A quality initiative to improve primary care self-management education for Mexican American type 2 diabetes patients using a culturally-tailored protocol

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dc.contributor.advisorLoika, Elizabeth
dc.contributor.authorHarper, Jennifer Nichole
dc.contributor.committeeMemberGarcia, Theresa
dc.contributor.committeeMemberDay, Cristi
dc.contributor.committeeMemberSollito, Michael
dc.date.accessioned2020-11-05T23:08:18Z
dc.date.available2020-11-05T23:08:18Z
dc.date.issued2020-08
dc.description.abstractType 2 diabetes mellitus is the fifth leading cause of death among the Hispanic population in America. Current data estimates up to 50% of all Hispanics born in 2000 will develop diabetes within their lifetime. Factors leading to diabetes or diabetes related complications in Hispanic patients are low English proficiency, low literacy levels, and cultural influences. A vital component to diabetes treatment is self-care behaviors. Elements vital in providing effective diabetes education should incorporate services that are person-centered, culturally relevant, and responsive to the participants’ needs. The purpose of this quality improvement initiative was to increase clinical compliance with diabetes guidelines to provide timely and culturally competent diabetes self-management education and improve diabetes knowledge, self-management behaviors, and health outcomes in Mexican American patients with diabetes at a primary care clinic in East Texas, using an customized education protocol. The protocol addressed language and literacy barriers, as well as appealing to social norms with the assistance of bilingual translators, educational handouts, and telenovela diabetes educational videos created by the Agency for Healthcare Research and Quality. This quality initiative used a pre-test, post-test design to implement a change in practice instituting an improved protocol for delivering DSME to Mexican American patients with diabetes at project site over a 12-week period. The implementation of the DSME protocol at the project site resulted in a large and statistically significant increase in the frequency and quality of DSME provided by the clinic and improved patients’ knowledge of diabetes and reported management activities.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent52 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89096
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.rights.holderHarper, Jennifer N.
dc.subjectnursingen_US
dc.subject.lcshNursingen_US
dc.titleA quality initiative to improve primary care self-management education for Mexican American type 2 diabetes patients using a culturally-tailored protocolen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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