Date of Graduation

Summer 8-13-2026

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

Dr. Nicole Beamish

Abstract

Objective: Variations in referral, scheduling, delivery of educational information, patient materials, and documentation hampered the quality of gestational diabetes mellitus (GDM) education in the outpatient maternal-fetal medicine clinic. Purpose: The aim of the quality improvement project was to boost adherence to a standardized GDM group education framework from 0 to 50% in the course of 12 weeks and assess attendance at group visits. Methods: The microsystem analysis was conducted based on observations of group visits conducted in Spanish and English, examination of current processes and resources in use, educator pre-survey, SWOT analysis, and cause and effect analysis. The implementation of the Plan-Do-Study-Act approach allowed for the development of referral criteria, a scheduling script, standardized learning objectives, updated presentations, facilitator guidelines, the development of bilingual patient resources, and process measures. Planned outcomes included framework compliance, referrals, scheduling, attendance, documentation, and balancing measures. Results: A standardized interdisciplinary framework together with its supporting tools has been developed. Group visits were interrupted prior to staff training, implementation, and post-intervention data collection; therefore, it was not possible to evaluate compliance and participation outcomes. Conclusions: The study has produced a bilingual framework ready for implementation in GDM group education standardization. The future implementation should include a small pilot project, obtaining feedback from staff and patients, fidelity, and ongoing development.

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