Журнал включен в российские и международные библиотечные и реферативные базы данных
ВАК (Россия)
РИНЦ (Россия)

Nurses’ role in complex medical help providing while treating on type II diabetes-patients’

DOI: https://doi.org/10.29296/25879979-2020-06-08

Irina G.Kalinina, president of Moscow Regional Nurses’ Public Organisation, https://orcid.org/0000-0002-1533-2601 Anna V. Khasina, psychologist, coach in healthcare communication and stress management https://orcid.org/0000-0002-3249-803X Mariam Shpigelman, NP МРН, Senior Nurse, Diabetes Treating specialist, Head of Chronic diseases Department, The Leumit Сustomer Service Center, Central District, Israel https://orcid.org/0000-0002-1978-6264

The article provides recommendations for health care organizations about the role of diabetic nurses in management and improving the quality of care for type 2 diabetes patients. The recommended systematic approach for support and treatment of T2DM patients is based on the Chronic Care and Patient Centred Models and means that the wide range of diabetes nurses’ credentials, including initial pre-medical examination, routine monitoring of patients, decision-making on changing the routine and self care therapy, allow them to be the Case Coordinators. The above analysis allows us conclude that diabetic nurses’ management is the best practice for the early diagnosis selfcare management and complication prevention. The management of «diabetic nurses» work is analysed in detail on the example of healthcare system of Israel.

the nurse
type 2 diabetes
diabetes mellitus
first-aid examination
endocrinological service
nurses’ education

