Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals

Aims and method There is currently a lack of monitoring and standardisation of diabetes care in the National Health Service (NHS) psychiatric in-patient setting. We surveyed healthcare professionals in psychiatric in-patient units across England to understand current diabetes care. A 13-item questio...

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Main Authors: Zoe Goff, Vishal Sharma, Ioana Varvari
Format: Article
Language:English
Published: Cambridge University Press 2024-12-01
Series:BJPsych Bulletin
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Online Access:https://www.cambridge.org/core/product/identifier/S2056469423000700/type/journal_article
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author Zoe Goff
Vishal Sharma
Ioana Varvari
author_facet Zoe Goff
Vishal Sharma
Ioana Varvari
author_sort Zoe Goff
collection DOAJ
description Aims and method There is currently a lack of monitoring and standardisation of diabetes care in the National Health Service (NHS) psychiatric in-patient setting. We surveyed healthcare professionals in psychiatric in-patient units across England to understand current diabetes care. A 13-item questionnaire was piloted via think-aloud interviews. The survey was completed by healthcare professionals across 19 wards in 11 NHS mental health trusts. Results were analysed via descriptive statistics and thematic analysis. Results Of 150 respondents, 98% agreed that addressing physical health needs was an important part of the mental health team's role; 68% agreed that they had adequate skills and knowledge to manage diabetes safely. Thematic analysis identified themes relating to individual, organisational and patient-level factors. Clinical implications Psychiatric admission could be used opportunistically to improve the healthcare disparities for people with comorbid diabetes and severe mental illness. This national survey highlights areas that need to be addressed to optimise diabetes care in this setting.
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spelling doaj-art-7a534c9a6cad4de3b0a74727b919dcf82025-01-16T21:51:13ZengCambridge University PressBJPsych Bulletin2056-46942056-47082024-12-014832733310.1192/bjb.2023.70Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionalsZoe Goff0https://orcid.org/0000-0002-4995-8012Vishal Sharma1Ioana Varvari2Higher Trainee in Old Age Psychiatry, Leeds and York Partnership NHS Foundation Trust, Leeds, UK University of Leeds, Leeds, UKHigher Trainee in Old Age Psychiatry, Leeds and York Partnership NHS Foundation Trust, Leeds, UKSouth London and Maudsley NHS Trust, London, UKAims and method There is currently a lack of monitoring and standardisation of diabetes care in the National Health Service (NHS) psychiatric in-patient setting. We surveyed healthcare professionals in psychiatric in-patient units across England to understand current diabetes care. A 13-item questionnaire was piloted via think-aloud interviews. The survey was completed by healthcare professionals across 19 wards in 11 NHS mental health trusts. Results were analysed via descriptive statistics and thematic analysis. Results Of 150 respondents, 98% agreed that addressing physical health needs was an important part of the mental health team's role; 68% agreed that they had adequate skills and knowledge to manage diabetes safely. Thematic analysis identified themes relating to individual, organisational and patient-level factors. Clinical implications Psychiatric admission could be used opportunistically to improve the healthcare disparities for people with comorbid diabetes and severe mental illness. This national survey highlights areas that need to be addressed to optimise diabetes care in this setting. https://www.cambridge.org/core/product/identifier/S2056469423000700/type/journal_articleComorbidityin-patient treatmentqualitative researcheducation and trainingpatients
spellingShingle Zoe Goff
Vishal Sharma
Ioana Varvari
Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals
BJPsych Bulletin
Comorbidity
in-patient treatment
qualitative research
education and training
patients
title Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals
title_full Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals
title_fullStr Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals
title_full_unstemmed Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals
title_short Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals
title_sort managing diabetes in the psychiatric in patient setting knowledge attitudes and skills of healthcare professionals
topic Comorbidity
in-patient treatment
qualitative research
education and training
patients
url https://www.cambridge.org/core/product/identifier/S2056469423000700/type/journal_article
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