Date of Award

Fall 12-9-2024

Document Type

Dissertation

Degree Name

Doctor of Nursing (ND)

Department

Nursing

First Advisor

Linda Kerr

Second Advisor

Bryan Webb

Third Advisor

Patric Schine

Abstract

Type 2 Diabetes Mellitus is one of the major health issues worldwide, which has led to many health complications, such as cardiovascular disease, nerve damage that leads to limb amputation, kidney damage, and even death (Sameer et al., 2020). Lack of self-care management is one of the reasons diabetes is becoming such an issue in society. Studies have shown that T2DM outcomes can be improved by implementing diabetes self-management education (DSME) (Hailu et al., 2019). The study evaluated the effectiveness of DSME intervention in adult patients with T2DM over 12 weeks in Orlando, Florida. Using a structured education program, the study focused on behavioral and clinical changes in glycemic control, weight, and waist circumference. They attended weekly sessions focusing on blood glucose self-monitoring, eating and exercising, taking medications, and managing complications. Statistically significant positive changes to A1C, BMI, weight, and WC show the effectiveness of intervention in promoting better DSME and the general health of patients with T2DM. These findings showed the effectiveness of intervention in promoting better DSME and the general health of patients with T2DM. The qualitative results demonstrated the feasibility of the intervention by utilizing educational messages that were appropriate for participants to enhance participation and confidence. These results endorse DSME as a suitable, evidence-based practice intervention for diabetes care and should be incorporated into standard care and advanced practice nursing.

keywords: Type 2 diabetes, diabetes education, self-management, diabetes self-care.

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