Do practice nurses have the knowledge to provide diabetes self-management education?
Practice nurses are ideally positioned to provide key aspects of self-management education to a large majority of people with diabetes within a primary care setting. However, practice nurses have seldom had comprehensive training in this field and consequently their role may have limitations. A study was designed to determine the diabetes related knowledge levels of practice nurses in a regional/rural setting in Australia.



A cross-sectional study was undertaken using a questionnaire to identify the knowledge of practice nurses. A convenience sample of PNs (N = 52) was drawn from a Division of General Practice in a regional/rural area of NSW. Data was collected using a 14 item knowledge survey from the National Association of Diabetes Centres.



Twenty-nine PNs (55%) responded to the survey; primarily the participants were registered nurses (89.6%), only one had completed a postgraduate qualification in diabetes, although 76% had recently completed one or more short courses in diabetes management. Pathophysiology related knowledge was strong (M = 88%) as was knowledge concerning blood glucose monitoring (87%). Less strong was dietary knowledge (79.5%), although one particular question relating to sources of carbohydrate contributed to the lower score. The weakest knowledge area was medication management, with PNs scoring a mean score of only 54%.



These findings suggest that PNs have deficits in the knowledge required for DSME and therefore, this must be addressed through targetting continuing professional development.
CPC Medical Practice, Port Macquarie, NSW, Australia.
Margaret
M
Hollis
Karen
K
Glaister
Jennifer Anne
JA
Lapsley
D057179:Advanced Practice Nursing / Q000592:standards*; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000451:nursing*; D004521:Educational Measurement; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009517:New South Wales; D009740:Nursing Staff / Q000193:education*; D010353:Patient Education as Topic; D010865:Pilot Projects; D019035:Rural Health Services; D012424:Rural Population; D012648:Self Care / Q000379:methods*