The Determination Of Diabetes Specialist Nurses Prescription Content

PurposeThe study is the sub-topics of clinical nurses prescription decision contentdetermination on specific cases,which purpose is to probe into prescription right ofChinese diabetes specialist nurses.At last, it aims to make relevant policies and lawprovide scientific reference and theory for the povernment.ObjectThe standard of selecting expert is:⑴Worked in diabetes research field withmore than20years.⑵Has the vice-senior professional title or above.⑶Win abachelor degree or above.⑷Has the enthusiasm and patience to complete the expertenquiry questionnaire.2items was required among the former3items.24medicalexperts and18nursing experts who agreed to give clinical nurses prescription rightwere selected to implement the survey. Among the objects,30experts engaged inwork for more than20years,37experts had the vice-senior title or above, and38experts won the bachelor degree or above.MethodsBased on literature review, the history of British and American diabetes specialistnurses prescription right and the specific content were definite. Two roundsquestionnaire on drugs-prescription right of clinical nurses under particular situationswas conducted among18nursing experts and24medical experts by adoptingself-designed questionnaire and Delphi method.Results1. Britain and the United States and other developed countries give diabetesspecialist nurse a range of the right of prescription, related access and practicalstandard, and make laws and regulations to be standard..2. In1952the British appointed the first Diabetes specialist nurses (Diabetesspecialist nurse, DSN), its role and function also set up corresponding. By the1880s,along with the popularity of insulin and self monitor blood glucose management, theintroduction of the more common DSN only. British diabetes specialist nurses canopen lattice, drugs, insulin together, disposable needles and check the project. Until2007,49%of the British diabetes specialist nurses can be prescription drugs,47%can be the prescription drugs, prescription forms have two kinds that independentand added prescription. 3. United States diabetes specialist nurse’s main work places is communityDiabetes Center, the Center has a name sat diagnosis physician, which features ishas professional team involes diabetes nursing expert, and diabetes nutritiontreatment Division, and community nurse composition of diabetes specialistmanagement team.The qualification certification of diabetes specialist nurse annualvisit patients two times who work for diabetes specialist nursing assessment andnursing consultation, design individual of diabetes follow-up plans, and providediabetes specialist nurse implementation long-term continued of family follow-up,continuity service.4.The Hong Kong special administrative region of China diabetes specialistnurse has a British granted the diabetes specialist qualification certificate, and HongKong area in recognition, engaged in diabetes specialist nursing work, haveprescription, according to the British nurse prescription collection of open and checkdrug limit project, through the practice of more than ten years shows that diabetesspecialist nurses in shorten the length of time the patients, provide high quality andcost effective nursing service according to play a significant role.5. After two rounds of expert consultation, experts response rates for the firstround respectively90%, the second round is100%. The authority of the experts is0.88875degree. Use the Delphi method in the questionnaire for two listed itemswheel screening, final results for：(1) The oral glucose-lowering drugs, opensulfonylureas possess tend to agreement prescription form, opened a first-line drugs,and alpha glycosidase enzymes inhibitors tend to add prescription form;(2)Injectiondrugs in the choice to supplement the prescription is tend to form long-term issueinsulin, delete the less than60%approval ratings by linking republican candidates ininsulin effect;(3) Check project, blood and urine sugar leels tend to be independentprescription form determination, glycated hemoglobin measurement and an oralglucose tolerance test keep agreement prescription form;(4) Medical equipmentchoice, independence and the prescription form a needle tube type injector, issued inthe agreement prescription form insulin pump and open to supplement theprescription form insulin pump and insulin pen issued the were greater than60%approval ratings by linking republican candidates, including insulin pump tend toadd prescription form;(5)As independent prescription form a headscarf issue ofhealth education diet, exercise, self monitoring guidance, and psychological supportare100%approval ratings by linking republican candidates, including71.43%of drug guidance approval ratings by linking republican candidates.(6) Consultation ofthe sheet’s selection tends to agreement prescription form.ConclusionGive diabetes specialist nurses prescription, suggest to begin from healtheducation prescription, for the diabetes which definite treatment program, diabetesspecialist nurses have the ability to be independent opener urine glucose monitoringand disposable needle syringe project of this kind of common medical devices, savethe time of doctors, and can provide reliable data for further treatment; Oralglucose-lowering drugs commonly used drugs in the classic sulfonylurea andmedical documents suggest the consultation in the agreement first singleprescription form open; The pill class, alpha glycosidase enzyme inhibitors,long-term insulin, insulin pump and insulin pen to supplement the prescription formof invoices, namely with doctors in common agreement, under the premise ofaccording to the patient’s blood glucose levels extended or adjust prescription drugdose.