Date of Conferral
8-6-2026
Date of Award
August 2026
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Mary Rodgers
Abstract
Evidence-based chronic disease monitoring is essential for improving outcomes among adults with diabetes and hypertension; however, inconsistent application of clinical practice guidelines may result from gaps in healthcare providers' knowledge, confidence, and competency. Staff education is an effective strategy for strengthening evidence-based practice and promoting consistent guideline implementation. Purpose: The purpose of this Doctor of Nursing Practice (DNP) staff education project was to develop, implement, and evaluate a structured educational program to improve healthcare providers' understanding, knowledge, confidence, self-efficacy, and competency in applying evidence-based chronic disease monitoring guidelines in a primary care clinic. Methods: The educational intervention was developed using the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) Instructional Design Model and guided by the Johns Hopkins Evidence-Based Practice (JHEBP) Model. Educational strategies included instructor-led sessions, evidence-based presentations, monitoring checklists, quick-reference guides, electronic health record (EHR) workflow demonstrations, and competency validation. Primary outcomes were evaluated using anonymous pre- and post-education assessments measuring providers' understanding, knowledge, confidence, self-efficacy, competency, and satisfaction. Secondary outcomes included de-identified chart audits evaluating evidence-based monitoring practices. Results: Healthcare providers demonstrated measurable improvements in learning outcomes following the educational intervention. Understanding of evidence-based monitoring guidelines increased from 52% to 100%, knowledge assessment scores improved from 57% to 100%, confidence in applying evidence-based guidelines increased from 43% to 100%, and confidence in using EHR clinical decision-support tools improved from 50% to 100%. Self-efficacy in using standardized monitoring checklists increased from 57% to 100%. Competency validation and participant satisfaction both reached 100%. Secondary outcomes demonstrated improvements in evidence-based chronic disease monitoring practices following implementation of the education program. Conclusion: The findings support structured staff education as an effective strategy for improving healthcare providers' competency and facilitating the translation of evidence into clinical practice. This project has implications for strengthening evidence-based nursing practice, promoting quality improvement, and supporting equitable chronic disease management in primary care. Keywords: staff education, chronic disease monitoring, diabetes, hypertension, evidence-based practice, ADDIE model, Johns Hopkins Evidence-Based Practice Model, primary care.
Recommended Citation
Ogunmakinwa, olukemi, "Improving Chronic Disease Monitoring in Patients With Diabetes and Hypertension Through Guideline-Adherent Care" (2026). Walden Dissertations and Doctoral Studies. 20558.
https://scholarworks.waldenu.edu/dissertations/20558
