Date Available

4-9-2024

Year of Publication

2024

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Karen Stefaniak

Clinical Mentor

Dr. Paula Halcomb

Committee Member

Dr. Karen Butler

Abstract

Background: After solid organ transplantation, between 10-40% of patients develop post-transplant diabetes mellitus (PTDM) due to the immunosuppression regimen, infection, stress response and pain. Hyperglycemia events are common and managing glycemic targets is critical to decrease the likelihood of graft failure and mortality.

Purpose: To determine the impact of an evidenced-based bundle education strategy on the perceived confidence/knowledge of nurses and on their documentation compliance in the care of adult solid organ post-transplant diabetes mellitus patients.

Methods: A single group, pretest-posttest design was implemented to evaluate the effectiveness of the electronic educational program on the nurses perceived confidence/knowledge regarding glycemic management of adult solid organ post-transplant diabetes patients. Retrospective patient chart reviews were conducted pre-and post-intervention to examine bundle element compliance discussed in the online education.

Results: A statistically significant improvement in the nurses’ perceived confidence/knowledge with trending blood glucose levels in the electronic health record were noted. Compliance with individual bundle elements pre-and post-intervention were not statistically significant.

Conclusions: While limited by small sample size, the findings of this study suggest further education on the PTDM evidence-based bundle for glycemic management is warranted. Specifically, focused training on the functionality of the Glucose Monitoring Timeline would assist clinicians to track and trend the glycemic management of PTDM patients more efficiently. In addition, continued monitoring of PTDM bundle compliance should reduce practice variations and standardize the care provided to post-transplant patients receiving insulin.

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