Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Lisa VanGetson APRN, DNP, FNP-C

Second Advisor

Susan Cutshall APRN, DNP, CNS

Third Advisor

Joyce P. Miller DNP, RN


Non-adherence to medication is a problem in the healthcare system nationwide, especially in chronic diseases such as diabetes. Treatment and management of diabetes is necessary to repress complications like cardiovascular disease, disabilities, and death. To gain understanding of potential causes of non-adherence to medication among the Kenyan immigrant women with diabetes living in the United States, a team approach whereby healthcare providers and patients collaborate to achieve positive outcomes is essential. A non-adherence to medication project provides opportunities for healthcare providers to learn what is important to patients and how patients view the healing process. Health-related lifestyles, patient-specific perspectives on health and medicines, and access to healthcare are some factors that have contributed to the problem of adherence among Kenyan women in the United States. This project targets the healthcare system to address health inequities among immigrants in the United States. Proper policies and strategies that benefit the affected population should be adopted to promote adherence. As transformational leaders, advanced nurses should continue with education efforts to manage diabetes and offer patients messages tailored to reduce their concerns on medications. Leininger’s Culture Care Theory has demonstrated the necessity of maintaining connections between culture and care to achieve congruent care. This project will allow diabetic Kenyan women in the United States to communicate freely with their healthcare providers without fear of judgment and in an authentic environment that supports different cultures and beliefs.


SC 11.DNP.2020.Onkoba.R