Abstract (300 words maximum)
Type one diabetes is a chronic illness that affects millions of adults in the United States alone. It is a disease that requires constant self-management and monitoring. Through the recent inventions and refinements of diabetes technology, diabetes care has never been easier or more accessible. While self-management and care in the outpatient setting has been shown to have positive social, and sometimes other positive healthcare outcomes, such research in the inpatient setting is lacking. Despite general treatment guidelines for diabetes informing inpatient caregivers and providers to allow self-management of diabetes in the inpatient setting where clinically appropriate, few institutions seem to follow that recommendation and research supporting the recommendation is almost nonexistent. The overall purpose of the qualitative and quantitative study is to measure whether self-management of type one diabetes in the inpatient setting has any bearing on hospital quality scores, length of stay in the hospital, or over-all health outcomes of their inpatient stay. Data will be collected from already existing quality reports from hospital stays and filtered based on whether the patient had type one diabetes and further could be separated based on whether the provider placed the patient on sliding scale or allowed them to self-manage. Patient data should be filtered to only the past 1-2 years to limit the effect of evolving treatment standards. The confounding data from those who are incapable or deemed unsafe to self-manage will not be included. Results will be based on whether there is a statistically significant difference in quality scores and length of stay between self-management and provider management. Results should be used to help guide current inpatient diabetes practice as well as bring about new questions to answer about how we can best serve the type one diabetic population in the inpatient setting.
Academic department under which the project should be listed
Nursing
Primary Investigator (PI) Name
Evah Wangungu
The efficacy of self-management of type 1 diabetes in the inpatient setting.
Type one diabetes is a chronic illness that affects millions of adults in the United States alone. It is a disease that requires constant self-management and monitoring. Through the recent inventions and refinements of diabetes technology, diabetes care has never been easier or more accessible. While self-management and care in the outpatient setting has been shown to have positive social, and sometimes other positive healthcare outcomes, such research in the inpatient setting is lacking. Despite general treatment guidelines for diabetes informing inpatient caregivers and providers to allow self-management of diabetes in the inpatient setting where clinically appropriate, few institutions seem to follow that recommendation and research supporting the recommendation is almost nonexistent. The overall purpose of the qualitative and quantitative study is to measure whether self-management of type one diabetes in the inpatient setting has any bearing on hospital quality scores, length of stay in the hospital, or over-all health outcomes of their inpatient stay. Data will be collected from already existing quality reports from hospital stays and filtered based on whether the patient had type one diabetes and further could be separated based on whether the provider placed the patient on sliding scale or allowed them to self-manage. Patient data should be filtered to only the past 1-2 years to limit the effect of evolving treatment standards. The confounding data from those who are incapable or deemed unsafe to self-manage will not be included. Results will be based on whether there is a statistically significant difference in quality scores and length of stay between self-management and provider management. Results should be used to help guide current inpatient diabetes practice as well as bring about new questions to answer about how we can best serve the type one diabetic population in the inpatient setting.