
Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Embargo Period
5-1-2018
Degree Program
Doctor of Nursing Practice
Degree Track
Post Master's DNP Completion
Year Degree Awarded
2017
Month Degree Awarded
May
Keywords
diabetes, Latino, education, cultural competency
Advisor
Donna Zucker
DNP Project Chair
Donna Zucker
DNP Project Member Name
Donna Sabella
DNP Project Outside Member Name
Samir Malkani
Abstract
Latinos have a high risk of developing poorly controlled type 2 diabetes, which may be at least partly due to their cultural beliefs. Many health care clinics lack consistent use of culturally competent educational interventions when providing diabetes education to Latinos. The literature demonstrates that clinics using culturally competent interventions tend to accomplish significant clinical improvements in outcomes such as lower glycosylated hemoglobin (A1C) levels, weight loss, increase in daily steps walked, and improved diabetes knowledge. The purpose of this Doctorate of Nursing Practice (DNP) project was to use Latino-tailored culturally competent diabetes education to achieve a reduction in weight, increase in steps walked daily, lower A1C levels and improved diabetes knowledge by using four, ninety minute sessions for a group of five Latino adults with type 2 diabetes. Project participants took a diabetes knowledge test before and after the intervention. Participants' scores on the diabetes knowledge test, A1C levels, weight, and total average daily steps taken were measured before and after the intervention.
There was a decrease in mean weight and an increase in mean diabetes knowledge test scores post intervention. There were no improvements in mean A1C levels nor in mean daily average steps walked post intervention. Culturally competent interventions hold promise for improving diabetes and other health outcomes for Latino adults with type 2 diabetes.
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