Monitoring Prediabetes Screening in Two Primary Care Offices in Rural Appalachia: A Quality Improvement Process
| Autor: | Jean Croce Hemphill, Rebecca Teresa Clark, Christine M. Mullins |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Quality management Referral business.industry Health Policy Nutrition Education Population 030209 endocrinology & metabolism Overweight medicine.disease 03 medical and health sciences 0302 clinical medicine Weight loss Family medicine Medicine 030212 general & internal medicine Prediabetes medicine.symptom Family history business education General Nursing |
| Zdroj: | Journal of Doctoral Nursing Practice. 14:64-73 |
| ISSN: | 2380-9426 2380-9418 |
| DOI: | 10.1891/jdnp-d-20-00027 |
| Popis: | BackgroundOne-third of the U.S. population has prediabetes, but 90% remain undiagnosed because healthcare providers are not screening for this condition.ObjectiveThe purpose of this quality improvement project was to monitor prediabetes screening and identification, and implement evidence-based recommendations including registered dietician referral.MethodsThis project involved using an evidence-based screening tool to measure individual risk of prediabetes. Aggregate data was collected to evaluate screening implementation, evidence-based recommendations offered by providers, and assess patient risk factors.ResultsThe percentage of patients at risk for prediabetes was 41.3% (n = 111). The most frequent risks were identified as overweight, history of hypertension, family history of type 2 diabetes mellitus (T2DM), and older age. Providers offered education on weight loss 68.5% (n = 76) and exercise 76.6% (n = 85) but referred 33.3% (n = 37) patients for nutrition education. The screening rates were 52.3% (n = 176) and 72.5% (n = 244) in clinics A and B respectively.ConclusionsA gap remains in using evidence-based recommendations to decrease risk of prediabetes. Prediabetes screening identified a greater percentage of persons in this population.Implications for NursingThere is a need for consistent practice of evidence-based recommendations. This project set the benchmark for future efforts to educate, encourage, and measure providers successes. |
| Databáze: | OpenAIRE |
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