Is hospital blood glucose monitoring on track?
Inpatient blood glucose monitoring (BGM) is considered a cornerstone of diabetes management. Maintaining best practice BGM in hospital enables healthcare providers to monitor the efficacy of treatment regimes and guide adjustments. Strict nursing adherence to site-specific BGM policy is imperati...
| Main Author: | |
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| Format: | Conference Paper |
| Published: |
Wiley-Blackwell
2016
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/79869 |
| _version_ | 1848764119544496128 |
|---|---|
| author | Begley, Andrea |
| author_facet | Begley, Andrea |
| author_sort | Begley, Andrea |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Inpatient blood glucose monitoring (BGM) is considered a cornerstone
of diabetes management. Maintaining best practice BGM in hospital
enables healthcare providers to monitor the efficacy of treatment
regimes and guide adjustments. Strict nursing adherence to site-specific
BGM policy is imperative to optimise treatment outcomes. The aim of
this research was to ascertain staff awareness of site BGM policy and
assess current practice. This is a single-centre observational study within
a secondary hospital using mixed methods data collection and purposeful
selection. A quantitative survey (n = 77) investigating nursing knowledge
of hospital BGM policy on testing frequency and timing revealed a
gap between staff perception of policy awareness (88%) and accuracy of
actual knowledge (67% for type 1 diabetes and 47% for type 2 diabetes).
Medical record documentation of patient blood glucose levels (BGLs) (n
= 102) was reviewed to compare nursing BGM practices against policy.
Adherence to BGM policy varied significantly; only 10–44% of insulindependent
patients had BGLs tested within 30 minutes before meals as
recommended. Furthermore, only 59% of patients (n = 94) had BGLs
checked four times daily for 72 hours from admission as outlined in the
policy. Fifteen nurses took part in the focus groups and responses were
reviewed using constant comparison techniques and thematically analysed.
Barriers affecting best practice BGM included delays in meal
delivery and time constraints requiring prioritisation of other clinical
duties over BGM. Results indicate that further work, including a structured
education program for nurses and review of the meal delivery
process, is recommended to improve BGM practices. |
| first_indexed | 2025-11-14T11:14:17Z |
| format | Conference Paper |
| id | curtin-20.500.11937-79869 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T11:14:17Z |
| publishDate | 2016 |
| publisher | Wiley-Blackwell |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-798692020-11-25T06:38:29Z Is hospital blood glucose monitoring on track? Begley, Andrea nutrition and dietetics Inpatient blood glucose monitoring (BGM) is considered a cornerstone of diabetes management. Maintaining best practice BGM in hospital enables healthcare providers to monitor the efficacy of treatment regimes and guide adjustments. Strict nursing adherence to site-specific BGM policy is imperative to optimise treatment outcomes. The aim of this research was to ascertain staff awareness of site BGM policy and assess current practice. This is a single-centre observational study within a secondary hospital using mixed methods data collection and purposeful selection. A quantitative survey (n = 77) investigating nursing knowledge of hospital BGM policy on testing frequency and timing revealed a gap between staff perception of policy awareness (88%) and accuracy of actual knowledge (67% for type 1 diabetes and 47% for type 2 diabetes). Medical record documentation of patient blood glucose levels (BGLs) (n = 102) was reviewed to compare nursing BGM practices against policy. Adherence to BGM policy varied significantly; only 10–44% of insulindependent patients had BGLs tested within 30 minutes before meals as recommended. Furthermore, only 59% of patients (n = 94) had BGLs checked four times daily for 72 hours from admission as outlined in the policy. Fifteen nurses took part in the focus groups and responses were reviewed using constant comparison techniques and thematically analysed. Barriers affecting best practice BGM included delays in meal delivery and time constraints requiring prioritisation of other clinical duties over BGM. Results indicate that further work, including a structured education program for nurses and review of the meal delivery process, is recommended to improve BGM practices. 2016 Conference Paper http://hdl.handle.net/20.500.11937/79869 Wiley-Blackwell restricted |
| spellingShingle | nutrition and dietetics Begley, Andrea Is hospital blood glucose monitoring on track? |
| title | Is hospital blood glucose monitoring on track? |
| title_full | Is hospital blood glucose monitoring on track? |
| title_fullStr | Is hospital blood glucose monitoring on track? |
| title_full_unstemmed | Is hospital blood glucose monitoring on track? |
| title_short | Is hospital blood glucose monitoring on track? |
| title_sort | is hospital blood glucose monitoring on track? |
| topic | nutrition and dietetics |
| url | http://hdl.handle.net/20.500.11937/79869 |