  1. Summary of Revisions: Standards of Medical Care in Diabetes 2019;42 (Suppl. 1): S4–S6 | https://doi.org/10.2337/dc19-srev01
  2. Alabraba V., Floyd E., Wallymahmed M. Delivering a diabetes inpatient specialist nursing service: the Aintree experience. J Diabet Nur. 2010; 14:10.
  3. Cable SJ. The role of the Diabetes Specialist Nurse. SSMJ, 2016 Aug Vol 9. No 3. ISSN 2309 – 4605.
  4. Carey N., Courtenay M. A review of the activity and effects of nurse-led care in diabetes. Journal of Clinical Nursing, 2007,16(11c), 296–304.
  5. Diabetes UK. Diabetes specialist nursing 2016 workforce survey: a workforce in crisis. Diabetes UK, London. 2016
  6. Donohue-Porter P. Nursing’s Role in Courage Development in Patients Facing Complications of Diabetes. J. Holist. Nurs. 2013; 31: 49–61.
  7. How Can Nurses Help Diabetes Patients? Lamar University, 2016 Sept https://degree.lamar.edu/articles/nursing/how-can-nurses-help-diabetes-patients/
  8. Kahn R, Anderson JE. Improving diabetes care: the model for health care reform. Diabetes Care 2009; 32: 1115–8.
  9. Lawal M. The importance of diabetes specialist nurses. Nursing in practice, 2015 Sept. ISSN 1473-9445. https://www.nursinginpractice.com/
  10. Lawler J., Trevatt P., Elliot C. et al. Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence. Hum Resour Health 2019, 17, 65.
  11. Loveman E, Royle P, Waugh N. Specialist nurses in diabetes mellitus. Cochrane Database Syst Rev. 2003;(2):CD003286.
  12. Nikitara M., Constantinou C. S., Andreou E., Diomidous M. The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review. Behavioral Sciences, 2019,9(6), 61.
  13. Peter J. Watkins. Diabetes and Its Management Sixth Edition. 2003. Blackwell Publishing
  14. Riordan F, McHugh SM, Murphy K, et al. The role of nurse specialists in the delivery of integrated diabetes care: a cross-sectional survey of diabetes nurse specialist services. BMJ Open 2017;7
  15. Ross A.J., Anderson J.E., Kodate N. Inpatient diabetes care: complexity, resilience and quality of care. Cogn Tech Work. 2014;16:91
  16. Russell AW, Baxter KA, Askew DA, et al. Model of care for the management of complex type 2 diabetes managed in the community by primary care physicians with specialist support: an open controlled trial. Diabet Med 2013;30:1112–21.
  17. Siminerio L.M., Funnell M.M., Peyrot M., Rubin R.R. US nurses’ perceptions of their role in diabetes care: Results of the cross-national Diabetes Attitudes Wishes and Needs (DAWN) study. Diabetes Educ. 2007; 33: 152–162.
  18. Sousa AC, Jardim TV, Costa TO et al. Hypertensive diabetic patients: incidence of cardiovascular and renal outcomes in a historical cohort over 11 years. Diabetol Metab Syndr. 2017; 9: 98.
  19. Vrijhoef HJ, Diederiks JP, Spreeuwenberg C, et al. The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting: effects on patient outcomes. Int J Nurs Stud 2002; 39: 441–51.
  20. Zhang J, Donald M, Baxter KA, et al. Impact of an integrated model of care on potentially preventable hospitalizations for people with type 2 diabetes mellitus. Diabet Med 2015;32:872–80.
  21. Global'nyj doklad po diabetu [Global report on diabetes]. Zheneva: Vsemirnaja organizatsija zdravoohranenija; 2018. Litsenzija: CC BY-NC-SA 3.0 IGO.
  22. Dedov I.I., Shestakova M.V., Vikulova O.K. Epidemiologija saharnogo diabeta v Rossijskoj Federatsii: kliniko-statisticheskij otchet po dannym Federal'nogo registra saharnogo diabeta // Saharnyj diabet. — 2017. — T. 20. — №1. — S. 13–41.
  23. Shestakova M.V., Dedov I.I. Saharnyj diabet v Rossijskoj Federatsii: argumenty i fakty. Terapevticheskij arhiv. – 2016. – 10(88). S. 4–6.
  24. Powers MA, Bardsley J, Cypress M et al. Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care 2015 Jun; dc150730.
  25. Natsional'naja programma po prodvizheniju i lecheniju diabeta, minzdrav Izrailja, 2019 https://www.health.gov.il/Russian/Subjects/KHealth/diabetes/Pages/default.aspx
  26. GC Richardson, AL Derouin – The Permanente, 2014 – ncbi.nlm.nih.gov https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4022572/
  27. Chronic Care Model For Type 2 Diabetes A systematic Review, Diabetol Metab Syndr. 2016 Jan 22;8:7. doi: 10.1186/s13098-015-0119-z. eCollection 2016. https://pubmed.ncbi.nlm.nih.gov/26807158/
  28. Taylor, C.B., Miller, N.H. & Reilly, K.R. Evaluation of a nurse care management system to improve outcomes in patients with complicated diabetes, Diabetes Care, 26, (4), 2003.
  29. DAWN (Diabetes Attitudes Wishes & Needs) Novo Nordisk research, presented at a conference, Italy, 2006.
  30. Funnell, M.M.&Mesing,C.R. Diabetes education in the management of diabetes. (In Complete Nurse’s Guide to Diabetes Care 2nd Ed.) ADA, 2009,pp. 222–226.
  31. Childs,B.P.,Cypress M.&Spollett,G.(Editors).Complete nurse’s guide todiabetes care. American Diabetes Association,2nd Ed., 2009.
  32. Grigor'ev K.I., Solov'eva A.L., Nemtyreva L.F. Ozhirenie u detej i podrostkov. Meditsinskaja sestra, 2019; 4 (21): 3–9. https://doi.org/10.29296/25879979-2019-04-01
  33. Grigor'ev K.I., Knjazev Ju.A. Ozhirenie – teorija i praktika. Taktika meditsinskogo rabotnika. Meditsinskaja sestra. 2006; 8: 2–7.
  34. Starodubova A.V., Kisljak O.A., Petrova E.V. Arterial'naja gipertenzija i ozhirenie u podrostkov i lits molodogo vozrasta. Vrach. 2010; 1: 13–17.