DescriptionPurpose and Significance
Poor glycemic control leads to morbidity and mortality, and 30-day readmissions for diabetes complications. At the project site, 30-day readmission rates for patients with diabetes was 7.9%. Compliance with the hypoglycemia and insulin delivery protocols at the site were 20% and 40% respectively.
Methodology
An internal diabetes nurse expert trained nursing staff and facilitated use of community-based resources for ongoing diabetes care across the continuum. This program evaluation was completed using the Context, Input, Process, and Product (CIPP) model. Areas under focus included 30-day readmission rates, inpatient glycemic control, and follow up appointments.
Results
Expertise was shared with nurses leading to a sustained improvement to 85% compliance with the hypoglycemia protocol. Compliance with timeliness of correction insulin delivery increased to 93%. The outpatient diabetes education center rose from 150 to 226. The readmission data revealed 30-day readmissions were reduced to 6.1%. Nursing comfort with their role improved.
Implications for Practice
Creating a diabetes nurse expert role enhanced nursing knowledge and competency in delivering basic diabetes education. The role fostered use of best practices, thus improving patient outcomes and reducing readmission rates.