Date of Conferral

2019

Degree

Doctor of Nursing Practice (DNP)

School

Health Services

Advisor

Barbara Niedz

Abstract

Type 2 diabetes mellitus affects patients' health across the globe and is costly to manage. The chronic high blood sugar of diabetes is linked to cardiovascular and kidney damage, impaired functional status, and multiple organ failure. To lessen the complications associated with diabetes and promote self-care in those with the disease, health care professionals must be vigilant in offering diabetes education to patients with each clinic or primary care visit. Lack of diabetic educators in the clinic that provided the setting for this study indicated a need to increase clinical staff competency in teaching self-care and diabetes management to patients. The resulting project, guided by Bandura's theory of social learning, involved the creation of an educational curriculum, which was evaluated by 5 content experts with 5 or more years of experience caring for adult patients with Type 2 diabetes mellitus who provided narrative feedback. The content experts indicated satisfaction with the program and offered the following recommendations: (a) implementation of staff coaching on motivational interviewing, (b) additional help in securing medications and blood glucose testing supplies for noninsured patients, (c) translation of patient tools into Spanish at a Grade 3 or 4 reading level for better patient understanding, and (d) proceeding with full implementation after the recommendations are carried out. Improved self-care among diabetes patients could promote positive social change through the prevention of acute, long-term complications and disability.

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