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Exploring staff diabetes medication knowledge and practices in regional residential care: triangulation study
Sally Jane Wellard1, Bodil Rasmussen, Sally Savage
1School of Health Sciences, University of Ballarat, Ballarat, Victoria, Victoria, Australia. s.wellard@ballarat.edu.au
Journal of Clinical Nursing
|June 11, 2013
Summary
Medication management for older adults with diabetes in aged care is challenging due to staff knowledge gaps and complex resident needs. Improving diabetes care requires evidence-based guidelines and continuous education for health professionals.
Area of Science:
- Gerontology
- Pharmacology
- Public Health
Background:
- Rising diabetes prevalence in aged care settings necessitates specific management strategies.
- Older adults in residential care often have multiple chronic conditions, complicating diabetes management.
- Limited guidance exists for managing diabetes in institutionalized older populations.
Purpose of the Study:
- To identify staffing and organizational factors affecting diabetes care quality in residential aged care.
- To focus on medication management challenges for residents with diabetes.
Main Methods:
- A triangulation strategy involving a cross-sectional survey (n=68), focus group interviews, and case file audits (n=20).
- Data collection occurred between May 2009 and January 2010.
Main Results:
- Staff knowledge regarding diabetes and its medication management was suboptimal.
- Challenges included limited staff time, resident characteristics, communication issues, variable medical support, and high polypharmacy.
- These factors complicate medication management for residents with diabetes.
Conclusions:
- Administering medications in aged care is complex with potential negative consequences.
- Gaps in staff knowledge risk suboptimal diabetes care for residents.
- Evidence-based guidelines and continuous education are crucial for improving diabetes care quality and residents' quality of life.
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