Healthcare professionals' competencies and confidence in managing hospitalized patients with type 2 diabetes
Authors' conclusion
Significant gaps in identifying hypo- and hyperglycaemia and correct administration of bolus insulin have been identified, which could be targeted in future education for HCPs. HCPs answered 50% of questions related to in-hospital diabetes management correctly. Experience from endocrinological departments and self-rated confidence levels are associated with HCPs' in-hospital diabetes competencies.
Study context
- Population
- Healthcare professionals (physicians, nurses, healthcare assistants) in Denmark managing hospitalized patients with T2D
- Participants
- 252 completed questionnaires
- Outcome
- Knowledge of in-hospital diabetes management (correct response score, 27-item questionnaire)
Methodological detailsquestionnaire survey, Respondents: 133 (52.8%) physicians, 101 (40.1%) nurses, 18 (7.1%) healthcare assistants
- Questionnaire survey
- Respondents: 133 (52.8%) physicians, 101 (40.1%) nurses, 18 (7.1%) healthcare assistants
Main finding
As reported in the abstract
Healthcare professionals (HCPs) answered questions correctly
50%
Experience from endocrinological departments: increase in correct response score (0%-100%)
6.2% points
95% CI 0.3–12.1p = 0.039
Per increase in confidence level (scale 1 to 10): increase in correct response score
3.1% points
95% CI 1.5–4.7p < 0.001
Observational data: associations, not effects.
Further findings
Self-rated confidence level (scale 1–10)
- Average confidence score
- 8 out of 10
Correct bolus insulin dose in a fictive case
- HCPs administering correct bolus insulin dose
- 50%
Identification of hyperglycaemia (>10.0 mmol/L) and hypoglycaemia (<3.9 mmol/L)
- Correctly identified by HCPs
- around 40%
- Hypoglycaemia rated more important than hyperglycaemia by most HCPs
Original publication
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