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DNP 810 Topic 4 Discussion Question 1 PEER Posts

DNP 810 Topic 4 Discussion Question 1 PEER Posts

Grand Canyon University DNP 810 Topic 4 Discussion Question 1 PEER Posts-Step-By-Step Guide

 

This guide will demonstrate how to complete the DNP 810 Topic 4 Discussion Question 1 PEER Posts assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

 

How to Research and Prepare for DNP 810 Topic 4 Discussion Question 1 PEER Posts                                   

 

Whether one passes or fails an academic assignment such as the Grand Canyon University   DNP 810 Topic 4 Discussion Question 1 PEER Posts depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

 

How to Write the Introduction for DNP 810 Topic 4 Discussion Question 1 PEER Posts                                   

 

The introduction for the Grand Canyon University   DNP 810 Topic 4 Discussion Question 1 PEER Posts is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

 

How to Write the Body for DNP 810 Topic 4 Discussion Question 1 PEER Posts                                   

 

After the introduction, move into the main part of the DNP 810 Topic 4 Discussion Question 1 PEER Posts assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

 

How to Write the Conclusion for DNP 810 Topic 4 Discussion Question 1 PEER Posts                                   

 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

 

How to Format the References List for DNP 810 Topic 4 Discussion Question 1 PEER Posts                                   

 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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DNP 810 Topic 4 Discussion Question 1 PEER Posts

In your own words, define critical thinking and explain why it is an important to you as a learner proposing a quality improvement project (DPI project) for your practice site. Discuss three critical thinking skills necessary for evaluating and interpreting primary quantitative research for a DPI Project
Audimar Bugayong
Posted Date
Mar 12, 2022, 11:28 PM
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Replies to Audimar Bugayong
Critical thinking is a process that involves evaluating a collection of information from subjective and objective data, communication, and experiences that lead to actions taken to resolve an issue (Papathanasiou et al., 2014). Critical thinking plays a vital role as a DNP learner proposing a quality improvement project as it is essential to establishing a safe, efficient, and positive outcome. It is important for DNP learners to incorporate old nursing interventions and new knowledge as part of the critical thinking process to ultimately obtain a correct plan of interventions and actions. According to Buckley et al. (2020), practice projects should enable the learners to oversee nursing habits and utilize higher critical thinking skills when new processes and interventions. This is important for DNP learners because when proposing a DPI project, students should consider the current practice, new knowledge, and incorporate critical thinking to ultimately implement a process that will produce positive outcomes.
Three important components of critical thinking that are necessary for evaluating and interpreting primary quantitative research include analyzing the data, applying the intervention, evaluating the outcome (Papathanasiou et al., 2014). Like the nursing process, when examining studies, it is important for the DNP learner to analyze the data to compare and validate the practice site’s issue. After a thorough analysis of the study, the DNP learner would incorporate the information and transform it into an action or implementation in hopes to correct the issue and provide outcomes. Finally, evaluating the outcomes and data plays an important role in ultimately validating the effectiveness of the project.

References:

Buckley, K. M., Idzik, S., Bingham, D., Windemuth, B., & Bindon, S. L. (2020). Structuring doctor of nursing practice project courses to facilitate success and ensure rigor. Journal of Professional Nursing, 36(4), 206–211.
https://doi-org.lopes.idm.oclc.org/10.1016/j.profnurs.2019.12.001

Papathanasiou, I. V., Kleisiaris, C. F., Fradelos, E. C., Kakou, K., & Kourkouta, L. (2014). Critical thinking: the development of an essential skill for nursing students. Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH, 22(4), 283–286. https://doi.org/10.5455/aim.2014.22.283-286
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EMANUELA SALAJEAN
replied toAudimar Bugayong
Mar 13, 2022, 12:29 PM
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Hello Audimar,
Critical thinking has evolved the nursing profession in establishing high measures for patient safety and outcomes. I was discussing the purpose of a DPI project with a colleague who is the director of a boys & girls club for low-income families. It amazed me that he utilizes the same concept in critical thinking to analyze data, improve processes and make changes for the children and families. The success of critical thinking assists in life-long decision making and is used amongst many departments and areas. Quantitative research explores numeric values that generates knowledge and creates understanding (Quantitative and qualitative research. What is quantitative research? n.d.). The components of critical thinking you mentioned are crucial. A study cannot be validated without analysis, application and evaluation.

