Learning Objective #1: discuss the role of parish nursing in community-based health promotion. | |||
Learning Objective #2: identify five outcome measurements that may be explored to establish an evidence-base for parish nurse interventions with gestational diabetics. |
Objectives:
This poster will
illustrate a study that is being conducted to determine the effectiveness of a
community-based Parish Nurse education program for
patients with gestational diabetes on selected biological and psychosocial
outcome measures. Parish Nursing is
recently documented as a specialty involved with health promotion within a
religious setting. There is no current
literature on the application of Parish Nursing for health promotion in
pregnancy. It is hypothesized that the
study group, receiving a Parish Nurse education and support intervention, will
have lower HbA1c, fasting blood glucose levels, and incidence of macrosomia, increased scores on the Health Promoting
Lifestyle Profile II (HPLP II), the Spiritual Involvement and Beliefs Scale
Revised (SIBS-R), and less days of maternal and neonatal hospitalization than
the control group, post-intervention.
Theoretical
Framework:
The theoretical
framework for this study is the Adapted Model for Health Promotion Outcomes
adapted from Holzemer's Outcomes Model for Healthcare
in conjunction with Nola Pender's Revised Health Promotion Model intended to
support the needs of a vulnerable population of Mexican-American women with
gestational diabetes.
Methodology:
An experimental,
between-subjects longitudinal design will be used to test the effect of a
Parish Nurse intervention on specific outcome measures for gestational diabetes
in the experimental group. Parish
Nursing is being tested as a community-based, low-cost health services alternative
for delivery of education to a vulnerable population of Mexican-American
women. Sample size is anticipated to be 100
with randomization into experimental and control groups. All subjects will receive the current
standard education offered to pregnant women diagnosed with gestational
diabetes, the Sweet Success Program of the California Diabetes and Pregnancy
Program (CDAPP). The study intervention
will be applied as a one-hour education session to include reinforcement of the
Sweet Success education. Data analysis
will include measures of central tendency and analysis of covariance.