Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes
To access publisher's full text version of this article click on the hyperlink below Introduction: The increasing prevalence of diabetes worldwide entails an expected rise in the number of older individuals with diabetes needing nursing home placement. Internationally, a consistent lack of adhe...
Published in: | International Diabetes Nursing |
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2016
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Online Access: | http://hdl.handle.net/2336/620201 https://doi.org/10.1080/20573316.2016.1262588 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620201 2023-05-15T16:46:44+02:00 Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes Haugstvedt, Anne Graue, Marit Aarflot, Morten Heimro, Lovise S. Johansson, Hilde Hjaltadottir, Ingibjörg Sigurdardottir, Arun K. Department of Nursing, Bergen University College, Bergen, Norway Centre for Evidence Based Practice, Bergen University College, Bergen, Norway Department of Community Medicine, The Arctic University of Norway Stord/Haugesund University College, Stord, Norway Alstahaug Nursing Home, Sandnessjøen, Norway Faculty of Nursing, University of Iceland, Reykjavik, Iceland National University Hospital Iceland, Reykjavik, Iceland School of Health Sciences, University of Akureyri, Akureyri, Iceland 2016 http://hdl.handle.net/2336/620201 https://doi.org/10.1080/20573316.2016.1262588 en eng Taylor & Francis https://www.tandfonline.com/doi/full/10.1080/20573316.2016.1262588 Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes 2016, 13 (1-3):37 International Diabetes Nursing 2057-3316 2057-3324 doi:10.1080/20573316.2016.1262588 http://hdl.handle.net/2336/620201 International Diabetes Nursing Archived with thanks to International Diabetes Nursing Closed - Lokað Sykursýki Hjúkrunarheimili OLD12 Diabetes Mellitus Nursing Homes Article 2016 ftlandspitaliuni https://doi.org/10.1080/20573316.2016.1262588 2022-05-29T08:22:15Z To access publisher's full text version of this article click on the hyperlink below Introduction: The increasing prevalence of diabetes worldwide entails an expected rise in the number of older individuals with diabetes needing nursing home placement. Internationally, a consistent lack of adherence to clinical guidelines has been identified in the care of older people. In this study, we therefore investigated whether diabetes management in a sample of nursing homes in Norway and Iceland was in accordance with clinical guideline recommendations. Methods: We used a descriptive cross-sectional study design to assess diabetes management in 12 nursing homes: eight in Norway and four in Iceland. Results: We identified 162 residents with diabetes. The diagnosis of diabetes was available for 100% of the residents in the nursing homes in Iceland and respectively for 81 and 51% of the residents in southwestern and northern Norway. Totally, 3% of the residents with diabetes had a treatment goal for blood glucose regulation (HbA1c) documented in their medical record, 48% had agreed individualized routines for blood glucose measurements and 37% had a HbA1c value measured within the past 6 months available in their medical record. Conclusion: This study has shown a significant discrepancy between diabetes guideline recommendations and clinical diabetes practice related to documenting the diagnosis and type of diabetes, the establishment of individualized treatment goals for HbA1c and the establishment of routines for blood glucose and HbA1c measurements in nursing homes in Norway and Iceland. The results indicate a potential for improvement and a need for more nurses with advanced competence within diabetes in nursing homes. Article in Journal/Newspaper Iceland Northern Norway Hirsla - Landspítali University Hospital research archive Norway International Diabetes Nursing 13 1-3 37 42 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Sykursýki Hjúkrunarheimili OLD12 Diabetes Mellitus Nursing Homes |
spellingShingle |
Sykursýki Hjúkrunarheimili OLD12 Diabetes Mellitus Nursing Homes Haugstvedt, Anne Graue, Marit Aarflot, Morten Heimro, Lovise S. Johansson, Hilde Hjaltadottir, Ingibjörg Sigurdardottir, Arun K. Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
topic_facet |
Sykursýki Hjúkrunarheimili OLD12 Diabetes Mellitus Nursing Homes |
description |
To access publisher's full text version of this article click on the hyperlink below Introduction: The increasing prevalence of diabetes worldwide entails an expected rise in the number of older individuals with diabetes needing nursing home placement. Internationally, a consistent lack of adherence to clinical guidelines has been identified in the care of older people. In this study, we therefore investigated whether diabetes management in a sample of nursing homes in Norway and Iceland was in accordance with clinical guideline recommendations. Methods: We used a descriptive cross-sectional study design to assess diabetes management in 12 nursing homes: eight in Norway and four in Iceland. Results: We identified 162 residents with diabetes. The diagnosis of diabetes was available for 100% of the residents in the nursing homes in Iceland and respectively for 81 and 51% of the residents in southwestern and northern Norway. Totally, 3% of the residents with diabetes had a treatment goal for blood glucose regulation (HbA1c) documented in their medical record, 48% had agreed individualized routines for blood glucose measurements and 37% had a HbA1c value measured within the past 6 months available in their medical record. Conclusion: This study has shown a significant discrepancy between diabetes guideline recommendations and clinical diabetes practice related to documenting the diagnosis and type of diabetes, the establishment of individualized treatment goals for HbA1c and the establishment of routines for blood glucose and HbA1c measurements in nursing homes in Norway and Iceland. The results indicate a potential for improvement and a need for more nurses with advanced competence within diabetes in nursing homes. |
author2 |
Department of Nursing, Bergen University College, Bergen, Norway Centre for Evidence Based Practice, Bergen University College, Bergen, Norway Department of Community Medicine, The Arctic University of Norway Stord/Haugesund University College, Stord, Norway Alstahaug Nursing Home, Sandnessjøen, Norway Faculty of Nursing, University of Iceland, Reykjavik, Iceland National University Hospital Iceland, Reykjavik, Iceland School of Health Sciences, University of Akureyri, Akureyri, Iceland |
format |
Article in Journal/Newspaper |
author |
Haugstvedt, Anne Graue, Marit Aarflot, Morten Heimro, Lovise S. Johansson, Hilde Hjaltadottir, Ingibjörg Sigurdardottir, Arun K. |
author_facet |
Haugstvedt, Anne Graue, Marit Aarflot, Morten Heimro, Lovise S. Johansson, Hilde Hjaltadottir, Ingibjörg Sigurdardottir, Arun K. |
author_sort |
Haugstvedt, Anne |
title |
Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
title_short |
Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
title_full |
Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
title_fullStr |
Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
title_full_unstemmed |
Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
title_sort |
challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes |
publisher |
Taylor & Francis |
publishDate |
2016 |
url |
http://hdl.handle.net/2336/620201 https://doi.org/10.1080/20573316.2016.1262588 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland Northern Norway |
genre_facet |
Iceland Northern Norway |
op_relation |
https://www.tandfonline.com/doi/full/10.1080/20573316.2016.1262588 Challenges in maintaining satisfactory documentation routines and evidence-based diabetes management in nursing homes 2016, 13 (1-3):37 International Diabetes Nursing 2057-3316 2057-3324 doi:10.1080/20573316.2016.1262588 http://hdl.handle.net/2336/620201 International Diabetes Nursing |
op_rights |
Archived with thanks to International Diabetes Nursing Closed - Lokað |
op_doi |
https://doi.org/10.1080/20573316.2016.1262588 |
container_title |
International Diabetes Nursing |
container_volume |
13 |
container_issue |
1-3 |
container_start_page |
37 |
op_container_end_page |
42 |
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1766036836192354304 |