Date of Conferral

7-30-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lilo Fink

Abstract

The Hispanic population is the fastest-growing ethnic minority in the United States, and they have a 66% chance of developing Type 2 diabetes mellitus (T2DM). Less than half of Hispanic patients with diabetes achieve optimal glycemic control due to cultural barriers and dietary issues. At the project site, a primary care practice in the southeastern United States regarding cultural competency training in diabetes management for Hispanics was identified. The practice-focused question was: Does providing education to primary care staff improve their knowledge of diabetes management among Hispanic patients with diabetes, as evidenced by pre- and post-surveys? In the project, I used the ADDIE model and the Johns Hopkins evidence-based practice model and guidelines to create a culturally tailored diabetes education program for clinical staff (N = 11), including three providers, five nurses, and three medical assistants who voluntarily participated in five in-person sessions and completed pre- and post-surveys. A paired t test was conducted, and the results indicated a statistically significant improvement in knowledge, p < .001. Staff improved their knowledge of Hispanic dietary practices, acknowledged language barriers, clarified misconceptions, and enhanced their personalized education skills. I recommend integrating cultural education into onboarding and training, with a focus on culturally sensitive care models to enhance communication, clinical outcomes, and healthcare equity. This project promotes positive social change by advancing diversity, equity, and inclusion through patient-centered care and supporting nursing efforts to address disparities in underserved populations.

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