Diabetes management unawareness: what do bedside nurses know?

Modic, Mary Beth; Vanderbilt, A. S.; Siedlecki, Sandra L.; Sauvey, Rebecca; Kaser, Nancy; Yager, Christina

doi:10.1016/j.apnr.2013.12.003

Cited by 24 publications

(17 citation statements)

References 12 publications

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“…Nurse managers have a role to play in creating a positive work environment, influencing nurses by motivating and encouraging them to improve their diabetes knowledge, involving nurses in policymaking, especially where policies affect nursing staff directly and may enhance or detract from nurses’ diabetes knowledge (de Oliveira, Mazzaia, & Marcolan, ). Effective inter‐ and intraprofessional communication and collaboration and diabetes knowledge exchange could be effective; even the simple availability of printed learning materials, and increasing institutional resources and support for continuing diabetes education and training (Gerard et al., ; Modic et al., ).…”

Section: Discussionmentioning

confidence: 99%

“…Young but inexperienced nurses were more willing to acquire new diabetes care knowledge and skills, and these nurses might be the role models to empower other nurses to provide better diabetes care and improve patient health outcomes (Aslani et al, 2016). Nurses' lack of interest in obtaining new knowledge accompanied by lack of encouragement and motivation from nursing managers was also reported by Atefi, Abdullah, Wong, and Mazlom (2014) (Gerard et al, 2010;Modic et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study

Alsolais

Gholizadeh

Al-Ganmi

et al. 2018

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study

Alsolais

Gholizadeh

Al-Ganmi

et al. 2018

Journal of Clinical Nursing

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“…Furthermore, deficits are apparent among faculty, nurses, mid-level providers, and residency trainees. These deficiencies are related to limited biomedical and contextual knowledge regarding management of inpatient hyperglycemia and diabetes among providers; inattention to glycemic issues in the hospital and as patients transition home; low confidence in addressing glucose abnormalities, prescribing insulin, or educating patients regarding diabetes; failure to comply with recommended protocols; gaps in clinical decision making; and lack of familiarity with existing resources, among other factors (19–22, 24, 52, 53). Management of hyperglycemia and diabetes in hospitals requires a multidisciplinary approach where adequate communication across disciplines and among members of the clinical teams is promoted (10, 12).…”

Section: Discussionmentioning

confidence: 99%

Perspectives on Learning and Clinical Practice Improvement for Diabetes in the Hospital: A Review of Educational Interventions for Providers

2017

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Objective The management of inpatient hyperglycemia and diabetes requires expertise among many healthcare providers. There is limited evidence about how education for healthcare providers can result in optimization of clinical outcomes. The purpose of this critical review of the literature is to examine methods and outcomes related to educational interventions regarding the management of diabetes and dysglycemia in the hospital setting. This report provides recommendations to advance learning, curricular planning, and clinical practice. Methods We conducted a literature search through PubMed Medical for terms related to concepts of glycemic management in the hospital and medical education and training. This search yielded 1,493 articles published between 2003 and 2016. Results The selection process resulted in 16 original articles encompassing 1,123 learners from various disciplines. We categorized findings corresponding to learning outcomes and patient care outcomes. Conclusion Based on the analysis, we propose the following perspectives, leveraging learning and clinical practice that can advance the care of patients with diabetes and/or dysglycemia in the hospital. These include: (1) application of knowledge related to inpatient glycemic management can be improved with active, situated, and participatory interactions of learners in the workplace; (2) instruction about inpatient glycemic management needs to reach a larger population of learners; (3) management of dysglycemia in the hospital may benefit from the integration of clinical decision support strategies; and (4) education should be adopted as a formal component of hospitals’ quality planning, aiming to integrate clinical practice guidelines and to optimize diabetes care in hospitals.

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“…This study factored in subspecialties and also showed that regardless of education or age, nurses were not current in inpatient diabetes management throughout the spectrum of subspecialties, making the findings more generalizable. Despite educational efforts, insulin regimens were noted to be problematic, suggesting a need for additional diabetes education resources for daily questions that may arise (Modic et al, 2014).…”

Section: Nurses' Knowledge Of Diabetes Managementmentioning

confidence: 99%

Diabetes Knowledge of Critical Care Nurses: A Quality Improvement Project

Huley¹

2019

Preprint

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Diabetes mellitus continues to become more prevalent in the United States, with approximately 1.5 million new cases diagnosed each year (ADA, 2018). Nurses play a key role in providing education to diabetic patients on the management of this disease. This encompasses a multitude of topics such as diabetic medications, treatments, and lifestyle choices that ultimately may aid in decreased morbidity and mortality otherwise associated with the disease and its co-morbidities. However, nurses’ own perceived diabetes knowledge has been found to be overestimated when compared to actual nursing knowledge (Alotaibi, Ghlizadeh, Al-Ganmi&Perry, 2017; Wakefield&Wilson, 2014). Research also illustrates that the actual knowledge of diabetes care is suboptimal, and educational programs specifically tailored to diabetes management knowledge result in an improvement from pre-test scores with subsequent retention of the materials presented (Moattari, Moosavinasab, Dabaghmanesh,&SarifSanaiey, 2014; Sweeney, Kenny and Schubert, 2013). The following literature review appraises current practice in diabetes management and evaluates literature regarding actual knowledge of nurses caring for inpatient diabetics. The purpose of this quality improvement project was to determine whether the implementation of a diabetic education program improves nurses’ knowledge in the medical management, treatment, and care of the adult critical care patient with hyperglycemia. Results demonstrated variability in baseline knowledge and overall significant improvement in scores which validated the need for this program and may indicate a need to focus future educational programs on the care of the patient with diabetes.

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Diabetes management unawareness: what do bedside nurses know?

Cited by 24 publications

References 12 publications

Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study

Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study

Perspectives on Learning and Clinical Practice Improvement for Diabetes in the Hospital: A Review of Educational Interventions for Providers

Diabetes Knowledge of Critical Care Nurses: A Quality Improvement Project

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