Date of Award

Spring 5-28-2022

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Kevin Maxwell PhD, DNP, FNP-BC, RN

Abstract

Persons with uncontrolled type 2 diabetes, generally defined as having a hemoglobin A1c above target goal of 7% to 8%, have an increased risk for developing chronic diseases including renal disease, heart disease, strokes, and blindness. Lifestyle modifications play a significant role in mitigating these risks and improving glycemic control. The purpose of this evidence-based project (EBP) is to provide individualized diabetes self-management education to patients with type 2 diabetes to improve patient’s self-efficacy and glycemic control.

This EBP project is a continuation of a previously completed EBP by Nishita Patolia, DNP, FNP (2020), using wider inclusion criteria and optional telehealth modality designed to reach a larger number of participants. Individualized education appointments, consisting of a 30-minute encounter and one week telephone follow up call were provided to participants. Educational content was guided by the American Association of Diabetes seven self-care behaviors (AADE7). Techniques of motivational interviewing and goal setting were implemented in educational appointments to reinforce these concepts. Hemoglobin A1c values were measured at baseline and at 3 months. Self-efficacy was measured pre- and post-intervention using the Stanford Patient Education Resource Center Self-Efficacy for Diabetes Questionnaire.

A total of six participants completed the education, telephone follow up, and self-efficacy surveys. Of those participants, five also completed the follow up hemoglobin A1c lab. Fifty percent of participants had an improvement in self-efficacy and 60% of participants had a reduction in hemoglobin A1c values.

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