International Diabetes Nursing最新文献

{"title":"Type 1 diabetes and menopause, what women would like to know: a public and patient involvement exercise","authors":"Rita Forde, Lisa King, Anne Cooper, Kirsty Winkley, Vivien Coates","doi":"10.57177/idn.v17.327","DOIUrl":"https://doi.org/10.57177/idn.v17.327","url":null,"abstract":"Introduction: Managing the impacts of the menopause can be a tedious experience for many women, and when coupled with diabetes, the challenges are multiplied. Literature searches confirm a dearth of information and support to help women with these dual conditions.\u0000Methods: A Patient Public Involvement exercise involving an online survey disseminated electronically via social media amongst the Type 1 diabetes online community. It comprised five closed questions and one open question to elicit priority needs. The survey was supplemented with a subsequent Twitter chat. The paper conforms to the guidance for reporting of patient and public involvement in health and social care research (GRIPP).\u0000Results: Of the 184 women who completed the survey across the United Kingdom, most were aged between 40 and 59 years (n = 167, 90.8%). Although 137 (72.8%) women reported that menopause had impacted on their diabetes, only a minority (n = 50, 27.2%) indicated that it had ever been discussed with them. The overarching theme from the open question was of an overall Lack of awareness about the impacts of menopause, with the following subthemes: 1) Need for information about menopause, 2) An additional burden, 3) Symptoms of diabetes or menopause? and 4) Communication – expectations of care.\u0000Conclusions: Women need information, support and guidance during this phase of life. This oft overlooked aspect of care is engendering frustration and suboptimal diabetes management and will be a topic raised with increasing frequency in general practice and diabetes specialities. The management of diabetes and menopause deserves more attention across the diabetes community.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"13 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140711988","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}

{"title":"Tailored care by diabetes nurses is not enough to overcome disparities in the regulation of type 2 diabetes between Dutch natives and ethnic minority groups","authors":"M. Ahdi, Victor E. A. Gerdes, Fatima Malki, Wilma Van Oosten, Max Nieuwdorp, Anton P. Van Zanten, D. Brandjes, E. Meesters","doi":"10.57177/idn.v17.331","DOIUrl":"https://doi.org/10.57177/idn.v17.331","url":null,"abstract":"Background: Differences in diabetes regulation between patients from different ethnic background have been described. This may be reduced by regular visits to a diabetes nurse (RVDN) with the same mother tongue. We explored whether equal access to diabetes-related care, including RVDN with the same mother tongue, may result in similar diabetes regulation among ethnic minorities and Dutch natives.\u0000Methods: Patients with type 2 diabetes and an annual comprehensive diabetes evaluation were included in this study. For the analysis, we emphasized on the data of patients with RVDN and used descriptive statistics and nonparametric tests for between group comparisons.\u0000Results: From a total of 983 patients, 581 patients had RVDN of whom 266 (46%) Dutch natives, 199 (34%) Turks/Moroccans, and 116 (20%) patients from other ethnicities. Within the group of patients with RVDN, Turks/Moroccans had higher median fasting plasma glucose levels as compared with Dutch natives and other ethnic minorities (8.4 vs 7.9 and 7.3 mmol/L, P < 0.001), and a higher HbA1c level was found for both the Turks/Moroccans and other ethnic minorities, as compared to Dutch natives (62 vs 55 mmol/mol, P < 0.001). In addition, only 22% of Turks/Moroccans and 26% of other minorities achieved the American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD)-recommended HbA1c target ≤53 mmol/mol, compared to 39% in Dutch natives.\u0000Conclusions: In patients with RVDN with the same mother tongue, we still found disparities in HbA1c levels between Dutch natives, Turks/Moroccans and other ethnic minorities. Other factors beyond Dutch language skills are likely to interfere.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"20 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140711399","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}

