Semester

Fall

Date of Graduation

2024

Document Type

Problem/Project Report

Degree Type

DNP

College

School of Nursing

Committee Chair

Angel Smothers

Committee Member

Mary Sas

Committee Member

D'Arcy Alt

Committee Member

Antanette Murphy

Abstract

Introduction/Background: Diabetes affects a large portion of Americans and West Virginians annually. Inpatient hospitalization provides an opportunity to provide evidence-based diabetes education to patients. A lack of access to diabetes education at rural hospitals across the United States exists, creating a need for patients who require education while hospitalized. An intervention needs to be explored to bridge the gap for patients that need education when the diabetes educator is not available.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project is to create and implement a video micro-learning diabetic education series that can be utilized for diabetes self-management education in a rural, critical access facility in West Virginia.

Intervention: A series of short “micro-learning” videos were created focusing on diabetes survival skills and the Association of Diabetes Care and Education Specialists (ADCES) 7 Self-Care behaviors. These micro-learning videos were placed on a YouTube platform that could be accessed through a project-supplied/unit-supplied tablet that was then shown to adult medical-surgical patients with a history of type 2 diabetes or admitted with a diabetes related diagnosis at a rural, critical access facility in West Virginia.

Methods: Nursing staff was surveyed post-implementation to determine successes and barriers to education implementation. Patients were provided with a post-education survey focusing on self-efficacy, knowledge questions, as well as accessibility questions rating the quality of the educational materials. The Plan-Do-Study-Act (PDSA) model for quality improvement measures was used as a theoretical framework for the project.

Results: Patients demonstrated positive self-efficacy scores and overall satisfaction with the educational content after completing the micro-learning education when offered by the DNP student. Whereas the project was not well implemented by nursing staff due to staffing concerns and perceptions regarding lack of interest and priority.

Conclusions: Micro-learning education offers the potential to improve patient’s perception of self-efficacy and knowledge as it pertains to their diabetes. However, the platform was not widely used by nursing staff. Further evaluation is needed to apply the use of micro-learning diabetes education in other settings.

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