The Impact of Diabetes Nurse Case Management on Hemoglobin A1c (HgbA1c) and Self-Efficacy of Patients with Type 2 Diabetes: A Systematic Review

  • Reem Nassar Al-Dossary GEORGE MASON UNIVERSITY
  • Panagiota Kitsantas George Mason University
Keywords: case management, nursing diabetes case management, type 2 diabetes, self-efficacy, clinical outcomes, Hemoglobin (HgbA1c) and self-efficacy.


Purpose: The aim of this systematic review is to present current knowledge on diabetes nurse case management and assess its effects on Hemoglobin (HgbA1c) and patient self-efficacy.

Methods: An electronic search was conducted for the period of 1998 to 2013 using databases of the scientific literature in Medline, PubMed, Cochrane EPOC, Cumulative Index to Nursing & Allied Health Literature database guide (CINAHL), and PsychInfo using a range of keywords and a variety of combinations of Medical Subject Headings (MeSH) terms. Information gathered was evaluated for relevance.

Results: Eleven studies that met the inclusion criteria were used in this systematic review. In several studies considered in this review, diabetes nurse case management had positive effects on patient’s HgbA1c. It reduced HgbA1c andimproved HgbA1c values compared to standard care. Moreover, in several studies diabetes case management improved type 2 diabetes patients’ self-efficacy.

Conclusion: Diabetes nurse case management is necessary for countries with increasing prevalence of diabetes 2 such as Saudi Arabia and the states of the Co-operation Council for the Arab States of the Gulf as it will help improve the quality of care provided to patients and improve their clients’ health outcomes. Overall this study provides evidence that case management has positive effects on type 2 diabetic patients’ HgbA1c and self-efficacy.

Author Biographies


Lecturer, Nursing College, Dammam University, Dammam, Saudi Arabia

PhD Candidate, College of Health and Human Services, George Mason University, Fairfax,VA, USA

Panagiota Kitsantas, George Mason University

Department of Health Administration and Policy

Associate Professor



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