Quantitative and qualitative research: What is quantitative research? Subject and Course Guides. (n.d.). Retrieved March 13, 2022, from https://libguides.uta.edu/quantitative_and_qualitative_research/quant
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Patricia Etheridge
replied toAudimar Bugayong
Mar 13, 2022, 6:01 PM
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Hi Audimar,
Good post, thank you for reinforcing exactly what a Direct Practice Improvement Project, thus one takes the research and implements it into practice to solve for a clinical concern. Take care, Dr. Etheridge
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Tommie Wood
Posted Date
Mar 12, 2022, 11:07 PM
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The DPI Project is supported by quantitative information through providing data and analysis to address the issue being addressed. For example, when researching articles for the project, a critical thinker wants to know how to improve a situation, process, workflow and seeks out research to support improvement. Quantitative data answers questions to critical thinking, providing answers to how many? Who was involved? What are the outcomes? How much did it cost? Collection of data includes questionnaires, pre, and post-test, observation, review of databases, and or collecting clinical data. (Agency for Toxic Substances and Disease Registry, 2015)
Critical thinking skills are necessary for evaluating and interpreting data to include being prudent, honest in facing personal biases, diligent when seeking data. (Reilly, 2017). When researching the DPI, it is imperative to understand it’s a process using specific information, questioning processes in a disciplined manner. (Reilly, 2017). In developing PICOT-D, critical thinking skills used first is being curious about current processes surrounding your project. Open discussions with teammates, managers, and supervisors to see where there is a need. used to determine. Another process of critical thinking is seeking and analyzing data, what does it say? Does it support the gap you are trying to change or implement? Being aware, open, and honest when facing personal biases is necessary for providing a respectful safe environment in working with colleagues. (Reilly, 2017).
I have a meeting scheduled with my preceptor (assigned by my mentor)- I will be making an informal presentation regarding DPI Project and eliciting assistance with data and other information the organization has regarding a project, where they have a gap, what are current policies/plan, what do we want to achieve. How can we make this project beneficial to me, the department, the organization, and the members? This will provide an opportunity for me to provide information, gather information, listen ask and answer questions. Using critical thinking, I need to provide answers to the department head of “what is in it for her”. (Reilly). Critical thinking and emotional intelligence are required tools when winning the support of stakeholders.
Current Plan for DPI project:
Project Site, no change
Project: Focus: Health Equity, Social Determinants of Health based on NEMT/transportation.
Population: Medicaid members of the health plan. Demographics may be more focused. (Ongoing discussion)

Agency for Toxic Substances and Disease Registry. Evaluation methods. (2015)
https://www.atsdr.cdc.gov/communityengagement/pce_program_methods.html

Reilly, S., & Williams, D. (2017). Critical thinking. Healthcare Purchasing News, 41(8), 32–35.
https://web-s-ebscohost-com.lopes.idm.oclc.org/ehost/detail/detail?vid=0&sid=d9141b0c-a28f-4f6f-b1ce-422464912783%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=124493770&db=bth
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Julie Boswell
replied toTommie Wood
Mar 13, 2022, 1:24 PM
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Tommy,
I am excited to see you already have your project moving forward so well in the planning stage. It seems I am still pulling a lot of research for presentation to my clinical site, along with costs and possible barriers. Since my project site is part of a larger organization, we have several Tribal Health partners who share our systems, meaning I have to connect with them all for implantation. This is where critical thinking is such a massive part of our DPI. We have to look at the entire project critically and foresee problems or barriers that may impact the solution we are trying for. An essential part of critical thinking is evaluation. (Saputra et al., 2019) Some people only see evaluation as something you do at the end of a project. However, the evaluation must start at the beginning of the planning stage. We evaluate the needs, the process in place, the possibility of change, and so much more.
References
Saputra, M., Joyoatmojo, S., Wardani, D., & Sangka, K. (2019). Developing critical-thinking skills through the collaboration of jigsaw model with problem-based learning model. International Journal of Instruction, 12(1), 1077–1094. https://doi.org/10.29333/iji.2019.12169a
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Tommie Wood
replied toJulie Boswell
Mar 13, 2022, 7:55 PM
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Julie,
Thanks. I’m hoping/praying and having faith it is moving in the right direction. As I leaned in the “Friday with Dr. Fetter”- many obstacles can change course.
Fortunately, our professor, Dr. Etheridge (highly recommended by Dr. Fetter)is a guru with helping students get their PICOT questions moving in the right direction.
Back to the post, I agree with your statement, “critical thinking is such a massive part of our DPI. We have to “look at the entire project critically and foresee problems or barriers that may impact the solution”. this is true. Critical thinking through asking the questions, planning for challenges. Getting diverse ideas and opinions. Analyzing data and data collection play an important role, as well as literature and not getting ahead of the evidence.

