Capabilities required by health professionals to deliver diabetes care identified through Delphi technique

Publication Type:
Poster
Citation:
2020
Issue Date:
2020-03-19
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Oral Poster_Diabetes UKPC_Glasgow 2020.pdf700.13 kB
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Background: On any given day, up to 35% of consumers, using healthcare services across Australia have diabetes. They will encounter many health professionals with different levels of diabetes knowledge and expertise and they are likely to disengage with health services when health messaging is inconsistent. Ultimately, diabetes care is everybody’s business. Aims: To inform a capability framework for diabetes care. Methods: Consensus building used a two-phased, four-round, Delphi technique via online Qualtrics. Literature and a consultation group informed the Delphi questions. Thematic analysis used approaches by Luborsky (1994) and an Expert Advisory Group(EAG) supported member checking. Results: Eighty diabetes health professionals contributed as either a pre-Delphi consultation, pilot, Delphi expert panel, EAG or focus group member; including, nurses (n=56, 70%) and allied health(n=24, 30%). Identification of nine broad capabilities with relevant competencies. Capabilities for non-diabetes specific roles focused on awareness; diabetes-specific roles were denoted by exemplification or leading. These included: -Displays/Exemplifies clinical assessment capacities -Supports/Leads diabetes self-management education -Builds therapeutic relationships -Communicates with influence (and leadership) -Supports/Leads counselling to achieve the best outcomes -Supports/Exemplifies quality use of medicines -Displays/Exemplifies quality use of diabetes technology -Supports/Leads care coordination -Achieves quality/Lead and cultivates quality. Responses to prompts to define non-medical prescribing high-lighted that 18% of the Delphi panel members did not understand the term ‘non-medical prescribing’ and 86% indicating they managed medicines routinely. Conclusions: All health professionals require diabetes capabilities to support diabetes care. Implementing a framework that promotes consistency in curricula development across the nation has the potential to prepare the healthcare workforce better for diabetes care and develop a more responsive healthcare workforce
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