title: Perceptions, Barriers, and Knowledge of Inpatient Glycemic Control: A Survey of Health Care Workers.
abstract: OBJECTIVE
  To assess knowledge and perceptions of health care workers regarding optimal care for patients with hyperglycemia and identify commonly perceived barriers for the development of a hospital-wide education program.
  
  
  METHODS
  A cross-sectional design was utilized to survey health care workers involved in managing hyperglycemia in an urban, community teaching hospital. Each health care worker received a survey specific to their health care role.
  
  
  RESULTS
  Approximately 50% of questions about best clinical practices were answered correctly. Correct responses varied across disciplines (n, mean ± standard deviation [SD]), that is, physicians (n = 112, 53% ± 26%), nurses (n = 43, 52% ± 35%), pharmacists (n = 20, 64% ± 23%), dietitians (n = 5, 48% ± 30%), and patient care assistants (n = 12, 38% ± 34%). Most health care workers perceived hyperglycemia treatment to be very important and that sliding scale insulin was commonly used because of convenience but not efficacy.
  
  
  CONCLUSIONS
  Knowledge regarding hyperglycemia management was suboptimal across a sample of health care workers when compared to clinical best practices. Hyperglycemia management was perceived to be important but convenience seemed to influence the management approach more than efficacy. Knowledge, perceptions, and barriers seem to play an important role in patient care and should be considered when developing education programs prior to implementation of optimized glycemic protocols.
authors.affiliation: Department of Clinical and Administrative Sciences, Notre Dame of Maryland University, School of Pharmacy, Baltimore, MD, USA Johns Hopkins Community Physicians, Greater Dundalk, Baltimore, MD, USA rbeliard@ndm.edu.
authors.forename: Regine
authors.initials: R
authors.lastname: Beliard
authors.affiliation: Department of Pharmacotherapy, The Brooklyn Hospital Center, Brooklyn, NY, USA Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY, USA.
authors.forename: Karina
authors.initials: K
authors.lastname: Muzykovsky
authors.affiliation: Department of Pharmacy, Boston Medical Center, Boston, MA, USA.
authors.forename: William
authors.initials: W
authors.lastname: Vincent
authors.affiliation: Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY, USA.
authors.forename: Bupendra
authors.initials: B
authors.lastname: Shah
authors.affiliation: Department of Pharmacotherapy, The Brooklyn Hospital Center, Brooklyn, NY, USA Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY, USA.
authors.forename: Evangelia
authors.initials: E
authors.lastname: Davanos
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D002983:Clinical Competence / Q000592:standards; D003430:Cross-Sectional Studies; D005260:Female; D038321:Glycemic Index / Q000502:physiology; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology / Q000592:standards*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D010865:Pilot Projects; D011795:Surveys and Questionnaires
chemical_list: D001786:Blood Glucose
keywords: diabetes; education; hyperglycemia; inpatient; survey