Problem:
The nurse's role in leading change within the Diabetes Self-Management Education and Support (DSMES) project is grounded in several key assumptions that inform effective practice and improvement strategies. It is assumed that nurses function as essential change agents, capable of driving workflow enhancements, monitoring clinical outcomes, and delivering individualized education (American Diabetes Association Professional Practice Committee, 2025). This multifaceted role necessitates not only clinical expertise but also the ability to collaborate with interdisciplinary teams to promote coordination and continuity of care (Zhou et al., 2024). Furthermore, nurses are expected to interpret complex clinical data, which is crucial for guiding patient-centered decision-making and adjusting interventions as necessary (The Use of SMS Text Messaging..., 2024). Another central assumption to this leadership role is the empowerment of nurses to influence institutional policies and quality improvement efforts. This empowerment enables nurses to implement scalable, culturally tailored solutions that enhance patient engagement, safety, and outcomes, as evidenced in the DSMES capstone project (Shiyanbola et al., 2022; Raaijmakers et al., 2023). To evaluate the effectiveness of the intervention, it is imperative to devise a robust plan that incorporates both quantitative and qualitative outcome measures. Key indicators include changes in A1C levels, treatment adherence, and self-management. Need Assignment Help?