Date of Conferral

2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Margaret Harvey

Abstract

The lack of diabetic self-management education (DSME) can affect generations of families who have suffered from diabetes. More than 80% of Appalachian Kentucky counties lack access to DSME and care due to high incidence of diabetes. The purpose of this quality improvement project was to determine whether the use of telehealth increased patient access to DSME in Southeast Kentucky. Application of Peplau’s theory of interpersonal relations to patient relationships in nursing practice provided a framework for the project. De-identified retrospective data 6 weeks before intervention and 6 weeks postintervention were collected by the project facility for secondary data analysis to answer the practice-focused question. Post data were analyzed via percent difference analysis. Before intervention, there were four telehealth DSME visits. Postintervention, there were 30 visits. Results showed an 80% increase in the access to DSME using telehealth. Findings suggested that technology and tele nurse diabetes educators may be used to improve the lives of patients and their communities and to reduce costs to patients and facilities by avoiding hospital admissions and trips to the emergency room

Included in

Nursing Commons

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