Interdisciplinary Gestational Diabetes Patient Education and Care Coordination Standardization Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/308334
Category:
Abstract
Type:
Presentation
Title:
Interdisciplinary Gestational Diabetes Patient Education and Care Coordination Standardization Project
Author(s):
Cronk, Elizabeth A.
Lead Author STTI Affiliation:
N/A
Author Details:
Elizabeth A. Cronk, RN, BSN, RNC-OB, Elizabeth.A.Cronk@kp.org
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Background

Management of gestational diabetes (GDM) during pregnancy is critical for the delivery of a healthy newborn and requires consistent and relevant patient education and coordinated interdisciplinary care. While prevalence in Oregon is approximately 5% and 30% of those women will develop Type 2 diabetes within five years after delivery, a lack of consistency of GDM patient care models was identified across eight ambulatory nursing sites.

 Purpose

Provide standardized, evidence-based GDM education and nursing care at Kaiser Permanente NW Obstetric clinics to ensure mothers receive consistent care and decrease the incidence of GDM related adverse outcomes.

Project activities

Nurse education, competency and care coordination varied between eight ambulatory nursing sites. An interdisciplinary team was established and pilot GDM group education visit co-facilitated by a nurse and dietician was initiated in March 2013. Pilot nurses utilized evidence based patient education strategies. Formal request for electronic case management tools submitted.

 Evaluation Methods

Administer Patient Activation Measure (PAM) survey and collect patient evaluations.

Evaluation results

Pilot through July 2013.  Staff report increased satisfaction with team-work. Patient evaluations of group education demonstrate high satisfaction. Conversely, 1:1 education using traditional didactic teaching technique reveals a theme of “too much information, overwhelming”.  As a result of the project, standardized nurse education and competency requirements will be implemented, enabling nurses to deliver patient education using evidence based techniques. Electronic case management tool project is approved and will improve prompt identification and treatment of increasing blood sugars contributing to decreasing GDM related adverse outcomes.

Assembling an interdisciplinary team facilitated an accurate view of current processes and provided resources contributing to development of evidence based pilot project.  Most pilot participants appreciated the opportunity to debrief emotions and clarify understanding with the nurse, dietician and other women with GDM.

Next steps

  • Develop and implement nurse competency plan.
  • Implement group education model regionally.
  • Build electronic case management tools.
Keywords:
Patient Education; Gestational Diabetes; Care Coordination
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleInterdisciplinary Gestational Diabetes Patient Education and Care Coordination Standardization Projecten_GB
dc.contributor.authorCronk, Elizabeth A.en_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsElizabeth A. Cronk, RN, BSN, RNC-OB, Elizabeth.A.Cronk@kp.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308334-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Background <p>Management of gestational diabetes (GDM) during pregnancy is critical for the delivery of a healthy newborn and requires consistent and relevant patient education and coordinated interdisciplinary care. While prevalence in Oregon is approximately 5% and 30% of those women will develop Type 2 diabetes within five years after delivery, a lack of consistency of GDM patient care models was identified across eight ambulatory nursing sites. <p> Purpose <p>Provide standardized, evidence-based GDM education and nursing care at Kaiser Permanente NW Obstetric clinics to ensure mothers receive consistent care and decrease the incidence of GDM related adverse outcomes. <p>Project activities <p>Nurse education, competency and care coordination varied between eight ambulatory nursing sites. An interdisciplinary team was established and pilot GDM group education visit co-facilitated by a nurse and dietician was initiated in March 2013. Pilot nurses utilized evidence based patient education strategies. Formal request for electronic case management tools submitted. <p> Evaluation Methods <p>Administer Patient Activation Measure (PAM) survey and collect patient evaluations. <p>Evaluation results <p>Pilot through July 2013.  Staff report increased satisfaction with team-work. Patient evaluations of group education demonstrate high satisfaction. Conversely, 1:1 education using traditional didactic teaching technique reveals a theme of “too much information, overwhelming”.  As a result of the project, standardized nurse education and competency requirements will be implemented, enabling nurses to deliver patient education using evidence based techniques. Electronic case management tool project is approved and will improve prompt identification and treatment of increasing blood sugars contributing to decreasing GDM related adverse outcomes. <p>Assembling an interdisciplinary team facilitated an accurate view of current processes and provided resources contributing to development of evidence based pilot project.  Most pilot participants appreciated the opportunity to debrief emotions and clarify understanding with the nurse, dietician and other women with GDM. <p>Next steps <ul> <li>Develop and implement nurse competency plan.</li> <li>Implement group education model regionally.</li> <li>Build electronic case management tools.</li> </ul>en_GB
dc.subjectPatient Educationen_GB
dc.subjectGestational Diabetesen_GB
dc.subjectCare Coordinationen_GB
dc.date.available2013-12-19T17:29:58Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:58Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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