The Enhanced Referral Process for Group Diabetes Self-Management Education
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2018-05
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University of Hawaii at Manoa
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Diabetes self-management education (DSME) is an essential aspect of care that is successful in preventing or delaying complications of diabetes. However, various barriers ranging from personal to structural have led to underuse of this intervention. Since its initiation in 2015, performance data from Queen Emma Clinics (QEC) group DSME program showed low patient completion rates in the first three classes implemented. Thus, the purpose of this project was to integrate an evidence-based practice (EBP) change that would increase attendance at diabetes consultation appointments and subsequently improve patient enrollment and graduation from QEC’s group DSME program. Following the Stetler Model of Research Utilization, a quality-improvement (QI) initiative was developed, implemented, and evaluated in its achievement of two main project objectives: decrease no-show rates to diabetes consultations appointments with QEC’s advanced practice registered nurse Certified Diabetes Educator (APRN CDE) and registered nurse CDE (RN CDE) and improve group DSME graduation rates. The target population for this project was adult patients with diabetes who were referred for diabetes education consultation appointments with QEC’s APRN CDE and RN CDE. Methods to assess project outcomes included collection and analysis of data produced by post-pilot and post-implementation phases. Findings from the pilot phase showed an increase in no-show rates but post-implementation data showed improvements. Results also revealed that none of the patients included in the sample were enrolled into the group DSME program as expected and analysis could not be completed for this outcome. It was concluded that the modified referral practice was effective at reducing no-shows to consultation appointments with the APRN CDE and RN CDE; however, was not successful in addressing the objective of improving the rate of graduates from QEC’s group DSME program.
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Type 2 diabetes--Prevention, Medical referral
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