2.50
Hdl Handle:
http://hdl.handle.net/10755/163407
Category:
Abstract
Type:
Presentation
Title:
Diabetes Disease Management in a Home Care Setting
Author(s):
Dalton, Joanne
Author Details:
Joanne Dalton, APRN, BC, Assistant Professor, Adelphia University College of Nursing and Health Sciences, Boston, Massachusetts, USA, email: jmdalton@adelphia.net
Abstract:
Purpose: The purpose of this program evaluation project is to determine which one of three different approaches to diabetes care in home healthcare improves self-care better. Theoretical Framework: Orem's Self-Care Deficit Theory of Nursing provides the conceptual framework for this study. The diagnosis of diabetes challenges a patient's self-care agency. Self-care agency is influenced by basic conditioning factors (patient characteristics) and power components (capabilities that empower the patient to perform self-care activities) as well as nursing systems (diabetes disease management). When self-care agency is not adequate, a self-care deficit occurs. In this project, seven variables represent self-care deficit: emergent care, emergent care reason, inpatient facility admission, reason for hospital admission, patient disposition at time of discharge, discharge blood sugar level, and recorded blood sugar meets ADA standards. Methods (Design, Sample, Setting, Measures, Analysis): This project has a retrospective, non-experimental, three-group design. Group 1 (n=65) received the experimental Diabetes Disease Management Program (DMP), and data have been collected for this group of patients. Two additional purposive samples of (n=65 each group) adult home healthcare patients who are 18 years and older with Type 1 or 2 diabetes as their primary home care diagnosis will be included in the project. Group 2 will have received diabetes services during a Diabetes Learning Collaborative (DLC) and Group 3 will have received standard diabetes home care. Groups 2 and 3 data will be collected retrospectively from three sources: clinical records, the agency's billing system, and the Outcomes Assessment Information Set (OASIS). Frequencies, measures of central tendency, chi-square analyses, and Kruskal-Wallis tests will be completed to examine the differences among the three groups. Logistic regression will be performed to examine the effects of the experimental DDMP, DLC, and current diabetes care discharge self-care deficit. The level of significance will be .05. Results: Data collection and analysis are ongoing. Conclusions and Implications: No conclusions can be determined at this time.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDiabetes Disease Management in a Home Care Settingen_GB
dc.contributor.authorDalton, Joanneen_US
dc.author.detailsJoanne Dalton, APRN, BC, Assistant Professor, Adelphia University College of Nursing and Health Sciences, Boston, Massachusetts, USA, email: jmdalton@adelphia.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/163407-
dc.description.abstractPurpose: The purpose of this program evaluation project is to determine which one of three different approaches to diabetes care in home healthcare improves self-care better. Theoretical Framework: Orem's Self-Care Deficit Theory of Nursing provides the conceptual framework for this study. The diagnosis of diabetes challenges a patient's self-care agency. Self-care agency is influenced by basic conditioning factors (patient characteristics) and power components (capabilities that empower the patient to perform self-care activities) as well as nursing systems (diabetes disease management). When self-care agency is not adequate, a self-care deficit occurs. In this project, seven variables represent self-care deficit: emergent care, emergent care reason, inpatient facility admission, reason for hospital admission, patient disposition at time of discharge, discharge blood sugar level, and recorded blood sugar meets ADA standards. Methods (Design, Sample, Setting, Measures, Analysis): This project has a retrospective, non-experimental, three-group design. Group 1 (n=65) received the experimental Diabetes Disease Management Program (DMP), and data have been collected for this group of patients. Two additional purposive samples of (n=65 each group) adult home healthcare patients who are 18 years and older with Type 1 or 2 diabetes as their primary home care diagnosis will be included in the project. Group 2 will have received diabetes services during a Diabetes Learning Collaborative (DLC) and Group 3 will have received standard diabetes home care. Groups 2 and 3 data will be collected retrospectively from three sources: clinical records, the agency's billing system, and the Outcomes Assessment Information Set (OASIS). Frequencies, measures of central tendency, chi-square analyses, and Kruskal-Wallis tests will be completed to examine the differences among the three groups. Logistic regression will be performed to examine the effects of the experimental DDMP, DLC, and current diabetes care discharge self-care deficit. The level of significance will be .05. Results: Data collection and analysis are ongoing. Conclusions and Implications: No conclusions can be determined at this time.en_GB
dc.date.available2011-10-27T11:07:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:02Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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