International Diabetes Nursing最新文献

{"title":"Overview of the Foundation of European Nurses in Diabetes (FEND) 21st conference 2016 in Munich","authors":"H. Mulnier","doi":"10.1080/20573316.2016.1274557","DOIUrl":"https://doi.org/10.1080/20573316.2016.1274557","url":null,"abstract":"As ever, the Foundation of European Nurses in Diabetes (FEND) conference provided diabetes nurses from across Europe the opportunity to learn and share innovative practices that enhance the health and well-being of people with diabetes. The first session was very enthusiastically presented by Dr Thurm (DSN from Berlin). Cases were used to exemplify the importance and need for structured education in pump and continuous glucose monitoring therapy. The curriculum of the SPECTRUM structured education programme was described and the benefits of attending the programme also demonstrated with case studies. It was very motivating to hear such enthusiasm for education and research. An equally enthusiastic and informative case -study -based presentation was also given on the first morning by Dr Ketzer from the Netherlands. He covered how a pharmacist can assist patients and healthcare professionals (HCPs) with dispensing and surveillance of medication, medication reconciliation and polypharmacy review. He used case studies very effectively to demonstrate the dangers of some prescribing in diabetes and the interaction between different agents and the need for caution and care in the complex disease management of diabetes. This session would be well worth a re-visit on the webcasts: http://www.fend-lectures.org/index.php? menu=view&source=lectures&sourceid=19&id=187. Prof. Ziegler also gave a fascinating and very encouraging and inspiring synopsis of the current advances and research in immunotherapy and potential vaccination to prevent and delay Type 1 diabetes. She outlined the newly formed Global Platform for the Prevention of Autoimmune Diabetes (GPPAD) in Europe. This aims to provide an infrastructure for trials in the prevention Type 1 diabetes in Europe. Clearly exciting times are ahead. Further sessions on the prevention of gestational diabetes, the structure of diabetes nursing organisation in Poland, and diabetes and political advocacy in Malta were also enlightening and informative, and Gill Hood gave a competent and really well -structured example of nursing research from the concept of the MyQuest Consultation Tool to its implementation and dissemination. Three presentations of original research chosen from the abstracts submitted to the conference were also given. Ms Sahin presented the robust validity of the University of Virginia Child/Teen Low Blood Sugar Survey to measure fear of hypoglycaemia. They had tested the survey in a group of 250 adolescents in Turkey and proven its reliability, were confident to implement it into practice. Ms Forde (FEND Research Fellow at King’s College London) presented data from her doctoral studies looking at the experiences of women with Type 2 diabetes and HCPs of pre-pregnancy care (PPC). She identified factors that affected women effectively accessing PPC including their orientation towards pregnancy, health beliefs and self-efficacy. In the case of the HCP their professional competency and biases were ve","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127222621","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":"Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes","authors":"A. Haugstvedt, M. Graue, Morten Aarflot, Lovise S. Heimro, Hilde Johansson, I. Hjaltadóttir, A. Sigurdardottir","doi":"10.1080/20573316.2016.1262588","DOIUrl":"https://doi.org/10.1080/20573316.2016.1262588","url":null,"abstract":"Introduction: The increasing prevalence of diabetes worldwide entails an expected rise in the number of older individuals with diabetes needing nursing home placement. Internationally, a consistent lack of adherence to clinical guidelines has been identified in the care of older people. In this study, we therefore investigated whether diabetes management in a sample of nursing homes in Norway and Iceland was in accordance with clinical guideline recommendations. Methods: We used a descriptive cross-sectional study design to assess diabetes management in 12 nursing homes: eight in Norway and four in Iceland. Results: We identified 162 residents with diabetes. The diagnosis of diabetes was available for 100% of the residents in the nursing homes in Iceland and respectively for 81 and 51% of the residents in southwestern and northern Norway. Totally, 3% of the residents with diabetes had a treatment goal for blood glucose regulation (HbA1c) documented in their medical record, 48% had agreed individualized routines for blood glucose measurements and 37% had a HbA1c value measured within the past 6 months available in their medical record. Conclusion: This study has shown a significant discrepancy between diabetes guideline recommendations and clinical diabetes practice related to documenting the diagnosis and type of diabetes, the establishment of individualized treatment goals for HbA1c and the establishment of routines for blood glucose and HbA1c measurements in nursing homes in Norway and Iceland. The results indicate a potential for improvement and a need for more nurses with advanced competence within diabetes in nursing homes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127717843","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":"Is numeracy a barrier to glycaemic control in Type 1 diabetes mellitus? A synthesis of current literature","authors":"S. Harris, Philippa G. McFarlane, H. Mulnier, S. Amiel","doi":"10.1080/20573316.2016.1274556","DOIUrl":"https://doi.org/10.1080/20573316.2016.1274556","url":null,"abstract":"Aims: Healthcare professionals rely on patients’ health literacy and numeracy when providing education to enable self-management of diabetes. We review existing evidence for the impact of health literacy and numeracy on self-care processes in adults with Type 1 diabetes mellitus (T1DM). Methods: A systematic review and narrative