Nurse perceptions of the Diabetes Get Checked programme.

Nursing praxis in New Zealand inc Pub Date : 2013-11-01
Jill Clendon, Jenny Carryer, Leonie Walker, Vicky Noble, Rosemary Minto, Rachael Calverley, Deborah Davies, Hilary Graham-Smith
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Abstract

Aim: The Diabetes Get Checked programme provided a free annual diabetes check to people diagnosed with diabetes. The aim of the present study was to ascertain the impact this programme had on the practice of nurses; identify factors that nurses consider contributed to the success or failure of the programme in their work setting; and to elicit nurses' suggestions for future improved management and outcomes for people with diabetes.

Method: An observational study utilising an online survey was undertaken. A total of 748 people completed the survey - the majority being nurses. Data were analysed descriptively.

Results: The Diabetes Get Checked programme was shown to have had a substantial impact on the practice of nurses, enabling the development of new models of nursing care, improved educational levels among nurses (and doctors), improved confidence in the management of diabetes, and increased satisfaction in their work. Nurses in the study suggested future interventions and programmes designed to support people with diabetes. These include implementation of a multi-disciplinary wrap-around approach, enhanced case management and self-management, implementing direct funding for nurse-led services, and improving population-based approaches such as policy changes and social marketing.

Discussion: The study sought nurse's perspectives with regard to a recently terminated programme designed to provide care to people with diabetes. It identified areas that worked well in programme implementation and those that could be improved. These findings provide useful information for funders and planners developing new programmes designed to support people with diabetes.

护士对糖尿病检查项目的看法。
目的:糖尿病检查项目每年为被诊断患有糖尿病的人提供一次免费的糖尿病检查。本研究的目的是确定该计划对护士实践的影响;确定护士认为在其工作环境中影响该方案成功或失败的因素;并征求护士对糖尿病患者未来改善管理和预后的建议。方法:采用在线调查进行观察性研究。共有748人完成了这项调查,其中大多数是护士。对数据进行描述性分析。结果:糖尿病检查项目对护士的实践产生了重大影响,促进了护理新模式的发展,提高了护士(和医生)的教育水平,提高了对糖尿病管理的信心,提高了他们的工作满意度。参与研究的护士建议未来采取干预措施,制定支持糖尿病患者的方案。这些措施包括实施多学科综合办法,加强病例管理和自我管理,为护士主导的服务提供直接资金,以及改进以人口为基础的办法,如政策改革和社会营销。讨论:该研究寻求护士对最近终止的一个旨在为糖尿病患者提供护理的项目的看法。它确定了方案执行工作良好的领域和可以改进的领域。这些发现为制定旨在支持糖尿病患者的新规划的资助者和规划者提供了有用的信息。
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