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Partnering with patients to promote holistic diabetes management: changing paradigms
1Department of Veterans Affairs, Pacific Island Health Care System, Spark Matsunaga Center, Honolulu, Hawaii; School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, Hawaii.
Purpose:
To provide a review of best practice for clinical management of diabetes mellitus (DM) for nurse practitioners (NPs) and accelerate incorporation of key findings into current practice.
Data Source:
A search was conducted in Pub Med, Ovid, CINAHL, and Cochrane's Database of Systematic Reviews.
Conclusions:
There are many challenges for DM care identified in the current health system. There is a great need to change care paradigms to engage patients in partnership for enhanced management and self-management in DM. A review of the best practice evidence revealed numerous models of care, strategies, and tools available to enhance diabetes care and promote health and well-being. The primary focus of this article is to engage NP clinicians to incorporate new strategies to augment management and improve clinical outcomes.
Implications For Practice:
Incorporation of best practice for DM management may accelerate the paradigm shift to more patient-focused care. Engaged, informed, and activated patients along with clinicians working in partnerships may enhance clinical outcomes.
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