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The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review
- Source :
- Behavioral Sciences, Behavioral Sciences, Vol 9, Iss 6, p 61 (2019)
- Publication Year :
- 2019
- Publisher :
- MDPI AG, 2019.
-
Abstract
- Background: The aim of this review is to identify the roles and activities of nurses working with people with diabetes and to examine the facilitators and barriers in caring for such people. Methods: A systematic review was conducted. From 531 abstracts reviewed, 29 studies were included (18 studies comprised questionnaire surveys, one was an intervention study, two used both questionnaires and interviews, and eight of them used interviews). Barriers and facilitators were extracted and combined using qualitative synthesis. Results: The literature review revealed three major roles and a number of barriers. A model for achieving enhanced nursing care of patients with diabetes has been developed according to the findings of this literature. Specifically, a stepladder suggesting that through better nursing training and education and by providing adequate resources, time, and synergies to diabetes specialists, nurses will be able to correctly perform their diabetes care roles, which include patient education, advanced care, and psychological support. Conclusions: Taking into serious consideration that a large number of hospital users are people with diabetes and that there is an inconsistency among countries about the work settings of Diabetes Specialist Nurses (DSNs), it is important to give greater focus to inpatient care and perhaps to enhance nurses’ roles by eliminating any barriers that prevent them from providing adequate quality care. Furthermore, integrated care involving the role of DSNs within the inpatient care would have been more beneficial for patients.
- Subjects :
- barriers
lcsh:BF1-990
Quality care
Review
Development
nurses
inpatient
03 medical and health sciences
Behavioral Neuroscience
Nursing care
0302 clinical medicine
Nursing
Diabetes mellitus
Genetics
Medicine
facilitator
care
030212 general & internal medicine
General Psychology
Ecology, Evolution, Behavior and Systematics
diabetes
030504 nursing
Inpatient care
business.industry
medicine.disease
3. Good health
Integrated care
lcsh:Psychology
Systematic review
Facilitator
roles
0305 other medical science
business
Patient education
Subjects
Details
- ISSN :
- 2076328X
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Behavioral Sciences
- Accession number :
- edsair.doi.dedup.....911d89a805b21dbf234d130d02f71617