Healthcare professionals' competencies and confidence in managing hospitalized patients with type 2 diabetes

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-06-25 DOI:10.1111/dme.15392

Mikkel Thor Olsen, Louise Mathorne Rasmussen, Ermina Bach, Ceren Demir, Carina Kirstine Klarskov, Ulrik Pedersen-Bjergaard, Katrine Bagge Hansen, Stig Molsted, Peter Lommer Kristensen

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引用次数: 0

Abstract

Aims

In hospitals, 15%–20% of patients have diabetes. Therefore, all healthcare professionals (HCPs) must have a basic knowledge of in-hospital diabetes management. This survey assessed the knowledge of diabetes among HCPs in Denmark.

Methods

A 27-item questionnaire was developed and reviewed independently before the survey was distributed. The questionnaire contained seven baseline questions on the HCPs' current workplace, educational level, usual shift routines and years of experience, 18 multiple-choice questions and 2 cases.

Results

A total of 252 completed questionnaires were returned by 133 (52.8%) physicians, 101 (40.1%) nurses and 18 (7.1%) healthcare assistants. HCPs answered 50% of the questions correctly. Having experience from endocrinological departments increased the correct response score (0%-100%) by 6.2% points (95% CI 0.3-12.1) (p = 0.039) and 3.1% points (95% CI 1.5–4.7) for every increase in confidence level on a scale from 1 to 10 (p < 0.001). HCPs scored 8 out of 10 on a confidence level scale on average. In a fictive case, 50% of HCPs administered the correct bolus insulin dose. Hyperglycaemia (>10.0 mmol/L) and hypoglycaemia (<3.9 mmol/L) were correctly identified by around 40% of HCPs. Hypoglycaemia was rated more important than hyperglycaemia by most HCPs.

Conclusion

Significant gaps in identifying hypo- and hyperglycaemia and correct administration of bolus insulin have been identified, which could be targeted in future education for HCPs. HCPs answered 50% of questions related to in-hospital diabetes management correctly. Experience from endocrinological departments and self-rated confidence levels are associated with HCPs' in-hospital diabetes competencies.

查看原文本刊更多论文

医护人员管理住院 2 型糖尿病患者的能力和信心。

目的：在医院中，15%-20% 的患者患有糖尿病。因此，所有医护人员（HCPs）都必须掌握院内糖尿病管理的基本知识。这项调查对丹麦医护人员的糖尿病知识进行了评估：方法：在发放调查问卷之前，我们编制了一份包含 27 个项目的调查问卷，并对其进行了独立审核。问卷包含 7 个基线问题，分别涉及主治医师目前的工作地点、教育程度、通常的轮班习惯和工作年限，18 个选择题和 2 个案例：133 名医生（52.8%）、101 名护士（40.1%）和 18 名医疗助理（7.1%）共收回了 252 份填写完整的问卷。医护人员正确回答了 50%的问题。在内分泌科工作过的医疗保健人员的正确回答得分（0%-100%）提高了 6.2% 分（95% CI 0.3-12.1）（p = 0.039），在 1-10 分的信心水平（p 10.0 mmol/L）和低血糖（结论：在内分泌科工作过的医疗保健人员的正确回答得分（0%-100%）提高了 3.1% 分（95% CI 1.5-4.7）：在识别低血糖和高血糖以及正确使用栓式胰岛素方面发现了明显的差距，可在今后对保健专业人员进行教育时加以重视。医护人员正确回答了 50%与院内糖尿病管理相关的问题。来自内分泌科的经验和自我评价的信心水平与医护人员的院内糖尿病管理能力有关。

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.”