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DNP 810 Topic 4 Discussion Question 1 PEER Posts
DNP 810 Topic 4 Discussion Question 1 PEER Posts

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Patricia Etheridge
replied toTommie Wood
Mar 13, 2022, 6:05 PM
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Hi Tommie,
Nice post. It is so important to do what you are doing early with your clinical site. You are meeting with them to ensure your DNP DPI Project will meet the needs of a clinical concern that they have with their patient population. This meeting ensures that all decision-makers and stakeholders have an opportunity to be aware and provide insight and direction on your project. Please ensure you take good notes and include this meeting in your final disertation (under Background for the project….). Good stuff, Dr. Etheridge
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Tommie Wood
replied toPatricia Etheridge
Mar 19, 2022, 2:13 PM
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Thank you for the advice.
Tommie
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Angela Zafke
Posted Date
Mar 12, 2022, 8:26 PM
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Replies to Audimar Bugayong
Critical thinking is formed when knowledge melds with experience. It is a foundational skill essential for the nursing profession, at all levels, especially with advanced degrees (Midilli & Altas, 2020). It is such an essential skill, that regulatory academic bodies in nursing, such as The National League for Nursing (NLN) and American Association of Colleges in Nursing (AACN) have made this a component for program evaluation (Zhang & Chen, 2021). It is the ability to decode, decipher and take action in various situations, even if the situation is a new experience. A nurse can draw on prior experience and knowledge to meet the needs of a patient by developing critical thinking skills. Developing critical thinking is an acquired skill that matures over time. This skill evolves and is honed, but has no definitive ending. It is an indispensable lifelong skill a nurse must develop and refine with time.
Considering its importance, as a DNP learner, critical thinking is a necessary skill. Working on the DPI, research needs to be analyzed, synthesized, and applied to a practice problem. Applying a new intervention to the practice problem requires the learner to critically examine the problem and potential solutions. Reviewing existing research and considering possible solutions is an example of how critical thinking can help a DNP student.

Quantitative data is used to analyze the effectiveness of the intervention during the DPI project. From economics to sociology, all areas of research rely on data to understand cause and effect. Quantitative data measures variables or the degree of change. With this measurement, the researchers know if the intervention was effective or not. For research to be accurate, critical thinking skills must be employed. The research question must be clear, concise and pose a logic solution for the problem, addressing the population to be studied and the reason for being studied (Zaccagnini & Pechacek, 2021). Secondly, data collecting must be true to the research problem and proposed intervention. For the research to be accurate, the researcher must be cautious about bias that can enter research. Lastly, part of critical thinking involves reflection (The Foundation for Critical Thinking, 2019). Reflecting on the data and research findings helps the writer to reach conclusions and enter into a discussion on findings.

References

Midilli, T. S. & Altas, G. (2020). The relationship between critical thinking disposition and problem solving skills in nurses. International Journal of Caring Sciences, 13 (3), 1890-1897.
The Foundation for Critical Thinking. (2019). Nursing and Health Care. Retrieved on March 11, 2022 from https://www.criticalthinking.org/pages/nursing-and-health-care/801
Zaccagnini, M. E., & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing (4th ed.). Jones and Bartlett Learning. ISBN-13: 97811284079708
Zhang, J. & Chen, B. (2021). The effect of cooperative learning on critical thinking of nursing students in clinical practicum: A quasi-experimental study. Journal of Professional Nursing, 37 (1), 177-183.
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Patricia Etheridge
replied toAngela Zafke
Mar 14, 2022, 10:02 PM
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Hi Angela,
Nice post. You are correct in sharing that applying a new intervention to the practice problem requires you to critically examine potential solutions by critiquing the literature and using critical thinking while considering possible solutions. Take care, Dr. Etheridge
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Beverly Quiza
Posted Date
Mar 12, 2022, 11:09 AM
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As a DNP learner critical thinking is important because it is the key element in applying evidence-based practice to improve decision making in every problem we encounter. Critical thinking is a high-level way of thinking that enhances the capacity to reflect clinical judgement among learners. According to the American Philosophical Association, critical thinking is an intentional, self-regulating judgement integrated by cognitive skills that can be grouped and subclassified in several legitimate way. There are two types critical thinking dimensions-substantive and dialogic dimensions. The substantive dimension is the action that provides reasons and evidence that support each point of view while the dialogic dimension is directed towards the analysis and integration of points of view that are contrary to our own. Nurses develop their own critical thinking to provide safe patient care and use for good clinical practices.
Critical thinking enables nurses to express higher levels in clinical reasoning, judgement, decision making and problem solving. Improving critical thinking skills is a key for better effectiveness of the interventions conducted by nurses and on the health outcomes of patients. The importance of critical thinking in nursing practice has been identified in the literature (Chang et al., 2011; Ludin, 2018). Quality improvement project at my site is important because applying critical thin king ability is necessary to help me in decision making effectively and to solve the practice problems. To improve the quality and safety of patient care leadership is one factor that helps along side by side with all the staff.

