Date of Conferral



Doctor of Nursing Practice (DNP)




Catherine Garner


Older adults afflicted with chronic conditions present a unique set of challenges for home health nurses. In addition to caring for many of the patient’s physical problems, patient education is needed to enable patients to manage themselves. Patient education focuses on complicated medication and treatment adherence, safety, and preventing complications. The purpose of this oral presentation and supplemental guide was to increase the knowledge and skills of home health nurses by formally preparing them for the responsibility of patient educator. The practice-focused question was whether the provision of education and a supportive guide for individualizing patient education would improve the knowledge and self-confidence of home health nurses in providing patient education on self-management of chronic disease. Knowles’s adult learning theory, Bandura’s social learning theory, Prochaska and DiClemente’s transtheoretical model, and Neuman’s health care system model influenced the approach to, and the content of this patient education program because of the impact on a patient’s ability to learn, comprehend, and apply knowledge for self-management. Kirkpatrick’s evaluation model was used to measure reaction to the presentation, knowledge acquired, and application to practice. Findings from 8 participants support increased knowledge and improved confidence as well as implementation of practice changes. This study has implications for positive social change for promote the ability of patients to manage their chronic conditions and to improve their quality of life.

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