Diabetes Care, Vol 17, Issue 8 879-881, Copyright © 1994 by American Diabetes Association

ARTICLES

Nurse practitioner practice patterns based on standards of medical care for patients with diabetes

JA Fain and GD Melkus
Yale University School of Nursing, New Haven, Connecticut 06536-0740.

OBJECTIVE--To determine to what extent nurse practitioner (NP) practice patterns of diabetes care are consistent with standards of care suggested by the American Diabetes Association (ADA). RESEARCH DESIGN AND METHODS--A descriptive study was conducted to examine practice patterns. A convenience sample of 78 charts was audited, representing a proportionate number of charts for each of the six masters-prepared, certified NPs employed in an ambulatory primary-care center. RESULTS--Practice patterns related to diabetes care revealed a discrepancy between established standards of care and the degree to which care was documented. All six NPs acknowledged that they became clinically competent to care for patients with diabetes on the job. CONCLUSIONS--Results of this small study suggest that NPs are not consistently following standards of care suggested by the ADA.
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