Date of Award

12-2009

Degree Name

Master of Science in Nursing

Department

Nursing

First Advisor

Dr. Mary Ann Stark

Second Advisor

Dr. Linda Zoeller

Third Advisor

Dr. Kieran Fogarty

Access Setting

Masters Thesis-Campus Only

Abstract

Type 2 Diabetes Mellitus (DM) is a life-changing disease that affects over 24 million people in the United States and is associated with life-threatening complications including neuropathy, retinopathy, and kidney disease. African-Americans experience 90% more nontraumatic lower extremity amputations than their Caucasian counterparts. It is incumbent upon the primary care provider/s (PCP/s) to implement evidence-based practice in an effort to monitor for early signs of complications.

The purpose of this master's thesis is to test the effectiveness of a nurse facilitator to enable best practice in a clinic setting. The research question was: Does a nurse facilitator intervention increase the performance of the comprehensive annual foot exam with monofilament testing by PCPs for African-American patients with Type 2 DM?

A quantitative pretest and posttest intervention study was performed followed by a retrospective chart audit to determine the frequency of foot exams for patients diagnosed with DM. A statistically significant difference in the incidence of comprehensive foot exams performed between Phase 1 (pre-intervention) and Phase 2 (post-intervention) was found. The findings supported the nurse facilitator intervention in this study.

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