Trends in diabetes care and education by primary health care nurses in Auckland, New Zealand

Daly, Barbara; Arroll, Bruce; Scragg, Robert

doi:10.1016/j.diabres.2021.108903

Cited by 9 publications

(4 citation statements)

References 38 publications

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“…This process should be started immediately after the diagnosis of the disease and sustained systematically, as the adoption of adequate therapeutic measures prevents complications (7) . A cross-sectional study in New Zealand showed that nurses working in diabetes education obtained good glycemic control and diabetes management practices (8) . The sociodemographic and clinical profile found in the present study was similar to that of other investigations (9)(10) .…”

Section: Discussionmentioning

confidence: 99%

Efeito da consulta de enfermagem na promoção de práticas seguras em insulinoterapia: estudo retrospectivo

et al. 2023

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Objetivo: Analisar a correlação entre a consulta de enfermagem e o cumprimento de ações de autocuidado e práticas seguras em insulinoterapia por pessoas com diabetes. Método: Estudo observacional, retrospectivo e analítico. Analisaram-se características sociodemográficas e clínicas e acertos em questionário com 16 itens sobre práticas seguras em insulinoterapia, aplicado na primeira e segunda consulta de enfermagem. Resultados: Constatou-se aumento significativo de acertos no questionário nos aspectos relacionados à insulinoterapia na segunda consulta (14,22±1,59), em comparação com a primeira (9,24±3,13) (p<0,001), sugerindo melhoria do autocuidado e da adesão às práticas seguras em insulinoterapia. Conclusão: Houve melhora do cumprimento de ações de autocuidado e práticas seguras em insulinoterapia, após as consultas de enfermagem, mostrando que essa intervenção é eficaz para promoção do tratamento insulínico adequado.

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Section: Discussionmentioning

confidence: 99%

Efeito da consulta de enfermagem na promoção de práticas seguras em insulinoterapia: estudo retrospectivo

et al. 2023

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“…For example, in a study from New Zealand, the intervention of a nurse in a primary care clinic, which included patient education, resulted in an improvement in diabetes control and a reduction in the need for diabetologist visits. 15 The improved diabetes control, in combination with the knowledge given by the nurse, probably contributed to the decrease in the need for diabetologist visits for further counseling. In contrast, a study conducted in France on people with diabetes showed that the main contributing factor to the education of patients about diabetes was follow-up and counseling by a diabetologist compared to nurse-only counseling.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Control in the Community, Under the Management of a Diabetes-Clinic Nurse Specialist, and the Effect of a Parallel Diabetologist Advice

Gadot¹,

Azuri

2023

J Prim Care Community Health

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Introduction: Nurses play a key role in managing care and educating people with diabetes in various healthcare systems worldwide, while physicians play this role in others. In addition, some healthcare systems authorize specialist nurses to change patient dose regimens. Therefore, we examined diabetes outcomes in the community by the management of a diabetes-clinic nurse only versus parallel management with a diabetologist. Methods: Retrospective data were collected for 100 consecutive people with diabetes registered in a community clinic with a diabetes-clinic nurse specialist as a case manager from 1/2018. About half of the patients selected received parallel advice from a diabetologist. Inclusion criteria included poor control of type 2 diabetes (HbA1c above 9%). Patients using an insulin pump, glucose sensor technologies, or multiple injection insulin programs were excluded. Results: One hundred people with diabetes who met the study criteria were included in the study, 64 males and a mean age of 60.03 ± 11.11. In a follow-up of 161.31 ± 68.65 days, HbA1c levels decreased by 3.17% ± 1.95% and did not change in a further follow-up of 162.36 ± 72.75 days. Significant improvement was also observed in controlling the other risk factors examined. Parallel consultation with a diabetologist and the nurse’s use of her authority for dose modifications showed no differences in all parameters. Logistic regression for analyzing the effect of the variables related to the patient showed only a moderate effect. Conclusions: Access to professional services remains a significant challenge for healthcare systems in long-term diabetes control. Monitoring poorly controlled people with diabetes with the help of a diabetes-clinic nurse specialist in the community clinic significantly improved diabetes and risk factors control and persisted long after the intervention. Healthcare systems should consider expanding the service of the diabetes-clinic nurse specialist in the community. Further studies will be required to examine the results in different patient subgroups.

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“…Fewer nurses reported having support from dietitians or diabetes specialist nurses compared with nurses in 2006-2008, although more were supported by podiatrists and chronic care management nurses. 30 This contrasted with nurses who conducted DAR, where most felt supported in 2016, 30 and follows global trends where specific management tasks have shifted from GPs to nurses. 2,26 Nurses in 2016 reported feeling less valued than nurses in 2006-2008, which may reflect the younger cohort of nurses or structural and organisational changes.…”

Section: Discussionmentioning

confidence: 99%

Trends in the primary healthcare nursing workforce in managing diabetes from two sample surveys in 2006–2008 and 2016 in Auckland, New Zealand

Scragg,

Daly,

Arroll

2023

NZMJ

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aim: To examine trends in the primary healthcare nursing workforce and their community management of diabetes. method: Two representative surveys were carried out in 2006-2008 and 2016 among all primary healthcare nurses in Auckland.Nurses were randomly selected, and 26% (n=287) and 24% (n=336) completed a self-administered questionnaire and telephone survey. Biographical information, knowledge of diabetes, how valued nurses felt and diabetes care for patients was provided. results: Between surveys, numbers of practice nurses have significantly increased, and specialist nurse numbers decreased, while district nurse numbers remained the same. In 2016, practice nurses were younger, more ethnically diverse, more likely to undertake education and had increased knowledge of diabetes and diabetes-related complications (including stroke) compared to nurses in 2006-2008. More nurses consulted patients, conducted foot examinations, addressed serum glucose, medication management, tobacco use and followed up care independently of doctors. In 2016, only 37% of nurses felt sufficiently knowledgeable to discuss medications with patients, <20% could state that hypertension, smoking and dyslipidaemia were major risk factors for complications, and less nurses felt valued. conclusion: Practice nurses have increased their capacity in diabetes management following global trends and require more support in meeting the complex healthcare needs of people with diabetes.

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Trends in diabetes care and education by primary health care nurses in Auckland, New Zealand

Cited by 9 publications

References 38 publications

Efeito da consulta de enfermagem na promoção de práticas seguras em insulinoterapia: estudo retrospectivo

Efeito da consulta de enfermagem na promoção de práticas seguras em insulinoterapia: estudo retrospectivo

Diabetes Control in the Community, Under the Management of a Diabetes-Clinic Nurse Specialist, and the Effect of a Parallel Diabetologist Advice

Trends in the primary healthcare nursing workforce in managing diabetes from two sample surveys in 2006–2008 and 2016 in Auckland, New Zealand

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