2.50
Hdl Handle:
http://hdl.handle.net/10755/164283
Category:
Abstract
Type:
Presentation
Title:
Updating Registered Nurses Knowledge of Diabetes: A Case Study Approach
Author(s):
Girard, Rachel H.
Author Details:
Rachel H. Girard, MS, MTS, RN, CDE, Maine Medical Center, Portland, Maine, USA, email: nacnsorg@nacns.org
Abstract:
Purpose: This presentation describes the use of case study methodology to update staff nurses' knowledge of concepts fundamental to quality diabetes care. Significance: At least one of every four hospitalized patients has diabetes. Renewed emphasis on tight glycemic control in the inpatient setting necessitates that clinical nurse specialists evaluate potential barriers to the realization of quality diabetes care for hospitalized individuals. Design: Over the past several years, sophisticated insulin dosing regimens, new equipment and more realistic nutritional recommendations have radically changed diabetes education and management. This program responds to an American Association of Clinical Endocrinologists (AACE) and American Diabetes Association (ADA) recommendation regarding the creation of educational opportunities for hospital personnel caring for people with diabetes. Methods: Seven case scenarios highlight key components of care and the provision of "survival level" education. The four-hour interactive session provides nurses an opportunity to learn about new initiatives such as basal-bolus insulin therapy and carbohydrate counting. Teaching strategies to facilitate "survival level" education are discussed. The American Diabetes Association standards of care are emphasized. Findings: Although not mandatory, this educational program has been a monthly staff development offering for the past five years. Participants enthusiastically recommend it to their peers. Community health nurses and case managers request attendance in order to appreciate the continuum of care. The goal of a "common voice" is evolving. Nurses now report feeling more confident advocating for changes in diabetes management. Educational tools designed to assist with "survival level" education are better utilized. Conclusions: The small group size (maximum 14) has allowed participants to share current clinical realities and barriers to best practice. Common challenges are discussed in a non-judgmental manner allowing dilemmas to be recognized and addressed. Implications for Practice: As research studies continue to articulate the benefits of tight glycemic control for hospitalized individuals, the clinical nurse specialist is poised to lead efforts to enhance inpatient education and management. The new (voluntary) Joint Commission Certificate of Distinction for Inpatient Diabetes Care will further contribute an impetus for quality improvement efforts.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUpdating Registered Nurses Knowledge of Diabetes: A Case Study Approachen_GB
dc.contributor.authorGirard, Rachel H.en_US
dc.author.detailsRachel H. Girard, MS, MTS, RN, CDE, Maine Medical Center, Portland, Maine, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164283-
dc.description.abstractPurpose: This presentation describes the use of case study methodology to update staff nurses' knowledge of concepts fundamental to quality diabetes care. Significance: At least one of every four hospitalized patients has diabetes. Renewed emphasis on tight glycemic control in the inpatient setting necessitates that clinical nurse specialists evaluate potential barriers to the realization of quality diabetes care for hospitalized individuals. Design: Over the past several years, sophisticated insulin dosing regimens, new equipment and more realistic nutritional recommendations have radically changed diabetes education and management. This program responds to an American Association of Clinical Endocrinologists (AACE) and American Diabetes Association (ADA) recommendation regarding the creation of educational opportunities for hospital personnel caring for people with diabetes. Methods: Seven case scenarios highlight key components of care and the provision of "survival level" education. The four-hour interactive session provides nurses an opportunity to learn about new initiatives such as basal-bolus insulin therapy and carbohydrate counting. Teaching strategies to facilitate "survival level" education are discussed. The American Diabetes Association standards of care are emphasized. Findings: Although not mandatory, this educational program has been a monthly staff development offering for the past five years. Participants enthusiastically recommend it to their peers. Community health nurses and case managers request attendance in order to appreciate the continuum of care. The goal of a "common voice" is evolving. Nurses now report feeling more confident advocating for changes in diabetes management. Educational tools designed to assist with "survival level" education are better utilized. Conclusions: The small group size (maximum 14) has allowed participants to share current clinical realities and barriers to best practice. Common challenges are discussed in a non-judgmental manner allowing dilemmas to be recognized and addressed. Implications for Practice: As research studies continue to articulate the benefits of tight glycemic control for hospitalized individuals, the clinical nurse specialist is poised to lead efforts to enhance inpatient education and management. The new (voluntary) Joint Commission Certificate of Distinction for Inpatient Diabetes Care will further contribute an impetus for quality improvement efforts.en_GB
dc.date.available2011-10-27T11:45:28Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:28Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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