A Review of Literature for Evidence-Based Diabetes Management Resources for Native Americans: State of the Science and Implications For ARNPs in Primary Care Settings

Date of Award

2010

Document Type

Thesis

College/School

College of Nursing

Degree Name

Master of Science in Nursing (MSN)

Program Concentration

Family Nurse Practitioner

Abstract

Background: The purpose of this scholarly project was to examine diabetes management and treatment resources used by health care professionals working on Native American Reservations or with American Indians (AI) and Alaskan Native (AN) patients, with the ultimate purpose to compose a summary of web-based resources for Nurse Practitioners (ARNPs) working with AI/AN having diabetes mellitus. Problem and significance: This project is significant because diabetes is the fourth leading course of death in the Al and AN population. The Al and AN populations have experienced lower overall health status compared to the general population for decades. Chronic disease and risk factors for chronic disease are more prevalent in the Al and AN populations even compared to other minority populations in the United States. ARNPs who work with this population need to use evidence based care in diabetes management. Such evidence should be current and easily accessible to providers. The information should include various aspects of diabetes management and be culturally relevant to this population. This scholarly project was conducted to help filling the gap in knowledge about this important clinical issue and offers an innovative resource for practitioners to facilitate treatment referrals for the Al and AN patients with diabetes mellitus. Methods: Literature review of electronic data bases PubMed, Medline, Cochrane Database, Psych Info, Agency for Healthcare Research and Quality (AHRQ) and CINAHL was conducted using key words "Diabetes", "Native Americans", "Urban", "Methods/intervention" and "Education" included in this scholarly project. Findings: There are many evidence-based resources available for little or no cost for theARNP. Many of these findings were in the scope of practice for the ARNP.Analysis of Diabetes Management Resources for ARNPs working with Native Americans in the rural West: State of the Science and Recommendations for Advanced Practice Nursing

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