Implementation of a Train the Trainer Program for Diabetes Education

Download or read book Implementation of a Train the Trainer Program for Diabetes Education written by Noreen Borino and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 Diabetes Mellitus is becoming a health problem that presents significant physical, emotional, and financial strain on the health care system. T2DM has become an epidemic with high morbidity and mortality rates. Uncontrolled T2DM is the number one cause of blindness, kidney failure, cardiac problems, and lower extremity amputations. In the United States, the number of patients affected by T2DM is on the rise causing concern over increased financial cost and lost productivity. Nevada is in close comparison with the nation having 7.9% of adults affected compared with 8.3% of adults nationally having T2DM. With the rising problem healthcare providers are in a vital position to increase patient awareness, to develop patient involvement and to improve health care outcomes through education. Ineffective patient education contributes to, and may increase complications from, uncontrolled T2DM. While employed at a rural clinic in Nevada, this project director (PD) recognized a need for T2DM education. Approximately 25% of patients from this clinic had T2DM. The clinic owner reported approximately 10% of these patients went without improvement in lab scores and were in need of education. This PD noted that the staff was not appropriately trained to provide the T2DM patients with education. The need for a system change to train staff in diabetes self-management education (DSME) became evident. The Capstone system change involved the implementation of 'Train the Trainer Program for Diabetes Education.' The Evidence-based framework guiding the system change was Larrabee's Model for Evidence-based Practice Change. The theory, which helped guide the class structure, was the Theory of Goal Attainment developed by Imogene King. This theory believes goals help to achieve success. King's Transaction Process Model was used for class structure, process and outcomes, with the Conceptual Interacting Systems Framework, for building participant interactions in class. The model was also used for participant interactions between trainer/nurse and class participant/patient. This model advised a tool for evaluation using a pre/post test with evaluation for assessment of outcomes. The educational component came from American Diabetes Association (ADA). Evidence-based DMSE was provided on weekly bases for six weeks. Funding was provided by the committe from the state of Nevada program on community development. The results of the system change proved that an evidence-based, cost-effective method for T2DM education in a rural clinic, in Nevada, benefited both patient and staff.