Publication Date

Spring 4-2016

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Danette Dutra

Second Advisor

Sunday Irene

Third Advisor

Stephanie Sanden

Keywords

Hispanic, Diabetes, Self-management

Abstract

Diabetes mellitus type 2 is an ever increasing threat to the health of people living in the United States, especially those of Hispanic ethnicity. This ethnic group is disproportionately afflicted with the chronic condition and is also more likely than non-Hispanic whites to suffer from serious complications of diabetes. This project examines this growing problem among Hispanics living in the Central Valley of California by exploring how best to structure diabetes self-management education in a network of community health centers.

The Social Cognitive Theory provides a theoretical basis for investigation into motivation for diabetes self-management. This needs assessment specifically explored data on barriers to diabetes care, patient education preferences, and existing diabetes knowledge by asking subjects to complete two low-literacy bilingual surveys. Ninety-four completed survey packets from two health center locations were received.

Data analysis revealed that the sample was relatively homogenous demographically. Education preferences showed strong support for individual education sessions with certified diabetes educators or patients’ regular medical providers, preferably Hispanic individuals. The need for diabetes education is supported by an average score of roughly 50% correct on the diabetes knowledge surveys. Recommendations resulting from this data center on utilizing diabetes educators within the health centers.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.