There are approximately 25.8 million people in the United States who have been diagnosed with diabetes. Type 2 diabetes is associated with many complications and co-existing conditions including renal failure, non-traumatic lower extremity amputations, blindness, heart attacks and strokes, which could lead to patients being depressed with low self-efficacy resulting in difficulty helping patients to maintain good hemoglobin control. A1c levels. The purpose of this quality improvement project was to evaluate whether NPs in collaborative practices with PCPs are effective in improving control of HbA1c, blood pressure, and low-density lipoprotein cholesterol (LDL-C) in adult patients with hyperglycemia. uncontrolled and evaluate whether NP-guided care affects depression and self-efficacy in patients with uncontrolled hyperglycemia. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get Original EssayA potential pre- and post-intervention quality improvement project was implemented in primary care clinics using an NP to coordinate and provide care to adult patients with uncontrolled type 2 diabetes to improve clinical parameters that influence their morbidity and mortality. Two ambulatory care internal medicine modules providing medical services to 3,677 adult patients with type 2 diabetes were used for this study; For this project, a convenience sample of 28 adult patients with type 2 diabetes and an HbA1c value equal to or greater than 8% was selected. Pre-intervention and post-intervention HbA1c values ​​were assessed as the primary outcome measure while blood pressure, LDL cholesterol, body weight, and depression and self-efficacy scores were secondary outcome measures. Follow-up care, performed every 2 to 5 weeks, for a period of five months, was used to initiate and adjust therapy, to order laboratory studies, to review and discuss laboratory results, to encourage changes in style of life, to schedule outpatient follow-up visits with the attending physician or nurse, to refer patients to health education courses, to refer participants to specialized care, and to administer depression and self-efficacy screenings. The results show that after the interventions, 50% of the 26 patients achieved HbA1c benchmarks, 95.6% achieved systolic and diastolic blood pressure benchmarks, and 57.8% achieved benchmarks. baseline LDL-C and depression scores decreased slightly. Please note: this is just an example. Get a custom paper from our expert writers now. Get a Custom Essay This study supports evidence that integrating nurse practitioners into primary care teams can provide methods of support for adults with uncontrolled hyperglycemia that improve clinical outcomes and self-efficacy for patients with type 2 diabetes. It demonstrated significant improvements in HbA1c and patient self-efficacy scores from pre- to post-intervention. NPs are effective in improving clinical parameters due to their ability to initiate, change, and adjust medications or drug doses without physician authorization. NPs' willingness to adopt alternative methods of communicating with patients (via telephone, email or e-visits, fax, and text) to provide care to patients with diabetes may make them effective in improving HbA1c control.