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Implementation of an Evidence-Based Discharge Planning Program for Adult Patients with Diabetes Mellitus in an Acute Care Facility.

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Title:Implementation of an Evidence-Based Discharge Planning Program for Adult Patients with Diabetes Mellitus in an Acute Care Facility.
Authors:Green, Cecilia Leila A.
Contributors:Nursing Practice (department)
Keywords:Diabetes Mellitus
Discharge Planning
Diabetes Education Assessment Checklist
Date Issued:May 2018
Publisher:University of Hawaiʻi at Mānoa
Abstract:Diabetes Mellitus is associated with health complications and increasing healthcare utilization. These poor health outcomes may be reduced by incorporating evidence-based innovations in the discharge planning process to enhance essential self-care knowledge and skills of those with diabetes. Initiating Diabetes Self-Management Education (DSME) in the hospital with reinforcement in an outpatient setting may further promote positive health behaviors and delay negative outcomes. A diabetes-specific discharge planning Quality Improvement program was developed and implemented as a pilot project in five medical/surgical units at Maui Memorial Medical Center. The goals were to incorporate evidence-based innovations into this facility’s current discharge process to safely transition diabetic adult patients from an inpatient to an outpatient setting, improve nursing DSME documentation, and increase outpatient diabetes education participation in the community.
Methods to assess the program outcomes included data collection and analysis from patient records, cross-sectional surveys, and provider surveys. Pre- and post-intervention data showed an increase in nursing DSME documentation rate after an assessment tool was utilized, which suggests a checklist-facilitated nursing compliance. Post-intervention data noted no increased participation in two pre-implementation community DSME programs. There was, however, an increase in the number of participants at Maui Memorial Medical Center’s monthly diabetes support program. Several variables affect patient health education program participation, but this result suggests that a discharge planning specific for those with diabetes may have a positive influence on outpatient DSME program involvement.
Description:D.N.P. Thesis. University of Hawaiʻi at Mānoa 2018.
URI:http://hdl.handle.net/10125/62623
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice


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