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Implementation and Evaluation of Shared Medical Appointments in Veterans With Diabetes

A Quality Improvement Study

Omogbai, Timothy MSN, RN; Milner, Kerry A. DNSc, RN

JONA: The Journal of Nursing Administration: March 2018 - Volume 48 - Issue 3 - p 154–159
doi: 10.1097/NNA.0000000000000590
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OBJECTIVE The aim of this study is to implement and evaluate shared medical appointments (SMA) in veterans with diabetes.

BACKGROUND Health systems are challenged to meet the complex care needs of veterans with diabetes. Use of SMA has resulted in significant improvements in A1c, blood pressure, and self-management skills in this population.

METHODS Shared medical appointments were implemented in a Veterans Administration Health System. A1c, blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, weight, and height were collected at baseline, 3 months, and 6 months; hospitalization anytime; and veteran satisfaction at baseline and 6 months.

RESULTS From October 15, 2015, to March 15, 2016, 30 male veterans with diabetes participated in monthly SMA. Outcome measures except for high-density lipoprotein improved significantly (P < .02) from baseline to 6 months. No veterans were hospitalized. Veteran satisfaction increased significantly (P < .001).

CONCLUSION Shared medical appointment can be a highly effective intervention for veterans with diabetes. Nursing leaders need to be at the forefront of implementing SMA for populations with chronic conditions.

Author Affiliations: Nurse Manager (Mr Omogbai), Hudson Valley Veteran Affairs Healthcare System, New York; Associate Professor (Dr Milner), College of Nursing, Sacred Heart University, Fairfield, Connecticut.

The authors declare no conflicts of interest.

Correspondence: Dr Milner, Sacred Heart University, 5151 Park Ave, Fairfield, CT 06825 (milnerk@sacredheart.edu).

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