APA format 4 pages Diabetes in Native Americans MUST include – definition for health disparity (cite source) – definition for evidence-based practice (cite source) – CAUSES – A min of 4 evidence-based practices from peer reviewed articles that help reduce Diabetes in Native Americans. [articles must be peer-reviewed between years 2013-2018] – Outcomes of implementation for reducing this health disparity. – Implication to nursing practice (how will reduction impact your nursing practice) Purchase the answer to view it

Diabetes is a chronic metabolic disorder characterized by impaired insulin secretion or insulin resistance, resulting in high blood glucose levels. It is a major health issue worldwide and has a significant impact on individuals, families, communities, and healthcare systems. Native Americans are disproportionately affected by diabetes compared to other ethnic groups in the United States. This paper will explore the causes of diabetes in Native Americans, evidence-based practices to reduce the prevalence and impact of the disease, and the outcomes of implementing these practices. Additionally, it will discuss the implications of reducing diabetes disparities for nursing practice.

To begin, it is crucial to understand the concept of health disparities. According to the World Health Organization (WHO), health disparities refer to “differences in health that are closely linked to social, economic, and/or environmental disadvantages” (WHO, 2020). In the context of diabetes in Native Americans, health disparities encompass the unequal burden of disease experienced by this population compared to other ethnic groups. References to support this definition can be found in the works of Braveman and Gruskin (2003) and the Centers for Disease Control and Prevention (CDC, 2019).

Evidence-based practice is another crucial concept in addressing health disparities. The Institute of Medicine (2001) defines evidence-based practice as the integration of best available evidence with clinical expertise and patient values and preferences to inform decisions about individual patient care. In the context of diabetes, evidence-based practices are interventions that have been proven effective in reducing the burden of the disease in specific populations, such as Native Americans. References supporting this definition can be found in the works of Sackett et al. (1996) and Melnyk and Fineout-Overholt (2018).

There are several causes of diabetes in Native Americans. These causes can be categorized into two broad categories: genetic and environmental factors. Genetic factors involve the hereditary components that predispose individuals to developing diabetes. Several genes have been identified to have an association with diabetes, including TCF7L2, PPARG, and KCNJ11 (Franks & Pratley, 2019). Environmental factors, on the other hand, include lifestyle and behavioral choices, such as physical inactivity, unhealthy diets, and obesity. These factors are influenced by social, cultural, and economic determinants, including poverty, limited access to healthcare, and lack of health education (CDC, 2019).

To reduce diabetes disparities in Native American populations, several evidence-based practices have been identified in peer-reviewed articles from the years 2013 to 2018. These practices focus on various aspects of diabetes prevention and management, including lifestyle modifications, education, and community-based interventions. One evidence-based practice is the provision of culturally tailored diabetes self-management education. A study by Jernigan et al. (2017) found that culturally adapted diabetes education significantly improved glycemic control and self-management behaviors among Native Americans. Another practice is the implementation of community health worker programs. A randomized controlled trial conducted by Gohdes et al. (2018) showed that community health worker-led interventions resulted in improved clinical outcomes and reduced healthcare costs among Native Americans with diabetes.

Other evidence-based practices include interventions targeting physical activity and diet. For instance, a study by Wang et al. (2016) demonstrated that a culturally adapted physical activity intervention significantly improved physical fitness and glycemic control in Native American women with diabetes. In terms of diet, a randomized controlled trial conducted by Manson et al. (2013) found that a culturally adapted dietary intervention led to significant improvements in dietary quality and weight loss among Native American adults with type 2 diabetes.

Implementing these evidence-based practices can lead to positive outcomes in reducing health disparities related to diabetes in Native Americans. These outcomes include improved glycemic control, enhanced self-management behaviors, reduced diabetes-related complications, and decreased healthcare costs. For instance, a systematic review by Pérez-Escamilla et al. (2018) found that culturally adapted diabetes self-management education led to better glycemic control and reduced healthcare costs among minority populations, including Native Americans.

The reduction of diabetes disparities in Native Americans has significant implications for nursing practice. Nurses play a key role in diabetes care, prevention, and health promotion. By implementing evidence-based practices to reduce diabetes disparities, nursing practice can have a significant impact on improving the health outcomes and quality of life for Native American patients. This may involve culturally competent care, health education, and advocacy for resources and policies that address social determinants of health. By actively engaging in addressing health disparities, nurses can contribute to the broader goal of advancing health equity for all populations.