RESEARCH PAPER
Outcome of an educational training programme on blood glucose monitoring among nurses in the management of hypoglycaemia and hyperglycemia
 
More details
Hide details
1
University College Hospital, Ibadan, Nigeria
CORRESPONDING AUTHOR
Folashade Omobisi Mary Akanbi   

University College Hospital, Queen Elizabeth Road, 21000, Ibadan, Nigeria
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Diabetes mellitus is a chronic metabolic disorder that can lead to an increased length of hospital stay, delayed healing, and exacerbation of co-morbidities with complications arising if not properly managed. Better understanding and maintenance of normal blood glucose by nurses can positively influence care outcomes. The study aimed to assess nurses’ knowledge on the management of diabetes and skills in blood glucose monitoring.

Material and methods:
A structured pre- and post-questionnaire was used to assess nurses’ knowledge on the management of diabetes, and a structured checklist was used to assess their skills in blood glucose monitoring. Three hundred and thirty-eight (338) participants directly involved in the provision of care to diabetic patients were randomly selected for the study. Data were analyzed using descriptive and inferential statistics.

Results:
The study revealed that 58.9% of the respondents scored above the mean score of 33.1±3.5 during pre-assessment, which shows they had a good baseline knowledge of blood glucose. A post-intervention finding showed 64.8% scored above the mean score of 36.3±3.1. Assessment of nurses’ knowledge of blood glucose monitoring proficiency showed that 70.1% scored above the mean score of 11.4.

Conclusions:
The educational intervention programme with a practical training session was an effective method of approach for improving blood glucose management among the participants. However, it is recommended that protocols and practice guidelines should be placed at strategic locations, and methods of empowering nurses, such as providing them with equipment needed to sustain this practice, should be heightened.

ACKNOWLEDGEMENTS
The authors express their appreciation to all the nurses who participated in the training and the study, as well as the management in the study setting.
 
REFERENCES (31)
1.
World health organization. Diabetes country profile. 2016. Retrieved from http://www.who.int.
 
2.
World health organization. Global report on diabetes. 2018. Retrieved from http://www.who.int.
 
3.
Ghani M, Akhtar T, Shuaib N, et al. Female Nurses Knowledge regarding Dietary Advice to type II Diabetes patients. Israel Med J. 2018; 10(4): 239–243.
 
4.
Burke SD, Sherr D, Lipman, RD. Partnering with diabetes educators to improve patient outcomes. Diab Metabol Syndrome Obses. 2014; 7: 45–53. https://doi.org /10.2147/DMSO.S40036.
 
5.
International Diabetes Federation. IDF Diabetes Atlas, 8th ed. Diabetes in Africa. 2017. Retrieved from http://www.diabetesatlas.org
 
6.
International Diabetes Federation. IDF Diabetes Atlas, 7 ed. 2013.Retrieved from http://www.diabetesatlas.org.
 
7.
Ogbera AO, Ekpebegh C. Diabetes mellitus in Nigeria, the past, present, and future. World J Diabet. 2014; 15:5(6): 905–911. https://doi.org/10.4239/wjd.v5....
 
8.
Oguejofor O, Odenigbo C, Onwukwe C. Diabetes in Nigeria, impact, challenges, future directions. Endocrinol Metab Synd. 2014; 3:130. https://doi.org/10.4172/2161-1....
 
9.
Dahiru K, Aliyu AA, Shehu AU. A review of population-based studies of diabetes mellitus in Nigeria. Sub-Saharan Africa J Med. 2016; 3(2): 59–64. Retrieved from http://doi.org/10.4103/2384-51....
 
10.
Alebiosu OC, Familoni OB, Ogunsemi OO, et al. Knowledge of diabetes and hypertension care among health care workers in southwest Nigeria. Postgraduate Med. 2009; 121(1): 173–177. https://doi.org/10.3810/pgm.20....
 
11.
Mohammed AH. “Bringing diabetes under control”. Bringing diabetes under control. 2013. Retrieved from https://ezinearticles.com.
 
12.
Funnel MM, Brown TL, Childs BP, et al. National standards for diabetes self-management education. Am Diab Assoc. 2011; 34(1): s89-s96. https://doi.org/102337/dc11-s0....
 
13.
Essien O, Out A, Umoh V, et al. Intensive patient education improves glycemic control in diabetes compared to conventional education: a randomized controlled trial in a Nigerian tertiary care hospital. PLoS ONE. 2017; 12(1).
 
