An Investigation of the Glucose Monitoring Practices of Nurses in Stroke Care: A Descriptive Cohort Study

Liz Laird, Vivien Coates, Assumpta Ryan, Mark McCarron, Diane Lyttle, David Chaney

Research output: Contribution to journalArticle

Abstract

Glucose derangement is commonly observed among adults admitted to hospital with acute stroke. This paper presents the findings from a descriptive cohort study that investigated the glucose monitoring practices of nurses caring for adults admitted to hospital with stroke or transient ischaemic attack. We found that a history of diabetes mellitus was strongly associated with initiation of glucose monitoring and higher frequency of that monitoring. Glucose monitoring was continued for a significantly longer duration of days for adults with a history of diabetes mellitus, when compared to the remainder of the cohort. As glucose monitoring was not routine practice for adults with no history of diabetes mellitus, the detection and treatment of hyperglycaemia and hypoglycaemia events could be delayed. There was a significant positive association between the admission hospital that is most likely to offer stroke unit care and the opportunity for glucose monitoring. We concluded that adults with acute stroke, irrespective of their diabetes mellitus status prior to admission to hospital, are vulnerable to both hyperglycaemic and hypoglycaemic events. This study suggests that the full potential of nurses in the monitoring of glucose among hospitalised adults with stroke has yet to be realised.
LanguageEnglish
Pages7 pages
JournalNursing Research and Practice
Volume2013
Issue number715802
DOIs
Publication statusPublished - 22 Jul 2013

Fingerprint

Cohort Studies
Stroke
Nurses
Glucose
Diabetes Mellitus
Transient Ischemic Attack
Hypoglycemia
Hypoglycemic Agents
Hyperglycemia

Cite this

@article{a44c8a4ff95145bc92f1d0b8fa515c52,
title = "An Investigation of the Glucose Monitoring Practices of Nurses in Stroke Care: A Descriptive Cohort Study",
abstract = "Glucose derangement is commonly observed among adults admitted to hospital with acute stroke. This paper presents the findings from a descriptive cohort study that investigated the glucose monitoring practices of nurses caring for adults admitted to hospital with stroke or transient ischaemic attack. We found that a history of diabetes mellitus was strongly associated with initiation of glucose monitoring and higher frequency of that monitoring. Glucose monitoring was continued for a significantly longer duration of days for adults with a history of diabetes mellitus, when compared to the remainder of the cohort. As glucose monitoring was not routine practice for adults with no history of diabetes mellitus, the detection and treatment of hyperglycaemia and hypoglycaemia events could be delayed. There was a significant positive association between the admission hospital that is most likely to offer stroke unit care and the opportunity for glucose monitoring. We concluded that adults with acute stroke, irrespective of their diabetes mellitus status prior to admission to hospital, are vulnerable to both hyperglycaemic and hypoglycaemic events. This study suggests that the full potential of nurses in the monitoring of glucose among hospitalised adults with stroke has yet to be realised.",
author = "Liz Laird and Vivien Coates and Assumpta Ryan and Mark McCarron and Diane Lyttle and David Chaney",
year = "2013",
month = "7",
day = "22",
doi = "10.1155/2013/715802",
language = "English",
volume = "2013",
pages = "7 pages",
number = "715802",

}

An Investigation of the Glucose Monitoring Practices of Nurses in Stroke Care: A Descriptive Cohort Study. / Laird, Liz; Coates, Vivien; Ryan, Assumpta; McCarron, Mark; Lyttle, Diane; Chaney, David.

Vol. 2013, No. 715802, 22.07.2013, p. 7 pages.

Research output: Contribution to journalArticle

TY - JOUR

T1 - An Investigation of the Glucose Monitoring Practices of Nurses in Stroke Care: A Descriptive Cohort Study

AU - Laird, Liz

AU - Coates, Vivien

AU - Ryan, Assumpta

AU - McCarron, Mark

AU - Lyttle, Diane

AU - Chaney, David

PY - 2013/7/22

Y1 - 2013/7/22

N2 - Glucose derangement is commonly observed among adults admitted to hospital with acute stroke. This paper presents the findings from a descriptive cohort study that investigated the glucose monitoring practices of nurses caring for adults admitted to hospital with stroke or transient ischaemic attack. We found that a history of diabetes mellitus was strongly associated with initiation of glucose monitoring and higher frequency of that monitoring. Glucose monitoring was continued for a significantly longer duration of days for adults with a history of diabetes mellitus, when compared to the remainder of the cohort. As glucose monitoring was not routine practice for adults with no history of diabetes mellitus, the detection and treatment of hyperglycaemia and hypoglycaemia events could be delayed. There was a significant positive association between the admission hospital that is most likely to offer stroke unit care and the opportunity for glucose monitoring. We concluded that adults with acute stroke, irrespective of their diabetes mellitus status prior to admission to hospital, are vulnerable to both hyperglycaemic and hypoglycaemic events. This study suggests that the full potential of nurses in the monitoring of glucose among hospitalised adults with stroke has yet to be realised.

AB - Glucose derangement is commonly observed among adults admitted to hospital with acute stroke. This paper presents the findings from a descriptive cohort study that investigated the glucose monitoring practices of nurses caring for adults admitted to hospital with stroke or transient ischaemic attack. We found that a history of diabetes mellitus was strongly associated with initiation of glucose monitoring and higher frequency of that monitoring. Glucose monitoring was continued for a significantly longer duration of days for adults with a history of diabetes mellitus, when compared to the remainder of the cohort. As glucose monitoring was not routine practice for adults with no history of diabetes mellitus, the detection and treatment of hyperglycaemia and hypoglycaemia events could be delayed. There was a significant positive association between the admission hospital that is most likely to offer stroke unit care and the opportunity for glucose monitoring. We concluded that adults with acute stroke, irrespective of their diabetes mellitus status prior to admission to hospital, are vulnerable to both hyperglycaemic and hypoglycaemic events. This study suggests that the full potential of nurses in the monitoring of glucose among hospitalised adults with stroke has yet to be realised.

U2 - 10.1155/2013/715802

DO - 10.1155/2013/715802

M3 - Article

VL - 2013

SP - 7 pages

IS - 715802

ER -