Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lilo G. Fink

Abstract

AbstractDiabetes mellitus is characterized by high blood glucose levels (hyperglycemia) resulting in susceptibility to viral infections such as hepatitis B viral infections. The purpose of this doctoral quality improvement (QI) project was to train primary care providers (PCPs) and their medical assistants at the project site’s clinic on implementing the recommended Centers for Disease Control and Prevention (CDC) guidelines for hepatitis B vaccination with the aim of improving vaccination rates for diabetic patients 18 years and older. The first practice-focused question addressed the evidence-base supporting the QI training of PCPs to improve awareness on implementing the recommended CDC guidelines. The second question explored if a QI training of PCPs would improve implementation of the CDC guidelines and increase hepatitis B vaccination rates in a primary care setting during a 12-week training period. The Donabedian model of structure, process, and outcome was used in this QI project to train project participants. Lewin’s concept of unfreezing and freezing was used to refer to improving the low vaccination rates at the project site after training the PCPs on the recommended CDC hepatitis B vaccination guidelines. Pre- and post-intervention surveys questions were used to collect data from 17 participants. Data from pre-training survey was compared to the post-training survey questions using a chi-square analysis done in Microsoft Excel. The result of the PCPs QI training was an increase of 2% in the hepatitis B vaccination rates at the project site. A positive social change was realized through lowering the incidence of hepatitis B infections through hepatitis B vaccination, and improved quality of life for the diabetic patients.

Download

Included in

Nursing Commons

Share

 
COinS