Date of Graduation

Fall 12-13-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Cynthia Huff DNP, RN, OCN, CRNI, CNL

Second Advisor

Susan Mortell DNP, RN, CNL

Abstract

Problem: Patients with diabetes enrolled in primary care clinic A face challenges with access to care. Many diabetic patients are placed on the diabetic nurse educator’s schedule for continuous glucose monitoring, reteaching, or troubleshooting. Same-day appointments cause the diabetes nurse educator to be overbooked, and newly diagnosed diabetics are unable to schedule their initial appointment for up to a month.

Context: Primary care A clinic provides high-quality care to promote a healthier and happier community by providing various resources, including individualized diabetes management. The current patient education process uses demonstration when applying a new device and troubleshooting devices and readers.

Intervention: This issue was addressed by developing a foundational baseline for the current process, evaluating the registered nurses' confidence in patient education using the teach-back method, and educating staff registered nurses on the standardized process.

Measures: The measures used to monitor the study are the percentage of the nurses’ confidence level in using the teach-back method during patient education. Quantitative surveys were used before and after their training.

Results: Two training sessions were conducted for registered nurses. After the first training, 66.7% of registered nurses expressed confidence using the teach-back method. The second training focused on more visual aids, hands-on practice, and practicing the teach-back method. At the conclusion of the project, all nurses expressed 100% confidence in their ability to use the teach-back method.

Conclusion: This intervention accomplished and exceeded the project's goals by increasing registered nurses' confidence in applying the teach-back method. After the project concludes, the teach-back method is expected to be used in all patient encounters and adopted in other primary care clinics and specialty clinics within the organization.

Keywords: continuous glucose monitoring, teach-back, patient education, Type 1 Diabetes, health literacy

Available for download on Thursday, August 05, 2027

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