Journal article
Supporting patients with type 1 diabetes using continuous subcutaneous insulin infusion therapy: Difficulties, disconnections, and disarray
Journal of Evaluation in Clinical Practice, Vol.23(4), pp.719-724
2017
Abstract
Rationale, aims, and objectives: Use of continuous subcutaneous insulin infusion therapy in type 1 diabetes management is high. However, the incorporation of this technology into self-care is not without challenges, and the support of an appropriately skilled health care team is recommended. This study aimed to examine the support context for patients using continuous subcutaneous insulin infusion therapy from the health care professional perspective, as well as contextual influences for health care professionals and their patients. Methods: This ethnographic qualitative study was undertaken in New South Wales, Australia. Recruitment occurred using a snowball sampling technique, beginning with members of an established diabetes service group. Data were collected through the use of semistructured interviews undertaken by telephone and analysed using thematic analysis. Results: Data were obtained from 26 interviews with staff from diverse professional backgrounds. An overarching theme of difficulties, disconnections, and disarray emerged, with findings indicating that participants perceived difficulties in relation to shortages of health care professional continuous subcutaneous insulin infusion-related expertise, and disconnected and disarrayed service structures and process, with barriers to access to these devices. Individual health care professionals were left to manage somehow or opted not to engage with related care. Conclusions: Findings provide insights from health care professionals' perspectives into the complexity of providing support for patients using continuous subcutaneous insulin infusion therapy across diverse contexts, and provide a platform for further research and service development. The need for consistent and coordinated care, and the infrastructure to facilitate this, flags an opportunity to drive integration of care and teamworking across as well as within settings and disciplines. © 2017 John Wiley & Sons, Ltd.
Details
- Title
- Supporting patients with type 1 diabetes using continuous subcutaneous insulin infusion therapy: Difficulties, disconnections, and disarray
- Authors
- L Perry (Author) - University of Technology SydneySteven James (Author) - University of Technology SydneyR Gallagher (Author) - University of SydneyJ Dunbabin (Author) - University of NewcastleK Steinbeck (Author) - University of SydneyJulia Lowe (Author)
- Publication details
- Journal of Evaluation in Clinical Practice, Vol.23(4), pp.719-724
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2017
- DOI
- 10.1111/jep.12703
- ISSN
- 1356-1294; 1356-1294
- Copyright note
- Copyright © 2017 Wiley-Blackwell Publishing Ltd. This is the accepted version of the following article: Perry L, James S, Gallagher R,Dunbabin J, Steinbeck K, Lowe J. Supporting patients with type1 diabetes using continuous subcutaneous insulin infusiontherapy: Difficulties, disconnections, and disarray.J Eval ClinPract. 2017;23:719-724.https://doi.org/10.1111/jep.12703, which has been published in final form at http://dx.doi.org/10.1111/jep.12703
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99451475702621
- Output Type
- Journal article
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