{"title":"Adequate standards of offloading for diabetic foot ulcers: a reflective case report of a patient with multimorbidity","authors":"V. Blanchette, S. Hains, Luce Martineau","doi":"10.57177/idn.v16.13","DOIUrl":"https://doi.org/10.57177/idn.v16.13","url":null,"abstract":"This case report is related to a 61-year-old man with multimorbidity presenting with a chronic diabetic foot ulcer treated in a sub-rural hospital. The patient was treated according to the standard of care supported by national guidelines including some advanced wound therapies, without result. The interdisciplinary team concluded that the wound could not heal because of the patient’s multiple comorbidities. However, against all expectations, the patient finally healed after a strict bed rest. This case emphasises the crucial role of offloading, patient adherence and its difficulty of assessment for wound care practitioners. This is a reflective case report that demonstrates commonly the use of expensive advanced wound care therapies without positive outcomes and then the need to come back to basic treatments. Reflective practice is an important part of evidence-based practice, and a case report is a good way to engage the process.\u0000 ","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124267054","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}

{"title":"A preliminary evaluation of a novel education model for young people with Type 1 diabetes: the Youth Empowerment Skills programme","authors":"D. Kariyawasam, Darren Marsh, S. Pender, Marie Jones, Rebecca G. Rogers, S. Chapman, S. Singham, S. Lamb, R. Bhatti, Suzannah Walker, Judith Parsons, R. Forde, A. Forbes","doi":"10.57177/idn.v15.325","DOIUrl":"https://doi.org/10.57177/idn.v15.325","url":null,"abstract":"Background: Adolescence is a challenging time for young people with Type 1 diabetes, associated with worsening glycaemia and disengagement with care. To improve support, we co-designed with young people a novel psychosocially modelled programme of diabetes education (the Youth Empowerment Skills [YES] programme). This study aimed to estimate the clinical impact and feasibility (recruitment, retention and participant experiences) of this programme.\u0000Methods: A pilot study using mixed-methods was conducted to assess process and outcomes, involving a pre- and post-exposure assessment of glycaemic control, programme participation data, service utilisation and qualitative semi-structured interviews (analysed using Framework Analysis). Participants were recruited from two hospital diabetes centres in Southeast London. The intervention was conducted in local community centres. Participants were young people with Type 1 diabetes aged 15–21 years. The YES programme involves contact with an outreach youth worker and attending a 3-day psychologically modelled course encompassing social learning, peer facilitation and simulation exercises. The primary outcome was change in HbA1c at 6 and 12-months post-intervention. Secondary outcomes included diabetes-related hospital admissions and incident diabetic ketoacidosis (DKA).\u0000Results: Twenty-six young people participated in the programme, mean age 18 (±1.7) years. Uptake was 34% (n = 26) of those approached, with 96% (n = 25) programme completion. Pre-exposure (12 month mean) HbA1c was 93.5 (±29.7) mmol/mol (10.7%), and at 12 months post-exposure, it was 85.1 (±25.4) mmol/mol (10%) (P = 0.01), with 46% (n = 12) of participants achieving a reduction in their HbA1c ≥5.5 mmol/mol (0.5%). Unplanned hospital admissions and DKA rates reduced by 38 and 30%, respectively. The qualitative data identified positive psychosocial impacts including increased diabetes engagement and activation. Active ingredients were social learning, peer support and experiential learning. Participants emphasised the importance of the youth worker in engaging with the programme.\u0000Conclusion: The evaluation indicates that the YES programme helps improve young people’s self-confidence in managing diabetes, enhances diabetes engagement and improves clinical outcomes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"455 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132003373","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}

