Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mark Wells

Abstract

AbstractDiabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes. DPN contributes to significant pain, debility and injury to diabetic patients. The majority of diabetic patients are managed in the primary care practice (PCP) setting. A local chapter of a nurse practitioner association identified a lack of knowledge of current evidence-based guidelines for effective screening and assessment of DPN in the PCP environment. The practice-focused question for this project was to determine if an educational intervention on evidence-based screening and assessment would improve nurse practitioner’s knowledge with DPN screening and diagnosis in PCP. Mezirow’s transformative theory of adult learning, Bandura’s self-efficacy theory, and the ADDIE model were used as the theoretical foundations for this project. Eleven nurse practitioners participated in an asynchronous web-based educational presentation on screening and assessment diagnostic guidelines and tools for DPN for the PCP patients. A pre- and posttest design was used to evaluate whether the intervention was effective. Paired-samples t-test results showed a statistically significant increase (p < .001) in the nurse practitioners’ knowledge for DPN screening and assessment for the PCP setting. Nurse practitioners demonstrated improved knowledge in the diabetic foot screening and assessment for DPN. The project may impact nurse practitioner practice through improvement of nurse practitioners’ knowledge of DPN risks, screening, and diagnostic guidelines for PCP diabetic patients and bring about a positive social change by reducing the risk of DPN complications.

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