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Diabetes specialist nurses' perceptions of their multifaceted role 糖尿病专科护士对其多重角色的认知
European Diabetes Nursing Pub Date : 2012-10-03 DOI: 10.1002/edn.204
Eva Boström RN, Ulf Isaksson MHN, PhD, Berit Lundman RN, PhD, Annika Egan Sjölander PhD, Åsa Hörnsten RN, PhD
{"title":"Diabetes specialist nurses' perceptions of their multifaceted role","authors":"Eva Boström RN,&nbsp;Ulf Isaksson MHN, PhD,&nbsp;Berit Lundman RN, PhD,&nbsp;Annika Egan Sjölander PhD,&nbsp;Åsa Hörnsten RN, PhD","doi":"10.1002/edn.204","DOIUrl":"https://doi.org/10.1002/edn.204","url":null,"abstract":"<p>The aim of this study was to explore diabetes specialist nurses' (DSNs') perceptions of their professional role in diabetes care.</p><p>Exploratory interviews were used to elicit DSNs' perceptions of their professional role. Twenty-nine DSNs working in 23 primary health care centres in northern Sweden were interviewed in focus groups. Data were analysed using qualitative content analysis.</p><p>The DSNs described their profession as encompassing five major roles: ‘expert’, ‘fosterer’, ‘executive’, ‘leader’, and ‘role model’. Challenges interpreted as role ambiguities included feeling uninformed, fragmented, resigned, pressed for time, and self-reproachful.</p><p>The profession of DSN was interpreted as multifaceted, with various roles and role ambiguities. Patient-centred care and empowerment, which are recommended in diabetes care, can be difficult to achieve when DSNs experience role ambiguity.</p><p>Lack of clarity about role demands and difficulty in reconciling different roles may have a negative impact on DSNs' attitudes in clinical encounters and could inhibit patient-centred care. The development of the DSN profession requires improved awareness of the DSN's professional role in the clinical encounter, not only to improve the care of patients with diabetes, but also to retain these professionals. Copyright © 2012 FEND. Published by John Wiley &amp; Sons, Ltd.</p>","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/edn.204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91798124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
In the Olympian spirit… 本着奥林匹克精神……
European Diabetes Nursing Pub Date : 2012-10-03 DOI: 10.1002/edn.203
Bert Vrijhoef
{"title":"In the Olympian spirit…","authors":"Bert Vrijhoef","doi":"10.1002/edn.203","DOIUrl":"https://doi.org/10.1002/edn.203","url":null,"abstract":"<p>The similarities between the Olympic competitors and the competitors in diabetes care can be easily seen in this issue of <i>EDN</i>. One of the essential qualities of a great athlete is a <i>belief in his or her own ability</i>. Boström <i>et al.</i> study the extent wherein diabetes nurses in Sweden perceive their professional role in diabetes care. Olsen <i>et al</i>. present their findings on the perceived knowledge of diabetes among personnel practising in municipal care. The object of athletes should be <i>to perform to the best of their ability</i>. Thabit <i>et al</i>. describe the individual components of the artificial pancreas and aim to highlight existing clinical evidence from studies performed on available artificial pancreas prototypes. Most athletes <i>perform better in front of a crowd</i>. Jutterström <i>et al</i>. throw light on turning points in self-management described by people with type 2 diabetes. <i>Every athlete has to struggle against difficulties such as injuries and defeats</i>. Peter Schwarz briefly describes how the message of IMAGE gets translated to clinical practice and invites you to register for free on the international network ‘Who is active in diabetes prevention’. <i>The Olympic spirit is shown when spectators applaud all the competitors, not just the winners</i>. To this end we should all give ourselves a pat on the back for the hard work and dedication we commit to diabetes care.</p><p>One important difference, however, is that most Olympic athletes take part once every four years, while people with diabetes and health care professionals participate every day.</p><p>Both Gillian Hood and I have decided to retire as Co-editors of <i>EDN</i>. We have done our best and do thank: you, the readers of <i>EDN</i>, for your contributions; FEND for providing us with the opportunity to take part in the editorial challenge; and the John Wiley &amp; Sons publishing team for their continuous support. Last but not least we wish Angus Forbes and Magdalena Annersten-Gershater lots of fun and success as the new Co-editors of <i>EDN</i>.</p>","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/edn.203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91798125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New standards in the prevention of type 2 diabetes: the IMAGE project 预防2型糖尿病的新标准:IMAGE项目