{"title":"Sexual dysfunction, an invisible complication of diabetes – an exploratory study of the experiences of premenopausal women with Type 1 diabetes","authors":"R. Hashim, A. Forbes","doi":"10.57177/idn.v15.11","DOIUrl":"https://doi.org/10.57177/idn.v15.11","url":null,"abstract":"Background: Survey data suggest that women with Type 1 diabetes mellitus have a higher prevalence of sexual dysfunction (SD) compared with women with Type 2 diabetes or without diabetes. However, little is known about how women with Type 1 diabetes experience SD or its impact on their lives. This exploratory study sought to elicit women with Type 1 diabetes’s experiences of SD and identify their ideas on how SD could be better addressed in diabetes care.\u0000Method: A qualitative study using semi-structured interviews was conducted at a diabetes centre in South West of England hospital. A purposeful sample of six women with Type 1 diabetes (<50 years of age) and experience of SD were interviewed. The interviews lasted 20–30 min and were analysed using Interpretive Phenomenological Analysis.\u0000Findings: The study identified four superordinate themes: barriers to sex, impact of SD, personal support and ideas for improving support with SD. The majority of the themes were underpinned by diabetes specific factor such as hypoglycaemia, body image and diabetes management (technology and glucose regulation). This study found that women’s perspectives on their sexual identities and behaviours were mediated by emotional and interpersonal issues. This study also highlighted the lack of support provided by healthcare professionals (HCPs) in addressing SD.\u0000Conclusion: The findings indicate that SD is a complex issue that needs to be given more attention by HCPs, so that the women can approach sex positively in their lives. HCPs need to be enabled to initiate conversations around SD in their consultations.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122694889","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}

{"title":"Self-care and caregiver contribution to self-care in adolescents with type 1 diabetes mellitus: a pilot cross-sectional study","authors":"D. Fabrizi, Irene Natta, M. Luciani, S. Di Mauro, P. Rebora, D. Ausili","doi":"10.57177/idn.v15.12","DOIUrl":"https://doi.org/10.57177/idn.v15.12","url":null,"abstract":"Background: Type 1 diabetes mellitus requires complex skills of self-care that, during adolescence, need to be adapted to continuous major changes. Therefore, adolescents could struggle in performing adequate self-care, with consequences on glycaemic control. Caregivers’ contribution to self-care could be useful for reaching health outcomes. Existing studies lacked a theoretical framework, and tools administered for measuring adolescents’ self-care and caregivers’ contribution to self-care were not theory grounded.\u0000Aim: To describe adolescents’ self-care and caregiver contribution to self-care within the theoretical framework of the middle-range theory of self-care of chronic illness.\u0000Methods: A cross-sectional observational study was conducted enrolling 153 adolescent-caregiver dyads. The Self-Care of Diabetes Inventory (SCODI), including self-care maintenance, monitoring and management, was administered to adolescents. The Caregiver Contribution to Self-Care of Diabetes Inventory (CC-SCODI), including caregiver contribution to self-care maintenance, monitoring and management, was administered to caregivers. We analysed the differences in caregiver contribution according to adolescents’ self-care level and the differences in caregiver characteristics according to their contribution to self-care level.\u0000Results: Adolescents mostly obtained adequate scores for self-care maintenance (74%), monitoring (52%) and management (58%). Caregivers mostly obtained adequate scores for contribution to self-care maintenance (72%) and monitoring (52%), and almost adequate scores for contribution to self-care management (41%). Scores were consistent within the dyads for self-care monitoring and management: high caregiver contribution when adequate adolescent self-care and vice-versa (P < 0.001). Higher caregiver self-efficacy in contributing to patient self-care was associated with higher caregiver contribution to self-care maintenance (P = 0.022), monitoring (P < 0.001) and management (P < 0.001).\u0000Conclusion: Caregivers can contribute significantly to the self-care of adolescents with type 1 diabetes. Health professionals could implement interventions aimed at improving caregivers’ contribution through enhancing caregiver self-efficacy in contributing to patient self-care. Researchers could deepen the understanding of the relationship between adolescent self-care and caregiver contribution to self-care, as well as the determinants of caregiver contribution to self-care, and its effects on health outcomes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131567564","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}

