Date of Graduation

Fall 12-12-2014

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions



First Advisor

Amy Nichols, RN EdD

Second Advisor

Juli Maxworthy, DNP, MSN, MBA, RN, CNL

Third Advisor

Mary Bittner, DNP, MPA, RN, CENP


This project used the Stetler model of research utilization framework to apply evidence-based findings to clinical settings screening adults with type II diabetes mellitus (T2DM) and low incomes for food insecurity. The project involved the review and critical appraisal of research studies and translation of research-based knowledge into a protocol for the Peach Tree Clinic with respect to the impact of food insecurity on diabetes outcomes in adults with T2DM and low incomes who were at risk of food insecurity. In addition, the proportion of screened at-risk patients who received nutritional counseling was calculated. The proportion of patients with T2DM screened for food insecurity increased from the baseline value of 0% to 82%, over the 3-month implementation period. Therefore, the project aim was surpassed. The quality improvement committee was presented with the project results for incorporation into the clinic’s policies and procedures for sustainability.