Gonzaga University Repository

PICOT Question: How does race/ethnicity impact health disparities among those with diabetes

Baker, Maddie

Vergara, Gabe

Fowle, Annie

Shaw, Michele

Gonzaga University 
The Repository of Gonzaga University 
NURS 404/406 Research & Info Management Nursing Student Scholarship 
Spring 2024 
Understanding How Race and Culture Impact Management of 
Diabetic Health Outcomes 
Maddie Baker 
Gonzaga University 
Gabe Vergara 
Gonzaga University 
Annie Fowle 
Gonzaga University 
Michele Shaw 
Gonzaga University, shawm@gonzaga.edu 
Follow this and additional works at: https://repository.gonzaga.edu/nursing404_406 
Recommended Citation 
Baker, Maddie; Vergara, Gabe; Fowle, Annie; and Shaw, Michele, "Understanding How Race and Culture 
Impact Management of Diabetic Health Outcomes" (2024). NURS 404/406 Research & Info Management. 
1. 
https://repository.gonzaga.edu/nursing404_406/1 
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wawrzyniak@gonzaga.edu. 
Understanding How Race and Culture Impact 
Management of Diabetic Health Outcomes
Maddie Baker, Gabe Vergara, Annie Fowle, Dr. Michele Shaw
Department of Nursing, Gonzaga University
Background
• Diabetes affects over 400 million 
people globally. Ethnic and racial 
disparities further complicate the disease.
• The prevalence of Type 2 diabetes is higher 
among minority ethnic groups
• African Americans have worse glucose 
control and higher rates of diabetes 
complications and stated that they lacked 
the skills and resources necessary to 
participate in self-care activities that would 
benefit their glucose levels.
• Minority populations, especially young 
adults, are among the lowest users of new 
diabetes technologies.
PICOT Question
How does race/ethnicity impact health 
disparities among those with diabetes?
EBP Intervention
• A sociocultural screening tool that 
establishes a foundational 
understanding of patient-specific 
perceptions of Diabetes Mellitus
• Culturally based misconceptions that 
fail to understand diabetes, its 
complications or appropriate 
management contribute to negative 
outcomes in the management of 
Diabetes
• Understanding the cultural 
perspective of the patient will help 
personalize care and education to 
improve long term management 
goals. 
• Personalized and tailored care 
related to diabetes leads to more 
positive outcomes
EPB Implementation
Clinical pharmacists can deliver mobile health 
interventions to improve blood glucose levels 
in minority populations and may help reduce 
racial and ethnic disparities.
Telehealth can provide screenings in a remote 
settings that can is readily accessible, cheaper, 
and takes less time
Telehealth and screening tool implementation 
provide avenues to overcome disparities 
resulting from sociocultural inequity.
Pharmacological interventions take priority 
over lifestyle changes, and treat only the 
symptoms after failing to prevent the cause.
Expected Outcomes
White Americans report higher comprehension 
when compared to other ethnic populations. 
An education-based EBP helps bridge the 
inequity resulting from a lack of 
understanding,
The screening tool works prophylactically to 
increase awareness and ensure that minority 
groups are aware of the severity of the 
disease.
Poor communication with healthcare providers 
contributes to poor diabetic medication 
adherence. The EBP gives providers insight on 
how to reduce feelings of skepticism and 
frustration. 
By using this screening tool, we can reduce 
confusion with this disease process and 
provide unique health resources in a culturally-
informed way.
References


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Understanding How Race and Culture Impact Management of Diabetic Health Outcomes

American Sand Wasp

Nevada Bumble Bee

Nevada Bumble Bee

European Paper Wasp

Becker\u27s White

Western Honey Bee

Bumble Bees

Cellophane Bees

[Fiery-Tailed Bees]

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