{"title":"Partnership in transition: Experiences of adolescents with Type 1 diabetes","authors":"K. Hansen, A. L. Jensen","doi":"10.1080/20573316.2017.1382182","DOIUrl":"https://doi.org/10.1080/20573316.2017.1382182","url":null,"abstract":"Aims Debut of Type 1 diabetes (T1DM) is most common in childhood and adolescence. In late adolescence, transfer from pediatric to adult diabetes care is often associated with poor metabolic control. Knowledge is scarce on transition and on the experiences of adolescents concerning partnership in transition. The aim is to explore how adolescents with T1DM experience partnership in the transition. Methods Ten adolescents with T1DM receiving adult diabetes care at the Department of Endocrinology and Internal Medicine at Aarhus University Hospital participated in semi-structured interviews. Results Three major themes emerged from the analysis: (1) Transition unawareness. (2) A crucial change in relationship. (3) Partnership without shared decision-making. Conclusions Findings highlight the importance of a specific relationship with the health care providers and a planned and prepared transition. Unawareness concerning the transition process leads to a non-reflective transition and does not support the development of health literacy and partnership.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132864031","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}

{"title":"Scientific research concerning asylum seekers and related ethical challenges","authors":"A. Halkoaho, T. Keränen","doi":"10.1080/20573316.2018.1434916","DOIUrl":"https://doi.org/10.1080/20573316.2018.1434916","url":null,"abstract":"The term asylum seeker refers to a person of foreign nationality who seeks protection and residence permit in another state. Refugee status is granted to an asylum seeker who is given asylum. Around 1.3 million asylum seekers during years 2015 and 2016 arrived in Europe. Asylum seekers are a highly heterogeneous group in terms of cultural backgrounds, religion, education and language skills. In their countries of origin, asylum seekers have faced oppression, possibly even violence, which may cause them to be suspicious of other people, especially the authorities, also in the country where they are seeking asylum. Due to the aforementioned factors, asylum seekers are a vulnerable group from the perspective of research. An increasing amount of research is conducted globally in different fields of science among asylum seekers, also in the field of diabetes research. It has been shown that asylum-seekers carry a high risk of developing diabetes, and the prevalence of diabetes among them has been shown to be higher as compared with the reference population, already six months after arrival. Post-traumatic stress disorder, which is common among refugees, may be related to high levels of Type 2 diabetes among them. Clinicians, scientists and policymakers need to take several issues into account when assessing and treating diabetes among vulnerable immigrants. Recently, a need for research among asylum seekers has been recognised, but on the other hand, the discussion has emerged on the ethical acceptability of research in this population. There are several ethical issues to be a need for identification of Issues under discussion include what should be taken into account and which ethical questions emerge in particular? The research process consists of versatile steps connected to interpersonal interactions. The professional ethics of the researcher plays a key role. Its central elements include respect for human dignity, confidentiality, honesty and fairness. The fundamental question is whether it is generally ethically acceptable to ask a person seeking asylum to participate in a scientific study. Indeed, opinions against such research have been expressed. However, many experts agree that research in asylum seekers can be carried out as long as the principles of research ethics with special considerations are taken into consideration. Research concerning asylum seekers requires careful planning and consideration of the justifications for the study as well as ethically sustainable ways conduct research. Leaning has described the preconditions for ethically acceptable research conducted among asylum seekers. As a starting point, she argues that, as with other vulnerable groups, research may only be conducted when it is necessary or urgent for the health and well-being of the research subjects and only if the study cannot be implemented with a different population. Respect for autonomy, which is closely connected to the voluntary nature of research and th","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124941610","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}

