Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/63470

IMPROVING COMMUNICATION BETWEEN GESTATIONAL DIABETIC WOMEN AND THEIR PROVIDERS THROUGH A PATIENT PORTAL

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Title:IMPROVING COMMUNICATION BETWEEN GESTATIONAL DIABETIC WOMEN AND THEIR PROVIDERS THROUGH A PATIENT PORTAL
Authors:Tamayo, Betty Wunda
Contributors:Kathman, Julie (advisor)
Nursing (department)
Keywords:Nursing
Blood glucose tracking
Gestational Diabetes
Patient Portal
Date Issued:2019
Publisher:University of Hawai'i at Manoa
Abstract:Gestational diabetes mellitus (GDM) is a significant health challenge that increases risks of poor outcomes for both the mother and her baby (Carolan, 2013). Diabetic clinics help to monitor, support and educate patients on the importance of self-management of the disease. Diabetes nurse educators play an important role in communicating with patients and physicians in the management of the patient’s condition. The Sweeter Choice Clinic is a diabetic center for pregnant women that had challenges with communicating blood glucose results. Opportunities were available to improve communication and real-time logging of glucose checks for patients and providers. The literature supported (1) self-management of gestational diabetes is essential for patients; (2) tele-medicine offers patients and healthcare providers the opportunity to manage conditions remotely; (3) smartphones and mobile device applications encourage patients to self-manage chronic conditions; and (4) patient portals offer a secure way for patients and healthcare providers to communicate and improve diabetes management. The purpose of this DNP project was to implement the use of a patient portal with mobile upload of patient glucose checks to enhance communication between patients and healthcare providers.
For patients enrolled in the Sweeter Choice clinic, MyChart glucose tracking system was implemented for patients who spoke English and had access to WIFI. MyChart is a patient portal offered by Hawaii Pacific Health and delivered through EPIC, an electronic health record. It provides a protected environment for patients to communicate with their healthcare providers and view selected medical information.
A total of 28 patients were referred to the Sweeter Choice clinic during the implementation of this DNP project, however only 21 met the criteria for MyChart glucose tracking. Of those patients, 13 (62%) patients had active MyChart accounts. A total of 21 patients (95%) were actively using MyChart Glucose Tracking. A survey given to the diabetes nurse educators shown that the MyChart glucose tracking process was simple to use and had opportunity for future development.
During enrollment of MyChart glucose tracking, many of the patients had positive feedback on the ease of use and simplicity of the mobile app. The diabetes nurse educators also had positive feedback for the ease of communicating with patients using the MyChart patient portal. Because of the short implementation period and small sample size further evaluation will be needed to assess the impact the glucose tracking has on the clinic.
MyChart glucose tracking provided improved communication and management of pregnant patients with diabetes with their providers. It also allows future opportunity of having glucose meters directly upload to the MyChart application, which would provide the best method of obtaining results from patients.
Pages/Duration:41 pages
URI:http://hdl.handle.net/10125/63470
Appears in Collections: D.N.P. - Nursing


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