Poster Presentation

Friday, July 13, 2007
9:30 AM - 10:15 AM

Friday, July 13, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation III
A Community-Based Parish Nurse Education Program for Gestational Diabetics
Sherri Mendelson, RNC, MS, IBCLC1, Donna McNeese-Smith, RN, EdD, CNAA2, Deborah Koniak-Griffin, RNC, EdD, FAAN2, Adeline Nyamathi, RN, PhD, FAAN2, and Michael C. Lu, MD, MPH3. (1) Obstetrics Department/School of Nursing, Providence Holy Cross Medical Center/University of California, Los Angeles, Mission Hills, CA, USA, (2) School of Nursing, University of California, Los Angeles, Los Angeles, CA, USA, (3) Schools of Medicine and Public Health, University of California, Los Angeles, Los Angeles, CA, USA
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.







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.



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.