Date of Conferral
6-5-2025
Date of Award
June 2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Dr Bsrbara Niedz
Abstract
Summary This project addressed the critical practice problem of delayed and inaccurate diagnosis of systemic lupus erythematosus (SLE), which has been linked to increased morbidity and mortality, particularly among marginalized populations. These diagnostic challenges have been recognized globally, with international research highlighting inconsistencies in care and the absence of standardized guidelines. Implementing inclusive and equitable clinical practice guidelines (CPGs) that consider social determinants of health, political determinants of health and actively involve diverse populations in research can play a crucial role in reducing racial disparities and improve outcomes for all lupus patients. Thus, the development of a CPG focused on diagnosis and treatment of SLE and lupus nephritis (LN) formed the primary purpose of the Doctor of Nursing Practice (DNP) project. The practice focused question was: Will a CPG adapted from EULAR 2023 be accepted for implementation in practice by a panel of experts in SLE care management? To evaluate the quality of the newly released guideline, an appraisal using the AGREE II instrument was used. Seven members of an expert panel including clinical and administrative staff provided the review. The AGREE II tool was used for appraising and selecting the CPG adopted in this project. and the results were unanimous for adopting the Lupus CPG. Addressing the gap in practice to better manage SLE and prevent LN in vulnerable populations promotes and addresses diversity, equity and inclusion, and represents a significant positive social change.
Recommended Citation
Thomas, Seleaina A., "Clinical Practice Guideline for Systemic Lupus Erythromatosus and Lupus Nephritis" (2025). Walden Dissertations and Doctoral Studies. 17884.
https://scholarworks.waldenu.edu/dissertations/17884
