Diabetes Management By Primary Health Care Nurses In Auckland

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dc.contributor.author Daly, Barbara
dc.contributor.author Arroll, Bruce
dc.contributor.author Sheridan, Nicolette
dc.contributor.author Kenealy, Timothy
dc.contributor.author Scragg, Robert
dc.coverage.spatial Dunedin
dc.date.accessioned 2021-12-06T21:29:45Z
dc.date.available 2021-12-06T21:29:45Z
dc.date.issued 2009-6-30
dc.identifier.uri https://hdl.handle.net/2292/57658
dc.description.abstract Aims: Identify the key issues in the clinical management of diabetes patients by Primary Health Care (PHC) nurses. Objectives: Describe the management of diabetes by PHC nurses. Methods: Approximately 25% (n=287) of PHC nurses were randomly sampled in Auckland, comprising practice nurses (PN) (n=210), district nurses (DN) (n=49) and diabetes nurse specialists (DNS) (n=28). Information was collected from postal and telephone questionnaires, between 2006 and 2008, on education, experience, knowledge and diabetes management practice, and from 265 diabetes patient records consulted on a randomly selected day. Results: 80% of nurses reported having any diabetes education, with workshops (63%) and workplace (48%) being the most common sources, followed by conferences (23%), community-based courses (17%) and tertiary institutes (13%). Knowledge of best practice varied between nursing groups with only 51% of DN and 70% of PN aware of the NZ Diabetes Management Guidelines compared with 93% of DNS (p=0.0005). Practice (32%) and district (35%) nurses were more likely to have been in their present practice for over ten years compared with DNS (14%, p=0.0042), although DNS (64%) more likely to work 40 or more hours per week compared with DN (42%) and PN (27%, p=0.0107). The median number of patients consulted on the randomly selected day was one by 38% of PN, two by 47% of DN and 4-5 by 57% of DNS. Of the 265 diabetes patients seen on the randomly selected day, 58% were seen by PN, 18% by DN and 25% DNS. Conclusions: PN play the major role in the clinical management of diabetes patients by nurses in primary health care, carrying out nearly 60% of daily consultations. Education around the NZ Guidelines should be targeted toward PN, because they see the majority of diabetes patients, and also DN.
dc.relation.ispartof New Zealand Society for the Study of Diabetes
dc.relation.ispartofseries New Zealand Society for the Study of Diabetes
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.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.title Diabetes Management By Primary Health Care Nurses In Auckland
dc.type Conference Item
dc.date.updated 2021-11-25T02:26:11Z
dc.rights.holder Copyright: The author en
pubs.finish-date 2009-7-1
pubs.start-date 2009-6-30
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Abstract
pubs.elements-id 874391

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