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Chronic kidney disease (CKD) is a significant public health issue affecting millions of people worldwide, particularly in underserved populations where access to quality healthcare is limited. Nurses play a crucial role in the management of CKD, as they are often the primary healthcare providers for these populations. Therefore, the development of a nurse-led program to improve the management of CKD in underserved populations is essential to address the challenges faced by these vulnerable groups.

This thesis aims to investigate the development and implementation of a nurse-led program to improve the management of CKD in underserved populations. The program will focus on prevention, early detection, and management of CKD, as well as patient education and self-management strategies. By empowering nurses to take a leading role in the management of CKD, this program seeks to improve health outcomes and reduce healthcare disparities in underserved populations.

Chapter 1: Introduction
1.1 Introduction
1.2 Background of study
1.3 Problem Statement
1.4 Objective of study
1.5 Limitation of study
1.6 Scope of study
1.7 Significance of study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 Prevalence of Chronic Kidney Disease
2.2 Risk factors for CKD in Underserved Populations
2.3 Role of Nurses in CKD Management
2.4 Nurse-led Interventions for CKD
2.5 Barriers to CKD Management in Underserved Populations
2.6 Strategies to Improve CKD Management in Underserved Populations
2.7 Effectiveness of Nurse-led Programs in CKD Management
2.8 Patient Education and Self-management in CKD
2.9 Collaborative Care Models for CKD Management
2.10 Theoretical Framework for Nurse-led CKD Program

Chapter 3: Research Methodology
3.1 Research Design
3.2 Sampling and Recruitment
3.3 Data Collection Methods
3.4 Data Analysis
3.5 Ethical Considerations
3.6 Program Development and Implementation
3.7 Program Evaluation
3.8 Timeline and Budget

Chapter 4: Discussion of Findings
4.1 Program Development and Implementation
4.2 Patient Outcomes and Satisfaction
4.3 Nurse Satisfaction and Competence
4.4 Barriers and Facilitators to Program Implementation
4.5 Lessons Learned and Recommendations for Future Implementation

Chapter 5: Conclusion and Summary
5.1 Summary of Findings
5.2 Implications for Nursing Practice
5.3 Recommendations for Policy and Research
5.4 Conclusion
5.5 Future Directions

Overall, this thesis will contribute to the growing body of knowledge on nurse-led interventions in chronic disease management and provide valuable insights into the development of effective programs for underserved populations with CKD. By empowering nurses to take a leading role in CKD management, this program has the potential to improve health outcomes and reduce healthcare disparities in underserved communities.

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