International Diabetes Nursing最新文献

{"title":"EDN goes global and becomes IDN","authors":"A. Felton, Kristin de Backer","doi":"10.1179/2057331615Z.0000000003","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000003","url":null,"abstract":"We are very pleased to announce a new era for the FEND Journal. You will undoubtedly notice a change in the title to International Diabetes Nursing. This coincides with a change in publishers to Maney Publishing. We are very excited with this new development, recognizing the global nature of the diabetes epidemic. It will broaden the reach to an international scope and will encourage global contributions by nurse researchers, clinicians and leaders in the global field of diabetes nursing. The sharing of experiences and research findings from across the world will enrich the content and relevance of IDN. We are most grateful to Maney Publishing for their enthusiasm and professional support in establishing this new development. Prof. Angus Forbes and Dr Magdalena AnnerstenGershater continue as co-editors and will lead the members of the editorial board. It is anticipated that additional members will be added to the editorial board to reflect the global reach of the journal. We thank Prof. Forbes and Dr Annersten-Gershater for their commitment and encourage you to submit your articles for consideration. We also wish to thank Lucy McIvor of Maney Publishing for her commitment during this change over period. EDITORIAL International Diabetes Nursing, Vol. 12, 2015, 2","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122020307","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":"Diabetes in Europe policy puzzle: the state we are in","authors":"A. Felton, M. Hall","doi":"10.1179/2057331615Z.0000000007","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000007","url":null,"abstract":"Abstract The European Coalition for Diabetes (IDF Europe, FEND, PCDE and EURADIA) has once again joined forces to publish this fourth edition of the Policy Puzzle at a time when Europe is still faced with the growing epidemic of diabetes, despite considerable and increasing political awareness of the health risks of diabetes and the realisation that the disease is largely preventable. By presenting a review of the situation in Europe and how diabetes has evolved over the last 3 years, this fourth edition aims to monitor the evolution of the current epidemic and report on the national policies and practices that exist across 47 European countries. As well as providing evidence to policy makers and key stakeholders in diabetes about the epidemic and related policy frameworks, this comprehensive audit will provide evidence to improve the implementation of policies.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131079455","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":"Nurse-led education programme enhancing foot care self-efficacy in high-risk diabetes population: pilot randomised controlled study","authors":"Anita Keller-Senn, S. Probst, R. M. Imhof, L. Imhof","doi":"10.1179/2057331615Z.0000000009","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000009","url":null,"abstract":"Abstract Aims The purpose of this study was to evaluate of a 5-week nurse-led educational programme on foot care self-efficacy in high-risk diabetic patients with current foot ulcers. Methods A pilot randomised controlled study was conducted in five acute care hospitals in Switzerland. Nineteen subjects (16 males and 3 females, aged 44–84 years) were randomly assigned to receive foot care education or standard care. Included were patients with diabetes, aged 18 years or older and in treatment for ulceration and/or amputation of the lower limp. The primary outcome measure was the development of foot care self-efficacy determined by the Foot Care Confidence Scale questionnaire (FCCS). The outcome was assessed 5 weeks after randomisation and education. Results The results demonstrated that an evidence-based education programme for high-risk patients can promote short-time foot care-related self-efficacy. While the group comparison showed no significant difference between the groups before and after the intervention, there was a significant difference in self-efficacy comparing the change of the FCCS from baseline to Week 5. Self-efficacy in the intervention group (IG) (M = 9.5, SD ±7.6) was significantly enhanced compared to the control group (CG) (M = 0.64, SD ±8.4, t(17) = 2.4, p = 0.031, r = 0.5). The FCCS score in the IG was significantly higher after the intervention (T = 0, p = 0.02, r = 0.5) compared to the CG after 5 weeks (T = 26.5, p = 0.92, r = 0.02). Conclusions This pilot study demonstrated that nurses successfully accomplish interventions to enhance foot care-related self-efficacy. It is therefore necessary that nurses continue taking such important supporting roles. A larger study, however, is needed to confirm this preliminary data.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126442514","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":"New frontiers: a global journal for a global issue","authors":"A. Forbes, Magdalena Annersten-Gershater","doi":"10.1179/2057331615Z.0000000008","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000008","url":null,"abstract":"We would like to warmly welcome readers to the International Diabetes Nursing journal. While this is a new journal, it is based on the legacy of the European Journal of Diabetes Nursing, which it succeeds. In many ways, the mission of the journal remains the same, to promote and share care innovations that make a difference to the lives of people with diabetes. However, in the new journal, we want to expand our horizons a little and provide a platform for clinical diabetes research across the globe. While the journal has a focus on nursing, it is of course not exclusive to nurses. As with diabetes care in general, it is recognised that inter-professional collaboration is important, and we welcome contributions from all health professionals. We encourage colleagues to submit clinical academic work to this journal so we can share and expand clinical practices that will benefit