Date of Conferral

8-18-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Melissa Rouse

Abstract

A quality review of chronic care management (CCM) for Type II diabetes in adults in a primary care clinic revealed a narrow approach, inadequate staff knowledge, and a lack of staff confidence, leading to poor patient engagement, missed screenings, inadequate detection, and unaddressed complications. A staff education intervention was implemented to enhance staff knowledge and confidence in incorporating hemoglobin A1c, blood pressure, cholesterol, and smoking cessation (the ABCs) of diabetes management into the existing process. I developed a practice-focused question to assess the impact of a staff education project on improving knowledge and confidence. Compelling evidence was compiled from peer-reviewed journals, articles, and relevant professional literature, aligning with the project site organization’s vision to create effective course materials. Five staff members including the business owner and medical support staff attended the education session and completed pre- and posteducation surveys. I analyzed the participants' knowledge and confidence levels with percentages and averages from before and after the education. Their knowledge increased from 58% to 94% and confidence increased from 54% to 89%. The results implied a positive effect of education on staff knowledge and confidence. This improvement fosters positive social change by empowering staff to become change agents through the use of a comprehensive approach that promotes patient engagement and enhances screenings. This staff education project positively impacts the goal of delivering quality care, improving health outcomes, and reducing morbidity and mortality rates.

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