synthesis was performed. Four electronic databases were searched from inception to October 2015. Inclusion criteria included at least 70% adults (>17 years old) T1DM population, measurement of health literacy or numeracy with validated score and measure of self-care. Results: A total of 972 articles were identified. Three articles met the inclusion criteria. There was heterogeneity of the studies although all studies used glycaemic control as the primary outcome. Six themes were identified, in particular, the association between numeracy and glycaemic control (p = 0.004, p = 0.066) in T1DM. No association was seen with health literacy. Conclusions: Low numeracy appears to be associated with poorer glycaemic control in adults with T1DM, likely reflecting the skills needed for conventional insulin dose adjustment in T1DM. This review calls for more work to investigate this association further, aid identification and produce strategies to overcome low numeracy.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132490562","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":"Narrative medicine in diabetes care: Report from FEND Conference Munich 2016†","authors":"N. Piana","doi":"10.1080/20573316.2016.1272889","DOIUrl":"https://doi.org/10.1080/20573316.2016.1272889","url":null,"abstract":"Introduction Several theoretical, philosophical, pedagogical, scientific premises can help understand the pivotal importance of Narrative Medicine (NM) in the field of diabetes care. Let us start from the most recognizable premise. The scientific one. Which means considering data, numbers, evidence. The latest IDFAtlas report mentions several hundred millions of people affected by diabetes and shows that diabetes is impacting every country, every age group and every economy across the world. This prevalence data show up an ever increasing paradox: on the one hand an ever more advanced technological and specialized medicine able to deliver the best care possible; on the other hand people who are not sensitive to prevention, who find difficulties in managing their disease and are often unaware of the disease itself and of the possible consequences if it is not well controlled. What is the problem? What is it that we are not able to understand? Why cannot we reverse this phenomenon? Our traditional approaches to care are no longer effective, or rather, are not enough, and require reflection and different answers on our part. For a long time the scientific literature has shown that correct information and knowledge about the disease are not enough to motivate people to look after themselves and change their habits, as long as diabetes and other chronic diseases are concerned.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131539545","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":"Is there a duty to participate in a health research? A viewpoint of children 6–8 years of age and their parents","authors":"Helena Länsimies, A. Halkoaho, A. Pietilä, N. Lintu, M. Kangasniemi, A. Eloranta, A. Viitasalo, V. Lindi, T. Lakka","doi":"10.1080/20573316.2016.1274170","DOIUrl":"https://doi.org/10.1080/20573316.2016.1274170","url":null,"abstract":"It has been discussed in recent years whether participants should have a duty to participate in health research. Despite these theoretical discussions, there is little empirical evidence about study participants' perceptions of duties. We studied children's and their parents' sense of duty regarding participation in The Physical Activity and Nutrition in Children (PANIC) Study. In addition, we evaluated whether the sense of duty was related to the long-term participation in the study. The original study group of PANIC Study consisted of 512 children aged 6–8 years. Complete data of this sub-study were available for 312 children and their parents. Data on long-term participation were evaluated after 24 months. Analysis protocol was exploratory. The data show that 30% of parents felt a duty to participate in the study. However, only a minority of children (11%) felt the same. Parents' sense of duty in the early stages of the study improved long-term commitment to ongoing research. Thus, we can state that study participants have a sense of duty to participate although we cannot impose a duty to take part in any research.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131366651","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":"EMEA Diabetes Nurse Symposium 2016","authors":"","doi":"10.1080/20573316.2016.1300568","DOIUrl":"https://doi.org/10.1080/20573316.2016.1300568","url":null,"abstract":"","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116229694","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":"Experience of adult individuals with Type 2 diabetes about diabetes: A qualitative study","authors":"H. Akman, Nermin Olgun","doi":"10.1080/20573316.2016.1246085","DOIUrl":"https://doi.org/10.1080/20573316.2016.1246085","url":null,"abstract":"This study was carried out in a qualitative manner in order to identify the emotions and life experience of the patients with Type 2 diabetes with regard to their disease in the Endocrinology Clinic of Bayındır Hospital Kavaklıdere between December 2014 and April 2015. Twenty-one individuals, who were being monitored in the related department and whose consent forms were obtained, were recruited. The ethics committee approval was obtained for the study and statistical data were employed in respect of demographic features. The data were collected by using interview forms and in-depth interviews. Microsoft Word 2007 word processing software was used to analyse the data. A face-to-face interview technique was utilized by raising pre-determined unbiased and non-directing questions to the individuals. A voice recording was used in the interviews which lasted at least 20 minutes, and written minutes of the data were issued within 24 hours after the interview. The content analysis was used in analysing the qualitative data so that the theming of the concepts and considerations pertaining to the subject addressed is determined through repetitive reading of the text on which the interview was analysed and classification and coding of the study as per sub-objectives. Consequently, there were 14 themes in total, namely lack of information, shock, fear, sadness, denial, feeling of guilt, anger, unacceptance, change of habits, adaptation difficulty, professional hardship, social challenges and environmental factors and feeling better. It is suggested that the process of acceptance of diabetes and adaption to the treatment should be facilitated, planning trainings on diabetes per individual requirements through sympathetic approach.