Diabetes Education for the Primary Care Provider: A Pilot on Provider Self-Efficacy, Knowledge, and Individualized DSMES

Author

Christina V. Soto, University of San FranciscoFollow

Date of Graduation

Fall 12-13-2024

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

Victoria Chaudhary

Second Advisor

Jo Loomis

Abstract

Abstract

Background In the United States, diabetes is a significant burden of disease. Primary care providers (PCP) care for a myriad of patients, including those with diabetes. Some patients with diabetes get referrals to a diabetes specialist, while others rely on their PCP to directly manage their disease.

Local Problem The U.S. Centers for Disease Control and Prevention (CDC) has published a toolkit of resources for providers to attain reimbursement, set referral guidelines, and provide resources to help providers and patients manage diabetes. Many providers are unaware of these resources and may be forgoing the benefits of using this toolkit. Due to time constraints and other barriers, ineffective and impersonal diabetes education is often offered to patients (CDC, 2024a).

Interventions This Doctor of Nursing Practice student led quality improvement project pilot provides education on Diabetes Self-Management Education and Support (DSMES) for primary care providers in a small urban clinic in Northern California. An in-person educational intervention was presented to providers during their lunch break.

Measures Outcome assessment measures include a Likert scale questionnaire to capture self-evaluation of providers’ confidence in providing resources to patients, knowing where to find resources for providers, when and how to refer a patient to a specialist, how to identify and overcome barriers to DSMES, and processes for billing and seeking reimbursement before and after the intervention. A free-response style questionnaire was designed to extrapolate feedback from providers. Two weeks post-intervention, utilization of DSMES tools to customize diabetes care management and change of practice were evaluated.

Recommended Citation

Soto, Christina V., "Diabetes Education for the Primary Care Provider: A Pilot on Provider Self-Efficacy, Knowledge, and Individualized DSMES" (2024). Doctor of Nursing Practice (DNP) Projects. 366.
https://repository.usfca.edu/dnp/366