Date of Award

Spring 5-25-2024

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Joe Burkard, DNSc, CRNA



Introduction: The purpose of this evidence-based practice project was to provide diabetes education to improve diabetes knowledge and self-care confidence for patients with type 2 diabetes admitted to a tertiary hospital in San Diego. First, this study was to assess their DM knowledge and self-confidence before the education was provided. Second, based on the initial assessment and the education on lifestyle modification, 3 months of follow up was assessed to see if the education had been effective. Third, the study was to determine if the education also improved the self-confidence in managing diabetes on their own.

Background: Uncontrolled diabetes can result in multiple morbidities and mortality from diabetes complications and substantial financial burden to the individuals and society. Currently,

37.3 million Americans or 11.3% of the population are diagnosed with diabetes and 90-95% have type 2 diabetes. Diabetes is a condition that the patients need to make choices every day by changing lifestyle. However, due to lack of education, 50-80% people with diabetes do not have a good understanding of the disease process and the self-care management strategies. Therefore, diabetes education should be provided, when possible to decrease diabetes complications and improve self-care confidence.

Methods: This evidence-based practice project is designed utilizing the 5A’s model to help patients assess their knowledge and assist them to change their behavior.

Results: The post test score of diabetes knowledge retention and self-care confidence level was improved by 1.6 times and 1.25 times respectively after the diabetes education was provided at the end of 3 months of follow up. All participants showed an improvement of diabetes knowledge retention at each follow-up call. All five patients also believed that they felt confident in managing their diabetes better with diabetes education and with three 3 months of follow up reminders of the education.

Evaluation: Diabetes education is essential as the lifestyle modification largely plays a key role in managing diabetes. Therefore, one-to-one diabetes education should be provided to patients with diabetes while in the hospital. This opportunity will give the patients time to retain diabetes knowledge and improve self-confidence in managing diabetes on their own.

Keywords: Diabetes education, lifestyle modification, DM knowledge retention, self-care confidence

Included in

Nursing Commons