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Comparing Diabetes Management Knowledge Among Nursing Home Nurses in Spain and Poland: A Cross-Sectional Study
Ana Domínguez-Navarro1,2, Juan Manuel Picardo-García1, Consuelo López-Fernández1
1Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain, uca.es.
Nursing Research and Practice
|February 16, 2026
Summary
Nursing home nurses in Spain and Poland demonstrate suboptimal diabetes management knowledge. Enhancing diabetes-specific training is crucial for improving care in European nursing homes.
Area of Science:
- Gerontology
- Nursing Science
- Public Health
Background:
- Older adults with diabetes in nursing homes require specialized care.
- Nurses are pivotal in managing diabetes care for this population.
- Limited comparative data exists on nurses' diabetes knowledge internationally.
Purpose of the Study:
- To compare diabetes management knowledge between nursing home nurses in Cádiz, Spain, and Warsaw, Poland.
- To identify factors influencing diabetes knowledge in these nursing populations.
Main Methods:
- A cross-sectional, multicenter study involving 198 nurses in Spain and 57 in Poland.
- Utilized the adapted 14-item Diabetes Management Knowledge Assessment Tool (DMKAT-14).
- Employed independent t-tests, ANOVA, and multiple linear regression for data analysis.
Main Results:
- Mean DMKAT-14 scores were higher in Spain (7.47±1.74) than in Poland (6.05±0.79), with both scores indicating suboptimal knowledge.
- No significant differences in knowledge were associated with gender, postgraduate education, or diabetes-specific training.
- In Poland, older age was the sole significant predictor of higher diabetes knowledge scores.
Conclusions:
- Diabetes management knowledge among nursing home nurses in Spain and Poland requires improvement.
- Targeted diabetes-specific training initiatives are recommended to enhance care quality.
- Findings suggest a need for standardized, evidence-based diabetes education for nursing staff across European facilities.
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