Abstract

Ample evidence has supported the efficacy of diabetes self-management education (DSME) in diabetes care. However, specific evidence that supports the effects of nurse-led DSME on glycemic control and prevention of diabetes complications remains limited. The purpose of this quantitative, quasi-experimental project was to determine if any, and to what extent a relationship existed between a nurse-led DSME intervention and the lowering of FBS levels to 100mg/dl or below, and the reports of improved self-efficacy among patients with poorly controlled T2DM at a primary care clinic located in an underserved community in Northwest, Texas. Theoretical support for the project was drawn from Ajzen's theory of planned behavior (TPB) and Orem's theories of self-care and self-care deficit. The target population was T2DM patients at the primary care clinic and the sample size was 10. Pre-intervention FBS levels: (M = 196.7, SD = 52.3) and after nurse-led DSME (M = 176.40, SD = 55.1) at the .05 level of significance (t = 13.5, df = 9, n = 10, p < .05, 95% CI for mean difference (16.893 to 23.707). Although, none of the participants reached the target FBS level of 100mg/dl, they all achieved significant reductions in their FBS levels of at least 20.3 points. Reported self-efficacy pre-DSME (M = 42.5, SD = 14.3). After nurse-led DSME (M = 70.7, SD = 5.5) at the .05 level of significance (t = - 9.0, df = 9, n = 10, p < .000, 95% CI for mean difference (−35.2 to −21.1). Patients are more aware of the role of self-care in managing their condition and the clinic administrator is open to accepting nurse-led DSME and is considering hiring a diabetes-nurse educator. More work is needed to establish a definitive relationship between nurse-led DSME and glycemic control and diabetes self-efficacy.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27544809; ProQuest document ID: 2323168769. The author still retains copyright.

Author Details

Consolata G. Oronsaye, DNP, MSN, BSN, RN

Sigma Membership

Non-member

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Diabetes Self-Management, Nurse-Led Education, Type 2 Diabetes, Adults

Advisor

Joyce Morrison

Second Advisor

Victor Aghatise

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2019

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-17

Full Text of Presentation

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