Impact of a clinical diabetes specialist mentoring programme on type 2 diabetes management among nurses in primary care: a qualitative study.

IF 1.1 Q4 PRIMARY HEALTH CARE
Sara Mustafa, Hamish Crocket, Timothy Kenealy, Rinki Murphy, Jo Scott-Jones, Leanne Te Karu, Ryan Paul, Lynne Chepulis
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Abstract

Introduction: Management of type 2 diabetes (T2D) occurs predominantly in primary health care in Aotearoa New Zealand. Optimising the delivery of clinical diabetes management by upskilling healthcare professionals can reduce the strain on the healthcare system and improve patient care.

Aim: This study aimed to qualitatively evaluate the importance of an education programme delivered by a non-physician diabetes specialist on nurses' knowledge and confidence of T2D management in primary care.

Methods: Semi-structured interviews with nurses enrolled in the programme for at least 6 months and their nurse leads across two clinics in the Waikato region were conducted to assess their confidence and knowledge in T2D management, as well as the acceptability of the programme. Transcripts were analysed using quantitative content analysis.

Results: Four nurses and two nurse leads were interviewed, lasting between 15 and 60 min. Nurses reported improved knowledge of diabetes medications and interpreting clinical measures. Nurses also felt more confident in their communication skills with patients, advocating for their patients, and improved patient engagement. Further education was needed on administering diabetes medication, knowledge of medical devices such as continuous glucose monitoring, and understanding the pathophysiology of diabetes.

Discussion: Self-efficacy and self-reported skills of nurses in T2D management improved following the diabetes mentoring programme. Further research is needed to assess quantitative clinical measures and whether the programme is effective in improving patient health outcomes.

临床糖尿病专家指导计划对初级保健护士2型糖尿病管理的影响:一项定性研究。
2型糖尿病(T2D)的管理主要发生在新西兰奥特罗阿的初级卫生保健中。通过提高医疗保健专业人员的技能来优化临床糖尿病管理的交付,可以减少医疗保健系统的压力并改善患者护理。目的:本研究旨在定性评估由非医师糖尿病专家提供的教育计划对初级保健中护士对T2D管理的知识和信心的重要性。方法:对参加该计划至少6个月的护士和他们在怀卡托地区两家诊所的护士领导进行半结构化访谈,以评估他们对T2D管理的信心和知识,以及该计划的可接受性。转录本采用定量含量分析法进行分析。结果:随访护士4名,护士长2名,随访时间15 ~ 60分钟。护士报告说,他们对糖尿病药物的了解和对临床措施的理解都有所提高。护士也对自己与患者的沟通技巧更有信心,为患者发声,并提高了患者的参与度。需要进一步的教育管理糖尿病药物,医疗设备的知识,如连续血糖监测,并了解糖尿病的病理生理学。讨论:糖尿病指导项目后,护士在T2D管理方面的自我效能和自我报告技能有所提高。需要进一步的研究来评估定量的临床措施,以及该方案是否有效地改善了病人的健康结果。
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来源期刊
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
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