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1. The impact of the COVID-19 pandemic on people with diabetes and diabetes services: A pan-European survey of diabetes specialist nurses undertaken by the Foundation of European Nurses in Diabetes survey consortium

Author

Forde, Rita, Arente, Liga, Ausili, Davide, De Backer, Kristin, Due‐Christensen, Mette, Epps, Amanda, Fitzpatrick, Anne, Grixti, Moira, Groen, Sijda, Halkoaho, Arja, Huber, Claudia, Iversen, Marjolein M., Johansson, Unn‐Britt, Leippert, Claudia, Ozcan, Seyda, Parker, Julie, Paiva, Ana Christina, Sanpetreanu, Adina, Savet, Marie‐Alice, Rosana, Svetic‐Cisic, Szewczyk, Alicja, Valverde, Maite, Vlachou, Eugenia, Forbes, Angus, Allen‐Taylor, Maya, Brown, Freya, Celick, Aycan, Gane, Sarah, Hashem, Rabab, Habete‐Asres, Hellena, Tian, Qinxiu, Sturt, Jackie, Winkley, Kirsty, Caron, Rudi, Gaćina, Snježana, Moloney, Yvonne, Kobos, Ewa, Jansà, Margarida, Yoldi, Carmen, Forde, R, Arente, L, Ausili, D, De Backer, K, Due-Christensen, M, Epps, A, Fitzpatrick, A, Grixti, M, Groen, S, Halkoaho, A, Huber, C, Iversen, M, Johansson, U, Leippert, C, Ozcan, S, Parker, J, Paiva, A, Sanpetreanu, A, Savet, M, Rosana, S, Szewczyk, A, Valverde, M, Vlachou, E, Forbes, A, Allen-Taylor, M, Brown, F, Celick, A, Gane, S, Hashem, R, Habete-Asres, H, Tian, Q, Sturt, J, Winkley, K, Caron, R, Gacina, S, Moloney, Y, Kobos, E, Jansa, M, Yoldi, C, Özcan, Hüsniye Şeyda (ORCID 0000-0003-0841-2563 & YÖK ID 108311), Forde, R., Arente, L., Ausili, D., De Backer, K., Due-Christensen, M., Epps, A., Fitzpatrick, A., Grixti, M., Groen, S., Halkoaho, A., Huber, C., Iversen, M. M., Johansson, U. B., Leippert, C., Parker, J., Paiva, A. C., Sanpetreanu, A., Savet, M. A., Rosana, S. C., Szewczyk, A., Valverde, M., Vlachou, E., Forbes, A., the Fend Covid-19 consortium, School of Nursing, and FEND COVID-19 Consortium

Subjects
medicine.medical_specialty, COVID-19, Diabetes care provision, Physical and psychological health, Attitude of Health Personnel, Endocrinology, Diabetes and Metabolism, Population, MED/45 - SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE, Delphi method, 030209 endocrinology & metabolism, Anxiety, Psychological Distress, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Research: Care Delivery, COVID‐19, Diabetes mellitus, Surveys and Questionnaires, Pandemic, Internal Medicine, medicine, Diabetes Mellitus, Humans, 030212 general & internal medicine, education, Medicine, Metabolism, Depression (differential diagnoses), education.field_of_study, business.industry, Depression, SARS-CoV-2, Self-Management, medicine.disease, Diabetic Foot, Europe, Distress, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Family medicine, Hyperglycemia, physical and psychological health, Human medicine, medicine.symptom, business, Delivery of Health Care, Nurse Specialists, Foot (unit), diabetes care provision
Abstract

Aim: to describe diabetes nurses' perspectives on the impact of the COVID-19 pandemic on people with diabetes and diabetes services across Europe. Methods: an online survey developed using a rapid Delphi method. The survey was translated into 17 different languages and disseminated electronically in 27 countries via national diabetes nurse networks. Results: survey responses from 1829 diabetes nurses were included in the analysis. The responses indicated that 28% (n = 504) and 48% (n = 873) of diabetes nurses felt the COVID-19 pandemic had impacted 'a lot' on the physical and psychological risks of people with diabetes, respectively. The following clinical problems were identified as having increased 'a lot': anxiety 82% (n = 1486); diabetes distress 65% (n = 1189); depression 49% (n = 893); acute hyperglycaemia 39% (n = 710) and foot complications 18% (n = 323). Forty-seven percent (n = 771) of respondents identified that the level of care provided to people with diabetes had declined either extremely or quite severely. Self-management support, diabetes education and psychological support were rated by diabetes nurse respondents as having declined extremely or quite severely during the COVID-19 pandemic by 31% (n = 499), 63% (n = 1,027) and 34% (n = 551), respectively. Conclusion: the findings show that diabetes nurses across Europe have seen significant increases in both physical and psychological problems in their patient populations during COVID-19. The data also show that clinical diabetes services have been significantly disrupted. As the COVID-19 situation continues, we need to adapt care systems with some urgency to minimise the impact of the pandemic on the diabetes population., Foundation of European Nurses in Diabetes

Published
2020

2. The Impact of the COVID-19 pandemic on people with diabetes and diabetes services : A pan-European survey of diabetes specialist nurses undertaken by the Foundation of European Nurses in Diabetes survey consortium

