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The effects of 1:1 individualized diabetes self-management education and support on glycemic control

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TitleInfo
Title
The effects of 1:1 individualized diabetes self-management education and support on glycemic control
Name (type = personal)
NamePart (type = family)
Eguh
NamePart (type = given)
Nwamaka H.
NamePart (type = date)
1977-
DisplayForm
Nwamaka H. Eguh
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Gunkel
NamePart (type = given)
Kathy
DisplayForm
Kathy Gunkel
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
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school
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Text
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theses
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2020
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2020-05
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Purpose of Project: Diabetes self-management education and support (DSMES) has been shown to improve the management and health of people living with diabetes, improve their knowledge, reduce HBA1c and hospital readmission rates. The purpose of this DNP project was to evaluate the effectiveness of 1:1 diabetes self-management education and support (DSMES) on knowledge, HbA1c and hospital readmission rates of diabetic patients.

Methodology: Pretest – posttest study. Participants completed two paper questionnaires – the modified Revised Michigan Diabetes Knowledge Test (DKT2) and the diabetes self-management questionnaire (DSMQ) – before and after the intervention. Hospital charts were reviewed for HbA1c, admission glucose levels, and 90 days past admission records. All data were de-identified and stored on Rutgers University password protected cloud storage. Intervention included inpatient diabetes self-management education (DSME) followed by outpatient phone support. Outcome measured were pre-/post-intervention diabetes knowledge, HbA1c level, and 90 -day-readmission rates. Coding and analysis of the data was done using SPSS. Data analyses included descriptive statistics and nonparametric tests- Wilcoxon ranks sum and Mann-Whitney U due to the small sample size.

Results: The findings include statistically significant improvements in knowledge (p = .011), HbA1c (p= .027) and diabetes related hospital readmission rates (p = .008).

Implications for Practice: The findings of this project support the need for a greater focus on patient/caregiver centered care. The creation of patient centered medical homes and hospital to home transitional support. It supports the need for primary care providers to continually refer their diabetic patients/caregivers for DSME as part of their routine management. 
Subject (authority = local)
Topic
DSME
Subject (authority = RUETD)
Topic
Family Nurse Practitioner
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Rutgers University Electronic Theses and Dissertations
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ETD
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ETD_10708
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application/pdf
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text/xml
Extent
1 online resource (87 pages)
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-y0t8-5r28
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Eguh
GivenName
Nwamaka
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-04-06 03:51:16
AssociatedEntity
Name
Nwamaka Eguh
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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2020-04-19T18:50:10
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2020-07-29T15:58:30
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