Campus Location
Dallas Campus (Online)
Date of Award
11-2024
ORCID
https://orcid.org/0009-0009-2550-9173
Document Type
DNP Project
Department
Nursing
Degree Name
Doctor of Nursing Practice
Committee Chair or Primary Advisor
Molly Kuhle
Second Committee Member or Secondary Advisor
Shawnna Cunning
Abstract
The global prevalence of type 2 diabetes is one of the greatest health threats in society, especially in the rural population. Rural healthcare data analysis has proved a need for type 2 diabetes control education. Despite the existence of helpful diabetes control interventions, rural diabetes patients still struggle to maintain healthy behaviors, with about 60% of the patients recording hemoglobin A1c levels above 9. Many suffer severe conditions (e.g., stroke, kidney failure, and heart attacks) because of poor management of the condition. The project examined the impact of diabetes self-management education on hemoglobin A1c levels in the rural patient population. This research involved educating the clinical staff to better educate their type 2 diabetes patients with Hgb A1c levels above 9 using the CDC DSMES program. The project implemented nurseled DSMES toolkit surveys before and after the implementation, and information was collected within 3 months to determine the change in hemoglobin A1c levels pre- and postsurvey (see Appendix C). It utilized a quantitative quasi-experimental research design. This design was effective because of the comparative nature of the research and surveys were the primary data collection method. The sample on the research’s scope was a group of 40 patients with type 2 diabetes whose Hgb A1c was at 9 or above and were on oral medications. The participants were involved in an interactive DSMES program led by nurses at the clinic. After 3 months, participants Hgb A1C levels and a survey were conducted to assess the patients’ improvements (see Appendix C). The analysis indicated a 0.3% reduction in the mean hemoglobin A1c levels of the patients. The mean Hgb A1c levels improved from 10.1% (0.61) to 9.8% (0.58) after the DSMES intervention. The project concluded that more personalized nurse-led DSMES interventions were more impactful than most contemporary DSMES type 2 diabetes management strategies.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Adomakomensah Sarpong, Barbara, "Impact of Diabetes Self-Management Education on Hemoglobin A1c Levels in the Rural Patient Population" (2024). Digital Commons @ ACU, Electronic Theses and Dissertations. Paper 832.
https://digitalcommons.acu.edu/etd/832