Date of Conferral
11-21-2025
Date of Award
November 2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Maria Revell
Abstract
In this doctoral project, I developed and validated an evidence-based clinical practice guideline for implementing smartphone technology to monitor diabetic patients in primary care settings with an 80% threshold. The project addressed a critical gap in standardized guidance for diabetes technology integration, which has resulted in inconsistent adoption and suboptimal patient outcomes. A systematic literature review of four major databases yielded 12 high-quality studies representing all evidence levels (I–V) according to the Johns Hopkins evidence-based practice model. Evidence synthesis revealed strong and compelling evidence with consistent results supporting smartphone technology implementation, including HbA1c improvements of 0.4%–0.8%, sustained patient engagement rates exceeding 80%, and 86.89% clinical accuracy in glucose prediction applications. I developed five evidence-based recommendations by addressing smartphone-based glucose monitoring implementation, standardized clinical workflow integration, user-centered design optimization, professional clinical support integration, and electronic health record system integration. An expert review using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool, conducted by three independent reviewers, resulted in unanimous approval, with domain scores ranging from 89% to 93% and an overall quality rating of 86%. The major product is a comprehensive clinical practice guideline ready for implementation in primary care settings. Potential impacts on positive social change include improved healthcare access through digital technology, reduced health disparities, and enhanced patient empowerment in diabetes self-management.
Recommended Citation
Efuntoye, Ganiyat Funmilayo, "Development of Evidence-Based Clinical Practice Guidelines for Monitoring Diabetic Patients Using Smartphone Technology" (2025). Walden Dissertations and Doctoral Studies. 18798.
https://scholarworks.waldenu.edu/dissertations/18798
