Date of Project Completion

Summer 6-25-2020

Document Type

Project Paper

Degree Name

Doctor of Nursing Practice



First Advisor

Sandra Paddock, DNP, APRN, CNP

Second Advisor

Jenny A. Prochnow, DNP, MBA, RNC-MNN, NEA-BC, PHN


Objective: To improve self-efficacy in patients with type 2 diabetes and a Hemoglobin A1c (HbA1c) of 8% (64 mmol/mol) or greater using an innovative education multidisciplinary approach in a group setting.

Research Design and Methods: Out of 248 patients that were contacted with type 2 diabetes, who had a HbA1c of 8% or greater, five patients from a large clinic in the Midwest agreed to participate in group education. The primary outcome of interest was lowering HbA1c levels to increase the number of patients with type 2 diabetes who meet the community standard of care.

Results: Patients who attended a scheduled group education session exhibited a positive response/increased learning to group education although not statistically significant (p = 0.1239).

Conclusions: This research using a Johns Hopkins Model for evaluating group education for patients with type 2 diabetes suggested the multidisciplinary approach with group education would lead to greater self-efficacy, better glycemic control, and improved patient outcomes offering lower costs overall to the patient and/or their family. Additional time is needed to evaluate the effects of the group education as well as further research in general.


The author would like to acknowledge the statistical contributions of Silas Bergen, Associate Professor at Winona State University, Winona, Minnesota