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dc.contributor.authorBeatty, Jonathan R.
dc.date.accessioned2021-01-08T19:11:52Z
dc.date.available2021-01-08T19:11:52Z
dc.date.issued2020-12-01
dc.identifier.urihttp://hdl.handle.net/11122/11704
dc.descriptionA Project Submitted in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF NURSING PRACTICE University of Alaska Anchorage December 2020 APPROVED: Sharyl Eve Toscano PhD, RN, Committee Chair Sarah Llewellyn PhD, RN, Committee Member Denise K. Stiltner, DNP, FNP-C, Committee Member Carla Hagen PhD, MPH, RN, Director School of Nursing Jeff Jessee, Dean College ofen_US
dc.description.abstractType 2 Diabetes is responsible for a global public health burden and affects an estimated 30 million people in the United States, many of whom have difficulty reaching glycemic targets. Approximately 15 percent of the diabetic patients in the Family Health Clinic have an A1C above 8.0. Telemedicine shows promise in improving glycemic control and enhancing access to care. Current literature supports the use of telemedicine to improve glycemic outcomes. The purpose of this project was to assess the acceptability and effectiveness of a provider implemented intense telephonic follow-up program on glycemic outcomes and self-management of patients with uncontrolled Type 2 Diabetes. This quality improvement project used a pre-test post-test design using laboratory and survey data collection methods to measure hemoglobin A1C, diabetes self-care, and a post-test provider satisfaction survey. Over a 3-month period, patients meeting criteria for the intervention were provided with telephonic provider follow-up visits at 2-3 week intervals including education on lifestyle changes, medication management and self-care. The mean change in A1C was statistically and clinically significant. The mean change in total self-care survey score was also significant. The data indicated that utilization of telemedicine follow-up improved clinical outcomes for Type 2 Diabetics.en_US
dc.description.tableofcontentsTitle Page / Abstract / Table of Contents / List of Figures / List of Tables / List of Appendices / Chapter 1: Overview of the Problem / Chapter 2: Review of the Literature / Chapter 3: Organizational Framework / Chapter 4: Design and Methods / Chapter 5: Implementation / Chapter 6: Outcomes and Data Analysis / Chapter 7: Implications for Nursing Practice / Chapter 8: Summary and Conclusion / References / Appendicesen_US
dc.language.isoen_USen_US
dc.publisherUniversity of Alaska Anchorageen_US
dc.subjecttelemedicineen_US
dc.subjectdiabetes mellitus type 2en_US
dc.subjectA1Cen_US
dc.subjecttelehealthen_US
dc.subjectself-managementen_US
dc.titleA Telemedicine Follow Up Program to Improve Glycemic Outcomes For Patients With Uncontrolled Type 2 Diabetesen_US
dc.typeReporten_US
refterms.dateFOA2021-01-08T19:11:53Z


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