Dokumentasjon og oppfølging av bebuarar med diabetes i sjukeheim

Abstract

Background:The healthcare system in Norway has a goal of basing services on research-based knowledge. Studies indicate that recommended and clinical practice frequently deviate. Little is known about the quality of follow-up of people with diabetes in nursing homes in Norway, but international studies show a great variation in the quality of diabetes care for residents of institutions.Objective: The purpose of this study was to determine whether the procedures for monitoring glycaemic control among nursing-home residents with diabetes in Norway were in accordance with the recommendations of evidence-based guidelines. Methods:We reviewed the electronic records of all residents with diabetes at three nursing homes in Bergen using clinical audit as the method. We analyzed the findings and considered them based on the recommendations of researchbased guidelines.Results: Fifty residents (14 %) met the requirements for participating. Of these, two (4 %) had individual goals for HbA1c documented in their medical records, nine residents (18 %) had individual procedures for measuring blood glucose and 16 residents (37 %) had HbA1c measured at least once in six months as recommended by research-based guidelines. Conclusion:The audit showed a discrepancy between current practice and recommendations of research-based guidelines regarding monitoring of blood glucose among the residents with diabetes at three nursing homes. This may indicate a need to improve the quality of diabetes follow-up by nursing homes in Norway.

Patient safety culture in nursing homes – a cross-sectional study among nurses and nursing aides caring for residents with diabetes

“…The fact that only 55% of the participants in this study reported familiarity with the diabetes guidelines for older nursing home residents can raise questions about where in the system dissemination of new and relevant knowledge fails, and why. Promoting the implementation of clinical guidelines in Norwegian nursing homes and not at least appropriate use of guidelines can lead to awareness among nursing personnel of the need to take informed decisions [ 34 ], which can enhance patient safety [ 7 ].…”

Betre oppfølging av diabetes på sjukeheimar aukar livskvaliteten

“…Trinn 1: Innsatsområda blei drøfta på postane. Det var naturleg å ta utgangspunkt i studien frå 2011 (4). Ladegården var ein av sjukeheimane som deltok i denne studien.…”

“…Gjennomføringa av klinisk audit, som inkluderte ti bebuarar med diabetes, viste klar betring på fleire område, samanlikna med funna i Heimro sin studie frå 2011 (4). Ved tidspunktet for re-audit var diagnosen dokumentert i alle pasientjournalane til bebuarane med diabetes.…”