Award Date

5-1-2020

Degree Type

Dissertation

Degree Name

Doctor of Nursing (ND)

Department

Nursing

First Committee Member

Cheryl Maes

Second Committee Member

Susan VanBeuge

Third Committee Member

Jay Shen

Number of Pages

97

Abstract

The overall management of Type 2 diabetes mellitus (T2DM) and its comorbidities is complex and costly. The American Diabetes Association (ADA, 2019c) recommends the use of team-based care and self-management tools to optimize the management of T2DM. Unfortunately, there is a national shortage of endocrinologists and certified diabetes educators (Stewart, 2008) along with a primary care provider shortage (Simmons & Kapustin, 2011). Thus, it is essential to implement a care model to increase efficiency while also promoting patient knowledge and self-management of T2DM to improve health outcomes. An example of an innovative care model is the shared medical appointment (SMA), which is designed to help improve patient outcomes by providing support as well as teaching self-management strategies. In addition, the SMA increases the time for patients to interact with their healthcare provider at a more relaxed pace to address physical, social, medical, and psychological issues commonly encountered with those who have chronic diseases such as T2DM. This Doctor of Nursing Practice (DNP) project will implement and evaluate the effectiveness of the SMA care model in a primary care clinic with an objective to improve knowledge and self-management of T2DM among those aged 65 and older.

Keywords

Director of nursing practice; Group appointment; Older adults; Shared medical appointment; Type 2 diabetes mellitus

Disciplines

Nursing

File Format

pdf

File Size

4.1 MB

Degree Grantor

University of Nevada, Las Vegas

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

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Nursing Commons

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