Date of Award

Spring 5-10-2019

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)

First Advisor

Dr. Ashleigh A. Heter, DNP, APRN, FNP-C, School of Nursing

Second Advisor

Dr. Amy L. Hite, DNP, APRN, FNP-C, School of Nursing

Third Advisor

Dr. Greg Belcher, KCCTE & Professor

Fourth Advisor

Dr. Amanda Alonzo, Ph.D., MSN, CNE, School of Nursing


Diabetes is a significant clinical issue in the primary care setting. Providers struggle to overcome barriers to facilitate therapeutic interventions for populations served. The specific aim of this study was to assess group diabetes self-management education from a patient perspective. Evaluation of diabetes knowledge and confidence of diabetes management was conducted in rural primary care clinics. This study utilized a one-group pretest-posttest design to patients receiving group diabetes self-management education in Southeast Kansas rural primary care clinics by a certified diabetes educator. The surveyed population included individual’s ages 18-65 with prediabetes, type 1, or type 2 diabetes who received DSME education between December 1, 2018, and February 28, 2019, at five rural primary care clinics in Southeast Kansas. A paired t-test was run on a sample of 31 DSME participants to determine whether there was a statistically significant mean difference between pretest and posttest scores of diabetes knowledge and confidence before and after DSME. The project results showed an increase between pre and post diabetes knowledge of 1.2 points and an increase in self-management confidence of 1.3 points. These findings determine that DSME can be beneficial for increasing diabetes knowledge and confidence in diabetes management.

Included in

Nursing Commons