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对社区糖尿病专家护士和通用诊疗护士在导航糖尿病技术方面的信心差距
Bethany Kelly1, Tamsin Fletcher-Salt2, Amanda Williams3
1Clinical Lead Diabetes Specialist Nurse, HCRG Care Group, Wiltshire, UK.
社区和全科医疗护士对糖尿病技术的信心不同. 加强培训和支持对于使用持续血糖监测和混合闭环系统提供公平的护理至关重要.
科学领域:
- 糖尿病 技术 技术
- 护理实践 护理实践
- 医疗保健实施方案的实施
背景情况:
- 根据NICE TA943指南,持续血糖监测 (CGM) 和混合闭环 (HCL) 系统在1型糖尿病护理中越来越多地被采用.
- 社区糖尿病专家护士 (CDSN) 和全科医生护士 (GPN) 是在初级和社区环境中实施这些技术的关键.
研究的目的:
- 评估CDSN和GPN对CGM和HCL系统的信任程度.
- 评估为实施糖尿病技术的护士提供的培训和支持.
- 确定在社区和初级保健中采用技术的障碍和促进者.
主要方法:
- 在2025年5月进行了一项针对英国护士和助产士的全国调查.
- 在五个与CGM和HCL系统相关的领域中测量了信心.
- 定性反被主题分析,以了解护士的经验.
主要成果:
- CDSN报告CGM的信任度中等至高,HCL系统的信任度可变.
- 在所有被评估的领域中,GPNs表现出低信心,并且对正式培训的机会有限.
- 支持结构和团队组成的差异被认为是导致能力差距的因素.
结论:
- 定制的培训计划对于提高护士对糖尿病技术的熟练程度至关重要.
- 为了实现公平的技术实施,需要全系统支持和调试改革.
- 解决能力差距将确保在社区和初级环境中有效和可访问的技术支持的糖尿病护理.
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