Journal of Doctoral Nursing Practice最新文献

{"title":"Evaluating Burnout Among Graduate Nursing Students: A Quality ImprovemenHarvard Business Reviewt Project.","authors":"Lindsey Kinch, Megan Perry, Kelly Warner","doi":"10.1891/JDNP-2024-0069","DOIUrl":"https://doi.org/10.1891/JDNP-2024-0069","url":null,"abstract":"<p><p>Understanding the effects of burnout in the nursing profession will take years to fully realize. Evidence is emerging which reveals that as many as 18% of nurses leave the bedside within their first year of practice, many of whom cite the occupational phenomenon of burnout as a factor. This migration of nurses from the bedside into advanced practice prompts the need for peer and organizational support to mitigate burnout among nurses. This project aimed to evaluate the three domains of burnout (emotional exhaustion, depersonalization, and decreased personal accomplishment) among advanced practice nursing students in an effort to keep new advanced practice registered nurses (APRNs) in the workforce. Using simple random sampling, a cohort of 103 APRN students from Baylor University was surveyed using the Maslach Burnout Inventory Human Services Survey for Medical Personnel. Scores for each of the three burnout domains were analyzed for mean and standard deviation as well as using linear regression. Varying degrees of burnout were identified across demographics, with the highest scores belonging to inpatient medical nurses and emergency room nurses. Thirty percent of respondents scored poorly in the emotional exhaustion domain, regardless of the type of units in which they worked. These numbers were congruent with recent trends in data, which reveal burnout levels as high as 30%-50% in health care workers worldwide. This project highlights the urgent need for strategic interventions at the organizational level to diminish the migration of APRNs from the profession.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Choices 360: Addressing Sexually Transmitted Diseases in Adolescents Through an Abstinence-Based Seminar.","authors":"Brittany Hatchett","doi":"10.1891/JDNP-2025-0031","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0031","url":null,"abstract":"<p><p><b>Background:</b> The 2022 report from the Centers for Disease Control and Prevention (CDC) indicates that approximately one in five Americans is affected by a sexually transmitted infection (STI), with an estimated 68 million individuals living with an STI in the United States. Adolescents aged 15-24 years account for nearly half of all new STI diagnoses annually. In an urban West Texas county, rising STI rates have been associated with inadequate sexual health education and engagement in risky sexual behaviors. <b>Objective:</b> The purpose of this evidence-based nursing project was to improve sexual health outcomes among middle school students by delivering an abstinence-centered educational seminar designed to (a) increase understanding of the physical and emotional risks of sexual activity, (b) enhance students' self-efficacy in resisting unwanted sexual advances, and (c) promote abstinence until a committed, long-term relationship, such as marriage. <b>Methods:</b> A pre-post intervention design was used with a convenience sample of 69 middle school students. Participants attended an abstinence-centered seminar, and pre- and postseminar surveys were administered to measure changes in knowledge, self-efficacy, and behavioral intent related to sexual decision-making. <b>Results:</b> Postintervention survey results demonstrated statistically significant improvements in students' confidence and behavioral intent to abstain from sexual activity (<i>p</i> < .001). Knowledge scores also demonstrated a positive trend following the seminar. <b>Conclusions:</b> The abstinence-centered seminar was effective in improving self-efficacy and behavioral intent among middle school students. Educational interventions grounded in evidence-based nursing practice may contribute to improved adolescent sexual health outcomes. <b>Implications for Nursing:</b> Nurses play a critical role in promoting adolescent sexual health through early, developmentally appropriate education. School-based, nurse-led interventions can enhance knowledge, strengthen self-efficacy, and support healthy decision-making, thereby contributing to the reduction of STI rates in high-risk communities.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality Improvement Project: Effectiveness of Diversion Tube Use on Blood Culture Contamination From Intravenous Catheters.","authors":"Anne Meginniss, Dayle Sharp, April Phelps","doi":"10.1891/JDNP-2025-0085","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0085","url":null,"abstract":"<p><p><b>Background:</b> Contaminated blood cultures complicate medical decision-making, leading to unnecessary testing and treatment. <b>Objective:</b> To evaluate the impact of an initial specimen diversion tube protocol on blood culture contamination rates in a community hospital emergency department. <b>Methods:</b> Over 9 weeks, 27 blood culture specimens were obtained using a diversion tube at the time of intravenous insertion. Trained nursing superusers collected samples. Contamination rates were compared with those from the standard protocol. <b>Results:</b> The standard protocol group demonstrated a 2.92% overall contamination rate (mean = 3.17%) with nine pathogens identified. The diversion protocol group showed a 3.70% overall contamination rate (mean = 2.38%) with only one pathogen isolated. <b>Conclusions:</b> Although the standard protocol had a slightly lower overall contamination rate, the diversion protocol yielded fewer pathogens and a lower mean contamination rate, suggesting greater potential for sustainable contamination reduction. <b>Implications for Nursing:</b> Nurse-driven interventions, including the use of diversion devices and superuser training, may enhance diagnostic accuracy and reduce unnecessary antibiotic exposure. Nursing engagement is essential to improving blood culture practices and sustaining quality outcomes.