NURS FPX 9030 Assessment 1 Raw Data Upload

Student Name

Capella University

NURS-FPX9030

Professor Name

Submission Date

Type 2 diabetes mellitus (T2DM) is still a major burden to the population and is connected with higher rates of morbidity, mortality, and healthcare costs. Lack of glycemic control frequently happens due to insufficient management of diabetes by patients, low patient involvement, subpar medication compliance, and insufficient diabetes education. There is evidence that organized Diabetes Self-management Education and Support (DSMES) demonstrates enhancement of patient knowledge, self-care behaviors, medication adherence, and glycemic outcomes.

DSMES programs offer tailored education on nutrition, physical exercise, blood sugar, medication, and problem-solving services. The introduction of a structured DSMES program in primary care could increase patient involvement and lead to long-term results in patient HbA1c levels in adults with T2DM. The proposed quality improvement project will test the efficacy of a DSMES program in glycemic and self-management outcomes in 12 weeks.

The PICOT question that guides the quality improvement project is presented below: In adult patients with Type 2 Diabetes Mellitus (P), versus the usual diabetes education offered in routine clinic visits (C), how the involvement in a structured Diabetes Self-management Education and Support (DSMES) program (I) influences glycemic control as measured by HbA1c levels (O) in 12 weeks (T)?

This quality improvement project aims to evaluate whether a structured DSMES program implementation can enhance glycemic control and self-management practices of adults with T2DM. The project will help to assess the improvement of HbA1c levels, medication adherence, practices of monitoring blood glucose, compliance with the diet, and the degree of engagement of the patients in a 12-week implementation period.

Current Practice Gap

The poor glycemic control in many adults with T2DM can be attributed to a lack of diabetes education, poor habits of self-monitoring, and a lack of knowledge of disease management exercises. Visits to traditional clinics may also not offer time to conduct extensive diabetes education. DSMES programs provide evidence-based interventions of an educational nature, empowering patients to take on active roles in the management of their condition and prevention of diabetes-related complications.

Data Collection Notes

In this quality improvement project, data will be gathered prospectively within a 12-week implementation period to assess the effectiveness of a structured Diabetes Self-management Education and Support (DSMES) program in adults with Type 2 Diabetes Mellitus (T2DM). Three time points will be used to collect data: baseline (Week 1), midpoint (Week 6), and post-intervention (Week 12). To provide information, several sources will be used, such as the electronic health record (EHR), patient self-management questionnaires, attendance records, and education session records.

The baseline demographic information will consist of age, sex, race/ethnicity, time with diabetes, insurance status, and baseline levels of HbA1c. HbA1c values will be pulled out of the EHR at Week 12 to measure glycemic control, compared to baseline. Enrolment into the DSMES program and adherence to the program by the patient will be measured using the attendance records that show the completion of education sessions and follow-ups.

The self-management behaviors (adherence to medication, monitoring blood glucose, adherence to dieting, and physical exercises) will be measured with the help of a standardized diabetes self-management questionnaire conducted at the baseline and at Week 12. Validated survey instruments will also be used to measure patient engagement in the program as well as satisfaction with the DSMES program. The educational interventions and patient progress will be documented in standardized templates by nursing staff to stay consistent and faithful across the implementation process.

To ensure the confidentiality of all data collected, all de-identified data will be coded with unique participant codes. The electronic documents will be saved on password-protected systems that will only be accessed by the qualified personnel in the project. Routine audits, checking of EHR entries, and questionnaires will help ensure data quality. The data will be analyzed to identify changes in the levels of HbA1c, self-management behaviors, attendance of programs, and the overall success of the DSMES intervention in enhancing the outcomes of diabetes in adult patients with T2DM.