European Diabetes Nursing Pub Date : 2012-10-03 DOI: 10.1002/edn.208
Prof Dr Peter EH Schwarz
{"title":"New standards in the prevention of type 2 diabetes: the IMAGE project","authors":"Prof Dr Peter EH Schwarz","doi":"10.1002/edn.208","DOIUrl":"https://doi.org/10.1002/edn.208","url":null,"abstract":"<p>Type 2 diabetes can be delayed or prevented among people who have impaired glucose tolerance by use of lifestyle interventions or medication – as shown by major clinical trials of diabetes prevention. However, it is a completely different issue to translate this message, derived from the lifestyle trials, to clinical practice.<span>1</span> We are still learning how this challenge may be achieved at a population level. Optimally, every person with diabetes risk has the chance of having access to any kind of diabetes preventative initiative.<span>2</span></p><p>Two European funded projects, DE-PLAN<span>3</span> and IMAGE,<span>4</span> have been addressing the implementation process. In particular, the IMAGE project was able to take a step ahead and to collate available information in a systematic manner, and developed practical, relevant standards for diabetes prevention.</p>","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/edn.208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91813178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceived knowledge about diabetes among personnel in municipal care: a qualitative focus group interview study 市政护理人员对糖尿病的认知:一项定性焦点小组访谈研究
European Diabetes Nursing Pub Date : 2012-08-01 DOI: 10.1002/EDN.206
Marie Olsen, A. Granath, Pia Wharén, T. Blom, J. Leksell
{"title":"Perceived knowledge about diabetes among personnel in municipal care: a qualitative focus group interview study","authors":"Marie Olsen, A. Granath, Pia Wharén, T. Blom, J. Leksell","doi":"10.1002/EDN.206","DOIUrl":"https://doi.org/10.1002/EDN.206","url":null,"abstract":"The aim of this study was to explore the perceived knowledge of diabetes among personnel practising in municipal care.The study was conducted using a qualitative approach through focus group interv ...","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88978667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
New standards in the prevention of type 2 diabetes: the IMAGE project 预防2型糖尿病的新标准:IMAGE项目
European Diabetes Nursing Pub Date : 2012-08-01 DOI: 10.1002/EDN.208
P. Schwarz
{"title":"New standards in the prevention of type 2 diabetes: the IMAGE project","authors":"P. Schwarz","doi":"10.1002/EDN.208","DOIUrl":"https://doi.org/10.1002/EDN.208","url":null,"abstract":"Type 2 diabetes can be delayed or prevented among people who have impaired glucose tolerance by use of lifestyle interventions or medication – as shown by major clinical trials of diabetes prevention. However, it is a completely different issue to translate this message, derived from the lifestyle trials, to clinical practice.1 We are still learning how this challenge may be achieved at a population level. Optimally, every person with diabetes risk has the chance of having access to any kind of diabetes preventative initiative.2 \u0000 \u0000Two European funded projects, DE-PLAN3 and IMAGE,4 have been addressing the implementation process. In particular, the IMAGE project was able to take a step ahead and to collate available information in a systematic manner, and developed practical, relevant standards for diabetes prevention.","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84765382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial pancreas: the bridge to a cure for type 1 diabetes 人工胰腺:治疗1型糖尿病的桥梁
European Diabetes Nursing Pub Date : 2012-08-01 DOI: 10.1002/EDN.207
H. Thabit, R. Hovorka, M. Evans