For me, the three critical thinking skills necessary to evaluate primary quantitative research are evidence, analysis and evaluation. Investigating the creativity and critical thinking is important process in analyzing the evidence of the study and research. Evidence to suggest that creativity and critical thinking are fairly independent processes was also found in study of Ling and Loh (2020). Evidence shows that clinical experience provides opportunity to enhance critical thinking through experience and observation and evidence-based practice. Analysis of the research will provide proper answers and the whole discussion of the project effectively. Evaluation will include the validity of the research and summarization of the research project.

 

References:

American Philosophical Association . National panel of experts. critical thinking: a statement of expert consensus for purposes of educational assessment and instruction. The Delphi report. Millbrae: The California Academic Press, 1990. [Google Scholar]

Chang, M. J. , Chang, Y. J. , Kuo, S. H. , Yang, Y. H. , & Chou, F. H. (2011). Relationships between critical thinking ability and nursing competence in clinical nurses. Journal of Clinical Nursing, 20(21–22), 3224–3232. 10.1111/j.1365-2702.2010.03593.x [PubMed] [CrossRef] [Google Scholar]

Ling M. K. D., Loh S. C. (2020). Relationship of creativity and critical thinking to pattern recognition among Singapore private school students. J. Educ. Res. 113, 59–76. doi: 10.1080/00220671.2020.1716203 [CrossRef] [Google Scholar]

Ludin, S. M. (2018). Does good critical thinking equal effective decision‐making among critical care nurses? A cross‐sectional survey. Intensive & Critical Care Nursing, 44, 1–10. 10.1016/j.iccn.2017.06.002 [PubMed] [CrossRef] [Google Scholar]

 

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Patricia Etheridge
replied toBeverly Quiza
Mar 12, 2022, 6:32 PM
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Hi Beverly,
Good post. You are correct in saying clinical experience allows critical thinking and thus the need to critique the evidence to solve a clinical problem or the intuition to identify the problem and use the evidence to solve it. Take care, D. Etheridge
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Audimar Bugayong
replied toBeverly Quiza
Mar 12, 2022, 10:42 PM
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Replies to Beverly Quiza
Hi Beverly,
Thank you for your insightful post. I agree that critical thinking is necessary for DNP learners when proposing a DPI project. Critical thinking allows the DNP learners to look beyond the usual and current practice and incorporate new research and information to better nursing workflow and improve patient outcomes. Critical thinking also allows students to think outside the box, enabling them to utilize their knowledge, given data, communication, and experiences before implementing an action that will resolve the current issue (Liu et al., 2021). This is important for DNP learners because enables us to implement new and innovative ideas that will ultimately improve and benefit our patient outcomes. I agree that three critical thinking skills necessary to evaluate primary quantitative research include evidence, analysis, and evaluation. These three components lead to the validity of the research, making it an essential study for the overall DPI project.