people with diabetes. Our ambition is to make the journal an internationally recognised resource for high-quality clinical research and practice. We will in due course be seeking to index the journal to expand its impact. However, for this to happen, we need to have high-quality submissions. So please spread the word and let us make this journal essential reading for all those who work with people who have diabetes. While this is a new journal, you will see from the assembled papers that there are still many important issues in diabetes care that need to be addressed. Felton and Hall have an overview of the recently published Policy Puzzle. This review highlights the continuing national variations and inequality in care provision across Europe. In particular, it shows significant variations in diabetes nursing withmany countries not recognising diabetes nursing as a specialism. One important way that we can address this problem is by continuing to develop innovative care models to improve patient outcomes. This journal would like to be home to those innovations. In this first edition, we have some good examples of such innovation. Chithambo and Forbes also have a paper highlighting how a lack of structured assessment and educational support contributes to poor foot outcomes in diabetes. Care delivery is always a challenge in diabetes especially when demand is always increasing. So a further innovation we see in the journal is that of the virtual clinic by Atkinson et al. The virtual clinic shows some promise as an intervention to better integrate specialist and primary care. On a more introspective note, we are reminded of the growing diabetes epidemic by a study of risk factors for Type 2 diabetes, sadly the study by Yurtsever et al. shows the elevated risk in a sample of nurses. This shows that nurses are not immune to the obesity trend that is driving diabetes prevalence. Clearly diabetes nurses need to rise to the challenge of diabetes prevention, and this an aspect of care that we would like to see more of in the journal. We also have two papers on innovative practices t","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115844503","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":"Benefits to health care professionals and patients with diabetes of a novel blood glucose meter that provides pattern recognition and real-time automatic messaging compared to conventional paper logbooks","authors":"L. B. Katz, Lorna Stewart, B. Levy","doi":"10.1179/2057332415Y.0000000001","DOIUrl":"https://doi.org/10.1179/2057332415Y.0000000001","url":null,"abstract":"Abstract Background: Self-monitoring of blood glucose is crucial for maintaining overall blood glucose (BG) levels. Health care professionals (HCPs) must rapidly assess patient BG data and recommend treatment changes, as appropriate, during short office visits. A meter offering automatic BG pattern recognition and in-the-moment messaging may change how HCPs and patients with diabetes work together to achieve glycemic control. Methods: Two separate studies evaluated the potential benefits of the OneTouch Verio® BG monitoring system. In one study, 64 HCPs were evaluated on their ability to rapidly recognise BG patterns in simulated logbooks compared to using the meter, before completing a survey on potential benefits of the meter to themselves and their patients. In the other study, patients with diabetes used the meter at home for 1 week before also completing a survey. Results: Patients indicated that the meter was simple to use and understand. For HCPs, using the meter to identify BG patterns was significantly faster and more accurate than using a logbook. In addition, HCPs believed the meter features would make interpreting BG results easier for patients. Conclusions: An easy to use meter with in-the-moment BG insights may help improve patient management of glycemic control between office visits. In addition, using the meter may improve efficiency during office visits.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123244410","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":"Exploring factors that contribute to delay in seeking help with diabetes related foot problems: a preliminary qualitative study using Interpretative Phenomenological Analysis","authors":"Tiwonge Chithambo, A. Forbes","doi":"10.1179/2057331615Z.0000000006","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000006","url":null,"abstract":"Abstract Background and aim: A significant number of patients with diabetes do not always seek help when they develop a foot problem such as an ulcer. This delay in patients presenting with foot problems has been attributed to poor outcomes such as lower limb amputation and premature mortality. The aim of this study was to explore patients' reasons for delay in seeking help with foot problems. Methods: A qualitative study using Interpretative Phenomenological Analysis (IPA), which used semi-structured interviews. A purposeful sample of six patients with delayed help-seeking behaviour were recruited from a diabetic foot clinic, in the United Kingdom. Interviews were audio-recorded and transcribed verbatim, then analysed in a six-step model using the IPA method. Results: The study identified nine superordinate themes associated with delay in seeking help with foot problems, these included: the level of prior foot care information; awareness of the foot problem; the ability to perform foot care behaviours; ulcer presentation and risk perception; competing priorities; the use of self-management strategies for the foot problem; the presence of specific help-seeking triggers; comorbid conditions and concurrent illness; and delayed secondary referral. Conclusions: The findings of this preliminary study suggest that, to reduce patient delay, there is a need to increase awareness among patients as well as health professionals of the risks of foot problems. Ongoing foot care education needs to be given to patients in order to enhance knowledge on foot care, including the early warning signs of foot problems and what they should do to get help. It is also necessary to ensure that patients who have problems in being able to self-monitor their feet are subject to enhanced surveillance.