Improving the Management & Effectiveness of Diabetes in Pregnancy Care: a pivotal role for the Nurse Practitioner

Murfet, G; Neil, A

Improving the Management & Effectiveness of Diabetes in Pregnancy Care: a pivotal role for the Nurse Practitioner

Murfet, G

Neil, A

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Publication Type:: Poster
Citation:: 2015
Issue Date:: 2015-04-16

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Field	Value	Language
dc.contributor.author	Murfet, G https://orcid.org/0000-0003-4486-388X
dc.contributor.author	Neil, A
dc.date.accessioned	2022-01-29T00:36:09Z
dc.date.available	2022-01-29T00:36:09Z
dc.date.issued	2015-04-16
dc.identifier.citation	2015
dc.identifier.uri	http://hdl.handle.net/10453/153777
dc.description.abstract	INTRODUCTION: Nurse Practitioners (NP) are a recent addition to the healthcare workforce in Australia; introduced to increase access to quality care in specific areas, such as diabetes and address gaps in health care delivery. A NP is an advanced practising nurse trained at Masters’ level, authorised to function autonomously. The role encompasses individual patient management (assessment, diagnosis, and pharmacotherapy); and system improvement through research. A skill set of particular need in rural/remote areas faced with workforce limitations and extensive and growing patient need (such as growth in GDM cases). Australian NP models of care have employed innovations to meet the changing health needs of populations, substantiated through evidence of efficacy, feasibility, safety, effectiveness, quality, and cost [1-4]. Research and leadership in clinical practice combined with new models of managing patient flow have aimed to improve the efficiency of health resource use and access to health services [5-8]. Despite extensive research demonstrating the provision of effective quality care by NPs, the role remains underutilised [9]. The NP is a workforce innovation that can be introduced through the process of clinical redesign to address service gaps at individual and/or system levels [4]. AIMS: To describe the Nurse Practitioner (NP) role in formulating, undertaking and translating targeted DIP research into everyday practice. METHODS: The NP undertook several structured actions: 1)performed a clinical audit to ascertain the level of screening for and management of GDM and complications in women with pre-existing diabetes, and the levels of perinatal outcomes; 2)developed briefings/reports from audit results for senior level staff in relevant hospitals providing maternity services in the region; 3)identified and supported key 'champions' to support drive in cultural change; 4)co-ordinated meetings with relevant stakeholders 5)developed an evidenced based protocol to support systematic approaches to screening and management; 6)co-ordinated and undertook research post intervention .....
dc.language	en
dc.relation.ispartof	8th International Diabetes in Pregnancy Symposium: Diabetes, Hypertension, Metabolic Syndrome and Pregnancy, Berlin Germany 15-18 April 2015. ePoster.
dc.rights	info:eu-repo/semantics/closedAccess
dc.title	Improving the Management & Effectiveness of Diabetes in Pregnancy Care: a pivotal role for the Nurse Practitioner
dc.type	Poster
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-29T00:36:08Z

Abstract:

INTRODUCTION: Nurse Practitioners (NP) are a recent addition to the healthcare workforce in Australia; introduced to increase access to quality care in specific areas, such as diabetes and address gaps in health care delivery. A NP is an advanced practising nurse trained at Masters’ level, authorised to function autonomously. The role encompasses individual patient management (assessment, diagnosis, and pharmacotherapy); and system improvement through research. A skill set of particular need in rural/remote areas faced with workforce limitations and extensive and growing patient need (such as growth in GDM cases). Australian NP models of care have employed innovations to meet the changing health needs of populations, substantiated through evidence of efficacy, feasibility, safety, effectiveness, quality, and cost [1-4]. Research and leadership in clinical practice combined with new models of managing patient flow have aimed to improve the efficiency of health resource use and access to health services [5-8]. Despite extensive research demonstrating the provision of effective quality care by NPs, the role remains underutilised [9]. The NP is a workforce innovation that can be introduced through the process of clinical redesign to address service gaps at individual and/or system levels [4]. AIMS: To describe the Nurse Practitioner (NP) role in formulating, undertaking and translating targeted DIP research into everyday practice. METHODS: The NP undertook several structured actions: 1)performed a clinical audit to ascertain the level of screening for and management of GDM and complications in women with pre-existing diabetes, and the levels of perinatal outcomes; 2)developed briefings/reports from audit results for senior level staff in relevant hospitals providing maternity services in the region; 3)identified and supported key 'champions' to support drive in cultural change; 4)co-ordinated meetings with relevant stakeholders 5)developed an evidenced based protocol to support systematic approaches to screening and management; 6)co-ordinated and undertook research post intervention .....

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