Date of Graduation

Summer 8-13-2020

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Program

Population Health Leadership

First Advisor

Dr. Robin Buccheri

Second Advisor

Dr. Juli Maxworthy

Abstract

Abstract

Problem: Worldwide prevalence of type 2 diabetes mellitus (T2DM) among the Jamaican population is 11.9% (WHO, 2016). Jamaican patients and their families have experienced first-hand the debilitating complications of this deadly disease.

Context: Jamaicans with diabetes who live in the US experience these same complications. Approximately 300,000 Jamaicans live in Florida (Peart, 2020). This change of practice project was conducted with healthcare providers employed in a family medicine clinic in Florida that treat Jamaicans with T2DM.

Intervention: This change of practice project used an online evidence-based educational training (i.e., Jamaican culture, diet, and health beliefs and how to use a patient-centeredness and cultural humility approach to patient education) targeting healthcare providers

Measures: The revised Diabetes Knowledge Test (MDKT2) was used to collect baseline data. Author-developed pre and post-training questionnaires and training evaluation questionnaires were used to measure project outcomes.

Results: One hundred percent of participants reported the training was “useful” to “very useful” in (a) daily interaction with Jamaican patients, (b) willingness to include what they learned in their practice, and (c) in mentoring colleagues. One hundred percent of participants reported they were “comfortable” after the training to include their knowledge of Jamaican culture in planning and providing care.

Conclusion: Educating health care providers who treat Jamaican patients with T2DM about (a) Jamaican culture and diet and (b) how to provide patient education that is patient-centered and uses cultural humility can improve knowledge and comfort level of those providers.

Keywords: Diabetes, Jamaican, cardiovascular complications, positive outcomes, collaborate, adapt, educator, empowerment, patient-centered approach.

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