"Clinical Practice Guideline for Nurse Practitioners: Diabetes Type Two" by Mercedes Perez

Date of Conferral

1-20-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Patricia Schweickert

Abstract

This project was a clinical practice guideline (CPG) for nurse practitioners regarding evidence-based guidelines for type 2 diabetes (T2DM) self-care management at a primary care practice in Ohio. The practice problem of T2DM is a prevalent disease affecting approximately 37.3 million people. T2DM can lead to complications of kidney disease, heart disease, diabetic neuropathy, eye damage, foot damage, and infections. Self-care in T2DM can improve outcomes and decrease complications. However, evidence-based guidelines are lacking to guide practitioners in self-care management of T2DM at this site. The practice-focused question was, “Does the evidence support development of a self-care, T2DM, CPG for primary care providers, that receives a quality score of 70% or greater by an expert panel using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) Instrument and receives approval for use in practice by end users?” A comprehensive literature review and synthesis of 20 current articles on T2DM management using the Johns Hopkins Model supports the project. A panel of three experts assessed the CPG via the AGREE II Instrument. Domain scores ranged from 100% to 92%. Two global domain scores were 100% each, resulting in end users' approval for the use of this CPG in practice. The results indicate a quality CPG. This self-management, T2DM CPG may help reduce inequalities in healthcare by ensuring that all patients, regardless of their social or ethnic background, have access to the same high level of care. An important aspect of this project is the integration of principles of positive social change, diversity, equity, and inclusion into the approach to treatment.

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