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A literature review of role of the nurse in relation to the education of the child with type 1 diabetes mellitus.

A literature review of role of the nurse in relation to the education of the child with type 1 diabetes mellitus.

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An essay for the 2011 Undergraduate Awards (Ireland) Competition by Laura Mac Kenna. Originally submitted for Children's and General Nursing (Integrated) at University College Dublin, with lecturer Dr. Declan Patton in the category of Nursing
An essay for the 2011 Undergraduate Awards (Ireland) Competition by Laura Mac Kenna. Originally submitted for Children's and General Nursing (Integrated) at University College Dublin, with lecturer Dr. Declan Patton in the category of Nursing

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Published by: Undergraduate Awards on Aug 31, 2012
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10/27/2013

 
 
Title:A literature review of role of the nurse in relation to the education of the child with type1 diabetes mellitus.
 
 ___________________________________________________________________________  
Introduction
Type 1 diabetes mellitus (T1DM) is the most common endocrine disorder of childhood. There about 2,500 paediatrics with T1DM in Ireland (Diabetes Federation of Ireland 2008). With less hospitalisation of children with T1DM (Matthams 2003), educationis critical for maintaining good metabolic control at home. This literature review aims toanalyse/critique methods and understanding of the role of the nurse in relation to theeducation of the child with T1DM. It is important to take a holistic approach; the nurseshould provide family-centred care (Mohammed and Trigg 2006, Ball and Bindler 2008).This review consists of 15 research based articles, from PubMed and CINAHL.Although the author has read further than these 15 articles, they were chosen as they are up todate; from the last eight years. All studies focused on the education of children with T1DM.These include; Anderson
et al.
(2002), Anderson
et al.
(2003), Eiser 
et al.
(2004), Buzby
et al.
(2005), Ladelund
et al.
(2005a, 2005b), Cull
et al 
. (2006), Atkinson
et al.
(2007), Ellis
et al 
. (2007), Greening
et al.
(2007), Ambrosino
et al.
(2009), Becker 
et al.
(2009), Call
et al.
(2009), Hanberger 
et al.
(2009), García-Pérez
et al.
(2010).Throughout the research, four key themes were consistently highlighted. These pertained to audience and timing, educational strategies, planning of education and barriersand adherence. These themes have been used to structure this review for clarity purposes.Context, methodology and findings of the studies and other citations shall be critiqued andanalysed to identify strengths/limitations/controversy and what is known/unknown in theeducation of the child with T1DM. The Health Strategy (2001) states that evidence based practice is vital for improving quality in the health system to ensure optimal care. Thus, thisreview aims to improve policy, practice and research. ___________________________________________________________________________ 2
 
 ___________________________________________________________________________  
Audience and Timing
It is important to understand how timing of education impacts on children withT1DM. Education should begin upon diagnosis, continuing throughout the child’s life(Gregory
et al.
2004, Lowes 2008). However, research showed that a critical time for aneducation intervention to occur is during adolescence, to assist them to self manage their T1DM (Anderson
et al.
2002, Cull
et al 
. 2006, Ellis
et al 
. 2007, Becker 
et al.
2009). Theseshall be analysed/critiqued to inform the nurse in appropriately planning/focusing education.
Context
Firstly, the author shall analyse/critique at the context of all four studies (Anderson
et al.
2002, Cull
et al 
. 2006, Ellis
et al 
. 2007, Becker 
et al.
2009) to gain an understanding of adolescence as a time for education intervention. The aims of all studies are similar. Twostudies relate to changes that occur as the child progresses into adolescence, such as thechange of self-care (Cull
et a
. 2006) and metabolic control (Becke
et al.
2009).Furthermore, two studies aim to determine if parental support/monitoring of adolescents isrelated to metabolic control/regimen adherence (Anderson
et al.
2002 and Ellis
et al 
. 2007).All researchers stated their study is to investigate research gaps.Within the context, research questions/hypothesis are important in focusing thestudies. Cull
et al 
. (2006) includes three research questions. These are numbered thus easy tolocate. They inform the author of self-care factors that influence education as the child progresses into adolescence. Both Ellis
et al 
. (2007) and Becker et al. (2009) includehypotheses. Becker 
et al.
(2009) predict that self-care declines with progression into ___________________________________________________________________________ 3

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