Exploring health professionals' knowledge, practices and attitudes regarding gestational diabetes: A cross-sectional Irish national survey

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-05-31 DOI:10.1111/dme.15373

Pauline Dunne, Linda Culliney, Louise O'Mahony, Molly Byrne, Andrew W. Murphy, Sharleen O'Reilly

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引用次数: 0

Abstract

Aim

Gestational diabetes confers short- and long-term risk of mother and offspring health complications. Healthcare professionals such as endocrinologists, diabetes nurses, dietitians, midwives and general practitioners provide gestational diabetes care. We sought to explore healthcare professionals’ perspectives on gestational diabetes care during pregnancy and postpartum.

Methods

Healthcare professionals in the Republic of Ireland, whose role included gestational diabetes care were invited to complete an online 20-item survey between June and September 2022. Social media, professional organisations and personal networks were used for recruitment. Questions included guideline use, postpartum diabetes screening and advice practices. Analyses were performed using SPSS statistical software and free text was coded using NVivo.

Results

Seventeen healthcare professions across primary and secondary care settings participated (n = 127). No differences were noted between groups (medical, nursing/midwifery, allied health/other); therefore, findings were reported as a single group. Healthcare professionals reported using multiple different guidelines to support gestational diabetes management (n = 14). The most cited were ‘Health Service Executive guidelines’ (24.5%), ‘local guidelines’ (13.2%) and National Institute for Clinical Excellence guidelines (11.3%); 12.3% cited uncertainty, and 27.5% reported not to follow any named guidelines. For postpartum follow-up, 39% felt clear guidelines were available to support practice, 37% felt appropriate systems were in place and 29% reported effective communication between primary and secondary care services. Qualitative findings emphasised a desire for improved communication between systems, participants and providers, clear interdisciplinary guidelines, and adequate resourcing for gestational diabetes management and postpartum diabetes prevention, including comprehensive support and follow-up.

Conclusion

System-level challenges and ineffective communication across settings are barriers to optimum postpartum care. Nationally agreed guidelines for best practice gestational diabetes management including postpartum diabetes prevention are needed.

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探索医疗专业人员对妊娠糖尿病的认识、实践和态度：爱尔兰全国横断面调查。

目的：妊娠糖尿病会给母亲和后代的健康带来短期和长期的并发症风险。内分泌科医生、糖尿病护士、营养师、助产士和全科医生等专业医护人员提供妊娠糖尿病护理。我们试图探究医护人员对孕期和产后妊娠糖尿病护理的看法。方法：我们邀请爱尔兰共和国负责妊娠糖尿病护理的医护人员在 2022 年 6 月至 9 月期间完成一项包含 20 个项目的在线调查。调查采用社交媒体、专业组织和个人网络进行招募。问题包括指南使用、产后糖尿病筛查和建议实践。使用 SPSS 统计软件进行分析，并使用 NVivo 对自由文本进行编码：结果：17 个医疗保健专业参与了此次调查，涉及初级和二级医疗机构（n = 127）。不同组别（医疗、护理/助产、专职医疗/其他）之间没有差异；因此，研究结果作为单一组别进行报告。医护人员报告说，他们使用了多种不同的指南来支持妊娠糖尿病管理（n = 14）。引用最多的是 "卫生服务执行局指南"（24.5%）、"地方指南"（13.2%）和国家临床优化研究所指南（11.3%）；12.3%的人表示不确定，27.5%的人表示不遵循任何指定的指南。在产后随访方面，39% 的人认为有明确的指南来支持实践，37% 的人认为有适当的系统，29% 的人表示初级和二级医疗服务之间有有效的沟通。定性研究结果强调，人们希望改善系统、参与者和服务提供者之间的沟通，制定明确的跨学科指南，并为妊娠糖尿病管理和产后糖尿病预防提供充足的资源，包括全面的支持和随访：结论：系统层面的挑战和不同环境下的无效沟通是实现最佳产后护理的障碍。需要就妊娠糖尿病管理（包括产后糖尿病预防）的最佳实践制定全国一致的指导方针。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”