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Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Intensive diabetes management: negotiating evidence-based practice.

¹Department of Nutritional Sciences and The Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Dietetique : Une Publication Des Dietetistes Du Canada

|June 8, 2010

Summary

This summary is machine-generated.

Health professionals found that while clinical evidence supported intensive diabetes management, patient-specific needs often took precedence. They integrated evidence-based practice with patient-focused care for optimal diabetes management strategies.

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A Zebrafish Model of Diabetes Mellitus and Metabolic Memory

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Published on: February 28, 2013

Area of Science:

Endocrinology
Diabetes Care
Evidence-Based Practice

Background:

Intensive management (IM) is recommended for diabetes care.
Health professionals' experiences with implementing IM guidelines are not fully understood.

Purpose of the Study:

To explore health professionals' experiences implementing evidence-based guidelines for intensive diabetes management.
To understand how clinicians balance evidence-based recommendations with individual patient needs.

Main Methods:

Conducted in-depth, semi-structured interviews with 50 opinion leaders in Canadian diabetes care.
Analyzed interview transcripts using discourse analysis (Potter and Wetherell's approach).

Main Results:

Participants recognized the validity of evidence supporting intensive diabetes management.
Clinicians prioritized individual patient considerations over strict adherence to guidelines in all cases.
Behavioral strategies, like the stages of change model, facilitated integration of evidence-based and patient-focused care.

Conclusions:

Evidence-based medicine is influential but not the sole determinant of clinical practice in diabetes care.
Health professionals navigate multiple discourses, including patient-centeredness, when managing diabetes.