Date of Conferral

9-4-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Sue Bell

Abstract

The use of continuous glucose monitoring devices (CGMs) has become essential for improved glycemic control and the prevention of complications among patients. However, a significant number of nurses lack proper training in supporting patients with these devices, leading to a gap in practice. The project addressed the problem of insufficient staff knowledge and confidence in supporting patients with smartphone based CGMs through staff education on CGMs and evidence-based training on glucose monitoring techniques, interpretation of monitoring results, and patient education strategies. The question that guided the project was as follows: Does implementing a staff education program on smartphone-based CGMs improve staff knowledge and confidence to support patients in the use of these devices? A pretest/posttest design was used to evaluate the effectiveness of the education, taken by 38 staff members. Descriptive and paired t test analyses demonstrated significant improvements in knowledge and confidence scores (p < .001) following the education. The pretest mean knowledge score was 2.8 (55.3%), which increased to 4.2 (84.7%) on the posttest, a mean percentage knowledge gain of 65.7%. Staff confidence also improved considerably, with the mean pretest score of 2.7 (53.7%) increasing to 4.5 (89.5%) on the posttest, a mean percentage confidence gain of 77.3%. Major products of the project were an education module based on staff learning needs and evaluation surveys to assess outcomes. Project findings suggested that staff education can lead to improved knowledge and confidence to work with patients using CGMs, thereby promoting improved patient self-care of diabetes, decreasing disparities in health care delivery, and improving health outcomes for all patients.

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