Journal article
Systematic review of the effectiveness of nurse-led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes
International Journal of Nursing Practice, Vol.29(6), pp.1-15
2023
PMID: 36733216
Appears in UniSC Supported Open Access Outputs
Abstract
Type 1 and 2 diabetes care, especially within primary health-care settings, has traditionally involved doctor-led clinics. However, with increasing chronic disease burden, there is scope for nurses to expand their role in assisting diabetes self-management.
This study aimed to determine the effectiveness of nurse-led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes.
Methodology from the Joanna Briggs Institute Method for Systematic Review Research and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, including identifying publications, assessing study quality, summarizing evidence and interpreting findings. The search strategy involved using the Medical Subject Headings and keyword variations when searching MEDLINE (Ovid), Scopus, PubMed and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Inclusion criteria were samples with Type 1 or 2 diabetes, mean age of ≥18 years, English language studies and publication date of January 2011-December 2021.
Overall, 34 articles from 16 countries met inclusion criteria. Though not always clinically significant, results indicated that nurse-led care had beneficial impacts on glycated haemoglobin values, with reductions from 0.03% to 2.0%. This was evident when nurses received formal training, used treatment algorithms, had limited medical support, utilized technology and offered defined culturally sensitive and appropriate diabetes care.
Findings support nurse-led Type 1 and 2 diabetes care. Although further research is required, changes may necessitate increased recognition of nurse-led care and funding. Nurse-led care models should differ according to health-care settings.
Details
- Title
- Systematic review of the effectiveness of nurse-led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes
- Authors
- Danielle Holloway (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacySteven James (Author) - University of the Sunshine Coast, Queensland, School of Health - NursingElif Ekinci (Author) - The University of MelbourneJudy Craft (Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Publication details
- International Journal of Nursing Practice, Vol.29(6), pp.1-15
- Publisher
- John Wiley & Sons, Inc.
- Date published
- 2023
- DOI
- 10.1111/ijn.13135
- ISSN
- 1440-172X
- PMID
- 36733216
- Copyright note
- © 2023 The Authors. International Journal of Nursing Practice published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
- Organisation Unit
- School of Health - Nursing; School of Nursing, Midwifery and Paramedicine - Legacy; School of Science, Technology and Engineering; School of Health - Public Health
- Language
- English
- Record Identifier
- 99704785202621
- Output Type
- Journal article
Metrics
313 File views/ downloads
76 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Nursing
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: SDGs from InCites