Date of Award

Summer 2022

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP) in Adult-Gerontology Acute Care Nurse Practitioner

Department

Nursing

Faculty Chair

Dr. Laura Barrow

Preceptor

Phylecya Cheatham

Abstract

Background: According to the Center for Disease Control (CDC), Type 2 Diabetes Mellitus (T2DM) is a significant epidemic health problem worldwide. Furthermore, with the generality of T2DM-associated complications increasing, individuals living with chronic diseases must be competent in self-management to prevent long-term complications (CDC, 2021). Therefore, this Project Investigator aims to decrease the reported home glycemic control and improve diabetes self-management education among African American individuals in rural healthcare using the DSMEP tool.

Purpose: The purpose of the DNP project was to implement and assess the Diabetes Self-Management Education Program (DSMEP) effect on African American individuals in the rural health care setting living with T2DM. The goals were to improve knowledge and blood glucose control to decrease long-term complications with T2DM.

Methods: Using the Iowa Model, this quality improvement project was implemented in rural healthcare to provide DSMEP for African American individuals with T2DM. The project investigator conducted four weeks of follow-ups via phone calls to collect data and answer questions focusing on diabetes self-management, diet, and exercise.

Results: Ten African American individuals with T2DM, ages ranging from 37-75 years old, participated in the implementation of improving glycemic control in a rural health care setting. Participants' average blood glucose level decreased by 12.6% after the diabetes self-management education program.

Conclusion: The data gathered indicated that patient-centered DSMEP is a practical implementation via tele-health coaching for increasing knowledge and self-management for T2DM among African American individuals in a rural health care setting.

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