Degree Name
Nursing Practice, DNP
Publication Date
4-28-2025
First Advisor
Mary Newkirk
Second Advisor
Kristie Givens
Abstract
Type 2 diabetes remains a leading cause of morbidity in rural areas due to limited access to standardized care. Literature reviewed in this project consistently supports the use of structured screening protocols and provider education to improve outcomes. The primary objective for the project was to enhance provider knowledge by introducing structured screening guidelines based on the 5As model-Ask, Advise, Assess, Assist, and Arrange. A quasi-experimental design was employed to guide the project. Six healthcare completed training on the 5As model. Provider knowledge was evaluated through pre- and post-intervention surveys, while patient outcomes were measured through changes in HbA1c levels over a three-month period. Data analysis involved paired t-tests and non-parametric alternatives when the assumptions of normality were not satisfied. The t-test was performed using Intellectus Statistics to assess the significance of the improvements in provider knowledge. The implementation and evaluation were supported by Lewin’s Change Theory and the RE-AIM framework. The results following the intervention indicated a statistically significant increase in provider knowledge (t(5) = -3.80, p = .013, Cohen’s d = 1.55). Although the reductions in HbA1c levels were not statistically significant (p = .102) likely due to the short three-month timeframe, observable improvements in patient engagement and adherence were noted. This project underscores the significance of theory-driven training by demonstrating that the 5As model is a viable, scalable strategy for standardizing chronic disease management, enhancing provider knowledge, and improving patient engagement in rural, resource-constrained settings, ultimately reducing disparities and advancing healthcare outcomes.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Nwoke, Blessing, "Quality Improvement Project Implementing a Diabetic Tool for Patients with Type 2 Diabetes Mellitus" (2025). Doctor of Nursing Practice Projects. 195.
https://arch.astate.edu/dnp-projects/195
