Doctor of Nursing Practice (DNP) Projects

Access Control

Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

10-23-2018

Degree Program

Doctor of Nursing Practice

Degree Track

Post Master's DNP Completion

Year Degree Awarded

2018

Month Degree Awarded

May

Keywords

Type 2 Diabetes Mellitus, Asian Americans, screening, body mass index, health disparity, ethnic-specific

Advisor

Pamela Aselton

DNP Project Chair

Pamela Aselton

DNP Project Outside Member Name

Mary-Catherine Madden

Abstract

Background: Asian Americans are at a higher risk for Type II Diabetes than other groups and disproportionately develop Type II Diabetes Mellitus at younger ages, although having a lower Body Mass Index (BMI) compared to non-Hispanic whites.

Methods: A group of 22 Nurse Practitioners (NP) in New York were presented an evidence-based educational intervention along with a five-item pre-test and post-test to determine if they had acquired new knowledge on the issue. A follow-up survey was conducted to test if the intervention changed individual NP practice in screening Asian Americans in adult primary care clinics.

Results: The overall mean improvement in knowledge was 59.1%. The post-test showed that 72.7 % of the nurse practitioners gained the knowledge that 23 Kg/m2 is the BMI cut point that should be used for screening Asian Americans. Although fourteen nurse practitioners (63.6%) were aware that obesity is a risk, nine (31.8%) identified Asian Americans as having a higher risk of developing diabetes at lower BMI’s, with six (27.27%) aware of the recommended BMI cut point of 23 Kg/m2. The follow-up survey indicated an increase in the number of Asian Americans screened using BMI of 23.

Conclusions: Improving knowledge of nurse practitioners will increase early diagnosis, treatment of Type 2 diabetes in Asian Americans and ultimately, enhance the quality of life for this population. Utilizing an Asian-specific BMI in the Electronic Health Record system will prompt providers to use the correct BMI and manage appropriately.

Available for download on Tuesday, October 23, 2018

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