Improving nursing management of patients with diabetes using an action research approach
| Autor: | Suzanne Mitten-Lewis, Denise Craig, Marilynn Seller, Judith Donoghue |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Nursing Records
medicine.medical_treatment Interprofessional Relations Audit Nursing Documentation Nursing Staff Hospital Drug Administration Schedule Clinical Protocols Diabetes management Diabetes mellitus medicine Humans Hypoglycemic Agents Insulin Action research Cooperative Behavior Nursing management General Nursing Nursing Assessment Blood glucose monitoring medicine.diagnostic_test business.industry Nursing Audit Continuity of Patient Care medicine.disease Outcome and Process Assessment Health Care Diabetes Mellitus Type 2 Nursing Evaluation Research Research Design Acute Disease Health Services Research Drug Monitoring New South Wales business Nurse Clinicians Total Quality Management |
| Zdroj: | Contemporary nurse. 17(1-2) |
| ISSN: | 1037-6178 |
| Popis: | Nurses in an acute hospital implemented an action research process supporting changes to the assessment and management of acutely ill patients admitted with diabetes and other co-morbidities. An audit of practice identified inaccurate documentation and uncoordinated care that included inflexible protocols for blood glucose level (BGL) assessment and administration of insulin, unrelated to patients’ meals and snacks, that in some instances resulted in hypoglycemic episodes. Specialist nurses and ward staff collaborated to improve practice by increasing nurses’ knowledge of insulin and by designing and trialing a blood glucose monitoring form that enabled a more individualised approach to patient care. A subsequent audit showed improved coordination of BGL measurement and insulin administration in relation to meals, sustained over eighteen months, and increased accuracy in documentation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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