Date of Graduation

Spring 2026

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Committee Chairperson

Cheryl Schlamb, DNP

Committee Member

Jacquelyn Owens, DNP

Committee Member

Tanya Reznick, MD

Abstract

Point-of-care testing (POCT) is used to measure a variety of healthcare data rapidly at the bedside. It can be particularly useful when laboratory data is not available at the time a patient sees their healthcare provider (HCP). Patients living with diabetes frequently do not obtain laboratory data prior to their visit with their HCP. This quality improvement projected aim to assess if use of POCT to measure an Hgb A1c level in patients with diabetes affected patient satisfaction in an endocrinology clinic. Eligible participants were asked to complete an anonymous survey, with three questions asking if having their Hgb A1c measured at the time of the visit impacted their confidence in their HCP, decision to make diet and lifestyle changes, and/or seek additional diabetes education.

Results from the survey revealed the majority of patients did agree that having their HgA1c measured at the time of the visit did affect their confidence in their HCP and decision to make diet and lifestyle changes. Approximately half of participants reported it did impact their decision to seek additional diabetes education. There were some differences in answers among those in certain age groups and sex. Future projects should focus on additional benefits and sustainability of POCT devices in outpatient clinics. This device can be used to improve access to care, reduce delay in care, and improve the patient experience.

Final Version Confirmation

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