Nurses’ perceptions: issues that arise in caring for patients with diabetes
Open accessAbstract
Nurses’ perceptions: issues that arise in caring for patients with diabetes Nurses’ perceptions in caring for persons with diabetes have been little studied. To address this gap in the literature, a sample of nurses from a large Mid‐western health care system were surveyed on nurses’ perceptions of: (i) problems encountered in the care of patients with diabetes; (ii) problems encountered by patients and/or family member(s) in diabetes management; and (iii) nurses’ suggested solutions. A randomly selected list of 200 registered nurses obtained from the health system’s Department of Human Resources included inpatient, outpatient, emergency department, medical centre and home health care nurses. The sample was stratified to include 25% inpatient and 75% outpatient nurses. Of the 200 surveys mailed, 136 were returned (68% response rate). Twenty‐four per cent of the 136 nurses reported they did not provide care for patients with diabetes. Of 103 nurses providing care to patients with diabetes, 98% were female, 91% were Caucasian, 76% were between the ages of 30 and 49 years, 57% worked in outpatient settings, 35% worked in primary care, and 42% had a bachelor’s degree or higher. Of those with practice guidelines, 84% found the practice guidelines helpful. These nurses also perceived that they, as nurses, needed more education to improve their care of diabetes patients; few nurses believed it was within the scope of their practice to change treatment regimens. The perception of most nurse respondents was that acceptance of diabetes, knowledge deficits and non‐compliance were primary patient problems in the management of diabetes. Nurses’ perceptions of solutions to the problems centred on education of nurses and patients, and reinforcement of the importance of follow‐up care.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Physicians and nurses often report low confidence in a person's ability to use preventive strategies for long-term behavior change.
“Physicians and nurses often cite their own lack of confidence in a person’s ability to use preventive strategies for long-term behavior change.200–205”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus
The Expert Committee On The Diagnosis And Classification Of Diabetes Mellitus (1998) · Diabetes Care · doi:10.2337/diacare.21.1.s5 · Cited by 908 · see citing works
An interaction model of client health behavior
Cox, C. L. (1982) · Advances in Nursing Science · doi:10.1097/00012272-198210000-00007 · Cited by 264 · see citing works
No symptoms, no problem? Patients′ understandings of non-insulin dependent diabetes
Murphy, E., & Kinmount, A. L. (1995) · Family Practice · doi:10.1093/fampra/12.2.184 · Cited by 105 · see citing works
Toward a Standard Definition of Response Rate
Kviz, F. J. (1977) · Public Opinion Quarterly · doi:10.1086/268382 · Cited by 80 · see citing works
Living with diabetes: issues for nursing practice
Callaghan, D., & Williams, A. (1994) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1994.20010132.x · Cited by 55 · see citing works
Perceived competence and actual level of knowledge of diabetes mellitus among nurses.
Baxley, S. G., Brown, S., Pokorny, M. E., & Swanson, M. S. (1997) · PubMed · Cited by 41 · see citing works
Spiess, K., Sachs, G., Pietschmann, P., & Prager, R. (1995) · European Journal of Endocrinology · doi:10.1530/eje.0.1320580 · Cited by 35 · see citing works
The Actual and Self-Perceived Knowledge of Diabetes Among Staff Nurses
Gossain, V. V., Bowman, K. A., & Rovner, D. R. (1993) · The Science of Diabetes Self-Management and Care · doi:10.1177/014572179301900309 · Cited by 34 · see citing works
INTERVENTIONS RELATED TO COMPLIANCE
Simons, M. R. (1992) · Nursing Clinics of North America · doi:10.1016/s0029-6465(22)02780-3 · Cited by 28 · see citing works
“It's like you're down on a bed of affliction”: Aging and diabetes among black Americans
Reid, B. V. (1992) · Social Science & Medicine · doi:10.1016/0277-9536(92)90140-l · Cited by 24 · see citing works
A contribution of qualitative research to a better understanding of diabetic patients
Nyhlin, K. T. (1990) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1990.tb01909.x · Cited by 24 · see citing works
Can patients set their own educational priorities?