{"title":"Ascensia diabetes care hosts the second EMEA nurse symposium in Vienna, Austria","authors":"","doi":"10.1080/20573316.2018.1446578","DOIUrl":"https://doi.org/10.1080/20573316.2018.1446578","url":null,"abstract":"On 9–10 November 2017, Ascensia Diabetes Care organized the second EMEA Diabetes Nurse Symposium in Vienna, Austria. The meeting focused on mastering the challenges of diabetes management and was targeted at diabetes nurse educators (DNEs) from Eastern European countries, the Middle East, and Africa. The objective of the event was to provide education on relevant diabetes care topics for the nursing community that would help them to address the issues they face in daily practice and the care of their patients. The meeting took place at the Hotel Imperial Riding School and included a comprehensive one-and-half days of educational sessions. The programme consisted of various presentations and panel discussions which were specifically designed to address the educational needs of DNEs. The sessions were tailored towards providing valuable information to DNEs on mastering challenges in diabetes, while offering them a platform to share best practices with colleagues from other countries. On the first day, the presentations focused on three specific topics of particular relevance to the DNEs in their daily practice: Today’s challenges from a nurse perspective; Diabetes management from a patient perspective; and Complication challenges from a medical perspective. There was particular interest in the section on complication challenges, which focused on the identification and management of complications associated with diabetes. Professor Akif Mehmet Büyükbese provided an overview of diabetic neuropathy as an important microvascular complication of diabetes. In contrast to other microvascular complications like retinopathy and nephropathy, which tend to occur at later stages of the disease, he explained that neuropathy can affect almost 50% of patients with type 2 diabetes and in some cases may be the first sign of the diagnosis of diabetes when it has gone unrecognized. There are various ways in which neuropathy can present in patients with diabetes, including tingling, coldness or burning sensation and numbness in the lower extremities. Current treatments are focused more on alleviating symptoms, rather than treating the underlying causes, so management strategies are more important to prevent further progression of this complication. Associate Professor Primoz Kotnik presented on the development of obesity and its impact on diabetes. He explained that although there is a genetic predisposition to obesity in certain people, it is rare that genetics are the sole cause of obesity, and environmental triggers, such as poor nutrition and sedentary behaviour, have a major role in the development of obesity. He added that the presence of excessive adipose tissue and the altered function of this tissue in obese individuals is a key mechanism for insulin resistance that leads to metabolic complications. Most of the alterations that take place with adipose tissue in obese individuals are irreversible, meaning that early treatment and prevention are critical to pre","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125722763","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}

{"title":"Evaluation of inpatient pneumococcal vaccination rate among adult patients with diabetes in a tertiary care teaching hospital in Saudi Arabia","authors":"M. Al Rasheed, M. Khobrani, J. Gramish","doi":"10.1080/20573316.2018.1439662","DOIUrl":"https://doi.org/10.1080/20573316.2018.1439662","url":null,"abstract":"Background: Diabetes mellitus was found to be one of the most common comorbidities for pneumococcal diseases. Pneumococcal vaccinations can reduce morbidity and mortality in this patient population. The purpose of this study was to estimate pneumococcal vaccination rate of these populations in inpatient hospital setting. Materials and methods: We performed a retrospective chart review involving adult patients with diabetes who were admitted to King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia between the period of March 2016 and March 2017. Results: A total of 1087 eligible patients were included. The overall vaccination rate for pneumococcus was 1.6% among the vaccine-eligible subjects. The most common risk factors were older age (65 years old or over – 53.9%), chronic renal failure (28.2%) and chronic heart failure (27%), respectively. The majority of the patients in this study were eligible for pneumococcal vaccine (77.6%) due to one or more risk factor other than diabetes mellitus. The mean number of other risk factors other than diabetes mellitus was 1.5 (SD 1.1, 95% CI 1.39–1.53). None of the included patients had documentation on pneumococcal vaccination status. Conclusion: The pneumococcal vaccine coverage rates among hospitalised patients with diabetes were low in a tertiary care teaching hospital in Saudi Arabia. Further studies are needed to assess the impact of electronic interventions in promoting vaccination assessment and administration among patients with diabetes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123209348","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}