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130437412","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 diabetes risk among Turkish nurses: The role of insulin resistance and life style on diabetes risk","authors":"Sultan Yurtsever, B. Yürügen, T. Sarac, B. Esen, A. Atay, D. Sit","doi":"10.1179/2057331615Z.0000000001","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000001","url":null,"abstract":"Abstract Aims: The aim of this study was to investigate diabetes risk in healthy young nurses in a Training and Research Hospital in Turkey. Methods: The study was conducted in 338 nurses. Entire participants underwent laboratory examination including biochemical analysis and homoeostasis model assessment of insulin resistance. Risk of developing diabetes questionnaire (FINDRISK) was performed by interviewing with nurses. Pearson's simple linear regression analysis, Student's t-test, chi-square and Fisher's exact test were used for statistical analysis. Results: Insulin resistance (IR) and impaired fasting glucose were observed in 41.1% (n = 139) and 21.6% (n = 73), respectively. Only 42.6% of participants had normal body mass index whereas 34.6% were overweight and 22.8% were obese. The percentage of nurses under the age of 45 years was 83.4%, of this population, only 17.8% of them had a lower diabetes risk. Conclusions: Individuals with low diabetes risk may exhibit IR; however, IR is more frequent in individuals with high diabetes risk. Preventive measures and public awareness about these measures play a crucial role against diabetes risk.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121633414","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":"Use of advanced carbohydrate counting and an automated bolus calculator in clinical practice: the BolusCal® training concept","authors":"M. Meldgaard, Camilla Damm-Frydenberg, Ulla Vesth, K. Nørgaard, S. Schmidt","doi":"10.1179/2057331615Z.0000000002","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000002","url":null,"abstract":"Abstract Background: BolusCal® is a newly developed training concept for patients with Type 1 diabetes (T1D) on a basal-bolus regime. The training, which is provided by a diabetes nurse and a dietician, consists of a 4-hour group session followed by a 1-hour follow-up and includes training in advanced carbohydrate counting and the use of an automated bolus calculator. Aims: The aim of this article is to describe the BolusCal training concept and to report changes in HbA1c and body mass index (BMI) as well as resources spent 12 months after implementing the BolusCal training concept in routine clinical practice. Methods: During 14 months in 2012–2013, 86 patients with T1D participated in a BolusCal training course. We retrospectively collected patient data from electronic medical records. Results: From training course participation to 12 months, HbA1c decreased from 66 to 57 mmol/mol (8.2–7.4%) (p < 0.001). BMI did not change. Within the first 6 months the number of follow-up consultations ranged from 0 to 9 (median 3). Conclusions: Our newly developed training concept for patients with T1D has been successfully implemented in routine practice. Twelve months after the training, patients achieved significant and clinically relevant improvements in HbA1c whereas BMI remained stable. In general, patients needed only few follow-up consultations. Following our initial positive experience with the BolusCal training concept, we are now training other health care professionals in providing the training concept to T1D patients within Denmark and throughout Europe.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128325235","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":"Collaborative diabetes virtual clinics – a service evaluation and clinical audit","authors":"Rosarie Atkinson, Mark Chamley, D. Kariyawasam, A. Forbes","doi":"10.1179/2057331615Z.0000000004","DOIUrl":"https://doi.org/10.1179/2057331615Z.0000000004","url":null,"abstract":"Abstract Background: Diabetes management in primary care is becoming increasingly complex. Integrated working between primary and specialist care teams is important in addressing this complexity. Diabetes virtual clinics (DVC) provide an opportunity for the diabetes specialist team to work collaboratively with the primary care team. Aim: To evaluate the impact of a DVC on the clinical management and care outcomes of patients in primary care settings. Methods: A prospective clinical audit of DVC patients was performed in seven general practices comparing data, at baseline and at 6 months. The audit measured changes in care provision and clinical performance. The primary audit standard was that 50% of cases with a baseline glycated haemoglobin (HbA1c) ≥58 mmol/mol (7.5%) would optimise HbA1c by a clinical significant reduction of 6 mmol/mol (0.4%). Results: The audit examined 113 cases that were exposed to the DVC. Data were available on 73 cases at 6 months. The main theme for case discussion was treatment modification and titration (48%, n = 54), followed by: managing co-morbidities (24%, n = 21) and psychosocial factors (14%, n = 12). Primary care was the most common pathway identified, 35% (n = 40) cases avoided being referred to specialist care and 21 (23%) cases were transferred from specialist to primary care. At 6 months, HbA1c reduced by 7 mmol/mol (0.46%) from 73 mmol/mol (8.79%) to 67 mmol/mol (8.32%), p = 0.001. The audit standards were exceeded with 85% of patients achieving an improvement in their glycaemic control and 57% having a reduction in the HbA1c of ≥6 mmol/mol (0.4%). Conclusions: The DVC resulted in a clinically and statistically significant improvement in HbA1c. It has also meant that more patients can be treated in primary care without the need for referral to specialists. The DVC could be an effective model for integrated working between primary and diabetes specialist services, providing an opportunity for shared learning.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133090976","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}