Diabetes management by primary health care nurses in Auckland, New Zealand

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dc.contributor.author Daly, Barbara en
dc.contributor.author Arroll, B en
dc.contributor.author Sheridan, N en
dc.contributor.author Kenealy, T en
dc.contributor.author Scragg, R en
dc.coverage.spatial Hamilton, New Zealand en
dc.date.accessioned 2018-10-02T22:52:52Z en
dc.date.issued 2012 en
dc.identifier.uri http://hdl.handle.net/2292/38362 en
dc.description.abstract DIABETES MANAGEMENT BY PRIMARY HEALTH CARE NURSES IN AUCKLAND, NEW ZEALAND Aim: Identify the key issues in the clinical management of diabetes patients by Primary Health Care (PHC) nurses. Methods: PHC nurses in Auckland (a 26% random sample) were asked to complete postal and telephone questionnaires, on education, experience, knowledge and diabetes management practice, and log care given to diabetes patients on a randomly selected day (n=265). Findings: Responses were received from 287 PHC nurses (86% response rate) comprising 210 practice nurses (PN), 49 district nurses (DN) and 28 specialist nurses (SNs). Most nurses (96%) were able to identify excess body weight as a major risk factor for type 2 diabetes and elevated blood glucose levels (BGLs) or glycosylated haemoglobin (HbA1c) (86%) for diabetes-related complications. In contrast, cardiovascular (CV) risk factors were less well identified, particularly smoking, although more by SNs (43%) than PNs (14%) and DNs (12%, p=0.0005). CV complications, especially stroke, were less well known than microvascular complications, and by significantly fewer PNs (13%) and DNs (8%) than SNs (36%, p=0.002). Stronger associations were found between nurse’s knowledge of elevated HbA1c as a risk factor for diabetes-related complications and management activities related to BGLs and medication, compared with knowledge of CV risk factors, which was not associated with assessment of blood pressure or knowledge of patient’s total cholesterol or smoking status. The median number of patients consulted on the randomly selected day was one by 38% of PNs, two by 47% of DNs and 4-5 by 57% of SNs. Overall, PNs consulted almost 60% of the patients sampled, while patients consulted by DNs were older and more likely to be European New Zealanders, tobacco uses and have diabetes-related complications and co-morbidities, while SNs consulted more Maori patients. Relevance: There is a need for PHC nurses to increase their knowledge of CV risk factors with more effective management required and particularly of smoking. en
dc.relation.ispartof NZ College of Primary Health Care Nurses NZNO Inaugural Conference 2012 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Diabetes management by primary health care nurses in Auckland, New Zealand en
dc.type Presentation en
pubs.begin-page 28 en
dc.rights.holder Copyright: The authors en
pubs.end-page 28 en
pubs.finish-date 2012-08-12 en
pubs.start-date 2012-08-10 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Conference Oral Presentation en
pubs.elements-id 360150 en
dc.relation.isnodouble 766256 *
dc.relation.isnodouble 22030 *
dc.relation.isnodouble 21727 *
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
pubs.record-created-at-source-date 2012-08-14 en

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