14.
Jasper US, Ogundunmade BG, Opara MC, et al. Determinant of diabetes knowledge in a cohort of Nigerian diabetics. J Diabet Metab Dis. 2014; 13(1): 39. https://doi.org/10.1186/2251-6....
 
15.
International Diabetes Federation. Diabetes Facts and Figures. IDF Diabetes Atlas 9th Edition. 2019. Retrieved from http://www.diabetesatlas.org.
 
16.
Bagweneza V, Musabirema P, Mwiseneza MJ, et al. Diabetes health education: Nurses’ knowledge of essential componenets at a Rwanda Hospital. Rwanda J Med. Health Sci. 2019; 2(2). https://doi.org/10.4314/rjmhs.....
 
17.
Oyetunde MO, Famakinwa TT. Nurse’s knowledge of contents of diabetes patient education in Ondo State, Nigeria. J Nurs Educ Practice. 2014; 4(4). https://doi.org/doi/10.5430/jn....
 
18.
Odili VU, Eke I. Knowledge of Diabetes Mellitus among Registered Nurses in Benin City. Int J Health Res. 2010; 3(3), 145–151. https://doi.org/10.4314/ijhr.v....
 
19.
Yacoub MI, Demeh WM, Barr, JL, et al. Outcome of diabetes education program for registered nurses caring for individual with diabetes. J Contin Edu Nurs. 2015; 46(3): 129. https://doi.org/10.3928/002201....
 
20.
Abduzhapparova A. Implementation of the educational program on diabetes mellitus type 2 for nurses’ primary health care (Master’s thesis, JAMK University of Applied Sciences, Jyvaskyla, Finland.). 2019. Retrieved from https://www.theseus.fi/bitstre....
 
21.
Holmes C, Dyer P. Diabetes training for nurses: The effectiveness of an inpatient diabetes half-day workshop. Journal of Diabetes Nursing. 2013; 7(3): 86–94. Retrieved from https://www.diabetesonthenet.c....
 
22.
Abduelkarem A, El-Shareif H. Assessment of diabetes-related knowledge among nursing staff in a hospital setting. J Diab Nurs. 2013; 17(8): 207–218. Retrieved from https://www.the journal diabetesnursing.co.uk/media/co....
 
23.
Modic M, Vanderbilt A, Siedlecki S, et al. Diabetes management unawareness: What do bedside nurses know? Applied Nurs Res. 2013; 27: 157–161. https://doi.org/10.2337/dc12-2....
 
24.
Yacoub M, Demeh W, Darawad M. et al. An assessment of diabetes-related knowledge among registered nurses working in hospitals in Jordan, International Nursing Review. 2014; 61: 255–262. https://doi.org/10.1111/inr.12....
 
25.
Alotaibi A, Al-Ganmi A, Gholizadeh L, Perry L. Diabetes knowledge of nurses in different countries: An integrative review. Nurse Education Today. 2016; 39: 32–49. https://doi.org/10.1016/j.nedt....
 
26.
Tricco A, Ivers N, Grimshow J, Moher D. Effectiveness of quality improvement strategies on the management of diabetes. Sci Direct. 2012; 379(22): 52–61. https://doi: 10.1016/50140-6736(12)60480-z.
 
27.
Williams J, Walker R, Smalls B, Campbell J, Egede L. Effective interventions to improve medication adherence in type 2 diabetes. Diab Management. 2014; 4(1): 29–48. https://doi: 10.2217/dmt.13.62.
 
28.
Coffey A. The impact of diabetes education on nurses’ knowledge of in-patient diabetes management (Doctoral dissertation, Regis University). 2016. Retrieved from https://epublications.regis.ed....
 
29.
Hollis M, Glaister K, Lapsley JA. Do practice nurses have the knowledge to provide diabetes self-management education? Contemporary Nurse. 2014; 46(2): 234–241. https://doi.org/10.5172/conu.2....
 
30.
Waheed N. Nurses’ knowledge of blood glucose levels and the management of hypoglycaemia and hyperglycemia: A descriptive study. Madridge J Nurs. 2017; 2(1): 56–62. https://doi.org/10.18689/mjn.2....
 
31.
Naseem MA, Areej BS, Abdallah SA, et al. Assessment of Therapeutic Nutritional Knowledge of Jordanian Nurses. Int J Nutrit Food Sci. 2013; 2 (3): 142–148. https://doi.org/10.11648/j.ijn....
 
eISSN:1898-7516
ISSN:1898-2395