Mixed diabetic retinopathy screening coverage results in Indigenous Australian primary care settings: A nurse-led model of integrated diabetes care.
Indigenous
adherence
advanced nursing
diabetes education
diabetic retinopathy screening coverage
ophthalmology
optometry
primary care
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
revised:
08
11
2021
received:
13
04
2021
accepted:
27
11
2021
pubmed:
8
2
2022
medline:
14
9
2022
entrez:
7
2
2022
Statut:
ppublish
Résumé
To determine eye screening coverage and adherence to national eye screening recommendations of a nurse-led retinal image-based model of diabetes education and eye screening in Indigenous primary care clinics. A pre-post study. During January 2018-March 2020 Indigenous Australians with diabetes at three regional Australian clinics were offered eye screening by a nurse-diabetes educator/retinal imager. At the main site the nurse recruited/scheduled participants, and at satellite sites local clinic staff did so. Visual acuity was tested and digital retinal images acquired and graded. Participants were offered rescreening at or before 12-months based on baseline results. In total 203 adults with diabetes attending Indigenous primary care clinics were screened, with divergent results based on the recruitment methods. At the main clinic 135 of 172 eligible adults (79%) were screened. At the satellite sites, 15 of 85 (18%) and 21 of 77 (27%) diabetes patients were screened. Combined coverage 51%. A credentialed nurse-educator implemented a model of retinal image-based diabetes education, measured eye screening coverage and adherence to national eye screening guidelines, met the 'acceptable 75% eye screening coverage' benchmark and improved patient eye screening guideline adherence at the one site where the nurse-educator had access to patient recruitment and scheduling. This novel nurse-led primary care iDEES model of retinal image-based diabetes education can improve the currently low Indigenous diabetes eye screening coverage in Australia. Importantly, the nurse-managed iDEES model of integrated diabetes care is readily adaptable to other settings and populations where access to and/or uptake of eye care is suboptimal. ANZCTRN1261800120435.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3187-3196Subventions
Organisme : National Health and Medical Research Council of Australia
ID : Centre of Research Excellence Diabetic Retinopathy
Organisme : Sydney Medical School Foundation
Organisme : University of Sydney
Organisme : University of Melbourne
ID : 780535
Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
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