Diabetes care: practice nurse roles, attitudes and concerns

作者: Tim Kenealy , Bruce Arroll , Helen Kenealy , Barbara Docherty , David Scott

DOI: 10.1111/J.1365-2648.2004.03173.X

关键词: Family medicineDiabetes mellitusNursingFurther educationPrimary nursingResponse rate (survey)District nurseSurgical nursingMEDLINEQuality of life (healthcare)Medicine

摘要: Background.  Practice nurses (PNs) are the largest group of providing primary care for patients with diabetes in New Zealand, and changes health system likely to have a substantial effect on their roles. To inform development new nursing structure evaluate role associated this, it will be important data current practice nurse roles. Aims.  The aim this paper is report study compare diabetes-related work roles, training attitudes Zealand surveyed 1990 1999, consider whether barriers changed through that decade, ongoing addressed by care. Methods.  Questionnaires were mailed all 146 PNs South Auckland 180 asking about personal descriptions, organization, time spent diabetes, screening practices, components undertaken nurses, difficulties good practice, need further education. 1999 questionnaire also asked prescribing influence patient quality life. Results.  More had postregistration than those 1990, although most both years wanted training. In looked after more without spending 1990. Nevertheless, they reported increased involvement complex areas care. Respondents no adjust treatment, gave full range opinion against proposals allow prescribing. relatively low response rate survey may lead an underestimate between 1999. Conclusions.  Developments increase diabetes. Research evaluation required ascertain increasing translates into improved outcomes patients.

参考文章(17)
Tim Kenealy, Robert Scragg, Geoff Braatvedt, Screening for type 2 diabetes in non-pregnant adults in New Zealand: practice recommendations. The New Zealand Medical Journal. ,vol. 115, pp. 194- 196 ,(2002)
G Agarwal, D Ridout, M Pierce, A survey of diabetes care in general practice in England and Wales. British Journal of General Practice. ,vol. 50, pp. 542- 545 ,(2000)
Ann Deehan, Colin Drummond, Colin Taylor, John Strang, Lorna Templeton, The effect of cash and other financial inducements on the response rate of general practitioners in a national postal study British Journal of General Practice. ,vol. 47, pp. 87- 90 ,(1997)
J Addington-Hall, D Brenneman, P Freeling, B Sibbald, Telephone versus postal surveys of general practitioners: methodological considerations. British Journal of General Practice. ,vol. 44, pp. 297- 300 ,(1994)
M Pringle, C Stewart-Evans, C Coupland, I Williams, S Allison, J Sterland, Influences on control in diabetes mellitus: patient, doctor, practice, or delivery of care? BMJ. ,vol. 306, pp. 630- 634 ,(1993) , 10.1136/BMJ.306.6878.630
M. MacKinnon, R. M. Wilson, C. A. Hardisty, J. D. Ward, Novel role for specialist nurses in managing diabetes in the community. BMJ. ,vol. 299, pp. 552- 554 ,(1989) , 10.1136/BMJ.299.6698.552
E. K. Carr, B. A. Kirk, W. J. Jeffcoate, Perceived Needs of General Practitioners and Practice Nurses for the Care of Diabetic Patients Diabetic Medicine. ,vol. 8, pp. 556- 559 ,(1991) , 10.1111/J.1464-5491.1991.TB01651.X