Practice nurses’ views of their diabetes care

Gillibrand, Warren P.; Taylor, J Leahy; Hughes, John

doi:10.12968/pnur.2004.15.3.12549

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…The repertoire of forms of support that practitioners offer seems limited to didactic education and motivation, and practitioner–patient communication tends to be considered in task‐oriented, transactional and somewhat instrumental terms . Attention to emotional issues might feature, but practitioners’ engagement with patients’ lived experiences appears limited, perhaps because attention to emotional issues is valued primarily as a means to encourage behaviours recommended for disease control.…”

Section: Methodsmentioning

confidence: 99%

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

Morgan

Entwistle

Cribb

et al. 2016

Health Expectations

117

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BackgroundHealth policies internationally advocate ‘support for self‐management’, but it is not clear how the promise of the concept can be fulfilled.ObjectiveTo synthesize research into professional practitioners’ perspectives, practices and experiences to help inform a reconceptualization of support for self‐management.DesignCritical interpretive synthesis using systematic searches of literature published 2000–2014.FindingsWe summarized key insights from 164 relevant papers in an annotated bibliography. The literature illustrates striking variations in approaches to support for self‐management and interpretations of associated concepts. We focused particularly on the somewhat neglected question of the purpose of support. We suggest that this can illuminate and explain important differences between narrower and broader approaches. Narrower approaches support people to manage their condition(s) well in terms of disease control. This purpose can underpin more hierarchical practitioner–patient communication and more limited views of patient empowerment. It is often associated with experiences of failure and frustration. Broader approaches support people to manage well with their condition(s). They can keep work on disease control in perspective as attention focuses on what matters to people and how they can be supported to shape their own lives. Broader approaches are currently less evident in practice.Discussion and conclusionBroader approaches seem necessary to fulfil the promise of support for self‐management, especially for patient empowerment. A commitment to enable people to live well with long‐term conditions could provide a coherent basis for the forms and outcomes of support that policies aspire to. The implications of such a commitment need further attention.

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Section: Methodsmentioning

confidence: 99%

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

Morgan

Entwistle

Cribb

et al. 2016

Health Expectations

117

View full text Add to dashboard Cite

show abstract

“…This diabetes knowledge gap is reported elsewhere (26,49,50) as a consistent feature of nursing in a range of settings (34) . The lack of courses was cited as the main obstacle to training; however, other studies highlight more barriers (16,49,51) . QOF incentives may have increased demand for training in DNE in the past, although, with this now removed and no current mandated minimum level of competency, these barriers will remain.…”

Section: Comparison With the Existing Literaturementioning

confidence: 99%

“…The critical role of PNs in the provision of diabetes care is well reported (14)(15)(16)(17)(18)(19)(20) , although there are no studies looking specifically at their role in the provision of DNE in the UK. Potential advantages to a model where PNs are the main providers of DNE include the convenience and continuity of care from trusted and influential healthcare professionals (21)(22)(23)(24)(25) , although its effectiveness is uncertain (25) .…”

Section: Introductionmentioning

confidence: 99%

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Exploring the provision of diabetes nutrition education by practice nurses in primary care settings

Gianfrancesco

Johnson

2019

J Human Nutrition Diet

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Background High‐quality nutrition education is recommended as an essential component of diabetes care. In the UK, there has been a gradual shift of inter‐professional boundaries with respect to providing nutritional care for people with type 2 diabetes. Only a minority now regularly receive advice from a dietitian. Instead, increased demands for nutrition education are being absorbed by practice nurses. The present study seeks to explore this situation through the views of practice nurses on the services that they provide and the issues they face. Methods A qualitative approach using semi‐structured interviews was employed. Practice nurses were recruited using purposive sampling, and nine were interviewed. Data were analysed using the Framework Method. The Theoretical Domains Framework from the COM‐B (‘capability’, ‘opportunity’, ‘motivation’ and ‘behaviour’) model of behaviour change, as increasingly employed to explore the behaviour of healthcare professionals, was used to further frame the findings. Results Practice nurses reported that ongoing diabetes nutrition education only took place at annual review appointments and was limited to 5–10 min. They described how they are expected to take on a more advanced role in diabetes nutrition education than they can provide and are becoming increasingly isolated in this role as a result of a lack of time, practical and informational support, and training standards and provision. Conclusions A range of service improvements led by dietitians, which focus on strengthening the working environment and enhancing professional support available for practice nurses who provide diabetes nutrition education, could improve quality of care and health outcomes in people with diabetes within current time restraints.

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“…An Urgent Care Team Service for patients with COPD enhanced patient self-care and reduced hospital admissions (Curry 2006). Practice nurses offered holistic care and contributed to patient education, vital in maintaining the individuals' independence (Gillibrand et al 2004). These studies reflect a focus on education and support for patients living with long-term conditions.…”

Section: Literature Reviewmentioning

confidence: 99%

Investigating the contribution of community nurses to anticipatory care: a qualitative exploratory study

Kennedy

Harbison

Mahoney

et al. 2011

Journal of Advanced Nursing

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Practice nurses’ views of their diabetes care

Cited by 5 publications

References 16 publications

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

Exploring the provision of diabetes nutrition education by practice nurses in primary care settings

Investigating the contribution of community nurses to anticipatory care: a qualitative exploratory study

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