Date of Conferral
2021
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Cheryl McGinnis
Abstract
Poorly controlled diabetes can lead to health complications that impact quality of life, increase healthcare costs, and create a negative impact on communities. Pharmacological management of diabetes was identified by stakeholders as a gap in practice at a clinic in the southeastern United States. The purpose of this project was to develop staff education based on American Diabetes Association (ADA) and American Association of Clinical Endocrinologists (AACE) standards of care, deliver education to primary care nurse practitioners (NPs), and evaluate their learning and confidence levels. The primary framework for this project was the chronic care model. An expert panel, including 2 board-certified endocrinologists and a registered nurse diabetic educator, reviewed the educational materials and agreed the presentation was clinically appropriate for the intended audience and the content was current and accurate. Seven NPs participated in the preassessment survey and education program, and six NPs completed the postassessment survey. Preassessment and postassessment surveys asked 13 questions rated on a Likert-type scale from 5 (very comfortable) to 1 (very uncomfortable). Participant responses showed an increase to comfortable and very comfortable on 12 survey items. Posteducation survey items showed that 100% of participants were very comfortable in adjusting premixed insulin, treatment guidelines, and classes of medication and their effectiveness. Implications for positive social change related to this doctoral project include increased staff knowledge, improved patient outcomes, decreased healthcare costs, and a decrease in the community burden of diabetes.
Recommended Citation
Silva, Wilantha, "Pharmacological Management of the Diabetic Patient: A Staff Education Project" (2021). Walden Dissertations and Doctoral Studies. 9815.
https://scholarworks.waldenu.edu/dissertations/9815
