Equipping School Health Personnel for Diabetes Care with a Competency Framework and Pilot Education Program

Berget, Cari; Nii, Pamela Brunner; Wyckoff, Leah; Patrick, Kathleen; Brooks‐Russell, Ashley; Messer, Laurel H.

doi:10.1111/josh.12806

Cited by 10 publications

(11 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Existing tools have been used to assess diabetes knowledge in school nurses only. 21 With the DDCS, confidence can be measured in tandem with diabetes knowledge to provide different, yet related, information. For example, though a school nurse may have been taught about a certain device, they may not feel confident to use it until they gain additional experiences.…”

Section: Discussionmentioning

confidence: 99%

“…Readiness to work with diabetes devices includes knowledge, confidence, and the preparatory steps, such as access to and completion of training and supportive school policies for technology use. Existing tools have been used to assess diabetes knowledge in school nurses only 21 . With the DDCS, confidence can be measured in tandem with diabetes knowledge to provide different, yet related, information.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Development and psychometric analysis of the D iabetes D evice C onfidence S cale for school nurses

et al. 2022

View full text Add to dashboard Cite

Background: School nurses need to be equipped to help students with diabetes devices. No existing tools assess school nurse self-efficacy in using devices.Objective: To develop and evaluate the psychometric properties of a novel scale to measure school nurse confidence with diabetes devices.Research Design and Methods: We generated a list of items with community partners and examined logical validity. We then revised and distributed the item set to school nurses in Pennsylvania to examine aspects of structural validity, convergent validity, and internal consistency reliability. We used item response theory to refine the scale.Results: Facilitated discussion with collaborators generated an initial list of 50 potential items. Based upon the item-content validity index, we revised/eliminated 13 items. School nurses (n = 310) in Pennsylvania completed an updated 38-item scale; the majority had experience with insulin pumps or continuous glucose monitors. Exploratory factor analysis identified a one-factor solution, suggesting a unidimensional scale. We eliminated 13 additional items based upon significant inter-item correlation or skewed response patterns. Item response theory did not identify additional candidate items for removal. Despite a high degree of redundancy (Cronbach's alpha > 0.90), we retained all remaining items to maximize the future utility of the scale. Conclusion: The 25-item, unidimensional Diabetes Device Confidence Scale is a new tool to measure school nurse confidence with diabetes devices. This scale has future clinical, programmatic, and research applications. Combined with knowledge assessments, this scale can serve to evaluate school nurse device use readiness, assess training gaps, and tailor interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development and psychometric analysis of the D iabetes D evice C onfidence S cale for school nurses

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The level of diabetes knowledge increased by 3.5% ( p = 0.01), and the sense of self-efficacy improved by 2.7% ( p = 0.007). Researchers found that developing the competencies of school medical personnel through intensive training and the practical use of specialist knowledge can help organize and provide the best diabetes care in an educational institution [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge of School Nurses on the Basic Principles of Type 1 Diabetes Mellitus Self-Control and Treatment in Children

