Date

Summer 2025

Document Type

Scholarly Project

Department

College of Nursing

First Advisor

Teresa Bowers

Abstract

Problem Statement: Adults with type 2 diabetes are at a risk of multiple comorbidities that can be prevented with proper screenings performed as recommended by the American Diabetes Association.

Purpose: Determine if using a checklist on the patient router will improve completion of urine microalbumin, diabetic eye exam, and diabetic foot exam.

Methods: The MA/LPN asked the patient about the last eye exam performed and requested a record from the previous provider if performed within the last year. If the microalbumin was not current, the MA/LPN obtained a urine specimen and placed the order into EPIC. If a diabetic foot exam was needed, the MA/LPN had the patient remove their shoes and socks before the provider entered the exam room.

Inclusion Criteria: Adults (18 years or older) with type 2 diabetes, being seen in an ambulatory primary care office

Analysis: A t-test evaluated the effectiveness of the checklist in compliance with diabetes standards of care. Descriptive statistics summarized the data. A Chi-squared test illustrated that the router is associated with increased completion of measures.

Implications for Practice: Improvement of compliance in standards of care for diabetes management, thus reducing the risk of diabetes related complications.

Rights

© 2025, Ashley Tyner Divers

Available for download on Tuesday, September 01, 2026

Included in

Nursing Commons

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