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Improving IV Insulin Administration in a Community Hospital
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Diabetes management unawareness: what do bedside nurses know?

Mary Beth Modic1, Anne Vanderbilt1, Sandra L Siedlecki2

  • 1Nursing Institute, Cleveland Clinic, Cleveland, OH, USA.

Applied Nursing Research : ANR
|March 29, 2014
PubMed
Summary

Nurses demonstrated low knowledge of inpatient diabetes management. A structured education program did not significantly improve their preparedness for patient care decisions or education, indicating a need for enhanced training.

Keywords:
Bedside nursesDiabetes knowledgeInpatient diabetes management

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Area of Science:

  • Nursing Education
  • Diabetes Management
  • Healthcare Quality

Background:

  • Nurses play a vital role in comprehensive diabetes care.
  • Effective inpatient diabetes management is crucial for patient outcomes.
  • Assessing nursing knowledge is key to identifying care gaps.

Purpose of the Study:

  • To evaluate registered nurses' knowledge of inpatient diabetes management principles.
  • To assess the impact of a structured diabetes education program on nursing knowledge.
  • To identify baseline knowledge levels before and after an educational intervention.

Main Methods:

  • A descriptive, correlational study design was employed.
  • 2250 registered nurses completed a 20-question assessment.
  • Knowledge assessment was conducted pre- and post- a 4-hour diabetes management course.

Main Results:

  • Nurses exhibited low baseline knowledge of inpatient diabetes management principles.
  • No significant correlation was found between knowledge scores and demographic/professional factors (age, education, experience, specialty).
  • The structured education program's impact on knowledge improvement was not detailed but implied as insufficient.

Conclusions:

  • Findings indicate a general lack of preparedness among nurses for diabetes patient care decisions.
  • Nurses may not feel adequately equipped to provide essential survival skills education to hospitalized patients with diabetes.
  • There is a clear need for improved and potentially more intensive diabetes management training for nursing staff.