Colagiuri, R., Colagiuri, S., & Naidu, V. (1995) · Diabetes Research and Clinical Practice · doi:10.1016/0168-8227(95)01160-9 · Cited by 18 · see citing works
Human Sexuality in Adults with Insulin‐Dependent Diabetes Mellitus
LeMone, P. (1993) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1993.tb00764.x · Cited by 16 · see citing works
Siddons, H., & McAughey, D. (1992) · PubMed · Cited by 7 · see citing works
The Emotional World of the Diabetic Patient
Ivinson, M. H. (1995) · Diabetic Medicine · doi:10.1111/j.1464-5491.1995.tb00440.x · Cited by 6 · see citing works
Diabetes initiatives: community education
Kerr, A., White, L., Liaison, D., Beattie, A., & Mason, C. (1995) · Nursing Standard · doi:10.7748/ns.9.29.27.s38 · Cited by 2 · see citing works
The health behaviour of black insulin dependent diabetic patients
Xaba, G. L., & Dewar, S. (1991) · Curationis · doi:10.4102/curationis.v14i2.322 · Cited by 1 · see citing works
Hamera, E. (1992) · Annual Review of Nursing Research · doi:10.1891/0739-6686.10.1.55 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- Armstrong V.N. (1990) Perceptions of adults with insulin-requir- ing diabetes of factors in¯uencing their self-management. Unpublished doctoral Dissertation, University of Georgia, Georgia.
- Dillman D. (1978) Mail and Telephone Surveys: The Total Design Method. John Wiley & Sons, New York.
- Dion G.A. (1990) Testing of an instrument to measure acceptance of diabetes: `Ideas about Diabetes-Revised (AID-R). Unpub- lished doctoral dissertation, Louisiana State University, Louisiana.
- Gaedeke M.K. (1996) Laboratory and Diagnostic Test Handbook. Addison-Wesley, Menlo Park, California.
Cited by
Sorted by citations
Artinian, N. T., Fletcher, G. F., Mozaffarian, D., Kris-Etherton, P., Van Horn, L., Lichtenstein, A. H., Kumanyika, S., Kraus, W. E., Fleg, J. L., Redeker, N. S., et al. (2010) · Circulation · doi:10.1161/cir.0b013e3181e8edf1 · Cited by 919 · see citing works
Managing Abnormal Blood Lipids
Fletcher, B. J., Berra, K. A., Ades, P., Braun, L. T., Burke, L. E., Durstine, J. L., Fair, J. M., Fletcher, G. F., Goff, D. C., Hayman, L. L., et al. (2005) · Circulation · doi:10.1161/circulationaha.105.169180 · Cited by 236 · see citing works
Misra, R., & Lager, J. (2008) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2007.11.003 · Cited by 115 · see citing works
Nurse follow‐up of patients with diabetes: randomized controlled trial
Wong, F. K. Y., Mok, M. P. H., Chan, T., & Tsang, M. W. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03404.x · Cited by 113 · see citing works
Effect of telephone follow‐up on adherence to a diabetes therapeutic regimen
NESARI, M., ZAKERIMOGHADAM, M., RAJAB, A., BASSAMPOUR, S., & FAGHIHZADEH, S. (2010) · Japan Journal of Nursing Science · doi:10.1111/j.1742-7924.2010.00146.x · Cited by 104 · see citing works
Burke, L. E., & Fair, J. M. (2003) · The Journal of Cardiovascular Nursing · doi:10.1097/00005082-200309000-00004 · Cited by 69 · see citing works
An overview of the rationale for qualitative research methods in social health
Stuckey, H. L. (2013) · Journal of Social Health and Diabetes · doi:10.1055/s-0038-1676173 · Cited by 66 · see citing works
Nurses’ perceived and actual level of diabetes mellitus knowledge: results of a cluster analysis
Chan, M. F., & Zang, Y. (2007) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01761.x · Cited by 66 · see citing works
The Role of Creative Expression in Diabetes: An Exploration Into the Meaning-Making Process
Stuckey, H. L., & Tisdell, E. J. (2009) · Qualitative Health Research · doi:10.1177/1049732309355286 · Cited by 61 · see citing works
Consumer issues in navigating health care services for type I diabetes
Rasmussen, B., Wellard, S. J., & Nankervis, A. J. (2001) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2001.00550.x · Cited by 58 · see citing works
Predictors of quality of life among adults with type 2 diabetes mellitus
Misra, R., & Lager, J. (2008) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2006.09.002 · Cited by 52 · see citing works
Low-income American Indians’ Perceptions of Diabetes
Lautenschlager, L., & Smith, C. (2006) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2006.04.004 · Cited by 37 · see citing works
Williamson, G. R. (2003) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02803.x · Cited by 35 · see citing works
Song, M. S., & Kim, H. (2009) · Applied Nursing Research · doi:10.1016/j.apnr.2007.05.004 · Cited by 32 · see citing works
Role clarity and role conflict among Swedish diabetes specialist nurses
Boström, E., Hörnsten, Å., Lundman, B. M., Stenlund, H. C., & Isaksson, U. (2013) · Primary care diabetes · doi:10.1016/j.pcd.2013.04.013 · Cited by 28 · see citing works
Efficacy of a Teaching Intervention on Nurses’ Knowledge Regarding Diabetes
Uding, J., Jackson, E., & Hart, A. L. (2002) · Journal for Nurses in Staff Development · doi:10.1097/00124645-200211000-00003 · Cited by 25 · see citing works
Do practice nurses have the knowledge to provide diabetes self-management education?
