Managing Type 2 Diabetes in Care Home: A Co-creation Approach to Tailored Clinical Practice Guidelines
CK, Nischal (2025)
2025
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https://urn.fi/URN:NBN:fi:amk-2025052817571
https://urn.fi/URN:NBN:fi:amk-2025052817571
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Background: Type 2 diabetes is a prevalent chronic condition among elderly residents in care homes, posing significant management challenges due to age-related complications such as cognitive decline and polypharmacy. These factors hinder effective diabetes management and contribute to variation in care practices. Individualised care is critical to ensure effective diabetes management and improve health outcomes.
Purpose and aims: This project aimed to develop a tailored clinical practice guideline for managing type 2 diabetes through a co-creation approach involving nursing staff. The goal was to create practical, evidence-based policies and an implementation plan to enhance diabetes care quality and strengthen nurses' competence in managing type 2 diabetes.
Methods: The co-creation approach involved systematic information retrieval, coffee-break questionnaires, and three interactive workshops with care home nurses. The workshops used brainstorming, brainwriting, and mind-mapping techniques to find challenges and develop tailored care solutions. The PRODUCES framework guided the planning and execution of the co-creation process.
Results: The training phase involved five staff members in structured sessions. During the pilot phase, the protocol was applied to one unit with four residents, resulting in improved hypoglycemia control. Staff reported increased confidence in managing diabetes care, improved glucose monitoring practice, increased medication adherence, and enhanced teamwork. Although the tailored evidence-based guideline was not fully implemented during the study period, the project showed the protocol's feasibility and potential scalability.
Conclusions: The co-creation approach successfully addressed systemic barriers to diabetes care, resulting in improved health outcomes for elderly residents and enhanced nurse competency. The tailored guideline and implementation plan provide a scalable model for addressing other chronic conditions in similar settings.
Purpose and aims: This project aimed to develop a tailored clinical practice guideline for managing type 2 diabetes through a co-creation approach involving nursing staff. The goal was to create practical, evidence-based policies and an implementation plan to enhance diabetes care quality and strengthen nurses' competence in managing type 2 diabetes.
Methods: The co-creation approach involved systematic information retrieval, coffee-break questionnaires, and three interactive workshops with care home nurses. The workshops used brainstorming, brainwriting, and mind-mapping techniques to find challenges and develop tailored care solutions. The PRODUCES framework guided the planning and execution of the co-creation process.
Results: The training phase involved five staff members in structured sessions. During the pilot phase, the protocol was applied to one unit with four residents, resulting in improved hypoglycemia control. Staff reported increased confidence in managing diabetes care, improved glucose monitoring practice, increased medication adherence, and enhanced teamwork. Although the tailored evidence-based guideline was not fully implemented during the study period, the project showed the protocol's feasibility and potential scalability.
Conclusions: The co-creation approach successfully addressed systemic barriers to diabetes care, resulting in improved health outcomes for elderly residents and enhanced nurse competency. The tailored guideline and implementation plan provide a scalable model for addressing other chronic conditions in similar settings.