Date
Summer 2024
Document Type
Scholarly Project
Department
College of Nursing
First Advisor
Laura Herbert
Abstract
Problem Statement: A growing number of patients with diabetes are using advanced diabetes management technology with an integrated insulin pump and continuous glucose monitor (CGM); however, multiple concerns surround their use during hospitalization, ranging from patient safety risks to nursing comfort in overseeing these devices.
Purpose: This project aimed to determine if an accurate, reformed inpatient policy supporting specific automated insulin pump use during admission maintained patient glucose control, improved patient satisfaction, and increased nursing comfort levels.
Methods: Pre- and post-policy nursing knowledge surveys, retrospective admission glucose metrics, and patient experience narratives were evaluated.
Inclusion Criteria: Patients and nurses were recruited from one hospital within a large-multi-hospital system in the southeastern United States. Non-pregnant persons with diabetes over 18 admitted to the hospital using an automated insulin pump were included, regardless of admission diagnosis, insulin pump, or CGM type.
Analysis: Independent t-tests assessed changes in nursing comfort levels pre-policy and three months post-policy implementation. Glucose metrics with descriptive statistics were evaluated, including the percentage of time glucose values remained within a target range of 70-180mg/dl during admission. Qualitative data analysis included patient narratives of their experiences using automated insulin pump therapy during admission.
Implications for practice: A supportive policy for ongoing automated insulin pumps maintains patient glycemic control, improves nursing comfort levels, and supports patient satisfaction.
Recommended Citation
Holiday, Mary Elizabeth, "Appropriate Policies for Patients Utilizing Insulin Pumps with Continuous Glucose Monitoring During Hospital Admission" (2024). Doctor of Nursing Practice Scholarly Projects. 71.
https://scholarcommons.sc.edu/dnp_projects/71
Rights
© 2024, Mary Elizabeth Holiday