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 coexisting conditions, including kidney failure, non-traumatic lower limb amputations, blindness, heart attacks and strokes, which could lead to depression in patients and low self-efficacy, which would make them difficult to help patients maintain good control of their hemoglobin. A1c levels. The purpose of this quality improvement project was to evaluate whether NPs in collaborative practice with PCPs are effective in improving control of HbA1c, BP, and low-density lipoprotein cholesterol (LDL-C) values. ) in adult patients with uncontrolled hyperglycemia, and to 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 should not be banned”?Get the original essayA prospective pre- and post-intervention quality improvement project was implemented in primary care clinics in using an NP to coordinate and deliver care to adult patients with uncontrolled type 2 diabetes to improve clinical parameters that affect their morbidity and mortality. Two ambulatory care internal medicine modules were used for this study that provide medical services to 3,677 adult patients with type 2 diabetes with a convenience sample of 28 adult patients with type 2 diabetes and a value of HbA1c of 8% or more selected for this project. HbA1c values ​​before and after the intervention were assessed as the primary outcome measure and BP, LDL-C, body weight and depression values ​​and self-efficacy scores were secondary outcome measures . Follow-up care, performed every 2 to 5 weeks, over a five-month period, was used to initiate and adjust medications, to order laboratory studies, to review and discuss laboratory results, to encourage changes in lifestyle, to schedule follow-up office visits with the attending physician or nurse, to refer patients for health education classes, to refer participants for specialized care, and to administer depression screening tests and self-efficacy. The results show that after the interventions, 50% of the 26 patients reached the HbA1c benchmarks, 95.6% reached the systolic and diastolic pressure benchmarks and 57.8% reached the LDL-C benchmarks and the depression scores decreased slightly. Keep in mind: this is just a sample. Get a personalized article from our expert writers now. Get a Personalized Trial This study supports evidence that integrating nurse practitioners into primary care teams can provide methods of support for adults with uncontrolled hyperglycemia that improves clinical outcomes and patient self-efficacy with type 2 diabetes. It demonstrated significant improvements in patients' HbA1c and self-efficacy scores before and after the intervention. NPs are effective in improving clinical parameters due to their ability to initiate, modify, 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 messages) to provide care to diabetic patients may make them effective in improving..