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University of San Francisco

Increasing Participation of Diabetes Patients in Diabetes Self-Management by Identifying Barriers Hindering the Achievement of Diabetes Self-Management Behaviors in a Medical-Surgical Unit

Abstract

dc:description.abstract

<p>The overall goal of my CNL project was to increase participation of diabetic patients in diabetes self-management education (DSME) by at least 20%, by identifying and addressing barriers and obstacles hindering the achievement or maintenance of diabetes self-management behaviors in a medical-surgical unit. A total of 20 diabetic patients completed both the pre – and pot-test questionnaires; 40% of participants were Asian Americans, 30% were African Americans, 20% were Hispanics, 10% were Caucasians.</p> <p>A pre- test questionnaire was administered to identify the barriers susceptible to hinder the achievement of diabetes self-care behaviors. The main barriers identified include the limited accessibility and the high cost of healthy foods, the inability to read food labels, the lack of knowledge about carbohydrate counting, the lack of social support, the lack of time and lack of motivation, the lack of knowledge of self-care procedures including blood glucose monitoring, medication management, poor problem-solving skills, maladaptive coping mechanisms, and the lack of knowledge of acute complications. Following the pre-test, an intervention consisting of education of patients in diabetes self-management was implemented to address the identified barriers. The goal of the education was to improve the overall health status by empowering diabetes patients to acquire knowledge, learn skills, develop the appropriate behaviors, develop the problem-solving and coping skills to overcome the barriers and obstacles identified.</p> <p>Following the intervention, over 50% of participants agreed to be able to make improvements in diabetes self-management behaviors. Most of them did change their self-management behaviors; others started reflecting on it.</p>

Degree

thesis:*
Name thesis:degree_name
Master of Science in Nursing (MSN)
Level thesis:degree_level
Project/Capstone - Global access
Year dc:date.available
2017

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • NJOMO, FRANCOIS

Subjects

dc:subject × 3

Identifiers

dc:identifier.*
Repository record dc:identifier
https://repository.usfca.edu/capstone/625
OAI identifier oai:identifier
oai:repository.usfca.edu:capstone-1648

Chain of custody

source
Harvested from
University of San Francisco
Base URL
repository.usfca.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

NJOMO, FRANCOIS. Increasing Participation of Diabetes Patients in Diabetes Self-Management by Identifying Barriers Hindering the Achievement of Diabetes Self-Management Behaviors in a Medical-Surgical Unit. Project/Capstone - Global access thesis, 2017. https://repository.usfca.edu/capstone/625