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing a Urinary Incontinence Screening, Treatment, and Referral Process for Women Veterans: A Quality Improvement Project.","authors":"Caley Bryn Skroch, Lori S Saiki, Linda C Summers","doi":"10.1891/JDNP-2025-0006","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0006","url":null,"abstract":"<p><p><b>Background:</b> Women veterans are underdiagnosed with urinary incontinence (UI), negatively affecting management and treatment. <b>Objective:</b> The objective of this quality improvement project was to implement an evidence-based UI screening tool with a treatment/referral pathway in a primary care clinic for women veterans. <b>Methods:</b> The Urinary Incontinence Severity Index (ISI) screening tool and treatment/referral pathway for targeted treatment were implemented into all women veterans' care who were under the direct care of the primary family nurse practitioner of the clinic. Evaluation measures included the comparison of UI <i>International Classification of Diseases, Tenth Revision (ICD-10</i>) codes before and during implementation, documentation of treatment/referrals, and provider satisfaction. <b>Results:</b> UI <i>ICD-10</i> code usage went from 13 instances in the 2 months prior to the new screening protocol to 50 women (<i>N</i> = 157) identified with UI in the 2 months of ISI usage. The number of referrals placed tracked closely with the referral pathway. The provider reports satisfaction and plans to continue using the UI screening pathway. <b>Conclusions/Implications for Nursing:</b> The use of the UI screening tool and treatment/referral pathway promotes increased diagnosis of UI, leading to increased treatment and referrals. To promote early diagnosis and intervention for UI, the ISI screening tool and referral pathway should be expanded to all female primary care.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Interventions to Minimize the Unnecessary Replacement of Peripheral Intravenous Catheters: A Systematic Review.","authors":"Jaime Gomariz-Ruiz, Daniel Gutiérrez-Sánchez, David Pérez-Cruzado","doi":"10.1891/JDNP-2024-0056","DOIUrl":"https://doi.org/10.1891/JDNP-2024-0056","url":null,"abstract":"<p><p><b>Background:</b> Peripheral intravenous catheters (PIVCs) is widely considered the most common invasive procedure in hospitals, and it is estimated that these devices are used annually up to two billion times worldwide. The main complication of this procedure is the appearance of phlebitis, which can cause pain, edema, tenderness, erythema, or the development of a palpable cord around the cannulated vein. Premature failure of PIVCs increases the cost of health care. <b>Objective:</b> To describe interventions carried out by nursing professionals aimed at increasing the lifespan of PIVCs. <b>Methods:</b> A systematic review following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) was carried out. A bibliographic keyword search was performed on search engines between December 2021 and January 2022. Articles were selected independently by two of the authors. The protocol for this systematic review was properly recorded. Inclusion and exclusion criteria were defined (see \"Methods\" section). The PEDro scale was used to ensure the quality of the selected studies. <b>Results:</b> Fifty-two articles were screened, with 14 articles ultimately selected. The outcomes were prioritized by the number of articles that mentioned them, divided into primary and secondary outcomes. We found the following as primary outcomes: phlebitis occurrence, PIVC location, occlusion occurrence, PIVC dwell time, bloodstream infection, and infiltration rate. Secondary outcomes were dislodgement occurrence, presence of pain, local venous infection, PIVC colonization, number of PIVCs per patient, and accidental removal. <b>Conclusions:</b> PIVC material or the use of heparin can prevent phlebitis or the occurrence of occlusion. Ultra-long PIVCs show improvements in dwell time. Routine PIVC replacement has fallen into disuse. <b>Implications for Nursing:</b> Knowledge of the different PIVC materials and their lifespan is an area of nursing competence. Some methods increase PIVCs' dwell time. The use of heparin solutions or Vialon catheters may prevent phlebitis occurrence. The use of Vialon catheters or achieving better fixation by adding cyanoacrylate drops under the dressings could reduce occlusion occurrence. Hospital nurses are the main parties responsible for the management of peripheral venous catheters, and their interventions should be aimed at increasing the catheters' dwell time and reducing complications.