Degree Name

Nursing Practice, DNP

Publication Date

6-15-2024

Upload Date

2024

First Advisor

Linda Latting

Abstract

Type 2 diabetes is a prevalent chronic disorder that is associated with defects in the metabolism of glucose. The management of type 2 diabetes depends on patients’ adherence to self-care activities. However, patients at the project site reported poor glycemic control, which increased their risk of diabetes complications. The purpose of this quality improvement project was to educate nursing staff on the use of diabetes logbooks to improve self-care among African Americans with type 2 diabetes and thereafter have the nursing staff educate diabetic patients. A quasi-experimental pre-post-intervention design involving 30 African American adults (mean age 43.70 years) with uncontrolled diabetes was conducted over 12 weeks. Education improved staff knowledge on the intervention by 45.32%. Glycemic control and self-care were measured pre-and post-intervention using HbA1c and the Summary of Diabetes Self-care Activities (SDSCA) questionnaire respectively. Paired-sample t-tests to evaluate the effectiveness of the intervention self-care showed a significant difference between the pre-test and post-test SDSCA scores (p<0.001) as well as between the pre-test and post-test HbA1c (p<0.001). Although the participants did not meet the recommended glycemic targets within the project period, the reductions in HbA1c reduced their risk of diabetic complications. Furthermore, the observed improvements in self-care were expected to promote further reductions in HbA1c and the realization of glycemic targets. The project findings can be used to improve diabetes care in the project site by adopting the use of logbooks to monitor African American patients with type 2 diabetes and improve their self-care.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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