ArticlePloS one2025
"It is a false safety net": A qualitative exploration of multiprofessional staff experiences of insulin management in hospitalised older or frail adults with diabetes undergoing surgery.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Developing an Intervention for Safe Hospital Insulin Use for Older Adults With Diabetes Undergoing Surgical Admission (SHINE Study): A Co-Design Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- 'Why, Can I Not Have Control of My Own Insulin?': Qualitative Exploration Amongst Older Adults With Diabetes With Lived Experience of Surgical Hospital Admission.Health expectations : an international journal of public participation in health care and health policy · 2025Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore multiprofessional hospital staff's experiences and perspectives of insulin use and safety review in older or frail adults with diabetes undergoing surgery.
methodTwenty-three semi-structured interviews amongst multiprofessional staff supporting four surgical wards (elective and emergency) at a single NHS Trust in a rural county in England. Interviews were recorded, transcribed and analysed using framework analysis approach.
resultsSix main themes identified: (1) Transitioning through care: Misalignments across insulin related interacting components contribute to insulin errors (2) Coping with complexity, changes and ambiguity; at clinical, operational and organisational levels (3) Staff knowledge and confidence gaps affect insulin safety (4) Fostering patient empowerment; patient empowerment can be hindered by staff assumptions and inflexibility of hospital environment (5) Staff support systems; communication, power dynamics influence insulin safety (6) System learning as a cultural challenge; absence of systems approach and reactive to harm.
conclusionThis study provides valuable insights into reported complexities of managing insulin-related interacting components during surgical admission. Findings could inform how managers, leaders and organisations approach and consider multiple components implicated in safe hospital insulin use to build system resilience. Future research can build on insights from this study to develop interventions supporting system-based approaches to hospital insulin safety.
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