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Cytomegalovirus Knowledge, Practices, and Beliefs Among Maternal-Child Nursing.","authors":"Ruth Foreman, Michelle Zappas, Beth Zamboni","doi":"10.1891/JDNP-2025-0027","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0027","url":null,"abstract":"<p><p><b>Background:</b> Congenital cytomegalovirus (cCMV) is a leading cause of birth defects and neurodevelopmental disabilities in infants, yet knowledge and routine testing remain inconsistent across the states. Nurses in maternal-child health play a pivotal role in early detection and education, but their knowledge about cCMV has not been widely studied. <b>Objectives:</b> This study aimed to assess the beliefs and practices regarding cCMV among nurses at all levels of education and role, working in maternal, fetal, or pediatric medicine, and to examine how they would respond regarding their knowledge and beliefs. <b>Methods:</b> A modified survey, previously used in a physician cohort, was distributed to nurses through a professional organization across 32 U.S. states without standardized cCMV testing. The survey assessed knowledge of cCMV prevalence, signs and symptoms, long-term outcomes, and current testing practices. <b>Results:</b> A total of 215 nurses responded. Most participants had limited knowledge of cCMV, with an average knowledge score of 3.39 out of 10. Notably, less than half correctly identified the prevalence of cCMV or the potential for delayed hearing loss in asymptomatic infants. Many respondents expressed a desire to learn more, highlighting a clear gap in education and clinical training. <b>Conclusions:</b> Significant knowledge gaps exist among maternal-child nurses regarding cCMV. More research is warranted on nurses' knowledge and beliefs about cCMV, including redefining tools for measuring knowledge, practices, and beliefs, and examination of various roles of nursing. <b>Implications for Nursing:</b> Nurses are essential in identifying at-risk infants and supporting families. Enhancing nurse education about cCMV could improve early detection, referral, and care coordination and potentially influence policy toward universal screening.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Sustained Student Integration Model: A Longitudinal Framework for Doctor of Nursing Practice Project Integration in Nurse Practitioner-Led Interdisciplinary Practice.","authors":"Ashley Fenton, Colleen K Goode, Amanda Rohde, Keitra Thompson, Debbie Busch, Brenda Douglass, Nicholas Cooper, Katherine Neiling, Maureen Ndzi, Kara Leonard, Kaitlyn Gulock, Allyson McFadden, Maria Asogwa","doi":"10.1891/JDNP-2025-0097","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0097","url":null,"abstract":"<p><p><b>Background:</b> Doctor of Nursing Practice (DNP) projects frequently encounter challenges related to variability in design, limited sustainability, and misalignment with organizational priorities, reducing their long-term impact on practice transformation. There is a growing need for structured academic-practice models that embed DNP scholarship within existing quality improvement (QI) infrastructures to enhance rigor, continuity, and sustainability. <b>Objective:</b> To describe the development and implementation of the Sustained Student Integration Model (SSIM), a longitudinal framework designed to integrate DNP student projects into the ongoing QI infrastructure of a nurse practitioner (NP)-led interdisciplinary practice. <b>Methods:</b> The SSIM was developed using principles from Donabedian's Quality of Care Model, the Social Ecological Model, patient-centered care frameworks, and Interprofessional Education Collaborative competencies. The model embeds DNP projects longitudinally across successive student cohorts within an NP-led interdisciplinary practice, fostering continuity and scalability. Key components include structured mentorship, interdisciplinary collaboration among psychiatric and primary care NPs, pharmacists, and other professionals, and alignment with practice-level QI priorities. <b>Results:</b> To date, more than 20 DNP projects have been implemented within the SSIM framework across domains, including access and continuity of care, cardiometabolic health, digital health innovation, and specialty populations. Outcomes include sustained practice changes, peer-reviewed publications, and national scholarly presentations, demonstrating both educational and organizational impact. <b>Conclusions:</b> The SSIM provides a replicable, longitudinal approach to embedding DNP scholarship within clinical practice. By aligning student projects with organizational priorities and interdisciplinary QI infrastructure, the SSIM enhances sustainability, rigor, and translational impact. <b>Implications for Nursing:</b> The SSIM positions NP-led academic-practice partnerships as innovation hubs that prepare practice-ready nurse leaders while advancing equity-focused, interdisciplinary care delivery. This model offers a scalable solution to long-standing challenges in DNP education and contributes to the advancement of sustainable, system-level nursing practice transformation.