Hollis, M., Glaister, K., & Lapsley, J. A. (2013) · Contemporary Nurse · doi:10.5172/conu.2013.2527 · Cited by 23 · see citing works
Diabetes Management and Self-Care Education for Hospitalized Patients With Cancer
Leak, A., Davis, E. D., Houchin, L., & Mabrey, M. (2009) · Clinical journal of oncology nursing · doi:10.1188/09.cjon.205-210 · Cited by 22 · see citing works
Livingston, R., & Dunning, T. L. (2010) · European Diabetes Nursing · doi:10.1002/edn.158 · Cited by 19 · see citing works
Use of an Insulin Pen by Homeless Patients with Diabetes Mellitus
Wilk, T., Mora, P. F., Chaney, S. E., & Shaw, K. (2002) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2002.tb00138.x · Cited by 18 · see citing works
Diabetes Education in the Hospital: Establishing Professional Competency
Manchester, C. S. (2008) · Diabetes Spectrum · doi:10.2337/diaspect.21.4.268 · Cited by 17 · see citing works
Health care professionals' views about supporting patients' self‐management
Mikkonen, Ì., & Hynynen, M. (2012) · Health Education · doi:10.1108/09654281211253416 · Cited by 15 · see citing works
Kenyan nurses' involvement in managing hospitalized diabetic patients
Mutea, N., & Baker, C. M. (2008) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2007.00660.x · Cited by 15 · see citing works
Peeples, M., & Seley, J. J. (2007) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000277818.69732.0f · Cited by 11 · see citing works
Postgraduate education needs of Nurses’ who are caregivers for patients with diabetes
Uğur, E., Demir, H. G., & Akbal, E. (2015) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.313.6732 · Cited by 11 · see citing works
Promoting Continuing Education in Diabetes Management
Spollett, G. R. (2006) · Endocrine Practice · doi:10.4158/ep.12.s3.68 · Cited by 10 · see citing works
Rahmani, S., Zahirrodin, A., Moradi, M., Hoveida, S., & Nejati, S. (2014) · Iranian journal of diabetes and obesity · Cited by 6 · see citing works
Improving Inpatient Diabetes Care: Nursing Issues
Haas, L. B. (2006) · Endocrine Practice · doi:10.4158/ep.12.s3.56 · Cited by 6 · see citing works
Effects of Diabetes Education and Telephone Counseling on Depression in Patients with Diabetes
송민선, & 김희승 (2008) · Korean Journal of Adult Nursing · Cited by 5 · see citing works
Practice nurses’ views of their diabetes care
Gillibrand, W. P., Taylor, J., & Hughes, J. G. (2004) · Practice Nursing · doi:10.12968/pnur.2004.15.3.12549 · Cited by 5 · see citing works
Exploration of Factors Impacting the Self-Care of Elders with Diabetes
Benzel-Lindley, J. (2005) · UA Campus Repository (The University of Arizona) · Cited by 4 · see citing works
Professionals’ perceptions of type 2 diabetes in primary care during a service redesign
McDowell, J. R. S., Inverarity, K., Gilmour, H., & Lindsay, G. (2012) · European Diabetes Nursing · doi:10.1002/edn.196 · Cited by 3 · see citing works
Self-care practices of adults with poorly controlled Diabetes Mellitus in Malaysia.
