LOGIC No 1: March 2017 | Page 38

The NZNO Library
Resources For Nurses
NZNO Library The NZNO Library has a wide range of hardcopy and online resources available to support the information needs of members .
Check out the updated NZNO Library resource lists . http :// www . nzno . org . nz / resour ces / library / resource _ lists
Selected Articles : Diabetes ; Mental Health ; Spirometry ; Bronchiectasis ; Pneumococcal Disease
Copies of these articles can be provided to NZNO members free of charge . Email Library @ nzno . org . nz to request specific articles , telling us that they are from this LOGIC column .
DIABETES
Daly , B ., Arroll , B ., Kenealy , T ., Sheridan , N ., Scragg , R . ( 2015 ). Management of diabetes by primary health care nurses in Auckland , New Zealand . Journal of Primary Health Care , 7 ( 1 ), 42-49 .
The increasing prevalence of diabetes has led to expanded roles for primary health care nurses in diabetes management . AIM : To describe and compare anthropometric and glycaemic characteristics of patients with diabetes and their management by practice nurses , district nurses and specialist nurses . METHODS : Primary health care nurses in Auckland randomly sampled in a cross-sectional survey , completed a postal selfadministered questionnaire ( n = 284 ) and telephone interview ( n = 287 ) between 2006 and 2008 . Biographical and diabetes management details were collected for 265
( 86 %) of the total 308 patients with diabetes seen by participants on a randomly selected day . RESULTS : Nurses were able to access key clinical information for only a proportion of their patients : weight for 68 %; BMI for 16 %; HbA1c for 76 % and serum glucose levels for 34 % ( for either measure 82 %); although most ( 96 %) records were available about whether patients self-monitored blood glucose levels . Most nursing management activities focused on giving advice on dietary intake ( 70 %) and physical activity ( 66 %), weighing patients ( 58 %), and testing or discussing blood glucose levels ( 42 % and 43 %, respectively ). These proportions varied by nurse group ( p < 0.05 ), generally being highest for specialist nurses and lowest for district nurses . DISCUSSION : Most practice and specialist nurses could access patients ' weight and HbA1c levels and focused their clinical management on health education to decrease
March 2017 L . O . G . I . C 36