Doctor of Nursing Practice (DNP) Projects

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Doctor of Nursing Practice

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Post Master's DNP Completion

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diabetes, minority, self-management support


Dr. Jeungok Choi


Background/Purpose: Data from the American Diabetes Association (ADA) shows individuals of minority racial/ethnic backgrounds had the highest rate of diabetes; 7.5% non-Hispanic whites, 12.5% Hispanics, 9.2% Asian Americans, 11.7% non-Hispanic blacks, and 14.7%American Indians/Alaskan Natives. According to the ADA, diabetes cost of care was $327 billion including $237 billion in direct medical cost, and $90 billion in reduced productivity. The goal of this project was to improve patient’s self-management of diabetes.

Methods: This was a quality improvement (QI) project that involved a convenience sample of 10 minority patients with a new diagnosis of diabetes mellitus (DM). The Diabetes Self-Management Questionnaire (DSMQ) (see appendix A) was completed upon diagnosis for assessment of current self-management baseline. Then patients received an evidence-based free diabetes education booklet developed by Novo Nordisk titled Diabetes and You: your guide to better living with diabetes (see appendix B). Patients were educated on the diabetic disease process using Power Point slides (see appendix C) followed by a bi-weekly telephone visit. A post survey using DSMQ was administered at project completion.

Results/Conclusion: Post data DSMQ showed patients receiving education after diagnosis had better ability for self-care based on results of the DSMQ in all categories. The most important improvement was made in blood glucose monitoring and medication adherence followed by dietary management behaviors. Least improvement was in physical activity as a method for controlling diabetes. DSMQ post-test results indicate patient centered approach to care may improve patients’ diabetes self-care ability.

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