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dc.contributor.advisorKeenan, Anastacia
dc.contributor.advisorHardisty, Vicki
dc.contributor.authorBland, Laura
dc.contributor.departmentNursingen_US
dc.contributor.programDoctor of Nursing Practiceen_US
dc.date.accessioned2022-10-24T14:25:19Z
dc.date.available2022-10-24T14:25:19Z
dc.date.issued2022-03
dc.description.abstractThe problem identified showed inconsistencies in screening for prediabetes and type 2 diabetes by primary care providers at a primary care office in rural Maryland. After a complete literature review, a standardized screening process for identifying those at risk for prediabetes and type 2 diabetes was the solution to this problem. The purpose of this project was to standardize a screening process for prediabetes and type 2 diabetes. A standardized screening process was created to assure all patients meeting criteria for the American Diabetes Association (ADA) screening guidelines were screened properly for risk while delivering the standard of care to all patients. The goal was to increase screening by practitioners. This will aid in early diagnosis of the disease, thus leading to a decrease in diabetic related complications. Heikes screening tool was implemented using a standardized process involving an inclusion and exclusion checklist created by the ADA to identify those needing further screening. If a patient met inclusion criteria, a Heikes screening tool was completed. The patient’s risk was then identified from the screening tool and discussed in real time with the patient. Heikes screening tool was evaluated and measured by how many additional patients could be captured for being at risk with the use of a standardized screening process. The Heikes screening tool and process created a more standardized approach to identifying patients at risk for prediabetes and type 2 diabetes. Descriptive and inferential statistics were used to analyze this screening process. There was a final sample of 40 participants using convenience sampling. The screening process was able to identify and screen 22.5% of participants that had not been previously screened as evidenced by a chart review or patient reporting. The data also revealed participants who had a waist circumference of 38.4in or more had a 6.65% higher risk of being in the high-risk category for diabetes development through the Heikes screening tool (p < 0.001).en_US
dc.format.extent57 pagesen_US
dc.genredissertationsen_US
dc.genredoctoral projectsen_US
dc.identifierdoi:10.13016/m2edof-fxof
dc.identifier.urihttp://hdl.handle.net/11603/26221
dc.language.isoen_USen_US
dc.relation.isAvailableAtSalisbury Universityen_US
dc.subjectDiabetes mellitusen_US
dc.subjectPrediabetesen_US
dc.subjectMedical screeningen_US
dc.subjectHeikes screening toolen_US
dc.subjectPrimary careen_US
dc.titleImplementing the Heikes Screening Tool for Prediabetes and Type 2 Diabetes for Adult Patients in a Rural Primary Care Clinicen_US
dc.typeTexten_US


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