Date of Conferral

2018

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary T. Verklan

Abstract

Ninety percent of people with diabetes have Type 2 diabetes mellitus (T2DM). T2DM is a complex disease that affects every organ in the body, which makes effective management of the disease imperative. The American Association of Clinical Endocrinologist (AACE) and American College of Endocrinology (ACE) strongly recommended early treatment initiation among the target population to delay disease progression and complications. The purpose of this evidence-based project was to examine the impact of using the T2DM management algorithm for effective management of adults with T2DM over a 3-month period. The shared experience decision-making model and the chronic care model were used as a guide to implementing the approach to practice. Implementation of the diabetes algorithm revealed a significant decrease in diabetes-related complications from 61.8% before implementation to 34.06% after the implementation. A pre- and post design was used to evaluate the impact of the interventional diabetes education among the 14 participants in the educational session. Diabetes education showed an increase in the participants' knowledge of the disease with a prescore average of 56.91% compared to 90.72% post score. Early identification of individuals at risk of developing T2DM, an adaptation of the algorithm into practice, effective patient education, and efficient use of community-based resources, might decrease the incidence, prevalence, physical and financial burden, and psychosocial impact of T2DM, and help to bring about positive change by decreasing T2DM treatment failure.

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