Degree Name

Nursing Practice, DNP

Publication Date

4-20-2026

First Advisor

Sandy King

Second Advisor

Diane Hare

Abstract

Prediabetes affects millions of adults in the United States, yet inconsistent provider knowledge and confidence limit evidence-based screening and management in primary care, a gap well-documented in the literature. The purpose of this quality improvement project was to evaluate whether a structured educational intervention improved provider self-efficacy related to prediabetes identification and management. Guided by Social Cognitive Theory and the Transtheoretical Model, with implementation guided by the Plan-Do-Study-Act cycle, this project asked: among family practice providers, how does prediabetes education affect provider self-efficacy over four weeks? A quasi-experimental pre/post design was used. Four asynchronous educational modules focused on evidence-based screening, diagnosis, and management were delivered to family nurse practitioners in a multisite primary care organization in central Texas. Self-efficacy was measured using a modified General Self-Efficacy Scale. Scores increased significantly from pre-intervention (M = 27.33, SD = 2.73) to post-intervention (M = 30.83, SD = 1.17), t(5) = -4.87, p = .005. Limitations include a small sample size and single-organization setting. Consistent with existing literature, structured provider education improved confidence, standardized site-level prediabetes care, and supports advanced practice nurses as leaders in evidence-based preventive care.

Included in

Nursing Commons

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