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Diabetes Education for Behavioral Health Inpatients: Challenges and Opportunities.
Joan K Bardsley1, Kelley M Baker2, Kelly M Smith3
1Joan K. Bardsley, MBA, RN, CDE, FAADE, MedStar Health Research Institute, Hyattsville, MD, USA.
Journal of the American Psychiatric Nurses Association
|October 8, 2019
Summary
Adapting diabetes survival skills education for behavioral health units proved challenging. Group classes may not be ideal; further redesign is needed to meet patient needs.
Area of Science:
- Behavioral Health
- Diabetes Management
- Health Education
Background:
- Inpatient behavioral health units (BHUs) serve diverse patient populations.
- Effective diabetes survival skills education (DSSE) is crucial for managing diabetes.
- Adapting existing DSSE programs for BHU settings requires careful consideration of workflow and patient needs.
Purpose of the Study:
- To adapt a DSSE program for BHU delivery.
- To evaluate the feasibility of implementing this adapted program within nursing unit workflows.
- To identify barriers and facilitators to program implementation.
Main Methods:
- Mixed-methods approach including co-design with BHU staff and patients.
- Implementation of the adapted 'Diabetes to Go' program.
- Evaluation through patient surveys, nursing staff feedback, and field observations.
Main Results:
- 89 patients participated; 17% had diabetes.
- Staff and patients were willing to engage in program design.
- Barriers included lack of standardized content and patient engagement difficulties. Patients and nurses preferred book-based education.
- Diabetes knowledge deficits were prevalent among participants with diabetes.
Conclusions:
- Group-based DSSE may not be the optimal model for BHUs.
- Further research is needed to determine the best delivery model (individual, group, or hybrid).
- Redesign is necessary to effectively translate standardized diabetes education approaches to BHU settings.
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