Date of Conferral

2019

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Niedz

Abstract

Type 2 diabetes is a major chronic health disease in the United States. A main concern of clinicians treating patients with Type 2 diabetes is poor glycemic control. The goal of this project was to improve glycemic control in Type 2 diabetic Hispanic adult patients in a private family practice clinic through the implementation of biweekly telephonic intervention focused on diabetes management by an advanced practice nurse/nurse practitioner. The project was guided by the chronic care model as a framework. The intervention was conducted over a 12-week period with 50 patients, ages 18 to 65. Data were collected from chart and log reviews, personal interviews, telephone calls, and use of questionnaires. Data were de-identified and used for secondary analyses. The interviews and telephone calls focused on self-care activities and daily practices related to the disease management. There were statistically significant reductions in fasting blood sugar (p=.042) and glycated hemoglobin results (p=.002) as well as improvement in diabetes self-care activities over the 12-week project timeframe. Qualitative data supported patients' recommitment to diabetes self-care management through daily blood sugar testing, attention to diet, exercise, and daily journaling. This project might lead to positive social change through improved disease management and better glycemic control. The project might also enable the Type 2 diabetic patients to make health and lifestyle choices that positively influence their day-to-day health.

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