Date of Degree


Document Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)




Michael D. Moon


Giovanna Favarato


Background. Type 2 diabetes is prevalent amongst the Hispanic population and increases the risk of developing chronic serious health issues (CDC, 2022, April 4). Setting attainable and realistic goals for patients with type 2 diabetes is foundational in achieving glycemic control and improving quality of life (ElSayed et al., 2023a). Purpose. To increase goal setting in patients with type 2 diabetes in the primary care setting. Goal. To promote self-management in patients with type 2 diabetes. Objectives. 100% of staff and providers will attend an in-service on goal setting using a self-management goal tool; 75% of patients will choose to adopt and implement one self-management goal; Providers will review self-management goal sheets for 100% of patients that completed the sheet documenting the goal in treatment plans and scanning the sheets into the electronic health record; 100% of patients that completed the self-management goal sheet will be referred to the in-house diabetic educator. Methods. Education regarding use of the self-management goal sheet was provided. Completion of the self-management goal sheets, placement in the electronic health record, documentation of identified goals in treatment plans and referrals to the in-house diabetic educator were monitored. Outcomes. Three of the four objectives were met with 100% attainment. However, only 44% of patients completed the self-management goal sheet. Implications for Practice. Utilization of the self-management goal sheet promotes self-management and self-efficacy of patients with type 2 diabetes, improves glycemic control, and helps prevents serious and chronic health issues thereby improving quality of life.