Diabetes knowledge of primary health care and specialist nurses in a major urban area.

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dc.contributor.author Daly, Barbara en
dc.contributor.author Arroll, Bruce en
dc.contributor.author Scragg, Robert en
dc.date.accessioned 2019-03-13T00:31:14Z en
dc.date.issued 2019-01 en
dc.identifier.issn 0962-1067 en
dc.identifier.uri http://hdl.handle.net/2292/45956 en
dc.description.abstract AIM AND OBJECTIVES:To examine trends since a previous 2006-2008 survey in diabetes knowledge held by primary health care nurses and their use of national diabetes guidelines, perceived ability to advise diabetes patients and preferences for further diabetes education. BACKGROUND:The obesity epidemic has led to a rapid increase in the prevalence of prediabetes and type 2 diabetes and to greater expectations for an expanded role for primary health care nurses in the prevention and community management of diabetes. DESIGN:Cross-sectional survey using a self-administered questionnaire and telephone interview and adheres to the STROBE guidelines. METHODS:All nurses who provide community-based care in a major urban area were identified, and stratified by group, prior to random selection to participate in the study. A total of 1,416 practice, district (home care) and specialist nurses were identified who provide community-based care. Of the 459 who were randomly selected, 336 (73%) participated in 2016 and were compared with a representative sample of 287 nurses surveyed in 2006-2008. RESULTS:Compared with nurses in 2006-2008, significantly more nurses in 2016 used diabetes guidelines, knew that stroke was a diabetes-related complication, had a greater understanding of the pathology of diabetes and reported having sufficient knowledge to advise patients on laboratory results and improving outcomes through lifestyle changes. Despite these improvements, in 2016, only 24% of nurses could state that stroke was a complication of type 2 diabetes, only 37% felt sufficiently knowledgeable to advise patients on medications, and <20% could state that hypertension, smoking and the dyslipidaemia profile were important modifiable risk factors. CONCLUSION:There have been improvements in nurse's knowledge but gaps remain for cardiovascular outcomes and associated modifiable risk factors and medication management. RELEVANCE TO CLINICAL PRACTICE:Education programmes should focus on improving cardiovascular risk management in patients with type 2 diabetes. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Journal of clinical nursing 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.subject Humans en
dc.subject Diabetes Mellitus, Type 1 en
dc.subject Diabetes Mellitus, Type 2 en
dc.subject Cross-Sectional Studies en
dc.subject Health Knowledge, Attitudes, Practice en
dc.subject Nurse's Role en
dc.subject Adult en
dc.subject Middle Aged en
dc.subject Primary Health Care en
dc.subject New Zealand en
dc.subject Female en
dc.subject Male en
dc.subject Nurses, Community Health en
dc.subject Practice Patterns, Nurses' en
dc.title Diabetes knowledge of primary health care and specialist nurses in a major urban area. en
dc.type Journal Article en
dc.identifier.doi 10.1111/jocn.14684 en
pubs.issue 1-2 en
pubs.begin-page 125 en
pubs.volume 28 en
dc.rights.holder Copyright: The author en
pubs.end-page 137 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 756091 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
dc.identifier.eissn 1365-2702 en
pubs.record-created-at-source-date 2018-10-11 en
pubs.dimensions-id 30302838 en

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