Multi-Faceted Approach to Increase Type 2 Diabetes Mellitus Screening in Children

2.50
Hdl Handle:
http://hdl.handle.net/10755/335533
Category:
Abstract
Type:
Presentation
Title:
Multi-Faceted Approach to Increase Type 2 Diabetes Mellitus Screening in Children
Author(s):
Bacani, Grace Carla; Hawkins, Shelley; Helgesen, Kathleen
Lead Author STTI Affiliation:
Non-member
Author Details:
Grace Carla Bacani, RN, BS, gbacani@sandiego.edu; Shelley Hawkins, PhD, DSN, MSN; Kathleen Helgesen, MSN
Abstract:
Session presented on Sunday, July 27, 2014: Purpose/Aim: The purpose of this evidence-based practice project is to increase type 2 diabetes mellitus (T2DM) screening in a pediatric primary care clinic. Background/Rationale:  The prevalence of pediatric T2DM continues to escalate, increasing from 9% in 1999 to 23% in 2008. Minimal, or absence of, screening leads to insufficient detection of the disease, increased diabetes exposure, and increased risks for long-term complications. Poor screening can be attributed to the lack of provider adherence to clinical practice guidelines (CPG), including diabetes screening guidelines. Computerized protocol sets, provider reminders, and patient cues have been shown to increase provider adherence to CPG. According to the American Diabetes Association (ADA), as many as 62% of children eligible are not screened. In the project facility, there was no screening protocol in use. Best Practice: The purpose of this evidence-based practice project is to increase provider screening for T2DM by 10% at a pediatric primary care clinic in southern California. A multi-faceted approach was implemented, including the incorporation of a computerized T2DM screening protocol based on ADA guidelines into the electronic medical record system. Paper-based provider reminders on ADA screening criteria were also displayed in provider workspaces, while visual patient cues regarding screening eligibility were displayed in the waiting and patient rooms. The screening rates for T2DM based on ADA criteria were determined three months before and after implementation. Outcomes: In progress. Upon completion of the project, it is anticipated there will be at least a 10% increase in provider screening for T2DM patients at the pediatric primary care clinic. Conclusions: A multi-faceted approach should increase provider adherence to ADA guidelines for screening T2DM in children. Increased T2DM screening in children should increase detection of the disease, yielding greater opportunities for early interventions, and decreased morbidity and mortality in this increasingly susceptible population.
Keywords:
pediatrics; interventions; type 2 diabetes screening
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe 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.titleMulti-Faceted Approach to Increase Type 2 Diabetes Mellitus Screening in Childrenen_GB
dc.contributor.authorBacani, Grace Carlaen_GB
dc.contributor.authorHawkins, Shelleyen_GB
dc.contributor.authorHelgesen, Kathleenen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsGrace Carla Bacani, RN, BS, gbacani@sandiego.edu; Shelley Hawkins, PhD, DSN, MSN; Kathleen Helgesen, MSNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335533-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose/Aim: The purpose of this evidence-based practice project is to increase type 2 diabetes mellitus (T2DM) screening in a pediatric primary care clinic. Background/Rationale:  The prevalence of pediatric T2DM continues to escalate, increasing from 9% in 1999 to 23% in 2008. Minimal, or absence of, screening leads to insufficient detection of the disease, increased diabetes exposure, and increased risks for long-term complications. Poor screening can be attributed to the lack of provider adherence to clinical practice guidelines (CPG), including diabetes screening guidelines. Computerized protocol sets, provider reminders, and patient cues have been shown to increase provider adherence to CPG. According to the American Diabetes Association (ADA), as many as 62% of children eligible are not screened. In the project facility, there was no screening protocol in use. Best Practice: The purpose of this evidence-based practice project is to increase provider screening for T2DM by 10% at a pediatric primary care clinic in southern California. A multi-faceted approach was implemented, including the incorporation of a computerized T2DM screening protocol based on ADA guidelines into the electronic medical record system. Paper-based provider reminders on ADA screening criteria were also displayed in provider workspaces, while visual patient cues regarding screening eligibility were displayed in the waiting and patient rooms. The screening rates for T2DM based on ADA criteria were determined three months before and after implementation. Outcomes: In progress. Upon completion of the project, it is anticipated there will be at least a 10% increase in provider screening for T2DM patients at the pediatric primary care clinic. Conclusions: A multi-faceted approach should increase provider adherence to ADA guidelines for screening T2DM in children. Increased T2DM screening in children should increase detection of the disease, yielding greater opportunities for early interventions, and decreased morbidity and mortality in this increasingly susceptible population.en_GB
dc.subjectpediatricsen_GB
dc.subjectinterventionsen_GB
dc.subjecttype 2 diabetes screeningen_GB
dc.date.available2014-11-17T13:54:29Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:29Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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