1. Group 4

2. Fujairah Hospital Participants: 1- Khadija Al Yazeed SCN Diabetic Clinic 2- Mariam Rashid SCN FSW 3- Mariam Khamis SCN Maternity 4- Mariam Humiad SCN Paediatric Mentors: 1- Mrs. Soheir Milad DON 2- Mrs. Yousra Sawidat Teacher at Nursing School

3. Headlines: 1- Project Title 2- Introduction 3- Vision 4- Target Group 5- Key Goals 6- Objective 7- Seeding Grand 8- High Lights & Success 9 – Suggestions & Recommendations

4. Project Title: Implement improvement in quality nursing care for diabetic patients at Fujairah Hospital.

5. Introduction: Diabetes Mellitus: Is a chronic disease leads to many serious complication (e.g) Cardiovascular complication, Nephropathy, Retinopathy Aim of this Study: This topic was selected to prevent complications & promoting diabetic patient healthy in Fujairah community. It is also known that taking care of diabetic patients is very costly.

6. WHO Report: The latest WHO Report shows that around 135 million people are affected with diabetes mellitus & nearly the same number do not known that they have the disease. This number is expected to double in the coming 20 years. UAE Report: In the UAE the last national survey in 2001 showed that around 20% of the population are diabetic & around 13% are liable to develop diabetes mellitus each year. UAE national 24.6 % are diabetic UAE national above 40 years of age 64 % are diabetic

7. Vision: To achieved good glycemic control & delay acute & chronic complications of diabetes mellitus.

8. Target Group: 1- Diabetes mellitus in Fujairah Hospital, medical, surgical ward, diabetic clinic, Maternity ward, peadiatric ward. 2- Nursing staff from wards and out patient.

9. Key Goals I: Update staff knowledge & skill about diabetes mellitus. ObjectiveActionOutcome 1- the staff nurse should be able to update knowledge about diabetes mellitus, comprehensively following workshop 2- The staff nurse should be able to give insulin injection using the checklist with 100% accuracy - Pre test - Lecture - Group work - Open discussion - Post test - Evaluation - Demonstration - Group work Positive result & good participation as reflected by the graph All participant administered insulin injection accurately.

10. STAFF AWARENESS ABOUT DIABETES AND INSULIN THERAPY (PRE-TEST)

11. STAFF AWARENESS ABOUT DIABETES AND INSULIN THERAPY (POST-TEST)

12. Key Goals II: Update patient knowledge & skills about diabetes mellitus. ObjectiveActionOutcome 1- Patients should be aware of the causes, signs & symptoms & how to prevent complications of diabetes mellitus. 2 – Patients should be able to practice self administration of insulin - Assessment - Lecture - Group discussion Demonstration - Evaluation Patients were able to mention causes, signs & symptoms, prevention of complication of diabetes mellitus. All patients were able to practice self injection insulin safely.

13. PATIENT AWARENESS ABOUT DIABETES MELLITUS & COMPLICATIONS

14. UAE leadership & management Development Program. FORMAT FOR FINANCIAL REPORTING OF SEEDING GRANTS FOR TEAM PROJECTS Budget Item Budget amount Amount spent by 31 March 2003 Variance (from budget amount) Comment on variance Amount spent by 31 March 2004 Variance (from budget amount) Comment on variance Stationary2151285 265770 Typing 200 150 620 Copies 120 500 Video types 20 Floppy discs 30 Total 465 535 500 1550 1085 1065 1035

15. High Light & Success 1- Team cooperation 2- Good support from Multi-disciplinary team. 3- Team motivation. 4- Patients & staff interest & cooperation. 5- Communication within group 6- Negotiation.

16. Suggestions & Recommendations: This project had initially highlighted the needs of diabetic patients at Fujairah Hospital, which revealed the need for a sincere, continuous effort to ensure & monitor the best care for those patients.

17. Suggestions & Recommendations: So the team suggest to: 1- Conduct frequent educational projects for the staff. 2- Make glucometer available for all the patients 3- Involvement of staff in the national & international diabetic conferences. 4- Have an access to a web site for diabetes mellitus & the findings of this project can be used as a reference for further projects. 5- Provide Hot line with 24hrs services for diabetic patient.

18. THANK YOU