Community nurses and self-monitoring of blood glucose

Abbott, Stephen; Burns, Jill; Gleadell, Anna; Gunnell, Caroline

doi:10.12968/bjcn.2007.12.1.22684

Cited by 9 publications

(7 citation statements)

References 7 publications

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“…They also suggest that practitioners often have very limited awareness of patients’ views about how their conditions recommended management regimes and professional support affect them, and about what it would mean to them to live well (or even to have a normal life) with their conditions . There is an additional sense of shortfall in the extent to which practitioners working with narrower approaches to support for self‐management take seriously patients’ experiences of life and opinions, foster meaningful forms of participation or self‐reliance, and/or recognize and support people as agents or actors of their own lives. Some studies observe a tight boundary around what is considered relevant for patients and practitioners to discuss in consultations …”

Section: Methodsmentioning

confidence: 99%

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

Morgan

Entwistle

Cribb

et al. 2016

Health Expectations

117

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BackgroundHealth policies internationally advocate ‘support for self‐management’, but it is not clear how the promise of the concept can be fulfilled.ObjectiveTo synthesize research into professional practitioners’ perspectives, practices and experiences to help inform a reconceptualization of support for self‐management.DesignCritical interpretive synthesis using systematic searches of literature published 2000–2014.FindingsWe summarized key insights from 164 relevant papers in an annotated bibliography. The literature illustrates striking variations in approaches to support for self‐management and interpretations of associated concepts. We focused particularly on the somewhat neglected question of the purpose of support. We suggest that this can illuminate and explain important differences between narrower and broader approaches. Narrower approaches support people to manage their condition(s) well in terms of disease control. This purpose can underpin more hierarchical practitioner–patient communication and more limited views of patient empowerment. It is often associated with experiences of failure and frustration. Broader approaches support people to manage well with their condition(s). They can keep work on disease control in perspective as attention focuses on what matters to people and how they can be supported to shape their own lives. Broader approaches are currently less evident in practice.Discussion and conclusionBroader approaches seem necessary to fulfil the promise of support for self‐management, especially for patient empowerment. A commitment to enable people to live well with long‐term conditions could provide a coherent basis for the forms and outcomes of support that policies aspire to. The implications of such a commitment need further attention.

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Section: Methodsmentioning

confidence: 99%

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

Morgan

Entwistle

Cribb

et al. 2016

Health Expectations

117

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“…(Nurse) 41 '… people don't understand blood pressure. I don't think they really understand what we're [trying to do].'…”

Section: Knowledge and Skillsmentioning

confidence: 99%

“…(Nurse) 43 Clinicians also harbour doubts over how ready patients are to embrace selfmanagement roles. 41,44 Some physicians subsequently feel that a more physiciancentred approach is justified by patient preferences, expediency, or pressures to improve outcomes:…”

Section: Generalmentioning

confidence: 99%

Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review

et al. 2016

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BackgroundDespite the availability of evidence-based guidance, many patients with type 2 diabetes do not achieve treatment goals. AimTo guide quality improvement strategies for type 2 diabetes by synthesising qualitative evidence on primary care physicians' and nurses' perceived influences on care. Design and settingSystematic review of qualitative studies with findings organised using the Theoretical Domains Framework. MethodDatabases searched were MEDLINE, Embase, CINAHL, PsycInfo, and ASSIA from 1980 until March 2014. Studies included were Englishlanguage qualitative studies in primary care of physicians' or nurses' perceived influences on treatment goals for type 2 diabetes.

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“…The effect of deprivation on frequency of testing has been noted by several authors, in particular in type 2 diabetes, and is a concern given its potential to widen inequalities in diabetes outcomes . It is important that everyone who is treated with insulin and for whom SMBG may be beneficial has appropriate knowledge about testing recommendations and the practice of self‐monitoring .…”

Section: Discussionmentioning

confidence: 99%

Patterns of self‐monitoring of blood glucose in insulin‐treated diabetes: analysis of a Scottish population over time

Cameron

Harris

Evans

2016

Diabetes Obesity Metabolism

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Analysis of a diabetes clinical information system in Tayside, Scotland, shows that a significant proportion of insulin-treated patients with diabetes are not self-monitoring blood glucose according to current clinical guidance and recommendations, with some not self-monitoring their blood glucose at all. Although there has been an increase in the numbers of reagent strips dispensed over the past decade, this increase is mainly accounted for by increased testing frequency among people with diabetes already testing.

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Community nurses and self-monitoring of blood glucose

Cited by 9 publications

References 7 publications

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

We need to talk about purpose: a critical interpretive synthesis of health and social care professionals’ approaches to self‐management support for people with long‐term conditions

Barriers to effective management of type 2 diabetes in primary care: qualitative systematic review

Patterns of self‐monitoring of blood glucose in insulin‐treated diabetes: analysis of a Scottish population over time

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