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126165220","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":"End of year report — Three cheers for FEND","authors":"M. Annersten Gershater, A. Forbes","doi":"10.1080/20573316.2016.1272888","DOIUrl":"https://doi.org/10.1080/20573316.2016.1272888","url":null,"abstract":"","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128732422","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":"Identifying experiences of individuals with Type 2 diabetes during acceptance and adaptation of insulin therapy","authors":"Gulay Gulsen, Nermin Olgun","doi":"10.1080/20573316.2016.1242878","DOIUrl":"https://doi.org/10.1080/20573316.2016.1242878","url":null,"abstract":"This study was carried out in a qualitative manner in order to identify the emotions and life experience of the patients with Type 2 diabetes with regard to their acceptance of insulin therapy and their experience during adaptation process disease in the Endocrinology Clinic of Ondokuz Mayıs University between December 2014 through April 2015. The data was collected by employing interview form and in-depth interview. A voice recording was made in the interviews which lasted at least 5 minutes and written minutes of the data were issued within 24 hours following the interview. The content analysis was utilized in analyzing the qualitative and statistical data in connection with the demographic characteristics. In accordance with the results of the analysis, four groups and totally 14 themes are identified in which the obtained results are classified. For the purpose of ensuring the acceptance by the patients of the therapy and their adaptation to the process, it is suggested to mention about insulin therapy at the initial phase of the diabetes training, and provide assistance for the adaptation of insulin therapy through a sympathetic approach by making a planing based upon the individual needs.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123114502","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":"‘Meaningful meetings’ – A pilot study to improve the diabetes clinical encounter for nurses and patients using The Diabetes MyQuest Consultation Tool©","authors":"G. Hood, S. Shea, A. Worthington","doi":"10.1080/20573316.2016.1218673","DOIUrl":"https://doi.org/10.1080/20573316.2016.1218673","url":null,"abstract":"Background: The clinical encounter between nurse and patient is an important and growing strategy in the management of Type 2 Diabetes Mellitus in primary care settings. However, due to time pressures, lack of knowledge, training and skills, the meeting can be a frustrating experience for both the nurse and the patient, and the potential to improve diabetes self-management may be sub-optimal. The Diabetes MyQuest Consultation Tool© (DMCT©) has been designed in collaboration with both patients and nurses to improve the consultation by using a person centred approach, identifying psychological problems which may affect self-management, and promoting a more meaningful meeting between both parties. Methods: The DMCT© was piloted using a randomised control trial to gauge how feasible, practical and acceptable the application of the questionnaire would be in primary care settings to both nurses and patients. The pilot further explored whether the tool would promote diabetes knowledge, increase consultation satisfaction and improve diabetes self-efficacy in patients compared to usual care. The study used a mixed methods approach of qualitative interviews and three measures: a diabetes knowledge questionnaire (DKQ); satisfaction with the consultation questionnaire (DCPNI) and a diabetes empowerment scale (DES-SF). All participants were given the WHO-5 Well-Being Index to complete. Results: The age range of the sample (n = 106) was 40–90 years (m = 67 years) and comprised of 66 males, and 40 females. The average duration of diabetes was 9 years, and at the pre-study visit the mean values for BMI, cholesterol and HbA1c were 30.7 kg/m2; 4.2 mmols/l and 55.0 mmols/mol, respectively. Fifty-six patients were randomised to use the DMCT© tool as part of their consultation. There were no significant differences to HbA1c, Cholesterol or BMI between the control and intervention groups. There were minor but noted improvements in the control group between the pre and post measure for DKQ (mean increase 1.10; p > 0.001), whereas the intervention group demonstrated significant improved changes for all three measures: DKQ (mean increase = 1.41; p > 0.000), DCPNI (mean increase = 2.1; p > 0.002; DES-SF mean increase = 2.5; p > 0.000). All participants completed the WHO-5 Well-Being Index with 34% (n = 36) scoring on or below the clinical cut-off score of 13 – indicating a need for further depression screening. Conclusion: Patients in the intervention group overwhelmingly found the DMCT© tool helpful with their diabetes consultations and nurses’ derived good practical use from the tool in determining the kinds of issues patients may have. The tool seems to have promoted a more patient centred approach to the consultation, empowering patients to discuss management aspects relevant to their individual needs. The results of this pilot indicate that the DMCT© is a feasible, practical tool for use by both patients and nurses. A larger and longer scale study in varied primary c","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133879331","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}