Tan, M. Y. (2009) · Adelaide Research & Scholarship (AR&S) (University of Adelaide) · Cited by 3 · see citing works
A Qualitative Assessment of the Practice Experiences of Certified Diabetes Educator Pharmacists
Alzahrani, F., Taylor, J., Perepelkin, J. P., & Mansell, K. D. (2015) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2014.11.004 · Cited by 2 · see citing works
Burton, A., Mikkonen, Ì., Buckley, C., Creedon, S. A., Hynynen, M., Kiljako, M., Kuzminskiene, L., Leahy‐Warren, P., Mikutavičienė, I., Puputti, S., et al. (2011) · Applied Nursing Research · doi:10.1016/j.apnr.2010.10.002 · Cited by 2 · see citing works
Ledbetter, R. B. (2011) · Digital Commons - Gardner-Webb University (Gardner–Webb University) · Cited by 2 · see citing works
Atashbahar, O., Moqaddasi Amiri, M., Heidari Jamebozorgi, M., Sadat Razavi Nasab, M., Nosratabadi, I., & Sadeghi, R. (2023) · Iranian Red Crescent Medical Journal · doi:10.32592/ircmj.2023.25.7.2308 · Cited by 1 · see citing works
Forslund, A., Lundblad, D., & Söderberg, S. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2010.03334.x · Cited by 1 · see citing works
The Only Way Out Is To Die: Perceptions and Experiences of Rural, Homebound, Older Diabetics
George, S. (2005) · Cited by 1 · see citing works
Shepherd, M. H. (2011) · European Diabetes Nursing · doi:10.1002/edn.172 · Cited by 1 · see citing works
Perceived Problem Areas for Adults Living with Diabetes
Tolliver, V. (2001) · ScholarWorks - GVSU (Grand Valley State University)
Attitudinal shifting: a grounded theory of health promotion in coronary care
Watson, S. (2007) · Tuwhera (Auckland University of Technology)
Williams, A. S. (2010) · Applied Nursing Research · doi:10.1016/j.apnr.2010.10.003
Developing diabetes nursing support programmes in Estonia, Finland, Ireland and Lithuania
Burton, A., Mikkonen, Ì., Buckley, C., Beseckas, P., Creedon, S. A., Hynynen, M.-A., Kiljako, M., Kuzminskiene, L., Leahy‐Warren, P., Mikkonen, Ì., et al. (2011) · European Diabetes Nursing · doi:10.1002/edn.171
Nursing strategies to facilitate self-management in persons living with diabetes mellitus type 2
Ann, O. C. (2011) · Nelson Mandela University Research Repository
Analyzing the effectiveness of teamwork in the care of diabetes within the primary health care.
Buttiġieġ, S. C., & Sciberras, M. (2007)
Aneed, S. H., Balat, K. Z., & Washeel, O. F. (2022) · International Journal of Health Sciences · doi:10.53730/ijhs.v6ns2.4931
- Authors
- McDonald, P. E., Tilley, B. C., & Havstad, S. L.
- Affiliations
- Case Western Reserve University (US)
- Corresponding author
- McDonald, Patricia E.
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 1999-08
- Volume
- 30
- Issue
- 2
- Pages
- 425-430
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2013909901
- Cited by
- 50
- References
- 18
- Citations by year
- 2023: 1 · 2022: 1 · 2015: 2 · 2014: 1 · 2013: 4 · 2012: 2
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Diabetes Association
- Agency for Healthcare Research and Quality (HS07386)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- diabetes management, nurses' perceptions, medication adherence, knowledge deficit, nursing education needs, scope of nursing practice, clinical guidelines, follow-up care, family caregivers
- MeSH terms
- Adult, Continuity of Patient Care, Cross-Sectional Studies, Diabetes Mellitus, Education, Nursing, Female, Humans, Male, Middle Aged, Patient Compliance, Midwestern United States, Health Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