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence-Ready Doctor of Nursing Practice Education: A Competency-Based Approach.","authors":"Veronica Ronnie Quattrini, Lisa Taylor, Donna Lynch-Smith, Tarnisha Hemphill, Tiffany Gibson, Amy Ford, Emily Fox, Amanda Roesch, Tene Turner, Wanda Hilliard, Angel Anthamatten","doi":"10.1891/JDNP-2025-0051","DOIUrl":"10.1891/JDNP-2025-0051","url":null,"abstract":"<p><p><b>Background:</b> Artificial intelligence (AI) is rapidly transforming nursing education and clinical practice. As AI becomes increasingly embedded in health care delivery, integrating AI competencies into Doctor of Nursing Practice (DNP) education is essential to prepare advanced practice registered nurses (APRNs) to utilize these tools effectively and ethically. <b>Objective:</b> This manuscript examines the integration of AI into DNP education, addressing policy implications, best practices, and strategies to prepare APRNs for leadership in AI-enhanced environments. <b>Methods:</b> A review of institutional innovations and faculty strategies demonstrates the application of AI in nursing education through adaptive learning platforms, virtual simulations, predictive analytics, and AI-driven clinical decision support systems. Case exemplars highlight implementation approaches and educational outcomes. <b>Results:</b> AI-enhanced tools have demonstrated several benefits, such as improved student engagement, individualized learning, and enhanced clinical reasoning. Case-based reflections revealed enhanced decision-making, mentorship, and student competency tracking. Limitations and potential risks of AI are also identified. Key guiding principles include evaluating existing competencies within the context of AI capabilities, defining emerging AI needs, supporting faculty development through AI training, and advancing policies for responsible and ethical AI use. <b>Conclusions:</b> The nursing profession is well recognized for its innovative approach to adopting new technologies. Embedding AI into DNP education requires intentional curricular reform, strong leadership support, and ethical oversight to ensure sustainable adoption. Nursing faculty must champion the strategic and responsible use of AI to prepare APRNs for evidence-based, technology-driven practice. DNP-prepared nurses, with their expertise in quality improvement and ethical practice, are uniquely positioned to shape the development and implementation of AI tools.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"19 1","pages":"11-23"},"PeriodicalIF":0.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doctor of Nursing Practice Student Rounds: Acclimating Novice Students.","authors":"Curry Bordelon, Aimee Holland, Tammy Fields, Becky Suttle, Tedra Smith","doi":"10.1891/JDNP-2023-0048","DOIUrl":"10.1891/JDNP-2023-0048","url":null,"abstract":"<p><p><b>Background:</b> Novice doctor of nursing practice (DNP) students often have difficulties with incorporating programmatic requirements, understanding principles of quality improvement, developing scholarship skills, and fostering engagement with student colleagues. Mentoring by experienced faculty can be effective in acclimating students and developing scholarly work. <b>Objective:</b> The authors of this manuscript describe how mentoring sessions, DNP Student Rounds, provide a unique student assimilation and engagement experience for first-semester DNP students. <b>Methods:</b> DNP Student Rounds is an innovative approach for mentoring new DNP students by providing four monthly 60-minute virtual sessions during the first semester as students engage in learning principles of the quality improvement process, network with fellow students, identify project topics, and develop project teams. <b>Results:</b> Student feedback is overall positive with increased engagement and faculty interaction throughout their first semester. Faculty are more confident that this process helps the students with their project development while enhancing scholarship skills. <b>Conclusions:</b> Providing routine mentoring opportunities during the first semester of the DNP Program can be an effective method of supporting student engagement and program success. <b>Implications for Nursing:</b> By improving the educational process for DNP students, graduates are more prepared to build teams, lead quality improvement efforts, and impact health outcomes in the healthcare setting.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"19 1","pages":"39-44"},"PeriodicalIF":0.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Type 2 Diabetes Screening and Treatment Rates at a Community Clinic.","authors":"Melanie B Looser, Bethany Gilbert","doi":"10.1891/JDNP-2024-0063","DOIUrl":"https://doi.org/10.1891/JDNP-2024-0063","url":null,"abstract":"<p><p><b>Background:</b> Although type 2 diabetes mellitus (T2DM) and prediabetes are widespread conditions affecting many people across the United States, they often remain undiagnosed due to the lack of screening processes in primary care. Underdiagnosis of these conditions can lead to disease progression and poor outcomes. <b>Objective:</b> A clinical practice change was implemented at a community clinic to improve screening rates and provide earlier patient treatment by implementing a systematic screening and treatment protocol into the current workflow. <b>Methods:</b> The existing clinic flow was adjusted to reflect updated screening guidelines by the American Diabetes Association. The clinic providers were trained on implementing this change and complied with the new process until project completion. <b>Results:</b> Descriptive statistics were used to analyze the collected data. The results were as follows: 32 patients were screened for diabetes, totaling a screening rate of 39.51%; in addition, 2.46% of patients were diagnosed with T2DM, and 4.96% were identified as prediabetic. As a result, 100% of the patients identified received standard-of-care treatment. <b>Conclusions:</b> This clinical practice change increased screening rates and impacted early identification and treatment of T2DM and prediabetes. The clinical facility will continue implementing this standard of care within its daily routine. <b>Implications for Nursing:</b> Systematic screening protocols positively impact screening rates and patient care.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}