Evidence map›Paper›PMID 40227060›Full record

ArticleFamily practice2025

Australian practice nurses' perspectives on integrating specialist diabetes care with primary care: a qualitative study.

Rachael M Taylor, Shamasunder H Acharya, Martha E Parsons, Ushank P Ranasinghe, Deniz O Kuzulugil, Kerry C Fleming, Melissa L Harris, Julie E Byles, Annalise N Philcox, Meredith A Tavener and 4 more

Abstract read
In one paragraph

Article in Family practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Rachael M TaylorSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.ORCID 0000-0002-1895-4123
Shamasunder H AcharyaSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.
Martha E ParsonsDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Ushank P RanasingheDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Deniz O KuzulugilDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Kerry C FlemingDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Melissa L HarrisSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.
Julie E BylesSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.
Annalise N PhilcoxDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Meredith A TavenerSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.
John R AttiaSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.ORCID 0000-0001-9800-1308
Johanna KuehnDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Sharon N Ross-EvansDiabetes Alliance, Hunter New England Health Local Health District, Lookout Rd, New Lambton Heights, NSW 2305, Australia.
Alexis J HureSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia.

Funding

Hunter New England and Central Coast Primary Health NetworkHunter New England Local Health District
6 · The paper itself

Abstract

backgroundIn 2015, the Australian Diabetes Alliance Program (DAP) was implemented in the Hunter New England Local Health District, New South Wales as a collaboration with the Hunter Medicare Local. DAP integrates specialist teams within primary care practices, delivering case conferencing, practice performance reviews, and education sessions.

objectiveTo report on practice nurses (PNs) perspectives on the impact of the DAP on their skills, knowledge, and approach in delivering care for adults with type 2 diabetes.

methodsThree primary care practices with high rates of monitoring haemoglobin A1c (HbA1c) levels (> 90% of patients annually) and three practices with lower rates of monitoring HbA1c levels (< 80% of patients annually) from DAP provided the sampling frame. Interviews were conducted with six PNs, which were transcribed and analysed using codebook thematic analysis.

resultsOverall, DAP was viewed favourably by PNs. Significant improvements in knowledge and skills were reported relating to administering antihyperglycemic agents, insulin, and other injectable therapy, as well as dietary modifications for diabetes management. PNs transferred this knowledge and skills to other patients not participating in DAP. An improvement in the delivery of diabetes care, rather than a change in approach, was also reported by PNs. However, the amount of preparation required for case conferencing in the program was identified as a burden to PNs.

conclusionsPNs were supportive of DAP and identified knowledge gains that were transferable to other patients. The administrative burdens on PNs need to be considered for scalability of the program.

Indexed as

Attitude of Health PersonnelDiabetes Mellitus, Type 2Primary Health CareAdultAustraliaClinical CompetenceFemaleGlycated HemoglobinHumansHypoglycemic AgentsInterviews as TopicMaleMiddle AgedNew South WalesQualitative ResearchGlycated HemoglobinHypoglycemic Agentsdelivery of health carediabetes mellitusintegratednursesprimary care nursingprimary health carequalitative research

Identifiers

PMID40227060
PMCPMC11995393

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.