{"title":"Artificial pancreas: the bridge to a cure for type 1 diabetes","authors":"H. Thabit, R. Hovorka, M. Evans","doi":"10.1002/EDN.207","DOIUrl":"https://doi.org/10.1002/EDN.207","url":null,"abstract":"AbstractTight glycaemic control in type 1 diabetes mellitus has been shown to be important for the prevention of long-term microvascular complications. Consequently, intensive insulin treatment has been advocated in the attempt to achieve normal glycaemia. This has proven challenging mainly due to an increased risk of hypoglycaemia associated with the intensive insulin regimen. Closed-loop systems for glucose control, designed to mimic the endocrine action of the healthy pancreas without human intervention, may provide a solution.The vital component of a closed-loop system, often referred to as an artificial pancreas, is a computer-based algorithm. Other components include a real-time continuous glucose monitor and an infusion pump to titrate and deliver insulin. The role of the control algorithm is to translate, in real-time, the information it receives from the glucose monitor and to compute the amount of insulin to be delivered by the pump.This review article describes the individual components of the ...","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73652170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
In the Olympian spirit... 本着奥林匹克精神……
European Diabetes Nursing Pub Date : 2012-08-01 DOI: 10.1002/EDN.203
B. Vrijhoef
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引用次数: 0
Diabetes specialist nurses' perceptions of their multifaceted role 糖尿病专科护士对其多重角色的认知
European Diabetes Nursing Pub Date : 2012-08-01 DOI: 10.1002/EDN.204
Eva Boström, Ulf Isaksson, B. Lundman, A. Sjölander, Åsa Hörnsten
{"title":"Diabetes specialist nurses' perceptions of their multifaceted role","authors":"Eva Boström, Ulf Isaksson, B. Lundman, A. Sjölander, Åsa Hörnsten","doi":"10.1002/EDN.204","DOIUrl":"https://doi.org/10.1002/EDN.204","url":null,"abstract":"The aim of this study was to explore diabetes specialist nurses' (DSNs') perceptions of their professional role in diabetes care.Exploratory interviews were used to elicit DSNs' perceptions of thei ...","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90151465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 24
Turning points in self-management of type 2 diabetes 2型糖尿病自我管理的转折点
European Diabetes Nursing Pub Date : 2012-08-01 DOI: 10.1002/EDN.205
Lena Jutterström, Ulf Isaksson, H. Sandström, Åsa Hörnsten
{"title":"Turning points in self-management of type 2 diabetes","authors":"Lena Jutterström, Ulf Isaksson, H. Sandström, Åsa Hörnsten","doi":"10.1002/EDN.205","DOIUrl":"https://doi.org/10.1002/EDN.205","url":null,"abstract":"A turning point is described in the literature as a powerful emotional experience or insight leading to a fundamental change in a person’s life, and requires a new way of managing the illness. Howe ...","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90625893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 22
Bariatric surgery: a European perspective 减肥手术:欧洲视角
European Diabetes Nursing Pub Date : 2012-03-16 DOI: 10.1002/edn.199
Dr Eleanor Kennedy BSc, PhD, MBA, Professor George Alberti DPhil, FRCP, FRCPath, Dr Carel Le Roux MB ChB, MRCP, FRCPath, PhD
{"title":"Bariatric surgery: a European perspective","authors":"Dr Eleanor Kennedy BSc, PhD, MBA,&nbsp;Professor George Alberti DPhil, FRCP, FRCPath,&nbsp;Dr Carel Le Roux MB ChB, MRCP, FRCPath, PhD","doi":"10.1002/edn.199","DOIUrl":"https://doi.org/10.1002/edn.199","url":null,"abstract":"<p>Health care systems around the world are being stretched by pressing needs to cater for populations that are becoming more and more overweight and obese. Obesity is associated with substantial morbidity and mortality rates and, although dietary and lifestyle advice can help some, bariatric surgery is an increasingly popular option in the treatment armamentarium. Gastric banding, gastric bypass and sleeve gastrectomy are used routinely across Europe to treat obese patients despite recognised complications that can result from the procedure. The beneficial effects of bariatric surgery on type 2 diabetes are well documented with a significant number of people reporting an improvement in their condition following surgery. A number of clinical trials are now underway to study the health care benefits of offering bariatric surgery to adolescents and also to people with a lower BMI.</p><p>The role of the diabetes specialist nurse is becoming increasingly important as multidisciplinary teams form to take care of these patient cohorts both pre- and post-surgery and in their long-term follow-up care. © 2012 FEND. Published by John Wiley &amp; Sons, Ltd.</p>","PeriodicalId":100496,"journal":{"name":"European Diabetes Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/edn.199","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91914833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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