Highlights
- •This is the first study to document increases in nursing management of diabetes.
- •Practice nurses increasingly conduct diabetes reviews independently of doctors.
- •General practices continue to support designated diabetes nurse specialisation.
- •Most nurses now address cardiovascular risk factors in the diabetes annual review.
- •Community-based nurses conduct >310,000 annual diabetes consultations in Auckland.
Abstract
Aims
Examine trends in nurse’s contribution to diabetes funded programmes,estimate total
nurse consultations, and document the division of diabetes care between doctors and
nurses in general practice.
Methods
All primary health care nurses in Auckland were identified in 2006-8 and 2016 and
26% and 24% were randomly surveyed, achieving response rates of 86%and 73%, respectively.
Participants completed a self-administered and telephone questionnaire detailing their
contribution to diabetes funded programmes.
Results
In response to more people with diabetes, significantly more nurses in 2016 consulted
patients, provided follow-up care, completed Diabetes Annual Reviews independently
of doctors (48%), accessed more educational resources (including theinternet) and
63% felt supported, compared with 27% and 55% of nurses respectively,in 2006-8. The
main reason nurses surveyed did not participate in diabetes reviews was because designated
nurses conducted them, with more reporting this in 2016 (55%) compared to 32% in 2006-8.
Most nurses in the 2016 survey addressed cardiovascular risk such as blood pressure,
smoking cessation, physical activity and nutrition during the review.
Conclusions
Nurses conducted more diabetes consultations and reviews, addressed cardiovascular
risk in 2016 and reported increased support for participating in diabetes reviews
within general practice, compared with nurses in 2006-8.
Keywords
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Article info
Publication history
Published online: January 19, 2022
Accepted:
January 13,
2022
Received in revised form:
November 15,
2021
Received:
February 23,
2021
Identification
Copyright
© 2022 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
