Exploring Diabetes Home Nursing Care: A Pilot Study

Fox, Ann; Munro, Heather; Brien, Heather

doi:10.1016/s1499-2671(06)02004-1

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Three studies were found that described the experiences of home-care nurses caring for older adults living with diabetes (Fox et al, 2006;Gifford et al, 2013;Kolltveit et al, 2018). Home-care nurses' in these studies experienced many barriers to caring for older adults with diabetes, such as limited access to other home-care providers (i.e., registered dietitians or specialty diabetes educators), lack of formal collaboration with primary care, and clients' social, mental, and physical concerns that needed management in addition to providing diabetes care (Fox et al, 2006;Gifford et al, 2013;Kolltveit et al, 2018). Only one study was found regarding homecare nurses' experiences caring for older adults with UI (Jansen et al, 2013).…”

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confidence: 99%

Home-Care Nurses’ Experiences of Caring for Older Adults With Type 2 Diabetes Mellitus and Urinary Incontinence: An Interpretive Description Study

et al. 2021

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Introduction A third of older adults with diabetes receiving home-care services have daily urinary incontinence. Despite this high prevalence of urinary incontinence, the condition is typically not recognized as a complication and thereby not detected or treated. Diabetes and urinary incontinence in older adults are associated with poorer functional status and lower quality of life. Home-care nurses have the potential to play an important role in supporting older adults in the management of these conditions. However, very little is known about home-care nurses’ care of this population. Objective The objective of this study was to explore how nurses care for older home-care clients with diabetes and incontinence. Methods This was an interpretive description study informed by a model of clinical complexity, and part of a convergent, mixed methods research study. Fifteen nurse participants were recruited from home-care programs in southern Ontario, Canada to participate in qualitative interviews. An interpretive description analytical process was used that involved constant comparative analysis and attention to commonalities and variance. Results The experiences of home-care nurses caring for this population is described in three themes and associated subthemes: (a) conducting a comprehensive nursing assessment with client and caregiver, (b) providing holistic treatment for multiple chronic conditions, and (c) collaborating with the interprofessional team. The provision of this care was hampered by a task-focused home-care system, limited opportunities to collaborate and communicate with other health-care providers, and the lack of health-care system integration between home care, primary care, and acute care. Conclusion The results suggest that nursing interventions for older adults with diabetes and incontinence should not only consider disease management of the individual conditions but pay attention to the broader social determinants of health in the context of multiple chronic conditions. Efforts to enhance health-care system integration would facilitate the provision of person-centred home care.

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Section: )mentioning

confidence: 99%

Home-Care Nurses’ Experiences of Caring for Older Adults With Type 2 Diabetes Mellitus and Urinary Incontinence: An Interpretive Description Study

et al. 2021

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“…If a family member experiences stress and is unable to continue the duties as a family caregiver, the quality of life for the old person and the caregiver can be jeopardised . Family members of people with diabetes may have a low level of understanding of the condition, and their role in daily care for older persons with diabetes has been described as overwhelming . They report various degrees of caregiver burden and that taking on informal caregiver responsibilities can affect their own health and perception of reduced quality of life .…”

Section: Introductionmentioning

confidence: 99%