Satisfaction Among Adult Inpatients with Diabetes When Glycemic Control is Managed by a Nurse Practitioner Led Diabetes Management Team

Monday, 31 October 2011

Nanci K. Gasiewicz, DNP, MSN, BSN, RN
School of Nursing, Northern Michigan University, Marquette, MI

Learning Objective 1: The learner will be able to identify the effect of nurse practitioner led inpatient diabetes management teams on the outcome measure of satisfaction with care.

Learning Objective 2: The learner will be able to identify client satisfaction with care as fundamental to quality health care delivery.

              Evaluation of quality of care and effectiveness of treatment are measured in outcomes.  Client satisfaction is an outcome measure of quality healthcare and can be viewed as a dependent variable of quality of care, as well as, a predictor of subsequent health related behaviors (Cox, Mclaughlin, Steen, & Hudson, 2006).  According to Brice (1994) client satisfaction with nursing care is the most important predictor of clients’ overall satisfaction with hospital care.  Thus, client satisfaction is fundamental to quality health care delivery.

               Nurse practitioner (NP) led chronic disease management teams are taking the lead in providing quality health care in outpatient and clinic settings (Bryant & Graham, 2002).  However, little is known about client satisfaction among inpatients with diabetes when glycemic control is managed by NP led teams.  Consequently, the primary goal of this descriptive correlational study was to determine baseline levels of client satisfaction for a newly formed NP led inpatient diabetes management team. 

               The Interaction Model of Client Health Behavior (IMCHB) provided the theoretical framework that guided this study (Cox, 1982).  The IMCHB provides a systematic framework for coordination of care services and evaluation of outcomes, consistent with a NP model of care delivery.

               Two statistically significant differences existed between groups with varying levels of education, and participants with the highest level of education reported the most satisfaction with NP led care.  Total satisfaction scores indicated moderate levels of satisfaction with NP led diabetes management teams in the inpatient setting.

               Study results support use of NP led diabetes management teams in the inpatient setting to facilitate optimal health outcomes, like satisfaction with care.  Dissemination of these findings will serve to validate advanced practice nursing and add to the body of knowledge unique to the discipline of nursing, while also facilitating optimal health outcomes among inpatient populations with chronic disease.