Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Melissa Rouse

Abstract

In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated hemoglobin A1C greater than 7.5%. The purpose of this project was to implement staff education for primary care providers, nursing staff, combat medics, and key leadership with the intent to promote DSME. The theoretical frameworks used were the ADDIE Model (Analysis, Design, Development, Implementation, and Evaluation) and the Knowles’ theory of adult learning. Nineteen of 24 staff members participated in the education. Pre- and postsurveys measured their diabetes mellitus knowledge. Statistical analysis showed that there was a significant improvement in survey results between the pre-and posttest (p < 0.001). Furthermore, 100% of participants responded that the class increased their knowledge of DSME and expressed their likelihood to refer patients to DSME. This statistically significant result suggests a strong impact of DSME, suggesting the potential instructional benefit of this activity and the staff’s willingness to promote and refer patients to DSME thus impacting positive social change. Overall, this project aligns with the Walden mission and vision.

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