Now that I am in the development stage of my project I find myself having more question and wanting to know more than just my original question. I am understanding that this is normal in the developing of an evidence based project to change the focus or that the focus will evolve (Fineout- Overholt, 2011). My question is if a person with pre diabetes makes lifestyle changes and is educated properly can they avoid or delay the onset of diabetes? I would like to know how many of my ESRD dialysis patients could have avoided the chair by receiving proper education and access to doctors. There is a hole in the education in the community and this is how I plan to address the issue. Through working with my mentor who has served the community for 40 year of nursing experience she states that the community needs to be educated in a way they will understand. She also states that the education in this community is hidden and not well advertised. I find this to be a main issue how is someone supposed to know that the education is available for free if they do not know about it. I am sure as I continue to do more research my focus will change again.
Fineout-Overholt, E. , Williamson, K. M. , Gallagher-Ford, L. , Melnyk, B. M. & Stillwell, S. B. (2011). Evidence-Based Practice, Step By Step: Following the Evidence: Planning for Sustainable Change. AJN, American Journal of Nursing, 111(1), 54-60. doi: 10.1097/01.NAJ.0000393062.83761.c0.