Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem. The PICOT question will provide a framework for your capstone project change proposal. In a paper of 500 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Describe the problem in the PICOT question as it relates to the following: Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the for assistance.

Title: The Impact of Nurse-led Patient Education on Medication Adherence in Type 2 Diabetes Patients


Type 2 diabetes is a chronic condition characterized by insulin resistance and high blood sugar levels. It is a significant global health problem, affecting approximately 463 million adults worldwide. Effective management of type 2 diabetes involves various aspects of care, including dietary modifications, regular physical activity, and medication adherence. However, medication non-adherence is a persistent issue among type 2 diabetes patients, leading to suboptimal glycemic control and increased risk of complications. Nurse-led patient education has been proven to improve medication adherence in a variety of chronic conditions. This study aims to investigate the impact of nurse-led patient education on medication adherence in type 2 diabetes patients and its potential to improve patient outcomes.

PICOT Question:

In adult patients diagnosed with type 2 diabetes (P), does nurse-led patient education (I) compared to standard care (C) result in improved medication adherence (O) within a six-month timeframe (T)?

P – Population: Adult patients diagnosed with type 2 diabetes
I – Intervention: Nurse-led patient education
C – Comparison: Standard care (usual practice)
O – Outcome: Improved medication adherence
T – Timeframe: Six months

Clinical Problem and Positive Patient Outcome:

The clinical problem addressed in this study is the issue of medication non-adherence among patients with type 2 diabetes. Medication non-adherence refers to patients not taking their prescribed medications as instructed, including missing doses, irregular timing, or prematurely discontinuing treatment. Several factors contribute to medication non-adherence in type 2 diabetes patients, such as complex medication regimens, concerns about side effects, lack of understanding about the importance of medication, and inadequate patient education.

Medication non-adherence can have significant negative consequences for patients with type 2 diabetes. Poor medication adherence is associated with higher rates of hospitalization, increased healthcare costs, and worse clinical outcomes. Patients with poor medication adherence are more likely to experience poor glycemic control, leading to long-term complications such as diabetic retinopathy, nephropathy, neuropathy, and cardiovascular diseases. Additionally, non-adherence to medication may result in an increased risk of hypoglycemia and hyperglycemia, which can have immediate adverse effects on the patient’s well-being.

By addressing the issue of medication non-adherence through nurse-led patient education, the potential for positive patient outcomes is significant. Nurse-led patient education has been proven effective in improving medication adherence and self-care management in various chronic conditions, including diabetes. By providing tailored education and support, nurses can empower patients to actively participate in their own care, enhancing their understanding of their condition, medications, and the importance of adherence.

Improved medication adherence can lead to better glycemic control, reducing the risk of long-term complications associated with type 2 diabetes. Furthermore, medication adherence is central to achieving optimal therapeutic outcomes in diabetes management, such as maintaining target blood glucose levels, reducing the incidence of acute complications, and improving overall quality of life for patients.


The PICOT question formulated in this study addresses the clinical problem of medication non-adherence among patients with type 2 diabetes. By investigating the impact of nurse-led patient education on medication adherence, this study aims to contribute to the body of knowledge regarding effective strategies in managing type 2 diabetes. The potential positive patient outcomes resulting from improved medication adherence include better glycemic control, reduced risk of complications, and improved quality of life. By identifying effective nursing interventions, this study can inform clinical practice and contribute to the development of evidence-based care protocols for patients with type 2 diabetes.