Degree Name
Nursing Practice, DNP
Publication Date
12-2-2025
First Advisor
Lisa Drake
Second Advisor
Jacquie Sands
Abstract
This quality improvement project aimed to enhance diabetes management among underserved populations by increasing provider confidence and utilization of continuous glucose monitoring (CGM) devices in a Federally Qualified Health Center (FQHC). Despite CGM being recognized as a standard of care for patients requiring intensive insulin therapy, its adoption in FQHCs remains limited due to provider knowledge gaps, financial barriers, and workflow challenges. Based on Kurt Lewin’s change theory, the project employed a quasi-experimental one-group pretest–posttest design to evaluate the impact of an evidence-based educational intervention among six family practice providers. The intervention included interactive sessions on CGM device use, data interpretation, and workflow integration. Provider confidence was measured using a 5-point Likert-scale survey before and after training, while patient outcomes were assessed using mean hemoglobin A1c (HbA1c) levels over twelve weeks. Preliminary findings indicated improved provider confidence and early trends toward reduced HbA1c among patients managed by trained providers; an increase in provider confidence scores from a pretest mean of 2.15 (SD = 0.41) to a posttest mean of 4.12 (SD = 0.36), and a decrease in patient mean HbA1c levels from 9.18% (SD = 1.42) to 8.62% (SD = 1.37) over the twelve-week period. The project demonstrates that structured education can bridge provider competency gaps, promote equitable diabetes technology adoption, and improve clinical outcomes in underserved communities. Sustainability will be achieved through the integration of CGM training into ongoing provider education and clinical workflows.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Rashid, Shaibu, "Quality Improvement Project: Enhancing Diabetes Management Through Continuous Glucose Monitoring Device Education Among Providers of Underserved Groups" (2025). Doctor of Nursing Practice Projects. 250.
https://arch.astate.edu/dnp-projects/250
