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Learning Objective 1: Define the scope of the diabetes problem in the United States
Learning Objective 2: Discuss the clinical implications for Advance Practice Nurses and Nurses who treat and manage diabetes in medically underserved populations
Purpose: A prospective, RCT was conducted to evaluate diabetic health outcomes of two groups of Hispanic participants. Experimental group received standard diabetic care as defined by the American Diabetes Association (ADA) and additional culturally tailored group diabetic education in Spanish; Control group received standard diabetic care.
ROL: Diabetes currently affects 23.6 million Americans of which 5.7 million are in the pre-diabetic state. Predictions are that one in three children born in the US will develop diabetes. Diabetes is a major public health problem, affecting approximately 8% in the USA. Data from the CDC show that Hispanics develop diabetes at twice the rate of the general population. According to the ADA, implementation of evidence-based care for diabetics has been suboptimal in many settings and the majority of diabetic patients are not receiving recommended levels of care.
Summary: The DNP, FNP-BC implemented a culturally tailored diabetes education program, to improve diabetic outcomes in the Hispanic population. Diabetic patients were randomized to two groups. Group A received standard diabetic care per ADA guidelines for six months and four hours of culturally tailored diabetic education in Spanish. Group B received standard diabetic care for six months. A1C, weight, BMI, and blood pressure were measured at the beginning and end of the 6 month evaluation period. Outcome measurements were compared using SPSS and found to be statistically significant.
Implications: This study is significant because it identified whether culturally tailored diabetic education taught in Spanish promoted a reduction in complications by reducing A1C, weight, BMI and BP, thereby improving the quality of life for Hispanics. There is the potential to contribute by improving the quality of life for diabetic, Hispanic patients locally, nationally and internationally due to this population’s mobility. Findings will contribute to nursing’s body of knowledge about culturally tailored Spanish diabetic group education and may be generalizable to nurses who deliver care to Hispanic patients with DM.
See more of: Oral Paper & Poster: Evidence-Based Practice Contest