an unsustainable burden on health systems. Addressing this issue through telehealth aligns with broader healthcare priorities of accessibility, equity, and chronic disease prevention. Nurses play a central role in care coordination, patient education, and health monitoring—roles that are ideally suited for telehealth platforms (Robson & Hosseinzadeh, 2021). By leveraging technology, nurses can engage patients more frequently, tailor care plans remotely, and reinforce self-management behaviors in real-time.

Furthermore, this project supports the goals of the healthcare system to improve population health while reducing costs. In underserved areas, telehealth may reduce emergency visits and hospitalizations by addressing issues early and providing continuous support (Ward et al., 2023). It also supports national efforts to bridge healthcare disparities among racial and ethnic minorities who face systemic barriers to care. Standardizing telehealth implementation in nursing practice enables extended care delivery that delivers optimized results and maintains patient-centered care standards despite increasing T2DM prevalence. The project improves nursing performance while helping build a fair and sustainable healthcare system.

Benefit of the Project to Nursing Practice
This scholarly work will deliver important advantages to nursing practice by demonstrating telehealth strategies that enhance T2DM control and improve medication use and personal disease management in underserved adult populations. The study results support telehealth as a practical solution that nurses can use to practice beyond traditional limits, especially when healthcare facilities lack adequate staff. Nurses should use digital tools to provide remote monitoring, virtual education, and timely patient feedback. These strategies could support current evidence-based guidelines for uniform, individual diabetes self-management support (Chiaranai et al., 2024).

This model aims to promote patient involvement in care, improve blood glucose monitoring methods, and reduce diabetes-related medical complications. These features assist healthcare organizations in adhering to American Diabetes Association standards with a focus on timely medical treatment and intense chronic disease management. Successful execution of this model might prompt healthcare providers to adopt it for other chronic diseases and vulnerable communities that lack access to healthcare. The model can be used to develop nursing guidelines and training programs to enhance inclusive healthcare delivery through policy recommendations. The program grants nurses the power to change healthcare delivery models so that high-quality diabetes care reaches all patients regardless of economic level or residence (Mitchell et al., 2023; Ndungu et al., 2025).

Conclusion
There is an immediate demand for access to Type 2 Diabetes Mellitus treatment via telehealth services among underserved groups. This project recognizes how telehealth technology addresses healthcare disparities by delivering equal medical results and continuous patient monitoring assistance. Telehealth is an effective real-world solution for diabetes management that improves glycemic control, medication compliance, and self-care adherence. This project extends advantages to nursing practice by expanding healthcare delivery services, improving care for chronic disease, and maximizing operational efficiency. The potential exists for this project to energize a system change in the care of underserved populations and empower nursing professionals to lead groundbreaking progress.

References

Chiaranai, C., Chularee, S., Saokaew, S., Bhatarasakoon, P., Umnuaypornlert, A., Chaomuang, N., & Nimkuntod, P. (2024). Effectiveness of telehealth on the glycemic control of patients with type 2 diabetes mellitus during the COVID-19 pandemic: A systematic review and meta-analysis of randomised controlled trials. International Journal of Nursing Studies Advances, 6(3), 100169. https://doi.org/10.1016/j.ijnsa.2023.100169 

Mitchell, S. E., Bragg, A., De La Cruz, B. A., Winter, M. R., Reichert, M. J., Laird, L. D., … & Gardiner, P. (2023). Effectiveness of an immersive telemedicine platform for delivering diabetes medical group visits for African American, Black and Hispanic, or Latina women with uncontrolled diabetes: the women in control 2.0 noninferiority randomized clinical trial. Journal of medical Internet research, 25, e43669. https://doi.org/10.2196/43669

Ndungu, M., Babalola, R. O., Brand, M., & Patel, R. (2025). Impact of continuous glucose monitoring in underserved adults with type 2 diabetes within the United States: A scoping review. Journal of the American College of Clinical Pharmacy, 8(2), 149-162. https://doi.org/10.1002/jac5.2078

Robson, N., & Hosseinzadeh, H. (2021). Impact of telehealth care among adults living with type 2 diabetes in primary care: A systematic review and meta-analysis of randomised controlled trials. International Journal Of Environmental Research And Public Health, 18(22), 12171. https://doi.org/10.3390/ijerph182212171 

Ward, L. A., Shah, G. H., & Waterfield, K. C. (2023a). Clinical and demographic attributes of patients with diabetes associated with the utilization of telemedicine in an urban medically underserved population area. BioMedInformatics, 3(3), 605-615. https://doi.org/10.3390/biomedinformatics3030041 

Ward, L. A., Shah, G. H., Jones, J. A., Kimsey, L., & Samawi, H. (2023). Effectiveness of telemedicine in diabetes management: A retrospective study in an urban medically underserved population area (umupa). In Informatics (Vol. 10, No. 1, p. 16). MDPI. https://doi.org/10.3390/informatics10010016