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Evidence-Based Diabetic Discharge Gu...

Scarlett, Marjorie V.

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Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative to Promote Nurses' Adherence.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative to Promote Nurses' Adherence./
作者:	Scarlett, Marjorie V.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2017,
面頁冊數:	87 p.
附註:	Source: Dissertation Abstracts International, Volume: 79-07(E), Section: B.
Contained By:	Dissertation Abstracts International79-07B(E).
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10685982
ISBN:	9780355614176

Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative to Promote Nurses' Adherence.
Scarlett, Marjorie V.

Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative to Promote Nurses' Adherence. - Ann Arbor : ProQuest Dissertations & Theses, 2017 - 87 p.

Source: Dissertation Abstracts International, Volume: 79-07(E), Section: B.

Thesis (D.N.P.)--Nova Southeastern University, 2017.

Background: Diabetes mellitus (DM) affects more than 29.1 million Americans. Standardized clinical practice guidelines recommended by regulatory healthcare agencies are the standard of care for diabetic patients and must be adhered to by healthcare professionals providing care.

ISBN: 9780355614176Subjects--Topical Terms:

528444
Nursing.

Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative to Promote Nurses' Adherence.
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245 1 0 $a Evidence-Based Diabetic Discharge Guideline: A Standardized Initiative to Promote Nurses' Adherence.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2017
300 $a 87 p.
500 $a Source: Dissertation Abstracts International, Volume: 79-07(E), Section: B.
500 $a Adviser: Kelly Goebel.
502 $a Thesis (D.N.P.)--Nova Southeastern University, 2017.
520 $a Background: Diabetes mellitus (DM) affects more than 29.1 million Americans. Standardized clinical practice guidelines recommended by regulatory healthcare agencies are the standard of care for diabetic patients and must be adhered to by healthcare professionals providing care.
520 $a Purpose: The purpose of this quality improvement project was to identify Centers for Medicare and Medicaid Services', Joint Commission on Accreditation of Healthcare Organization's, and other professional healthcare organizations' guidelines for nurses' knowledge of evidence-based discharge practices; determine level of nurses' knowledge on evidence-based discharge practice process; develop a quality improvement plan, including development of an evidence-based guideline for diabetic discharge instructions; present guideline to stakeholders; implement the guideline in fall of 2017; and evaluate nursing compliance with the guideline at a for-profit adult care hospital in South Florida.
520 $a Theoretical Framework: The chronic care model was utilized as the framework. This model has been used for improving practice and preventing many chronic illnesses.
520 $a Methods: Two quantitative nonparametric descriptive designs were used, the Wilcoxon signed- rank test and a paired t test. An online demographic survey and pre- and posttest surveys were administered to determine nurses' knowledge of diabetes discharge guideline practices. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) evaluation tool evaluated the guideline, and data were analyzed with Wilcoxon and paired t tests.
520 $a Results: A statistically significant difference was found in the pre-posttest survey responses for question 5 (p = 0.046 Wilcoxon; p = 0.041t test), and question 13 (p = 0.022 Wilcoxon; p = 0.018 t test), indicating improvement. With the AGREE II tool, the multidisciplinary team evaluated the guideline at 100%, and 76% of Advanced Practice Registered Nurses (APRNs) and Registered Nurses (RNs) demonstrated compliance with guideline use.
520 $a Conclusion: A standardized diabetic discharge guideline incorporated into the hospital's discharge process provided APRNs and RNs with tools for educating and providing diabetic patients for increase in quality of life after discharge. The guideline was recommended by the administrative team for continued use throughout the hospital. Implementation of an evidence-based standardized diabetic discharge guideline to promote nurses' adherence results in effective nursing practices and an informed patient population.
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