Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2022


Doctor of Nursing Practice (DNP)

Primary Advisor

Qiuping (Pearl) Zhou, PhD, RN; Lauren Nash, MSN, FNP-C, DNP


Type 2 Diabetes; family medicine residency clinic (FMRC)


Background: The family practice providers at the family medicine residency clinic (FMRC) have neither sufficient time nor continuity of care to provide diabetes education to effectively reduce A1c levels. The FMRC has 500 multicultural type 2 diabetes patients with an A1c >7% that has increased by 23.2% in the previous five months. Multiple studies have demonstrated that structured diabetes education can significantly decrease blood glucose readings, improve self-care management, and diabetes knowledge to attain optimal glycemic control.

Objectives: To implement an evidence-based practice (EBP) project in the FMRC to improve participants blood glucose readings, self-care management, and diabetes knowledge.

Methods: A four-week, pre-post, same subject project was conducted in the FMRC. The intervention was a 40-minute structured group diabetes education delivered face-to-face. Outcome measures include self-monitored blood glucose, self-care management, and diabetes knowledge. Based on statistical power analysis, a convenience sample of 21 type 2 diabetes patients with an A1c >7% were recruited. Participants’ age ranged from 38 to 82 years old with 71% of the participants African American or Hispanic.

Results: The 7-day average Self-Monitored Blood Glucose (SMBG) decreased from 168.76 mg/dl to 155.05 mg/dl, t=3.97, p<0.001. The modified Diabetes Knowledge Test (DKT) scores improved from 64.55% to 78.84%, t=5.04, p<0.001. The improvement in Diabetes Self- Management Questionnaire (DSMQ) scores was not statistically significant (pre=33.95, post=35.52, p=0.169); however, power analysis showed a small effect size (d=0.28).

Conclusion: The study found that structured group diabetes education was an effective intervention among type 2 diabetes patients in the multicultural setting to improve SMBG and diabetes knowledge.

Open Access


Included in

Nursing Commons



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