Award Date

May 2023

Degree Type

Dissertation

Degree Name

Doctor of Nursing (ND)

Department

Nursing

First Committee Member

Aaron Bellow Jr.

Second Committee Member

Susan Van Beuge

Third Committee Member

Jay Shen

Number of Pages

37

Abstract

Description: Type 2 diabetes mellitus (DM2) is an epidemic that has many factors involved in its management to maintain control. Patients with DM2 require routine evaluations and blood work to provide comprehensive care. COVID-19 caused major shifts in traditional care which sparked an increase in the utilization of technology like telehealth. Telehealth can be an effective tool used to manage diabetes and help attain better glucose control, but its effectiveness during the COVID-19 pandemic warrants further investigation.Purpose: The purpose of this project was to determine if telehealth visits were more effective in reducing Hemoglobin A1c (HbA1c) in adult patients with DM2 versus usual care. Summary: Literature review has shown that telehealth sessions are more effective than usual care in improving HbA1c. The clinic site transitioned from in person visits to telehealth visits to accommodate patients during the COVID-19 pandemic. After transition of the clinic to telehealth, there was no scheduled program evaluation to determine its effectiveness in diabetes management. A retrospective program evaluation was implemented to evaluate the effectiveness of telehealth versus usual care in the management of patients with DM2, which revealed no statistically significant differences. Clinical implications: There have been few retrospective reviews on the effectiveness of telehealth on diabetes versus usual care, specifically for telehealth programs implemented during the COVID-19 pandemic, therefore it was necessary to evaluate outcomes in relation to usual care to determine effectiveness. Although there were no significant differences in outcomes between telehealth and usual care for DM2 in the study population, telehealth still holds promise as an effective tool in the management of DM2.

Keywords

chart review; diabetes; retrospective review; telehealth; telemedicine; type 2 diabetes

Disciplines

Communication | Medical Sciences | Medicine and Health Sciences | Nursing | Other Communication

File Format

pdf

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/

Download


Share

COinS