Doctor of Nursing Practice (DNP) Projects
Access Control
Campus Access
Embargo Period
5-6-2014
Degree Program
Doctor of Nursing Practice
Degree Track
Family Nurse Practioner
Year Degree Awarded
2014
Month Degree Awarded
May
Keywords
hemoglobin A, glycosylated, guideline adherence, practice guidelines as topic, diabetes mellitus type 2, and medication therapy management.
Advisor
Donna Zucker
DNP Project Chair
Donna Zucker
DNP Project Member Name
Joan Roche
DNP Project Outside Member Name
Ethan A Singer
Abstract
Primary care providers (PCPs) are responsible for the medical management of patients with chronic illness. Unfortunately, many PCPs do not adhere to national guidelines. This quality improvement (QI) project was designed to use the Awareness-to-Adherence theory to strengthen the PCPs understanding of the American Diabetes Association (ADA) guideline for the testing frequency of Glycosylated Hemoglobin A1c (A1c) in patients with diabetes mellitus Type 2 (DM2). Before implementation of the project, PCPs ordered the A1c per ADA guideline on 37% of their patients with DM2. After the QI project the PCPs ordered the A1c per ADA guidelines on 65% of patients with DM2; a net gain of 28%.
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