Do practice nurses have the knowledge to provide diabetes self-management education?

Hollis, Margaret; Glaister, Karen; Lapsley, Jennifer Anne

doi:10.5172/conu.2014.46.2.234

Cited by 30 publications

(18 citation statements)

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“…In diabetes self-management education (DSME), the close involvement of patients and caregivers is encouraged. Practice nurses are ideally positioned to provide monitoring, tailored feedback, and education on key aspects of self-management [ 14 ]. Despite growing interest, there is limited evidence to support the clinical effectiveness of nurse-led diabetes self-management interventions on glycemic control, particularly in Iran.…”

Section: Introductionmentioning

confidence: 99%

Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes

Azami

Soh

Sazlina

et al. 2018

Journal of Diabetes Research

117

159

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In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. A two-arm parallel-group randomized controlled trial with the blinded outcome assessors was designed. One hundred forty-two adults with type 2 diabetes were randomized to receive either usual diabetes care (control group) or usual care plus a nurse-led diabetes self-management education (intervention group). Duration of the intervention was 12 weeks. The primary outcome was glycosylated hemoglobin (HbA1c values). Secondary outcomes were changes in blood pressure, body weight, lipid profiles, self-efficacy (efficacy expectation and outcome expectation), self-management behaviors, quality of life, social support, and depression. Outcome measures were assessed at baseline and at 12-week and 24-week postrandomizations. Patients in the intervention group showed significant improvement in HbA1c, blood pressure, body weight, efficacy expectation, outcome expectation, and diabetes self-management behaviors. The beneficial effect of a nurse-led intervention continued to accrue beyond the end of the trial resulting in sustained improvements in clinical, lifestyle, and psychosocial outcomes. This trial is registered with IRCT2016062528627N1.

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Section: Introductionmentioning

confidence: 99%

Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes

Azami

Soh

Sazlina

et al. 2018

Journal of Diabetes Research

117

159

View full text Add to dashboard Cite

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“…In 2016, significantly more people with diabetes who smoked were Green Script is a written prescription for an individualized physical activity programme or referral to a community activity programme. asked if they wished to stop by nurse participants, although fewer were offered community cessation support than in 2006-2008 [17], and the proportion of nurses engaging in smoking cessation was comparable with Australian practice nurses [27]. However, 30% of people with diabetes were offered nicotine replacement therapy, highlighting the more active approach by nurses following recommendations to assess motivation to stop at every consultation [1,25].…”

Section: Discussionmentioning

confidence: 99%

Trends in cardiovascular management of people with diabetes by primary healthcare nurses in Auckland, New Zealand

2019

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AimsThe study aim was to re-examine current work practices and evaluate time trends in the cardiovascular management of people with diabetes consulted by primary healthcare nurses in New Zealand.Methods Primary healthcare nurses in the Auckland region were surveyed in 2006-2008 and 2016, with about onethird of practice, home care and specialist nurses randomly selected to participate. Nurses completed a self-administered questionnaire about demographic and workplace details, and a telephone interview about clinical care provided for people with diabetes during nursing consultations. Information was collected on a representative sample of people with diabetes consulted on one randomly selected work-day in the previous week.Results Of all people with diabetes consulted by nurses, practice nurses consulted significantly more in 2016 (83%) compared with 60% in 2006-2008, whereas specialist nurse consultations decreased from 23% to 8% (P = 0.01). In 2016, in people with diabetes, BMI was higher, and total cholesterol lower, yet the proportions of those receiving lifestyle advice (dietary and activity) remained unchanged from 2006-2008 levels. Smoking prevalence in people with diabetes was unchanged between the two surveys, although more people were asked if they wished to stop in 2016 compared with 2006-2008 (98% vs. 73%). In 2016, hours of nurses' diabetes education were associated with increased routine assessments of risk factors in people with diabetes and checking laboratory results.Conclusions Practice nurses are undertaking an increasing proportion of diabetes consultations. Although BMI in people with diabetes is increasing, the proportion of nurses offering lifestyle advice remains unchanged. Increasing diabetes education could strengthen the management of people with diabetes by community nurses. Diabet. Med. 36: 734-741 (2019) Correspondence to: Barbara M. Daly.

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“…42-45 As staff nurses spend a lot of time with patients, they have a major impact on patient experiences and are ideally positioned to provide key aspects of self-management education to a majority of people with DM. 46,47…”

Section: Translating Research Into Clinical Practicementioning

confidence: 99%

Development of an Educational Program on Prevention of Hypoglycemic Events Among Elderly Veterans With Type 2 Diabetes

2015

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Do practice nurses have the knowledge to provide diabetes self-management education?

Abstract: These findings suggest that PNs have deficits in the knowledge required for DSME and therefore, this must be addressed through targetting continuing professional development.

Cited by 30 publications

References 0 publications

Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes

Effect of a Nurse-Led Diabetes Self-Management Education Program on Glycosylated Hemoglobin among Adults with Type 2 Diabetes

Trends in cardiovascular management of people with diabetes by primary healthcare nurses in Auckland, New Zealand

Development of an Educational Program on Prevention of Hypoglycemic Events Among Elderly Veterans With Type 2 Diabetes

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