Date of Conferral



Doctor of Nursing Practice (DNP)


Health Services


Patricia Senk


Type 2 diabetes is a growing problem within the United States and a leading cause of mortality. The complications and comorbidities associated with type 2 diabetes cause a great financial and resource burden on the healthcare system, and cause negative mental and physical health outcomes for the individual living with it. The complications of poor glycemic control are especially notable following a surgical procedure that requires an inpatient stay. The practice problem for this project is glycemic control following an orthopedic surgery requiring hospitalization. To further analyze the practice problem and to create a clinical practice guideline a robust literature review was completed. The literature was reviewed and graded utilizing the Oxford Centre for Evidence-based Medicine Levels of Evidence. Reputable professional organization guidelines and literary works were also utilized. The Chronic Care Model was utilized as the framework. Central themes translated into the clinical practice guideline include the importance of long-term preoperative glycemic control, the importance of assessing the patients’ skill for self-management, and the importance of mental health. To ensure the appropriateness of the clinical practice guideline for translation into practice, the AGREE II tool was utilized by the author, and the project team. Improving postoperative glycemic control for patients living with type 2 diabetes may have a powerful effect on the patients’ ability to contribute to society, decrease the healthcare burden, and improve the mental and physical health of the patient.

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