Spollett Geralyn
Yale Diabetes Center, Department of Internal Medicine, Section of Endocrinology, Yale University School of Medicine, New Haven, Connecticut, USA.
Endocr Pract. 2006 Jul-Aug;12 Suppl 3:68-71. doi: 10.4158/EP.12.S3.68.
Diabetes knowledge among hospital nurses is suboptimal. Studies that measured basic diabetes knowledge among nurses in a variety of clinical settings have consistently reported poor understanding of hemoglobin A1C, medication usage and side effects, and self-care diabetes management. Although diabetes is a common diagnosis among hospitalized patients, many nurses report they have never attended an update on diabetes management. To promote advances in glycemic control within the hospital setting, the nursing staff must be better educated in the theoretical framework and clinical practice guidelines for diabetes management. The methods used to promote continuing education in diabetes among staff nurses need to be cost-effective as well as flexible to accommodate work shifts and learning needs. Because many hospitals are facing staff shortages and increased patient acuity, staff development needs may not be a high priority. To be successful, updating diabetes knowledge must be a collaborative effort involving clinical care, research, and education. Mentoring and peer support also are useful methods for improving glycemia in the hospital setting.
医院护士的糖尿病知识水平欠佳。在各种临床环境中对护士的基础糖尿病知识进行评估的研究一致表明，护士对糖化血红蛋白、药物使用及副作用以及糖尿病自我管理的理解不足。尽管糖尿病是住院患者的常见诊断，但许多护士表示他们从未参加过糖尿病管理方面的更新培训。为了在医院环境中推动血糖控制取得进展，护理人员必须在糖尿病管理的理论框架和临床实践指南方面接受更好的教育。用于促进护士继续接受糖尿病教育的方法必须具有成本效益，并且要灵活以适应工作班次和学习需求。由于许多医院面临人员短缺和患者病情加重的情况，员工发展需求可能并非首要任务。要取得成功，更新糖尿病知识必须是一项涉及临床护理、研究和教育的协作努力。指导和同伴支持也是改善医院环境中血糖水平的有用方法。
