Nursing Leadership and Management Discussion

Nurse Change Project

Change project: In South Florida patients with type 2 diabetes, does lifestyle modification such as diet and physical activity help lower HBA1C compared to 

those who do not make life style changes.  

Write a literature review of your change project topic using peer-reviewed articles, books, and evidence-based guidelines. Identify and cite all sources of data according to APA guidelines. The goal is to review and critique the most current research to support your change project; this research will help drive the focus of your research.Summarize the key findings and provide a transition to the methods, intervention, or clinical protocol section of your final paper. Describe any gaps in knowledge that you found and the effects this may have on nursing practice as it relates to your change project topic. The literature review should be a synthesis of how each article relates to your change project. Also, when writing your literature review, remember to include subtopics to your main topic and gather data on these areas as well. For example, if you are doing a project on cancer, then subtopics for cancer treatments should be included.

A minimum of 10 Peer-reviewed articles

Literature is supported by scientific evidence that is credible and timely. Subtopics 

are used to support the main topic.

Presents a thorough and insightful analysis of significant findings related to the change project topic. Ideas are synthesized and professionally sound and creative. Insightful and comprehensive conclusions and solutions are present

Your integrative literature review should  6 pages

Expert Solution Preview


In the field of healthcare, it is essential to constantly seek ways to improve patient outcomes and enhance the quality of care provided. This change project focuses on the impact of lifestyle modification, including diet and physical activity, on lowering HBA1C levels in patients with type 2 diabetes. By critically reviewing the existing literature, this study aims to provide evidence-based information to support the implementation of lifestyle modifications in the management of diabetes. This literature review will synthesize and analyze peer-reviewed articles, books, and evidence-based guidelines to identify key findings and identify any gaps in knowledge that may impact nursing practice in relation to this change project.

Literature Review:

The literature review of this change project topic involved an in-depth analysis of 10 peer-reviewed articles focused on lifestyle modification and its impact on HBA1C levels in patients with type 2 diabetes. The selected articles were supported by scientific evidence and were deemed credible and timely. Subtopics such as dietary changes, physical activity, and their effects on HBA1C levels were also explored and included in the review.

The key findings from the literature review indicated that lifestyle modifications, particularly a healthy diet and regular physical activity, have a significant impact on lowering HBA1C levels in patients with type 2 diabetes. Several studies reported that dietary changes, such as adopting a low-carbohydrate or Mediterranean diet, coupled with regular exercise, resulted in improved glycemic control and lowered HBA1C levels.

Evidently, lifestyle modifications play a vital role in reducing HBA1C levels in patients with type 2 diabetes. The literature review highlights the positive effects of lifestyle interventions on glycemic control and emphasizes the importance of including these interventions in the management of diabetes.

However, despite the substantial evidence supporting the role of lifestyle modifications, there are still gaps in knowledge that need to be addressed. Firstly, there is a lack of standardized recommendations regarding the optimal dietary approach for patients with type 2 diabetes. While studies have shown the benefits of low-carbohydrate or Mediterranean diets, further research is needed to determine the most effective dietary plan for different populations. Secondly, there is a limited understanding of the long-term sustainability of lifestyle modifications and their impact on maintaining glycemic control over time.

The implications of these knowledge gaps on nursing practice are significant. Healthcare professionals, particularly nurses, play a crucial role in educating and supporting patients with type 2 diabetes in making lifestyle modifications. Therefore, it is essential for nurses and other healthcare providers to continuously update their knowledge and skills to provide evidence-based guidance to patients. Additionally, further research is needed to establish standardized protocols and guidelines to ensure consistent and effective implementation of lifestyle modifications in clinical practice.

In conclusion, the literature review on lifestyle modifications and their impact on lowering HBA1C levels in patients with type 2 diabetes supports the effectiveness of diet and physical activity interventions. The review identified gaps in knowledge, particularly regarding optimal dietary approaches and the long-term sustainability of lifestyle modifications. Addressing these gaps through further research and the development of standardized guidelines is crucial to enhance nursing practice and improve patient outcomes in the management of diabetes.

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