Author

Forde, Rita, Arente, Liga, Ausili, Davide, De Backer, Kristin, Due-Christensen, Mette, Epps, Amanda, Fitzpatrick, Anne, Grixti, Moira, Groen, Sijda, Halkoaho, Arja, Huber, Claudia, Iversen, Marjolein M, Johansson, Unn-Britt, Leippert, Claudia, Ozcan, Seyda, Parker, Julie, Paiva, Ana Christina, Sanpetreanu, Adina, Savet, Marie-Alice, Rosana, Svetic-Cisic, Szewczyk, Alicja, Valverde, Maite, Vlachou, Eugenia, Forbes, Angus, Forde, Rita, Arente, Liga, Ausili, Davide, De Backer, Kristin, Due-Christensen, Mette, Epps, Amanda, Fitzpatrick, Anne, Grixti, Moira, Groen, Sijda, Halkoaho, Arja, Huber, Claudia, Iversen, Marjolein M, Johansson, Unn-Britt, Leippert, Claudia, Ozcan, Seyda, Parker, Julie, Paiva, Ana Christina, Sanpetreanu, Adina, Savet, Marie-Alice, Rosana, Svetic-Cisic, Szewczyk, Alicja, Valverde, Maite, Vlachou, Eugenia, and Forbes, Angus

Abstract

AIM: To describe diabetes nurses' perspectives on the impact of the COVID-19 pandemic on people with diabetes and diabetes services across Europe. METHODS: An online survey developed using a rapid Delphi method. The survey was translated into 17 different languages and disseminated electronically in 27 countries via national diabetes nurse networks. RESULTS: Survey responses from 1829 diabetes nurses were included in the analysis. The responses indicated that 28% (n=504) and 48% (n=873) of diabetes nurses felt the COVID-19 pandemic had impacted 'a lot' on the physical and psychological risks of people with diabetes, respectively. The following clinical problems were identified as having increased 'a lot': anxiety 82% (n=1486); diabetes distress 65% (n=1189); depression 49% (n= 893); acute hyperglycaemia 39% (n=710); and foot complications 17% (n=323). Forty-seven percent (n=771) of respondents identified that the level of care provided to people with diabetes had declined either extremely or quite severely. Self-management support, diabetes education and psychological support were rated by diabetes nurse respondents as having declined extremely or quite severely during the COVID-19 pandemic by 31% (n=499), 63% (n=1,027) and 34% (n=551), respectively. CONCLUSION: The findings show that diabetes nurses across Europe have seen significant increases in both physical and psychological problems in their patient populations during COVID-19. The data also show that clinical diabetes services have been significantly disrupted. As the COVID-19 situation continues we need to adapt care systems with some urgency to minimise the impact of the pandemic on the diabetes population.

Published
2021
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3. The importance of education in Diabetes care

Author

Grixti, Moira and Zammit McKeon, Anna

Subjects
food and beverages, Medical education -- Malta, Diabetes -- Disease management, Diabetes -- Malta
Abstract

Diabetes is a condition that cannot be cured but can be controlled. It has been shown that people with controlled diabetes are less liable to develop the complications of the disease. Education is important because one cannot have good control without education in the management of diabetes., peer-reviewed

Published
2001

4. Assessing the feasibility and acceptability of a diabetes-specific nurse-led multicomponent smoking cessation intervention in diabetes education: study protocol for an open-label pragmatic randomised controlled trial.

Author

Grech J, Norman I, Azzopardi C, Grixti M, and Sammut R

Subjects
Humans, Patient Education as Topic methods, Diabetes Mellitus, Type 1, Patient Acceptance of Health Care, Smoking Cessation methods, Feasibility Studies, Pragmatic Clinical Trials as Topic, Diabetes Mellitus, Type 2 therapy
Abstract

Introduction: Smoking cessation is an essential, but often overlooked aspect of diabetes management. Despite the need for tailored smoking cessation support for individuals with diabetes, evidence of effective interventions for this cohort is limited. Additionally, individuals with diabetes do not easily adopt such interventions, resulting in low uptake and abstinence rates. This protocol describes a study that aims to assess the feasibility and acceptability of a unique smoking cessation intervention, based on the best evidence, theory and the needs of individuals with diabetes, among patients and service providers, the diabetes nurse educators., Methods and Analysis: This is an open-label pragmatic randomised controlled trial. Between 80 and 100 individuals with type 1 or type 2 diabetes who smoke will be recruited from the diabetes outpatients at the main acute public hospital in Malta, starting in August 2023. Participants will be randomly assigned (1:1 ratio) to the intervention or control arm for 12 weeks. The experimental intervention will consist of three to four smoking cessation behavioural support sessions based on the 5As (Ask, Advise, Assess, Assist and Arrange) algorithm, and a 6-week supply of nicotine replacement therapy. The control intervention will consist of an active referral to the Maltese National Health Service's one-to-one smoking cessation support service, which is based on motivational interviewing. The primary feasibility and acceptability outcomes include the recruitment and participation rates, resources used, problems identified by the nurses, the nurses' perceived challenges and facilitators to implementation and the nurses' and patients' acceptability of the study intervention. Data analyses will be descriptive, with quantitative feasibility and acceptability outcomes reported with 95% confidence intervals., Ethics and Dissemination: Ethical clearance was obtained from the Faculty of Health Sciences Research Ethics Committee, University of Malta. The study results will be disseminated through conference presentations and a publication in a peer-reviewed journal., Trial Registration Number: NCT05920096., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Published
2024
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