Insulin knowledge and practice: a survey of district nurses in Northern Ireland

Research output: Contribution to journalArticle

Abstract

Insulin is one of the top ten high-alert medications worldwide. Approximately 30% of people with diabetes in the UK use injectable therapies, most commonly insulin, to manage their condition. With an increasing number of people with diabetes being managed within the community, district nurses play an important role in the safe and effective use of insulin. This study surveyed a convenience sample of 164 district nurses working within one Health and Social Care Trust in Northern Ireland to ascertain their knowledge and practice regarding insulin. Study response rate was 38% (n=63). It was found that district nurses’ knowledge and practice relating to insulin therapy was lacking as indicated by a total mean score of 53.1%. Total knowledge scores were slightly higher (58%) than total practice scores (46%). Nevertheless, 79.4% of district nursesfelt secure and 6.3% felt very secure in managing diabetes. Deficits in district nurses’ knowledge and practice were identified in areas relating to insulin action, dosage, storage, injection site technique and rotation, hypoglycaemic/hyperglycaemic management, pharmacological actionand prescription format. These deficits highlight the need for workplace-based learning and development programmes, incorporating real time, point of care interventions, to enhance and maintain district nurses’ insulin knowledge and practice.
LanguageEnglish
Pages138-145
JournalBritish Journal of Community Nursing
Volume22
Issue number3
Early online date2 Mar 2017
DOIs
Publication statusE-pub ahead of print - 2 Mar 2017

Fingerprint

Northern Ireland
Nurses
Insulin
Point-of-Care Systems
Injections
Surveys and Questionnaires
Hypoglycemic Agents
Workplace
Prescriptions
Learning
Pharmacology
Delivery of Health Care
Therapeutics

Keywords

  • insulin
  • community nurse
  • diabetes
  • knowledge
  • practice
  • district nurse

Cite this

@article{3391f81704364e7595b8a6b701e991e6,
title = "Insulin knowledge and practice: a survey of district nurses in Northern Ireland",
abstract = "Insulin is one of the top ten high-alert medications worldwide. Approximately 30{\%} of people with diabetes in the UK use injectable therapies, most commonly insulin, to manage their condition. With an increasing number of people with diabetes being managed within the community, district nurses play an important role in the safe and effective use of insulin. This study surveyed a convenience sample of 164 district nurses working within one Health and Social Care Trust in Northern Ireland to ascertain their knowledge and practice regarding insulin. Study response rate was 38{\%} (n=63). It was found that district nurses’ knowledge and practice relating to insulin therapy was lacking as indicated by a total mean score of 53.1{\%}. Total knowledge scores were slightly higher (58{\%}) than total practice scores (46{\%}). Nevertheless, 79.4{\%} of district nursesfelt secure and 6.3{\%} felt very secure in managing diabetes. Deficits in district nurses’ knowledge and practice were identified in areas relating to insulin action, dosage, storage, injection site technique and rotation, hypoglycaemic/hyperglycaemic management, pharmacological actionand prescription format. These deficits highlight the need for workplace-based learning and development programmes, incorporating real time, point of care interventions, to enhance and maintain district nurses’ insulin knowledge and practice.",
keywords = "insulin, community nurse, diabetes, knowledge, practice, district nurse",
author = "Alison Robb and Bernie Reid and Laird, {Liz/ EA}",
note = "Not compliant in UIR",
year = "2017",
month = "3",
day = "2",
doi = "10.12968/bjcn.2017.22.3.138",
language = "English",
volume = "22",
pages = "138--145",
number = "3",

}

Insulin knowledge and practice: a survey of district nurses in Northern Ireland. / Robb, Alison; Reid, Bernie; Laird, Liz/ EA.

Vol. 22, No. 3, 02.03.2017, p. 138-145.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Insulin knowledge and practice: a survey of district nurses in Northern Ireland

AU - Robb, Alison

AU - Reid, Bernie

AU - Laird, Liz/ EA

N1 - Not compliant in UIR

PY - 2017/3/2

Y1 - 2017/3/2

N2 - Insulin is one of the top ten high-alert medications worldwide. Approximately 30% of people with diabetes in the UK use injectable therapies, most commonly insulin, to manage their condition. With an increasing number of people with diabetes being managed within the community, district nurses play an important role in the safe and effective use of insulin. This study surveyed a convenience sample of 164 district nurses working within one Health and Social Care Trust in Northern Ireland to ascertain their knowledge and practice regarding insulin. Study response rate was 38% (n=63). It was found that district nurses’ knowledge and practice relating to insulin therapy was lacking as indicated by a total mean score of 53.1%. Total knowledge scores were slightly higher (58%) than total practice scores (46%). Nevertheless, 79.4% of district nursesfelt secure and 6.3% felt very secure in managing diabetes. Deficits in district nurses’ knowledge and practice were identified in areas relating to insulin action, dosage, storage, injection site technique and rotation, hypoglycaemic/hyperglycaemic management, pharmacological actionand prescription format. These deficits highlight the need for workplace-based learning and development programmes, incorporating real time, point of care interventions, to enhance and maintain district nurses’ insulin knowledge and practice.

AB - Insulin is one of the top ten high-alert medications worldwide. Approximately 30% of people with diabetes in the UK use injectable therapies, most commonly insulin, to manage their condition. With an increasing number of people with diabetes being managed within the community, district nurses play an important role in the safe and effective use of insulin. This study surveyed a convenience sample of 164 district nurses working within one Health and Social Care Trust in Northern Ireland to ascertain their knowledge and practice regarding insulin. Study response rate was 38% (n=63). It was found that district nurses’ knowledge and practice relating to insulin therapy was lacking as indicated by a total mean score of 53.1%. Total knowledge scores were slightly higher (58%) than total practice scores (46%). Nevertheless, 79.4% of district nursesfelt secure and 6.3% felt very secure in managing diabetes. Deficits in district nurses’ knowledge and practice were identified in areas relating to insulin action, dosage, storage, injection site technique and rotation, hypoglycaemic/hyperglycaemic management, pharmacological actionand prescription format. These deficits highlight the need for workplace-based learning and development programmes, incorporating real time, point of care interventions, to enhance and maintain district nurses’ insulin knowledge and practice.

KW - insulin

KW - community nurse

KW - diabetes

KW - knowledge

KW - practice

KW - district nurse

UR - https://www.magonlinelibrary.com/doi/10.12968/bjcn.2017.22.3.138

U2 - 10.12968/bjcn.2017.22.3.138

DO - 10.12968/bjcn.2017.22.3.138

M3 - Article

VL - 22

SP - 138

EP - 145

IS - 3

ER -