Trends in the primary health care nursing workforce providing diabetes care in Auckland, New Zealand: A cross-sectional survey

Daly, Barbara; Arroll, Bruce; Honey, Michelle; Scragg, Robert

doi:10.1016/j.pcd.2018.07.012

Cited by 5 publications

(10 citation statements)

References 11 publications

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“…A possible reason for this shift in management is the significant reduction in the total numbers of diabetes nurse specialists in the Auckland area from 73 to 48, and mostly from primary care [7]. A possible reason for this shift in management is the significant reduction in the total numbers of diabetes nurse specialists in the Auckland area from 73 to 48, and mostly from primary care [7].…”

Section: Discussionmentioning

confidence: 99%

“…The increased need for more diabetes education for nurses is reinforced by the shift in diabetes management from specialist to practice nurses. A possible reason for this shift in management is the significant reduction in the total numbers of diabetes nurse specialists in the Auckland area from 73 to 48, and mostly from primary care [7]. In addition, there was almost no change in the number of district nurses between surveys (Table 1), despite a large increase in the total population [14], older people [14] and people with diabetes [12], which has resulted in heavier workloads for district nurses [30].…”

Section: Discussionmentioning

confidence: 99%

“…The design of both surveys has been described [7,21]. The design of both surveys has been described [7,21].…”

Section: Participants and Methodsmentioning

confidence: 99%

“…Primary healthcare nurses in the Auckland region were originally surveyed in 2006-2008 and more recently in 2016. The design of both surveys has been described [7,21]. Essentially, the total number of practice, district and the three groups of specialist nurses (diabetes nurse specialists, chronic care management nurses and nurse practitioners) were identified and lists of each group were constructed.…”

Section: Participants and Methodsmentioning

confidence: 99%

“…All people with diabetes in New Zealand are funded for at least one consultation per year, and more depending on comorbidities [6]. The three main nurse groups involved in the care of people with diabetes are practice, district (home) and specialist nurses [7]. Most of the latter are based in secondary care within a multidisciplinary diabetes care team, although a small proportion work in primary care [7].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The design of both surveys has been described [7,21]. The design of both surveys has been described [7,21].…”

Section: Participants and Methodsmentioning

confidence: 99%

Section: Participants and Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%