A Culturally Appropriate Diabetes Mellitus Dietary Clinical Guideline for African Immigrants

Date of Conferral

10-25-2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Annie Hubbard

Abstract

Current evidence-based practice has shown that diet is essential for managing diabetes. No current clinical practice guideline (CPG) addresses African immigrants with T2DM. This Doctor of Nursing Practice project aimed to create a dietary diabetes mellitus clinical practice guideline (DDMCPG) for this selected population. This project further attempted to determine if a CPG development by a team of experts can be implemented into their practice. The DDMCPG was based on the Chronic Care Model and the cultural care diversity and universality theory. The guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) and the International Appraisal of Guidelines, Research, and Evaluation (AGREE) tool methodology. Using the GRADE tool, 11 articles were found relevant to the project. After the synthesis of the 11 chosen articles, (a) seven articles scored “High,” (b) three articles were “moderate,” and (c) one article scored “Low.” Using the selected articles, the DNP scholar created the DDMCPG with input from experts. Three experts voluntarily participated in assessing the quality of the DDMCPG using the AGREE method. The results revealed that all six domains exceeded the benchmark of 70%, ranging from 92-100% for each domain. The statistical analysis demonstrated that the developed DDMCPG is a quality CPG that can be implemented into practice. The results from this DNP project show that the DDMCPG has the potential to positively impact social change by improving T2DM self-management and providing culturally appropriate alternatives for African immigrant patients with T2DM.

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