Diabetes care: practice nurse roles, attitudes and concerns

Kenealy, Tim; Arroll, Bruce; Kenealy, Helen; Docherty, Barbara; Scott, David; Scragg, Robert; Simmons, David

doi:10.1111/j.1365-2648.2004.03173.x

Cited by 29 publications

(16 citation statements)

References 9 publications

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“…Despite the ageing PN workforce PNs and DNs represent a stable workforce, with about a third having remained in their current workplace for over 10 years-similar to that reported for PNs in NZ in 1999, 16 although more than those surveyed in 1990. 16 However, they are less stable than their peers in Great Britain who had spent 9.3 mean years in their current positions 17 and less than the eight mean years reported for PHC nurses in South Africa. 18 SNs had spent less time in their current positions than PNs and DNs and also less than their peers in the UK, who had been in their current positions for a mean of 6.2 years.…”

Section: Quantitative Researchsupporting

confidence: 57%

“…Most PNs and SNs had gained their diabetes experience in PHC, similar to the proportion reported for PNs in Scotland 13 and SNs had spent longer in PHC than diabetes educators in the US. 20 About half of the PNs worked in mid-sized practices-similar to that reported in NZ from the 1999 survey and more than in 1990 16 -and in practices in the Waikato region, 24 and with more nurses than the majority of PNs in Scotland where the majority worked with one to two other nurses (74%). 13 SNs tended to work in large practices or services with fewer working in multidisciplinary teams compared with DSNs in the Netherlands (78%) 15 and the UK.…”

Section: Quantitative Researchmentioning

confidence: 62%

“…20,21 Most SNs (89%) sampled had received specific diabetes education, which was a similar proportion to that reported for DSNs in the UK 14,22 and experienced staff nurses in an older survey from South Africa. 18 A large proportion of PNs (84%) sampled reported having specific diabetes education, similar to that reported by PNs in Scotland 13 and those surveyed from 123 general practices in Nottingham, UK, 23 and almost twice the proportion reported from the 1999 (47%) and far higher than that reported in the 1990 (14%) NZ surveys, 16 illustrating the increasing trend in post-registration diabetes education for PNs. Despite this, no national post-registration diabetes programme or qualification exists in NZ, making comparisons difficult on the quality and core content covered.…”

Section: Quantitative Researchmentioning

confidence: 70%

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Characteristics of nurses providing diabetes community and outpatient care in Auckland

Daly

Arroll²,

Sheridan³

et al. 2013

J Prim Health Care

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INTRODUCTION: There is a worldwide trend for diabetes care to be undertaken in primary care. Nurses are expected to take a leading role in diabetes management, but their roles in primary care are unclear in New Zealand, as are the systems of care they work in as well as their training. AIM: To describe and compare demographic details, education and diabetes experience, practice setting and facilities available for the three main groups of primary health care nurses working in the largest urban area in New Zealand. METHOD: Of the total number of practice nurses, district nurses and specialist nurses working in Auckland (n=1091), 31% were randomly selected to undertake a self-administered questionnaire and telephone interview in 20062008. RESULTS: Overall response was 86% (n=284 self-administered questionnaires, n=287 telephone interviews). Almost half (43%) of primary care nurses were aged over 50 years. A greater proportion of specialist nurses (89%) and practice nurses (84%) had post-registration diabetes education compared with district nurses (65%, p=0.005), from a range of educational settings including workshops, workplaces, conferences and tertiary institutions. More district nurses (35%) and practice nurses (32%) had worked in their current workplace for >10 years compared with specialist nurses (14%, p=0.004). Over 20% of practice nurses and district nurses lacked access to the internet, and the latter group had the least administrative facilities and felt least valued. DISCUSSION: These findings highlight an ageing primary health care nursing workforce, lack of a national primary health care post-registration qualification and a lack of internet access. KEYWORDS: Community health nursing; diabetes mellitus; internet; nurses; primary health care

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Section: Quantitative Researchsupporting

confidence: 57%

Section: Quantitative Researchmentioning

confidence: 62%

Section: Quantitative Researchmentioning

confidence: 70%

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Characteristics of nurses providing diabetes community and outpatient care in Auckland

Daly

Arroll²,

Sheridan³

et al. 2013

J Prim Health Care

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“…27 The proportion of nurses who gave advice or discussed serum glucose (43%) during the consultation was similar to that reported in this survey for routine practice (41%); 31 although, the proportion for PNs in this survey (39%) was lower than in previous surveys of PNs in 1990 (81%) and 1999 (91%) in NZ who reported educating patients on home glucose testing. 32 Possible reasons for this are re-categorisation of responses, respondent variation, self-reported bias, or an actual change in nursing management.…”

Section: Quantitative Researchmentioning

confidence: 99%

Management of diabetes by primary health care nurses in Auckland, New Zealand

et al. 2015

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INTRODUCTION: The increasing prevalence of diabetes has led to expanded roles for primary health care nurses in diabetes management. AIM: To describe and compare anthropometric and glycaemic characteristics of patients with diabetes and their management by practice nurses, district nurses and specialist nurses. METHODS: Primary health care nurses in Auckland randomly sampled in a cross-sectional survey, completed a postal self-administered questionnaire (n=284) and telephone interview (n=287) between 2006 and 2008. Biographical and diabetes management details were collected for 265 (86%) of the total 308 patients with diabetes seen by participants on a randomly selected day. RESULTS: Nurses were able to access key clinical information for only a proportion of their patients: weight for 68%; BMI for 16%; HbA1c for 76% and serum glucose levels for 34% (for either measure 82%); although most (96%) records were available about whether patients self-monitored blood glucose levels. Most nursing management activities focused on giving advice on dietary intake (70%) and physical activity (66%), weighing patients (58%), and testing or discussing blood glucose levels (42% and 43%, respectively). These proportions varied by nurse group (p<0.05), generally being highest for specialist nurses and lowest for district nurses. DISCUSSION: Most practice and specialist nurses could access patients' weight and HbA1c levels and focused their clinical management on health education to decrease these if indicated. Communication and organisational systems and contracts that allow district nurses to work across both primary and secondary health services are necessary to improve community-based nursing services for patients with diabetes. KEYWORDS: Blood glucose; diabetes mellitus type 1; diabetes mellitus type 2; nurses; primary health care; risk management

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“…While administration is endorsed by general practitioners, most childhood vaccinations are carried out by practice nurses in primary healthcare settings. In these contexts, and as the work of practice nursing expands (for instance, to include prescribing) the work of nurses is recognized as of increasing importance (Kenealy et al. 2004).…”

Section: Introductionmentioning

confidence: 99%

Nurse and parent partnership during children’s vaccinations: a conversation analysis

Plumridge¹,

Goodyear‐Smith

Ross

2009

Journal of Advanced Nursing

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Communication skills and rapport are core to nursing work. What happens at the micro-level of turn-taking, where prosody and the actions achieved in talk, is of key importance. Our study suggests 'small talk' is of major importance - a practical professional skill in which nurses not only align with parents but simultaneously cue both mother and child about how the immunization should be conducted.

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Diabetes care: practice nurse roles, attitudes and concerns

Abstract: Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients.

Cited by 29 publications

References 9 publications

Characteristics of nurses providing diabetes community and outpatient care in Auckland

Characteristics of nurses providing diabetes community and outpatient care in Auckland

Management of diabetes by primary health care nurses in Auckland, New Zealand

Nurse and parent partnership during children’s vaccinations: a conversation analysis

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