Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care
Aims: This quality improvement project (QIP) aimed to improve nursing staff confidence and understanding of diabetes/management by 40% by the end of February 2024, taking place on a dementia intensive care ward in South East London. This project was led by a medical student and FY2 doctor who notice...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-06-01
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| Series: | BJPsych Open |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472425104006/type/journal_article |
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| _version_ | 1849316389934858240 |
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| author | Vipassana Bajracharya Hugh Kelly Vatsala Mishra Latha John Stacey Blackford |
| author_facet | Vipassana Bajracharya Hugh Kelly Vatsala Mishra Latha John Stacey Blackford |
| author_sort | Vipassana Bajracharya |
| collection | DOAJ |
| description | Aims: This quality improvement project (QIP) aimed to improve nursing staff confidence and understanding of diabetes/management by 40% by the end of February 2024, taking place on a dementia intensive care ward in South East London. This project was led by a medical student and FY2 doctor who noticed significant anxiety and uncertainty amongst healthcare professionals (HCPs) managing a patient’s severe type-2 diabetes, leading to disruption in care as HCPS sought repeated consultation with medics for reassurance prior to implementation of plans, creating an environment of dependency and reduced confidence making independent decisions. Barriers to delivering high-quality care for diabetes in psychiatric services are well-documented and associated with limited understanding of the condition and low confidence in management. Suboptimal management increases risk of diabetic emergencies such as diabetic ketoacidosis/Hyperosmolar Hyperglycaemic State (DKA/HHS), and long-term complications. |
| format | Article |
| id | doaj-art-6d7d8514ebab4c2b87b2c4020794a3df |
| institution | Kabale University |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-6d7d8514ebab4c2b87b2c4020794a3df2025-08-20T03:51:44ZengCambridge University PressBJPsych Open2056-47242025-06-0111S148S14810.1192/bjo.2025.10400Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient CareVipassana Bajracharya0Hugh Kelly1Vatsala Mishra2Latha John3Stacey Blackford4GKT School of Medicine, King’s College London, London, United KingdomPrincess Alexandra Hospital, Brisbane, AustraliaOxleas NHS Foundation Trust, London, United KingdomOxleas NHS Foundation Trust, London, United KingdomGKT School of Medicine, King’s College London, London, United KingdomAims: This quality improvement project (QIP) aimed to improve nursing staff confidence and understanding of diabetes/management by 40% by the end of February 2024, taking place on a dementia intensive care ward in South East London. This project was led by a medical student and FY2 doctor who noticed significant anxiety and uncertainty amongst healthcare professionals (HCPs) managing a patient’s severe type-2 diabetes, leading to disruption in care as HCPS sought repeated consultation with medics for reassurance prior to implementation of plans, creating an environment of dependency and reduced confidence making independent decisions. Barriers to delivering high-quality care for diabetes in psychiatric services are well-documented and associated with limited understanding of the condition and low confidence in management. Suboptimal management increases risk of diabetic emergencies such as diabetic ketoacidosis/Hyperosmolar Hyperglycaemic State (DKA/HHS), and long-term complications.https://www.cambridge.org/core/product/identifier/S2056472425104006/type/journal_article |
| spellingShingle | Vipassana Bajracharya Hugh Kelly Vatsala Mishra Latha John Stacey Blackford Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care BJPsych Open |
| title | Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care |
| title_full | Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care |
| title_fullStr | Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care |
| title_full_unstemmed | Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care |
| title_short | Diabetes Management in Patients With Dementia: A Quality Improvement Project to Enhance Staff Confidence, Understanding, and Patient Care |
| title_sort | diabetes management in patients with dementia a quality improvement project to enhance staff confidence understanding and patient care |
| url | https://www.cambridge.org/core/product/identifier/S2056472425104006/type/journal_article |
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