Date of Graduation

Fall 12-12-2014

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Danijela Pavlic


Nurses form the largest group of healthcare professionals in the United States and as our healthcare system shifts emphasis toward less costly, prevention-oriented primary care, there is no doubt that registered nurses will assume a greater role in primary health care. However, the role of the registered nurse in primary care is not well understood. This project is one aspect of a larger project aimed to propel the nursing profession to the forefront of primary care by re-examining and clearly defining the responsibilities and competencies of the primary care registered nurse. The literature review suggests that a stronger presence of registered nurses in primary care correlates with improved patient outcomes. The specific objective of this project was to develop a standardized procedure that will allow registered nurses at Clinic X to titrate certain anti-diabetic medications (metformin, glipizide, and tolbutamide) by utilizing pre-determined algorithms. The author’s intervention involved surveying primary care registered nurses at Clinic X to determine their perceptions of diabetes medication titration as well as what training and/or support they feel they will need. The author encourages the usage of the survey results in designing the training program.

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