Evidence map›Paper›PMID 26831500›Full record

ArticleBMC family practice2016

Exploring interprofessional collaboration during the integration of diabetes teams into primary care.

Enza Gucciardi, Sherry Espin, Antonia Morganti, Linda Dorado

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  9. Diabetes Educators: Understanding the Role of Finerenone in Chronic Kidney Disease Associated with Type 2 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Enza GucciardiSchool of Nutrition, Ryerson University, 350 Victoria Street, Kerr Hall South, room 349-I, Toronto, ON, M5B 2K3, Canada. egucciar@ryerson.ca.
Sherry EspinSchool of Nutrition, Ryerson University, 350 Victoria Street, Kerr Hall South, room 349-I, Toronto, ON, M5B 2K3, Canada. sespin@ryerson.ca.
Antonia MorgantiSchool of Nutrition, Ryerson University, 350 Victoria Street, Kerr Hall South, room 349-I, Toronto, ON, M5B 2K3, Canada. antonia.morganti@gmail.com.
Linda DoradoSchool of Nutrition, Ryerson University, 350 Victoria Street, Kerr Hall South, room 349-I, Toronto, ON, M5B 2K3, Canada. ldorado@ryerson.ca.

Funding

Canadian Institutes of Health Research MOP - 114954
6 · The paper itself

Abstract

backgroundSpecialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with diabetes. This practice model is being implemented throughout Canada in an effort to increase patient access to diabetes education, self-management training, and support. Interprofessional collaboration can have positive effects on both health processes and patient health outcomes, but few studies have explored how health professionals are introduced to and transition into this kind of interprofessional work.

methodData from 18 interviews with diabetes educators, 16 primary care physicians, 23 educators' reflective journals, and 10 quarterly debriefing sessions were coded and analysed using a directed content analysis approach, facilitated by NVIVO software.

resultsFour major themes emerged related to challenges faced, strategies adopted, and benefits observed during this transition into interprofessional collaboration between diabetes educators and primary care physicians: (a) negotiating space, place, and role; (b) fostering working relationships; (c) performing collectively; and (d) enhancing knowledge exchange.

conclusionsOur findings provide insight into how healthcare professionals who have not traditionally worked together in primary care are collaborating to integrate health services essential for diabetes management. Based on the experiences and personal reflections of participants, establishing new ways of working requires negotiating space and place to practice, role clarification, and frequent and effective modes of formal and informal communication to nurture the development of trust and mutual respect, which are vital to success.

Indexed as

Cooperative BehaviorNursesNutritionistsPhysicians, Primary CareAdultCanadaDelivery of Health CareDiabetes MellitusFemaleHumansMaleMiddle AgedPatient Care TeamPatient Education as TopicPrimary Health CareQualitative Research

Identifiers

PMID26831500
PMCPMC4736701

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.