Stefanowicz

Słomion

Rąpała³

2022

IJERPH

View full text Add to dashboard Cite

School nurses should participate in the care of children with type 1 diabetes mellitus. The aim of this study was to assess the level of knowledge of school nurses about the basic principles of self-control and the treatment of type 1 diabetes mellitus and to attempt to determine the factors that influence this level of knowledge. A cross-sectional survey was conducted among school nurses from October 2018 to November 2019 in the Pomeranian Voivodeship. The study was conducted using a self-constructed questionnaire. The survey included questions about the sociodemographic characteristics of the respondents, and a test of the knowledge and skills regarding the principles of self-control and the treatment of type 1 diabetes mellitus (16 test questions). This study included 168 Polish school nurses (mean age ± SD = 55.1 ± 8.9 years). Most of the nurses had a secondary education (81%), worked in a municipal educational institution (78.6%), and provided care to more than one student with type 1 diabetes mellitus at school (70.2%). The average level of knowledge of school nurses was 12.5 ± 2.0 points (maximum 16). The nurses working in a village school and those who worked only in one school had lower levels of knowledge. Only 85.7% of nurses reported that they could independently perform a blood glucose measurement with a glucometer, and as many as 56.5% were unable to determine the level of ketone bodies in the urine with Keto-Diastix test strips. Only 62.5% of nurses had a glucometer and glucometer strips in their nursing office. A total of 19.6% of nurses did not have glucagon (1 mg GlucaGen HypoKit®, Novo Nordisk A/S, Bagsværd, Denmark) or an ampoule with 20% glucose for an intravenous administration. The knowledge of school nurses about the principles of self-control and the treatment of type 1 diabetes mellitus is insufficient. Due to the strong increase in the incidence of type 1 diabetes mellitus among children and adolescents, it is important to organize permanent, continuous, and mandatory training on the principles of self-control and the treatment of type 1 diabetes mellitus for school nurses. The equipment in Polish school nurses’ offices should be supplemented with a working glucometer and blood glucose test strips, and the set of obligatory medications in the school nurse’s office should be supplemented with glucagon for students with type 1 diabetes mellitus.

show abstract

“…We theorized that diabetes knowledge may be a related construct. To assess for convergent validity between device confdence and diabetes knowledge, we coadministered the diabetes knowledge test 2 (DKT2), a validated, multiple-choice test of diabetes knowledge which had previously been adapted for school personnel [18][19][20].…”

Section: Questionnairesmentioning

confidence: 99%

School Nurse Confidence with Diabetes Devices in Relation to Diabetes Knowledge and Prior Training: A Study of Convergent Validity

et al. 2023

View full text Add to dashboard Cite

Objective. The diabetes device confidence scale (DDCS) is a new scale designed to evaluate school nurse confidence with diabetes devices. We hypothesized that the DDCS score would be associated with related constructs of school nurse diabetes knowledge, experience, and training. Research Design and Methods. In a cross-sectional study, we coadministered the DDCS and diabetes knowledge test 2 (DKT2) questionnaires to school nurses in Pennsylvania. We summarized DDCS scores (range 1–5) descriptively. We evaluated the relationship between the DKT2 percent score and DDCS mean score with the Spearman correlation coefficient. Simple linear regression examined school nurse characteristics as predictors of DDCS score. Results. A total of 271 completed surveys were received. The mean DDCS score was 3.16 ± 0.94, indicating moderate confidence with devices overall. School nurses frequently reported low confidence in items representing specific skills, including suspending insulin delivery (40%), giving a manual bolus (42%), knowing when to calibrate a continuous glucose monitor (48%), changing an insulin pump site (54%), and setting a temporary basal rate (58%). The mean DKT2 score was 89.5 ± 0.1%, which was weakly but not significantly correlated with the DDCS score (r = 0.12, p = 0.06 ). Formal device training ( p < 0.001 ), assisting ≥5 students with diabetes devices in the past 5 years ( p < 0.01 ), and a student caseload between 1000 and 1500 students ( p < 0.001 ) were associated with higher mean DDCS score. Conclusions. DDCS score is related to prior training and experience, providing evidence for the scale’s convergent validity. The DDCS may be a useful tool for assessing school nurse readiness to use devices and identify areas to enhance knowledge and practical skills.

show abstract

Equipping School Health Personnel for Diabetes Care with a Competency Framework and Pilot Education Program

Cited by 10 publications

References 36 publications

Development and psychometric analysis of the D iabetes D evice C onfidence S cale for school nurses

Development and psychometric analysis of the D iabetes D evice C onfidence S cale for school nurses

Knowledge of School Nurses on the Basic Principles of Type 1 Diabetes Mellitus Self-Control and Treatment in Children

School Nurse Confidence with Diabetes Devices in Relation to Diabetes Knowledge and Prior Training: A Study of Convergent Validity

Contact Info

Product

Resources

About