Promoting health through nurse-led healthy conversations

Mills, Anne

doi:10.7748/ns.2023.e11912

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…Healthcare professionals should look to empower older people by providing the opportunity to discuss their blood glucose management in a more collaborative way. One strategic approach to increasing the support that people can access involves investing in the upskilling of nurses, particularly in proven techniques such as motivational interviewing [45,46]. By enhancing nurses' proficiency in such techniques, they can play a more significant role in patient engagement.…”

Section: Practice Implicationsmentioning

confidence: 99%

A qualitative study of the experiences of insulin use by older people with type 2 diabetes mellitus

Langerman,

Forbes,

Robert

2024

BMC Prim. Care

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Background There is a rising prevalence of type 2 diabetes among older people. This population also suffers from co-morbidity and a greater number of diabetes related complications, such as visual and cognitive impairment, which can potentially affect their ability to manage insulin regimens. Understanding the experiences of older people when they transition to insulin will help the development of healthcare interventions to enhance their diabetes outcomes, overall health and quality of life. Aims The aims of this exploratory study were to (1) understand the experiences of older people with type 2 diabetes in relation to insulin treatment initiation and management and (2) use this understanding to consider how the insulin management support provided to older people by healthcare providers could be more tailored to their needs. Method A qualitative study using semi structured (remote) interviews with older people with diabetes (n = 10) and caregivers (n = 4) from the UK. Interviews were audio recorded and transcribed, and framework analysis was used to analyse the data. Results Three main themes, along with six subthemes, were generated from the study data. Participants generally felt at ease with insulin administration following training, yet some reported feelings of failure at transitioning to insulin use. Participants were also frustrated at what they perceived were insufficient resources for effective self-management, coupled with a lack of professional interest in optimising their health as older people. Some also expressed dissatisfaction regarding the brevity of their consultations, inconsistent information from different healthcare professionals and poor treatment coordination between primary and secondary care. Conclusion Overall, the study emphasised that older people need better support, education and resources to help manage their insulin use. Healthcare professionals should be encouraged to adopt a more individualised approach to supporting older people that acknowledges their prior knowledge, physical and psychological capabilities and motivation for diabetes self-management. In addition, better communication between different services and greater access to specialist support is clearly needed for this older population. Practice implications An integrated care pathway for insulin use in older people could be considered. This would include an assessment of the older person’s needs and capacity on their initiation to insulin; targeted education and training in self-management; timely access to appropriate emotional and peer support resources; care plans developed collaboratively with patients; and individualised glucose targets that recognise the needs and preferences of the older person.

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Section: Practice Implicationsmentioning

confidence: 99%

A qualitative study of the experiences of insulin use by older people with type 2 diabetes mellitus

Langerman,

Forbes,

Robert

2024

BMC Prim. Care

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“…Therefore, comprehensive and even long-term person-centered care must be provided to the elderly population in order to maintain their health status and cope with global demographic changes [ 2 ]. Nurses, as professionals in the healthcare system, not only play an important role in the health education of patients [ 3 , 4 ], but are also the main providers of long-term care services to patients [ 5 , 6 ]. It can be argued that a sufficient number of nurses and a high level of quality of care are important for us to cope with demographic changes.…”

Section: Introductionmentioning

confidence: 99%

The impact of perceived organizational justice on young nurses’ job performance: a chain mediating role of organizational climate and job embeddedness

Song,

Shi,

Zheng

et al. 2024

BMC Nurs

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Background The level of nurses’ job performance has always been of great concern, which not only represents the level of nursing service quality but is also closely related to patients’ treatment and prognosis. The aim of this study was to analyze the relationship between perceived organizational justice and job performance and to explore the mediating role of organizational climate and job embeddedness among young Chinese nurses. Methods A cross-sectional survey of 1136 young nurses was conducted between March and May 2023 using convenience sampling. Data were collected using the Job Performance Scale, Organizational Justice Assessment Scale, Nursing Organizational Climate Scale, and Job Embeddedness Scale, and the resulting data were analyzed using SPSS 25.0 and AMOS 26.0. Results There was a significant positive correlation between job performance and perceived organizational justice (r = 0.477, p < 0.01), organizational climate (r = 0.500, p < 0.01), and job embeddedness (r = 0.476, p < 0.01). Organizational climate and job embeddedness acted as chain mediators between perceived organizational justice and job performance. The total effect of perceived organizational justice on job performance (β = 0.513) consisted of a direct effect (β = 0.311) as well as an indirect effect (β = 0.202) mediated through organizational climate and job embeddedness, with the mediating effect accounting for 39.38% of the total effect. Conclusions Organizational climate and job embeddedness play a chain mediating role between perceived organizational justice and job performance, so hospital managers should pay attention to the level of perceived organizational justice among young nurses, and develop a series of targeted measures to improve their job performance using organizational climate and job embeddedness as entry points.

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Cuidado psicoemocional de las enfermeras neurológicas. Claves para el descifrar el enigma del bienestar emocional

Sánchez

2024

Revista Científica de la Sociedad Española de Enfermería Neurol

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Promoting health through nurse-led healthy conversations

Cited by 5 publications

References 22 publications

A qualitative study of the experiences of insulin use by older people with type 2 diabetes mellitus

A qualitative study of the experiences of insulin use by older people with type 2 diabetes mellitus

The impact of perceived organizational justice on young nurses’ job performance: a chain mediating role of organizational climate and job embeddedness

Cuidado psicoemocional de las enfermeras neurológicas. Claves para el descifrar el enigma del bienestar emocional

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