Doctor of Nursing Practice Program

• Committee Chair Name & Credentials:
  Michele Martens, DNP, RN
• Committee Member Name & Credentials:
  Shelza Rivas, DNP, WHNP-BC, AGCNP-BC

DNP Project Abstract

Implementation of a Food Diary Tool in Latina Women with Gestational Diabetes

Purpose
The aim of this project was to educate Latina women diagnosed with Gestational Diabetes (GDM) on the importance of dietary changes and monitoring their food intake during their second and third trimesters in pregnancy. A food diary tool was designed to enhance GDM patient’s awareness of their food choices, portion control, and timing of their food intake which can all directly impact weight gain during pregnancy.

Methods
The data collection method that was utilized was a food diary, written in English and Spanish languages. The frequency of the food diary tool by the participants was collected at each prenatal visit. The midwife reviewed participant’s food diary and educated them on nutrition with an emphasis on appropriate dietary modifications.

Results
Data were collected from three participants over four prenatal visits. All participants had similar characteristics such as age, Spanish as their primary language, and multigravida. One participant utilized the tool at least six days per week, had no family history of Diabetes Mellitus and had more formal education. One participant did not utilize the tool, had low levels of literacy and was unable to read and write in Spanish. One participant was obese pre-pregnancy and was compliant in using the tool compared to those that had a normal BMI. After each prenatal visit, participants received dietary education on food choices, portion control, and timing of their food intake.

Implications for Practice
This project positively impacted clinical outcomes as it suggested the importance of dietary education in women with GDM. It supports that advanced practice nurses can provide nutritional care that is comprehensive and culturally sensitive to patients. The project highlighted that a food diary tool is an effective intervention that can influence dietary lifestyle in Latina women with GDM.