The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review

Nikitara, Monica; Constantinou, Costas S.; Andreou, Elena; Diomidous, Marianna

doi:10.3390/bs9060061

Cited by 53 publications

(60 citation statements)

References 33 publications

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“…4 nurses have been engaged for the care of patients in the first group, whereas 3 nurses were engaged for the care of patients in the second group during the first shift, while the other two shifts had even fewer nurses. It is a large deviation from the standard which consists of 8 nurses per shift [10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

General standards of nursing interventions in care and treatment of diabetic patients with acute stroke

Đurović¹,

Stanković²,

Budimčić³

et al. 2021

Sestrinska vizija

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Introduction. Diabetes mellitus is a common metabolic disorder with more than 1.7% of the world population. Diabetes mellitus affects 3% of Serbian population. Stroke is one of the major macrovascular complications of Diabetes mellitus. Aim. Determining what additional intervention, care and treatment of diabetic patients with stroke needs, when comparing patients with stroke who have other risk factors. Material and Methods. The research was conducted in the Specialized Hospital "Sveti Sava", at the Intensive Care B, during the period from the 1 November 2019 th to the 31 December 2019. Total number of patients was 40. Subjects were divided into two equal groups of 20 patients: the first group the experimental group with diabetic patients with acute stroke, and the second group the control, with patients with acute stroke who have other risk factors. The study was based on general standards of nursing interventions, and advanced standards in the care and treatment of diabetic patients with stroke were used. Results. According to "Nursing activities score" of basic nursing interventions: continuous monitoring was present in 13 (65%) patients in the experimental group whereas the control group had 5 (25%) patients. Monitoring of vital parameters and the number of nursing interventions were much higher in the experimental group. Conclusions. Using the common standards of nursing interventions in the care and treatment of diabetic patients with acute stroke is not enough. Their demands are highlighted and they require a longer time and the increased number of nurses for the implementation of the plan of care and treatment for these patients. Patients with stroke are complex and prone to numerous complications and serious approach to each patient individually is needed.

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Section: Discussionmentioning

confidence: 99%

General standards of nursing interventions in care and treatment of diabetic patients with acute stroke

Đurović¹,

Stanković²,

Budimčić³

et al. 2021

Sestrinska vizija

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“…This result indicates that the level of difficulty may not be dependent on these variables. Probably other factors, such as knowledge, or resources, might be more effective at raising diabetes care confidence [24].…”

Section: Discussionmentioning

confidence: 99%

Nurses' perception of diabetes care needs in long-term facilities in Japan: A cross-sectional survey

Sato¹,

Yuki²,

Okubo³

2019

Preprint

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Background: Diabetes is one of the common aging-related diseases, and older people with diabetes are likely to have significant health issues. In long-term care facilities, nurses often face challenges in providing appropriate diabetes care for residents. This study aimed to describe the experience and perception of nurses in diabetes care at long-term care facilities.Methods: A nationwide cross-sectional survey was administered to 1371 nurses representing different facilities. A self-report questionnaire was used to collect data regarding demographic characteristics of participants, variables related to diabetes management, difficulties in diabetes care, and the recognition of educational opportunity needs in diabetes care as well as needs for diabetes care guidelines. Descriptive statistics and bivariate analyses were performed to examine the associations among variables.Results: Among participants, 88.7% owned registered nurse license and had an average experience of 10.4 years in long-term care facilities. Approximately 61% perceived difficulties in recognizing signs/symptoms of acute metabolic failure due to hyperglycemia, while about 37% of participants did in being aware of the signs/symptoms of hypoglycemia. About 59% of participants perceived difficulties in managing blood glucose with respect to residents’ needs and preferences. Approximately 62% recognized educational opportunity needs and about 75% recognized the need for diabetes care guidelines suitable for long-term care facilities. These needs were related to the perception of difficulties, but not to variables related to diabetes management. Conclusion: This study identified the specific areas in which nurses experienced difficulties in diabetes care for residents and revealed the areas in which an approach for improving confidence of nurses in diabetes care is needed as a priority. Moreover, educational opportunities and diabetes care guidelines are required to improve the quality of care for long-term care residents.

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“…Dietary knowledge in patients with DM type 1 or 2 can be relevant for improving patient outcomes. In this regard, nurses play a crucial role in the assessment and monitoring of dietary knowledge in this population (Davis, 1990; Nikitara et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

The dietary knowledge measurement instruments in diabetes: A systematic psychometric review

Montagut-Martínez

Pérez‐Cruzado

Sánchez

2021

Journal of Advanced Nursing

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Aims To identify, critically appraise, and summarize instruments to measure dietary knowledge in patients with diabetes mellitus type 1 or 2. Design Psychometric systematic review. Data sources A comprehensive search was carried out during March 2020 in the followed databases: Medline, Web of Science, Open Grey, Cochrane Library, COSMIN database, and Scielo. Review Methods In accordance with the most up‐to‐date COnsensus‐based Standards for the selection of health status Measurement INstruments methodology (COSMIN) and Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statements. A systematic review of the measurement properties of the instruments that assess the level of dietary knowledge in the diabetic population was carried out. The COSMIN checklist was used to assess the measurement properties of existing patient‐reported outcome measures to select the most appropriate outcome measurement instrument. The protocol of this systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42020186516). Results Nine instruments were identified. The Michigan Diabetes Knowledge Test (DKT) was the questionnaire included in the largest volume of studies. The Diabetes Knowledge Questionnaire (DKQ) was the questionnaire with the most evaluated psychometric characteristics. The Personal Diabetes Questionnaire (PDQ) was the second with the highest number of psychometric characteristics evaluated and with a better score regarding the quality of the evidence. Conclusion According to the quality methodological results; DKT, DKQ and PDQ are the recommended instruments to assess dietary knowledge in people with diabetes types 1 and 2. Impact statement What problem did the study address? One of the main factors that lead to greater difficulty for patients with diabetes mellitus is dietary management, and it is necessary to evaluate whether the patient has sufficient knowledge about dietetics to practice a healthy diet. What were the main findings? Nine instruments were identified that were specifically designed to assess dietary knowledge in patients with diabetes mellitus (DM) type 1 or 2. Michigan Diabetes Knowledge Test, Diabetes Knowledge Questionnaire, and Personal Diabetes Questionnaire are the recommended instruments to assess dietary knowledge in people with diabetes. Where and on whom will the research have impact? The evaluation of this construct is very useful both in clinical practice; at hospital, community and primary care levels, in patients with type 1 and / or 2 diabetes mellitus (DM), as in research.

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The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review

Cited by 53 publications

References 33 publications

General standards of nursing interventions in care and treatment of diabetic patients with acute stroke

General standards of nursing interventions in care and treatment of diabetic patients with acute stroke

Nurses' perception of diabetes care needs in long-term facilities in Japan: A cross-sectional survey

The dietary knowledge measurement instruments in diabetes: A systematic psychometric review

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