Degree Name
Nursing Practice, DNP
Publication Date
2025
First Advisor
Sandy King
Second Advisor
Beverly Clark
Abstract
Primary care frequently misdiagnoses prediabetes, which serves as a diabetes type 2 precursor, resulting in failed early treatment opportunities. A structured staff education program was the goal of the quality improvement project during the DNP implementation. The initiative addressed knowledge gaps alongside screening protocol standardization all to enhance early detection as well as intervention efforts. Using both Lewin’s Theory of Change and Kolb’s Theory of Experiential Learning, a pre-post-design was applied across seven weeks. Prediabetes screening and management, along with its risk factors, were taught to the staff. The demographic questionnaires helped in assessing the knowledge and self-efficacy of the participants before and after the intervention, and EHR data was used to determine the rates of prediabetes identification. The effect of the intervention was assessed using a paired samples t-test. Findings revealed significant improvements in staff knowledge (pre: 3.13, post: 4.63, p = 0.01) and confidence (pre: 2.88, post: 4.38, p = 0.01). EHR analysis also showed increased prediabetes identification post-intervention. This project underscores the importance of structured staff education in improving prediabetes detection. Future recommendations include expanding training across clinics, integrating EHR screening reminders, and conducting long-term assessments to sustain improvements in early identification and management.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Abam, Jude, "Quality Improvement Project: Improving Access to Early Intervention for Prediabetic Patients in Primary Care" (2025). Doctor of Nursing Practice Projects. 101.
https://arch.astate.edu/dnp-projects/101
