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A nurse-guided, basal-prandial insulin treatment protocol for achieving glycaemic control of hospitalized, non-critically ill diabetes patients, is non-inferior to physician-guided therapy: A pivotal, nurse-empowerment study.
- Source :
-
International Journal of Nursing Practice (John Wiley & Sons, Inc.) . Dec2015, Vol. 21 Issue 6, p790-796. 7p. 5 Charts. - Publication Year :
- 2015
-
Abstract
- Basal-prandial insulin is established for glycaemic control for hospitalized, type 2 diabetes patients. Empowering nurses to guide such protocols could be advantageous. The study aims to comparatively assess the efficacy and safety of glycaemic control by a nurse-guided protocol with physician-guided therapy. It also aims to assess the impact of empowerment on the nurses' sense of competence. This is a prospective, controlled, randomized, single-blinded study. Validated protocol utilizing basal-prandial insulin was used. Glycaemic control was the primary efficacy outcome, whereas hypoglycaemia and laboratory parameters were followed for safety. Assessment of nurses' psychological empowerment was done. One hundred fifty-eight treatment days of 53 patients were included. Patients were randomized to either study group (n = 27) or control group (n = 26). Glycaemia deviation from liberal range (60-300 mg/dL) was 7.4% of days for nurse-guided, basal-prandial insulin treatment protocol (NGP) and 7.84% for physician-guided therapy (PGT), P = 0.901. Rate of glycaemia deviation from the strict range (100-180 mg/dL) was 49.76% for NGP and 47.38% for PGT, P = 0.703. Mean range of daily deviation was similar (77.05 mg/dL for NGP and 76.04 mg/dL for PGT, P = 0.93). There were no significant differences in safety parameters. An empowerment questionnaire showed tendency for increased nurses' sense of competence. Nurse-guided protocol is non-inferior to physician-guided treatment in efficacy and safety parameters. Nurses' sense of competence was positively influenced. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BLOOD sugar analysis
*AUTONOMY (Psychology)
*CLINICAL competence
*PEOPLE with diabetes
*HOSPITAL patients
*INSULIN
*MEDICAL protocols
*TYPE 2 diabetes
*NURSES' attitudes
*NURSING
*PHYSICIANS
*PROFESSIONS
*QUESTIONNAIRES
*STATISTICAL sampling
*SCALE analysis (Psychology)
*SELF-efficacy
*STATISTICAL hypothesis testing
*T-test (Statistics)
*POINT-of-care testing
*RANDOMIZED controlled trials
*BLIND experiment
*DESCRIPTIVE statistics
*GLYCEMIC control
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 21
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 111549418
- Full Text :
- https://doi.org/10.1111/ijn.12292