Evidence-based practice change: Implementation of a collaborative practice model for diabetes
View File(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Edwards, Emma L. by View
Title | Page Views |
---|
Popular Works for Edwards, Emma L. by Download
Title | Downloads |
---|
View Citations
Citations
Background: The prevalence of type II diabetes mellitus (T2DM) in the United States is high, especially in underserved populations. Many patients with T2DM do not receive the optimal interprofessional collaborative care that has been shown to improve outcomes. A model of care that incorporates these evidence-based recommendations is integral to improving the quality of diabetes care. A growing body of literature identifies the use of a provider-clinical pharmacist collaborative practice (P-CPCP) model of care as an effective, innovative, and evidence-based practice that will improve patient outcomes.
Purpose: In response to an identified need to improve T2DM patient care in an urban community health clinic (CHC), the purpose of this project was to implement a P-CPCP model of care. The expected outcomes included (a) increase the number of patients with T2DM that are referred to a clinical pharmacist; (b) improve provider satisfaction with the collaborative process; and (c) implement the P-CPCP model of care across all CHC agency clinics in the network to ensure the delivery of high-quality, evidence-based patient care.
Design and Analysis: A quality improvement (QI) design was used and incorporated a rapid improvement cycle of plan-do-study-act (PDSA). After identification of a gap in care and analysis of the evidence, the QI project was created. A provider education module was presented and followed by a chart audit of electronic medical records (EMR) of patients with T2DM. These charts were examined to determine pre- and post-implementation usage of the model. Provider satisfaction and perceived effectiveness of the P-CPCP model was assessed using a brief electronic survey. Descriptive statistics and a cross tabulation analysis are presented to show the effectiveness of the model for increasing the number of referrals to the clinical pharmacist and the number of patients seen by the clinical pharmacist in both pre and post groups, as well as to describe the most used pharmacist interventions and provider perceptions of the model.
Results: The P-CPCP model increased utilization of the clinical pharmacist in diabetes care. Following implementation of the model referrals increased by 210%. The provider survey demonstrated an increase in provider satisfaction with collaboration, the usefulness of the model, and sustainability of the model. Of the pharmacist interventions, medication reconciliation education (MRE) was perceived as the most frequently used.
Conclusions: This doctor of nursing practice (DNP) project reflects evidence-based practice methods on interprofessional collaboration and provides new insight into the implementation of a collaborative practice model and the role of the clinical pharmacist as a valued member of the collaborative team. Consistent use of the P-CPCP model of care improved provider satisfaction with the collaborative process, increased the number of patients referred to the clinical pharmacist, and led to the standardization of diabetes management at a CHC.
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Other |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Pharmacist; Evidence-based Practice; Patient Care Team; Collaborative Practice; Model of Care; Provider Satisfaction; Interprofessional Practice; Diabetes |
CINAHL Subject(s) | Professional Practice, Evidence-Based; Quality Improvement; Diabetes Mellitus; Multidisciplinary Care Team; Collaboration; Patient Care; Patient Care--Methods; Patient Satisfaction; Interprofessional Relations; Pharmacists |
Grantor | Northern Arizona University |
Advisor | Watkins, Katherine Dolan |
Level | DNP |
Year | 2017 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Improving health outcomes for surgical patient in Nicaragua: Empowering nurses participating in a multidisciplinary cleft lip and palate team implementing evidence-based practice solutions
Pfaff, Teresa A.; Perez, Maria Julia; Terry, Anina; Gomez, Carmen Maria Urruita (2014-11-17)Session presented in Saturday, July 26, 2014: In Nicaragua, the increase in those suffering from the congenital malformation of cleft lip and palate has bee seen across a diverse range of socio-economic levels. Although ... -
Utilizing a team-based approach to improve hypertension management in a medical home practice
Nicholas, CadeliaHypertension is one of the leading causes of heart disease in the United States. Currently, there are about 80 million Americans who have a diagnosis of hypertension. As the rates of patients diagnosed with hypertension ... -
Application of evidence-based practices to global interprofessional collaborations aimed at reducing hearing-related health disparities
Page, Tracey Smith (2017-07-13)Purpose: This presentation will provide an overview of the evidence based interventions and practices utilized in the development and implementation of a sustainable community owned hearing screening program for ... -
From controversy to coherence: Implementing a DNP/PhD partnership model to improve research and evidence-based practice
NeSmith, Elizabeth; Medeiros, Regina (2012-01-04)According to the American Association of Colleges of Nursing, the Doctor of Nursing Practice (DNP) role was developed in part to partner with Doctor of Philosophy (PhD) nurse researchers to inform and implement new discoveries ... -
Collaboration to improve regional clinical outcomes: Accelerating the implementation of evidence-based practice
Weeks, Susan Mace (2016-07-13)Session presented on Saturday, July 23, 2016: The implementation of Evidence Based Practice is widely recognized as crucial to improving healthcare practice and outcomes; however, the challenges to achieving care truly ...