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J Nurs Care Qual. 2019 Apr/Jun;34(2):151-157. doi: 10.1097/NCQ.0000000000000349.

Redesigning Hospital Diabetes Education: A Qualitative Evaluation With Nursing Teams.

Author information

1
MedStar Institute for Quality and Safety, Columbia, Maryland (Dr Smith and Ms Baker); MedStar Health Research Institute, Hyattsville, and MedStar Corporate Nursing, Columbia, Maryland (Ms Bardsley); Department of Nursing Quality, Safety, and Education, MedStar Washington Hospital Center, Washington, District of Columbia (Dr McCartney); and MedStar Diabetes Institute, MedStar Health Research Institute, and Georgetown University School of Medicine and Healthcare Sciences, Washington, District of Columbia (Dr Magee).

Abstract

BACKGROUND:

Methods to deliver diabetes education are needed to support patient safety and glycemic control in the transition from hospital to home.

PURPOSE:

This study examined barriers and facilitators of integrating web-based, iPad-delivered diabetes survival skills education (DSSE) into the nursing inpatient unit workflow.

METHODS:

Nurses, nurse managers, and patient care technicians (PCTs) from 3 medical-surgical and 2 behavioral health units participated in semistructured interviews and focus groups.

RESULTS:

Four themes emerged: educational program and content; platform usability; tablet feasibility (eg, theft prevention, infection control, and charging); and workflow considerations. Behavioral health unit-specific concerns were also identified. Findings indicated that nurses and PCTs were eager to find approaches to deliver DSSE.

CONCLUSIONS:

Implementation of a web-based DSSE program for inpatients needs adaptation to overcome challenges at the patient, care team, and process levels.

PMID:
30028413
PMCID:
PMC6338532
[Available on 2020-04-01]
DOI:
10.1097/NCQ.0000000000000349
[Indexed for MEDLINE]

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