Date of Conferral

7-22-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lilo Fink

Abstract

A midwestern inpatient hospital experienced a rise in insulin-induced hypoglycemic events on an acute medical-surgical floor as evidenced by 6-23 incidences per month between September 2024 to February 2025. A gap in practice revealed deficiencies in knowledge on the use of insulin protocols, which led to the project question addressing if nursing education on the use of insulin protocols would improve nursing staff knowledge as measured by pre- and post-educational surveys, thus resulting in decreased hypoglycemic events. This educational project utilized the ADDIE pedagogy, the John Hopkins evidence-based practice (JHEBP) model, and the Walden University's DNP Project Process Guide. This educational evidence-based project was guided by help from the Walden librarians, which resulted in 30 relevant articles from databases such as EBSCO Host, CINAHL, and PubMed; of those, 10 were used for the project. The evidence from research articles, hospital policies, and content expert reviews supported the PowerPoint education and pre/post surveys. Nine nursing staff received education and surveys in person during one of the four offered sessions. Results indicated a 16.66% change in knowledge scores from pre- to post-survey with a one-tailed paired t test showing significance, p = 0.024. The results demonstrated a significant improvement in nursing knowledge on the use of insulin protocols, which can result in decreased hypoglycemic events, better management of patients in the euglycemic range, and decreased lengths of hospital stays due to less complications from insulin therapy. This educational project supports nursing’s role in causing positive social change by improving outcomes for patients needing insulin therapies and enhancing safety.

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