Hello, My name's Katrina Jones, and I'm a nursing educator student.
My project is about developing a curriculum framework for
shared medical appointments utilized in adults with type two diabetes.
I know that sounds like a mouthful, but I'm gonna break it down for
you in the next couple of slides.
Currently, health care providers in the United States are challenged and
providing high quality diabetes care due to the overburdened health care climate.
There is an increasing number of diabetic patients, but not enough time and
providers to address them effectively.
A proposed innovative solution is a shared medical appointment model, or SMS.
SMS, address the chronic nature of type two diabetes and
provide patients with comprehensive, cost effective and personalized care.
Instead of one on one session with a physician or provider,
patients can do a group visit and said that combine both medical appointment and
disease management education that scared George, diagnosing their knowledge gaps
and equipping them with strategies to meet their health care goals.
The thing is, literature shows that the disease management education SMS vary in
their design.
This is where my project comes in.
My goal is to examine current has to make curriculums and develop a standardized
curriculum framework that is evidence based and culturally tailored.
So why is my project important?
Diabetes is widespread and costly.
According to the latest report from the CDC.
An estimated 34.2 million people of all ages in the US in 2018 had diabetes.
Also, according to the American Diabetes Association,
the diagnosis of diabetes costs the US $327 billion in 2017.
SMS is a solution to write a more efficient and
more comprehensive method in addressing the diabetes population in the US.
The goal of SMS is super remote self management of chronic diseases.
It's been especially effective in helping patients with diabetes attain better
control of their blood sugar, their blood pressure and their cholesterol levels.
However, one of the findings from a landmark systematic review by Edelman and
his colleagues in 2015, pointed out how current SME characteristics
lacked in data inconsistency.
This is where my project will be very beneficial.
I completed a lit review and I chose 13 articles that examine
both the efficacy of S M A in patients with type two diabetes and
educational strategies used to implement SMS.
Majority of the articles in the literature review showed that SMEs improve a one C,
which is a measurement of a person to average blood sugar level,
blood pressure and cholesterol levels.
In reviewing the educational approaches by the different S M A programs, the articles
showed that the most common topics included diabetes overview, medication
management, nutrition and healthy eating, exercise and self management at home.
Some of the articles also mentioned tailoring their curriculum to
the population they serve and using experts like nutritionists and
podiatrists.
Given this information, my next step is to develop my proposed curriculum
framework that involves these findings.
The next step in developing my curriculum is first finding the best suited
theoretical framework for my project.
I chose Wagner's chronic care model because it nurtures and
builds transparent partnerships between the patient provider,
healthcare system and their communities through its six elements as listed below.
I like this model because it puts the patient at the front and center and
holds him accountable and managing their health, but
all the while giving them the tools and support they need to thrive and sustain
healthy living that is essential in managing chronic diseases like diabetes.
This framework will come to life, especially during implementation and
clinical practice, but you will see its incorporation in my next slide.
So here we are,
from the data gathered in the LIT review here is to propose curriculum I made.
The sessions are based on the most common topics.
Discussing the lit review diabetes overview of medication management,
nutrition, exercise and self management at home.
The goal is to empower patients to manage their diabetes at home.
My model involves partnering with the patients for the health care providers,
to identify knowledge gaps and
address it and for the patients to meet their specific health goals, whether
that means losing £2 in two months or eating two servings of vegetables a day.
As you can see, each section has a strategy and an overview.
The topics.
The strategy usually involves active learning and
involves experts in the field.
Yeah, now I'm working on getting this curriculum implemented in a clinic.
I'm hoping to see similar findings of improvement and blood sugar and
blood pressure, but I'm also excited to see how the group will do together
in empowering each other and during accountability in their health.
Thank you so much for listening