Degree Name
Nursing Practice, DNP
Publication Date
6-24-2025
First Advisor
Lisa Drake
Second Advisor
Chandra Carter
Abstract
Managing chronic disease, such as type 2 diabetes, requires effective patient education. This quality improvement project aimed to improve staff knowledge and confidence in delivering diabetes education using the evidence-based teach-back method. Eight staff members (physicians, nurse practitioners, nurses, medical assistants, and a clinic manager) of a suburban primary care clinic in Houston, Texas, were involved in the project by participating in structured educational sessions. The Always Use Teach-Back Conviction and Confidence Scale (CCS) and a Diabetes Knowledge Test 2 (DKT2) were validated instruments to measure data pre- and post-intervention. A quasi-experimental pre- and post-test design was used, and the effect of the intervention was analyzed using a paired samples t-test. Statistically significant increases were found in both knowledge (M = 56.25 to 83.75, p < .001) and confidence (M = 57.5 to 86.88, p < .001), with large effect sizes (Cohen’s d = 2.85 and 2.06, respectively). This project showed that targeted staff education can effectively improve the delivery of diabetes education in primary care settings. These results support the inclusion of the teach-back method into general staff training programs, providing long-term improvement of patient outcomes and progress in developing communication-focused nursing practices. The richness of this project contributed to an expanding base of evidence for teach back as an essential tool in chronic disease management, showing its practical value for bringing change in meaningful ways into the primary care setting.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Okereke, Chibuzo, "Quality Improvement Project Improving the Management of Diabetes in a Primary Care Setting through Staff Education" (2025). Doctor of Nursing Practice Projects. 180.
https://arch.astate.edu/dnp-projects/180
