Contact hours available until 4/30/2015

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Authors Conflict of Interest Disclosure:
The authors reported no actual or potential conflict of interest in relation to this continuing nursing education activity.

Nephrology Nursing Journal Editorial Board Statements of Disclosure:
Deborah H. Brooks, MSN, APN-BC, CNNNP, disclosed that she is on the Consultant Presenter Bureau and the Advisory Board for Affymax, Inc.

Paula Dutka, MSN, RN, CNN, disclosed that she has received grant/research support from Keryx, Amgen, Rockwell, Fibrogen, Dynovox, and Otsuka; and she is on the
Consultant and Presenter Bureau and the Nephrology Nurse Advisory Board for Affymax/Takeda.

Patricia B. McCarley, MSN, RN, ACNPc, CNN, disclosed that she is on the Consultant Presenter Bureau for Amgen, Genzyme, and OrthoBiotech. She is also on the Advisory
Board for Amgen, Genzyme, and Roche and is the recipient of unrestricted educational grants from OrthoBiotech and Roche.

All other members of the Editorial Board had no actual or potential conflict of interest in relation to this continuing nursing education activity.

This article was reviewed and formatted for contact hour credit by Beth Ulrich, EdD, RN, FACHE, FAAN, Nephrology Nursing Journal Editor, and Hazel A. Dennison, DNP, RN,
APNc, CPHQ, CNE, ANNA Education Director.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Non-Endorsement of Products:
Accreditation of activities for contact hours does not imply approval or endorsement of any product, advertising, or educational content by the American Nephrology Nurses' Association (ANNA), or the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation Statement:
American Nephrology Nurses’ Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Accreditation status does not imply endorsement by ANNA or ANCC of any commercial product.

ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910.

Goal: To provide an overview of the effects of a six-month educational program aiming acquisition of self-management skills on patients with diabetic nephropathy.

Objectives

Discuss the impact of diabetes on the population of Japan in comparison with global statistics.
Review the application of self-management education with content and structure based on theoretical frameworks.
Explain the educational techniques integrated that provided evidence to improve patient outcomes.

Authors’ Note: As a disclaimer, the authors state that no risk was assumed because the program mainly consisted of education using textbooks with content based on clinical practice guidelines and study materials already on the market, the safety of which has been confirmed. The project was commissioned and funded by Kure City, Hiroshima Prefecture, Japan.
Acknowledgements: This study was funded by Kure City. The authors would like to sincerely thank all the people in the relevant institutions that cooperated with this study.

Kana Kazawa

Appearances