ArticleBMJ open2017
The role of nurse specialists in the delivery of integrated diabetes care: a cross-sectional survey of diabetes nurse specialist services.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed.
- Quantifying and understanding the roles of diabetes educators in Malaysian primary health clinics: a mixed-methods study.BMC health services research · 2026Article
- Occupational self-efficacy, job satisfaction and learning potential of the workplace in a sample of diabetes specialist nurses: A structural equation modeling analysis.International journal of nursing studies advances · 2025Article
- Article
- Research Trends of Specialty Nurse Training from 2003 to 2023: A Bibliometric Analysis via CiteSpace.Journal of multidisciplinary healthcare · 2024Review
- Newly diagnosed type 2 diabetes - does New Zealand General Practice adequately prepare patients to self-manage their Condition?BMC primary care · 2023Article
- Diabetes Education in Children and Adolescents with Type 1 Diabetes in China.Iranian journal of public health · 2022Article
- Scoping review with textual narrative synthesis of the literature reporting stress and burn-out in specialist nurses: making the case for inflammatory bowel disease nurse specialists.BMJ open gastroenterology · 2022Article
- Efficiency of a multidisciplinary team care approach through a short hospitalization of patients with poorly controlled diabetes mellitus: a 12 months prospective monocentric study.The Pan African medical journal · 2022Article
- Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis.Nursing open · 2021Article
- The role of Endometriosis Clinical Nurse Specialists in British Society for Gynaecological Endoscopy registered centres: A UK survey of practice.Nursing open · 2020Article
- Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis.Behavioral sciences (Basel, Switzerland) · 2020Article
- Long-term training in diabetes-related knowledge, attitudes, and self-reported practice among diabetes liaison nurses.The Journal of international medical research · 2020Article
- Self-management of persons living with diabetes mellitus type 2: Experiences of diabetes nurse educators.Health SA = SA Gesondheid · 2020Article
- Impact of having a certified nurse specialist in critical care nursing as head nurse on ICU patient outcomes.PloS one · 2020Article
- The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review.Behavioral sciences (Basel, Switzerland) · 2019Review
- 'Sink or Swim': A Qualitative Study to Understand How and Why Nurses Adapt to Support the Implementation of Integrated Diabetes Care.International journal of integrated care · 2019Article
- Monitoring Endocrine Nursing in South Asia (MENSA).Indian journal of endocrinology and metabolismArticle
- Adoption and Initial Implementation of a National Integrated Care Programme for Diabetes: A Realist Evaluation.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInternational evidence suggests the diabetes nurse specialist (DNS) has a key role in supporting integrated management of diabetes. We examine whether hospital and community DNS currently support the integration of care, examine regional variation in aspects of the service relevant to the delivery of integrated care and identify barriers to service delivery and areas for improvement.
designA cross-sectional survey of hospital and community-based DNS in Ireland.
methodsBetween September 2015 and April 2016, a 67-item online survey, comprising closed and open questions on their clinical role, diabetes clinics, multidisciplinary working, and barriers and facilitators to service delivery, was administered to all eligible DNS (n=152) in Ireland. DNS were excluded if they were retired or on maternity leave or extended leave.
resultsThe response rate was 66.4% (n=101): 60.6% (n=74) and 89.3% (n=25) among hospital and community DNS, respectively. Most DNS had patients with stable (81.8%) and complicated type 2 diabetes mellitus (89.9%) attending their service. The majority were delivering nurse-led clinics (81.1%). Almost all DNS had a role liaising with (91%), and providing support and education to (95%), other professionals. However, only a third reported that there was local agreement on how their service should operate between the hospital and primary care. Barriers to service delivery that were experienced by DNS included deficits in the availability of specialist staff (allied health professionals, endocrinologists and DNS), insufficient space for clinics, structured education and issues with integration.
conclusionsDelivering integrated diabetes care through a nurse specialist-led approach requires that wider service issues, including regional disparities in access to specialist resources and formalising agreements and protocols on multidisciplinary working between settings, be explicitly addressed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.