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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends


Intensive therapy, self-management, long-term care


In the United States, there are currently 25.8 million people who have diabetes. Co-morbidities related to this chronic disease include heart disease, stroke, blindness, amputation, and renal failure in adults. Diabetes is a health disparity that affects 6.9% of South Dakotans over the age of 17. Treatment and prevention are important in reducing these numbers. Intensive therapy and self-management of diabetes has been shown to prevent long-term complications. Studies indicate a gap in nursing knowledge related to diabetes. Even with technological advancements in prevention and treatment of chronic diseases, services continue to lag behind these advancements which negatively impacts provision of appropriate education for diabetics. The ACE star model, transtheoretical model of change, and chronic care model have been utilized to guide educational intervention of healthcare providers in South Dakota to meet the needs of the diabetic. The study used a one group pre- and post-test quasi-experimental design to measure the effect of an educational intervention on nurses providing care to diabetic patients in health care settings. Education has been provided on current trends, issues, self-management, intensive therapy and therapies regarding diabetes management in long-term care. Results show that the nursing knowledge of diabetes in the study group was at a mean score of 7.48. After intervention this improved to a mean score of 8.14. This indicates the need for improved knowledge of diabetes and the impact education has on this knowledge.

Library of Congress Subject Headings

Diabetes -- Education
Diabetes -- Nursing
Patient education
Self-care, Health


Includes bibliographical references (pages 47-52)



Number of Pages



South Dakota State University


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