Liu, T., Yu, X., Liu, M., Wang, M., Zhu, X., & Yang, X. (2021). A mixed-method evaluation of an integrated course in improving critical thinking and creative self-efficacy among nursing students. Nurse
Education Today, 106.
https://doi-org.lopes.idm.oclc.org/10.1016/j.nedt.2021.105067
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Critical thinking is a skill now needed for any research especially one that requires evidence to support decisions made to bring about changes in the healthcare industry. Critical thinking by my own definition based on the authors that I have read, has many layers of process and it is the ability to think outside of the box. The researcher attempts to understand every aspect of the article or evidence as well as using their personal experiences to analyze and make the best decisions from that evidence which will bring about new changes and improvement that the analyzer intends to any program but especially in the health care industry and for the patient outcomes (Melnyk, & Fineout-Overholt, 2018), (Vejar, 2021).
It is important to me as a learner who is proposing a quality improvement project (DPI project) because, according to Eslami & Maarefi, (2010) for me to be able to resolve a problem that I find, I will need to have a deeper understanding of what is going on, what is the patient problem, so that I can adequately analyze the issue and propose important life changing potential decisions that I know will affect the patient, community and the facility (In Shirazi, & Heidari, 2019).
Therefore, the three critical thinking skills needed for evaluating and interpreting quantitative research for a DPI project is first, knowledge to identify the problem. The clinical expertise of the researcher in all the areas such as the patient problem, the evidence gathered-biased and unbiased, the interventions that will be proposed in order to make a change and determine if the study is valid by following the process. Secondly, the next skill needed is to determine if the methods used are reliable by analyzing and evaluating the research or evidence and third, can the research be replicated by other researchers and get the same results that will improve patient outcomes when implemented (Melnyk, & Fineout-Overholt, 2018), (Shirazi, & Heidari, 2019).
References:
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice. LWW.
Vejar, C. (2021). Critical Thinking: An academic Perspective. Salem Press encyclopedia.
Shirazi, F., & Heidari, S. (2019). The relationship between critical thinking skills and learning styles and academic achievement of nursing students. Journal of Nursing Research, 27(4), e38. https://doi.org/10.1097/jnr.0000000000000307
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Beverly Quiza
replied toNkiruka Mgbemena
Mar 12, 2022, 8:40 AM
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Hi Nikiruka,
Great post. Thank you for sharing it, it is very important that we as learners need to understand and identify meaning of critical thinking and knowing the skills for us to complete our DPI project correctly. The skill aspect mainly refers to higher-order cognitive skills such as inference, analysis, and evaluation, while the disposition aspect represents one’s consistent motivation and willingness to use critical thinking skills (Dwyer, 2017). Critical thinking plays an important role in each learner and enhances academic performance.

Reference:

Dwyer C. P. (2017). Critical Thinking: Conceptual Perspectives and Practical Guidelines. Cambridge: Cambridge University Press. [Google Scholar]

Understanding the human genome and sequencing has opened the door to many healthcare advances. Screening and prevention can be targeted to at-risk groups based on inherited genes, traits, and susceptibilities. Additionally, using genetic information, medications and treatments can be targeted to specific groups based on genomic information. Much of this information, however, has been obtained from people of European descent, thus leaving minority groups out (Henderson et al., 2018). American Indians are an underrepresented group as it relates to studying disease, effective treatments, and pharmacogenetics. Without being included in the studies for precision medicine, this group may not see the benefit and have treatments or medications tailored to their unique genetic make-up. Using the concept of precision medicine avoids the cookie-cutter approach to disease management. Rather, this type of medicine focuses on genetic makeup, environment, and lifestyle.

The advancement of applying genetic information, especially as it relates to unique individual genetics is a remarkable advancement. Working in an ICU, many patients tend to display acute effects of long-term diseases. When left untreated or undertreated, chronic diseases, such as diabetes mellitus, can damage other organs, such as kidneys, vascular system, or the heart.  With three American Indian reservations being served by the institution I work at; the critical care unit tends to see a disproportionate number of American Indians compared to those of other descents. Commonly, the complications being experienced by this collective group is due to uncontrolled diabetes. Often it is due to renal failure, peripheral vascular disease, or coronary artery disease. Compared to Non-Hispanic whites, American Indians and Alaska Natives are 2.3 times more likely to die from diabetes (US Department of Health and Human Services Office of Minority Health, 2021). While there is still work being conducted on diabetes and American Indians and Alaska Natives, there are known genes that explain the genetic predilection for diabetes, such as cHOMA-B and GCK (Balakrishnan et al., 2018).  While there is still research being conducted on the genetic connection of diabetes, this is an area of hope to reduce the effects of this disease with targeted interventions and medications based on specific genetic makeup.

 

References

 

Balakrishnan, P., Vaidya, D., Voruganti, V. S., Haack, K., Kent, J. W., North, K. E., Laston, S., Howard, B. V., Umans, J. G., Lee, E. T., Best, L. G., MacCluer, J. W., Cole, S. A., Navas-Acien, A. & Franceschini, N. (2018). Genetic variants related to cardiometabolic traits are associated to B cell function, insulin resistance, and diabetes among AmeriCan Indians: the strong heart family study. Frontiers in Genetics, 9. Doi: 10.3389/fgene.2018.00466

       

Henderson, L. M., Claw, K. G., Woodahl, E. L., Robinson, R. F., Boyer, B. B., Burke, W., Thummel, K. E. (2018). P450 pharmacogenetics in indigenous North American Populations. Journal of Personalized Medicine, 8(1), 9. Doi: 10.2290/jpm8010009.

 

US Department of Health and Human Services Office of Minority Health. (2021, March 1st). Diabetes and American Indians/Alaska Nativeshttps://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=33.