Increasing Patient Compliance with the Recommended Plan of Care for Pregnant Women with Gestational or Type 2 Diabetes

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Icard, Julia
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Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing , Diabetes, Gestational , Quality Improvement , Patient Compliance , Diabetes Mellitus, Type 2
The goal of this project was to determine if the implementation of a diabetes in pregnancy care plan appointment improves patient compliance to visits with diabetes educators in an obstetrics and gynecology (OBGYN) office. The sample included all pregnant women with a diagnosis of either type 2 diabetes or gestational diabetes mellitus. Twelve charts were reviewed for pre-intervention data and 11 charts were reviewed for post-intervention data. Retrospective and prospective chart reviews were used to collect pre-intervention and postintervention data on patients who meet the project inclusion criteria. The primary outcome measure was the percent of scheduled diabetes educator appointments attended. The secondary outcome measure was provider satisfaction regarding project success. Although it seemed there was an increase in overall compliance, a Mann-Whitney U test revealed the results were not statistically significant for compliance rates pre- and post-intervention. Providers were sent a survey after project completion and only 1 survey was returned. The respondent was overall satisfied with the project and found the interventions to be a great asset to the OBGYN office. This quality improvement project provided a standardized educational intervention for patients with diabetes in pregnancy by implementing evidence-based knowledge into practice. Future research will be needed to examine ways to provide optimal care for patients with diabetes in pregnancy