Dataset Information

The impact of nursing staff education on diabetes inpatient glucose management: a pilot cluster randomised controlled trial.

ABSTRACT:

Background

An increasing number of patients in hospital have diabetes, with most of them cared for by non-specialist staff. The effect of diabetes education for staff on patient outcomes, as well as the most effective method of staff education is unclear. Therefore, the aim of this study was to compare diabetes outcomes in medical wards where nursing staff were offered one face-to-face (F2F) session followed by access to online education (online), F2F education only, or standard care (control).

Methods

We conducted a pilot cluster randomised controlled trial involving 16-weeks baseline/rollout followed by a 28-week post-intervention period across three medical wards (clusters) in a Sydney Teaching Hospital. The online ward provided an online competency-based diabetes education program and 1-h F2F teaching from a diabetes nurse educator (DNE), the F2F ward provided four separate 1-h teaching sessions by a DNE, with no additional sessions in the control ward. The primary outcome was length of stay (LOS); secondary outcomes included good diabetes days (GDD), hypoglycaemia and medication errors. Poisson and binary logistic regression were used to compare clusters.

Results

Staff attendance/completion of ≥ 2 topics was greater with online than F2F education [39/48 (81%) vs 10/33 (30%); p < 0.001]. Among the 827/881 patients, there was no difference in LOS change between online [Median(IQR) 5(2-8) to 4(2-7) days], F2F [7(4-14) to 5(3-13) days] or control wards [5(3-9) to 5(3-7) days]. GDD improved only in the online ward 4.7(2.7-7.0) to 6.0(2.3-7.0) days; p = 0.038. Total patients with hypoglycaemia and appropriately treated hypoglycaemia increased in the online ward.

Conclusions

The inclusion of online education increased diabetes training uptake among nursing staff. GDD and appropriate hypoglycaemia management increased in the online education wards.

Trial registration

Prospectively registered on the Australia New Zealand Clinical Trials Registry (ANZCTR) on 24/05/2017: ACTRN12617000762358 .

SUBMITTER: Piya MK

PROVIDER: S-EPMC8911103 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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The impact of nursing staff education on diabetes inpatient glucose management: a pilot cluster randomised controlled trial.

Piya Milan K MK Fletcher Therese T Myint Kyaw P KP Zarora Reetu R Yu Dahai D Simmons David D

BMC endocrine disorders 20220310 1

<h4>Background</h4>An increasing number of patients in hospital have diabetes, with most of them cared for by non-specialist staff. The effect of diabetes education for staff on patient outcomes, as well as the most effective method of staff education is unclear. Therefore, the aim of this study was to compare diabetes outcomes in medical wards where nursing staff were offered one face-to-face (F2F) session followed by access to online education (online), F2F education only, or standard care (co ...[more]

PMID: 35272649

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Dataset Information

The impact of nursing staff education on diabetes inpatient glucose management: a pilot cluster randomised controlled trial.

Background

Methods

Results

Conclusions

Trial registration

Publications

The impact of nursing staff education on diabetes inpatient glucose management: a pilot cluster randomised controlled trial.

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