Thesis
Comparing A1C levels of diabetic veteran outpatients in two separate groups: telehealth or in-person nurse visits
Washington State University
Master of Nursing (MN), Washington State University
2012
Handle:
https://hdl.handle.net/2376/100989
Abstract
As healthcare costs rise, it is important for those providing care to develop disease management programs as one method to decrease the cost of long-term disease complications. Interprofessional collaboration between registered nurses, pharmacists, dieticians and prescribing providers is on the rise. Two methods of interprofessional work are utilization of RN clinics to monitor veterans with diabetes in face-to-face visits, as well as RNs assigned to monitor veterans enrolled in Telehealth. This study compared two care management approaches in lowering A1C levels in veterans with diabetes: those scheduled for registered nurse case manager (RNCM) face-to-face visits compared to those enrolled in a Telehealth program. Study participants were drawn from the enrolled veterans served by the Veterans Administration Medical Center in Spokane, WA. The hypothesis was that patients who engaged in face-to-face interactions with nurses, and developed a personal relationship, were more likely to have improved A1C levels than those who engaged with nurses only via Telehealth. A retrospective chart review of 105 charts (58 from the RNCM group and 47 from the Telehealth group), examined A1C levels by quarter through the two-year study period, 2008- 2009. There were differences in number of actual A1C levels drawn, with the RN-managed group having more A1C levels recorded as compared to the Telehealth group. However, there were no statistical differences between the two study groups' A1C lab values when averaged and compared over the 2-year study period.
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Details
- Title
- Comparing A1C levels of diabetic veteran outpatients in two separate groups
- Creators
- Alisa A. Cook
- Contributors
- Phyllis J. Eide (Degree Supervisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Nursing, College of
- Theses and Dissertations
- Master of Nursing (MN), Washington State University
- Publisher
- Washington State University; Pullman, Wash. :
- Identifiers
- 99900525187001842
- Language
- English
- Resource Type
- Thesis