Date of Graduation
Fall 12-7-2024
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
College/School
School of Nursing and Health Professions
Department/Program
Nursing
Program
Family Nurse Practitioner
First Advisor
Jo Loomis DNP, FNP-C, CHSE, CLC, ANLC, NCMP, CNL
Second Advisor
Catherine Coleman DNP, MSN, CPHQ, CNL
Abstract
Background: Type 2 diabetes mellitus (T2DM) is a chronic disease affecting 37.3 million people in the USA. Diabetes can alter the pathophysiological pathway of insulin metabolism; when left untreated, serious complications result. Education interventions can positively impact diabetes self-care management (DSME).
Local Problem: A primary care clinic serves a large volume of multi-ethnic patients with T2DM. Care providers lack time to provide optimal DSME. A quality improvement project was initiated to teach non-provider staff effective interventions.
Methods: A DSME literature search was conducted, and multi-component educational approaches work best. A pre and post questionnaire was also implemented.
Interventions: A DSME educational toolkit was implemented to increase knowledge and confidence in fifteen-minute sessions to 100% of non-provider medical office staff (MOS). A checklist was also implemented for integration into the electronic health record.
Results: Using a T2DM checklist, the mean comfort level and DSME knowledge of staff increased from 7.86 (SD = 0.752) to 10.00 (SD = 0.00); results were statistically significant (p = 0.001, p < 0.05) with a medium effect size (Cohen’s d = 0.488; 95% CI: -6.913 to -1.864). Knowledge related to frequency of monitoring hemoglobin (Hgb A1c) also improved from 71.4% to 100%. Confidence in teaching patients increased from 5.43 (SD = 1.134) to 9.86 (SD = 0.378); results were statistically significant (p = 0.001, p < 0.05) with a large effect size (Cohen’s d = 1.464; 95% CI: -7.660 to -2.098).
Conclusion: A fifteen-minute session for non-provider staff can improve knowledge and confidence in DSME.
Recommended Citation
Lopez, Sylvia, "Type 2 Diabetes Mellitus (T2DM) Toolkit for Medical Office Staff (MOS)" (2024). Doctor of Nursing Practice (DNP) Projects. 363.
https://repository.usfca.edu/dnp/363
