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Diabetes Nurse Training A European Perspective

Diabetes Nurse Training A European Perspective. Anne-Marie Felton Chairman FEND. Quote. “ A doctor is called but a nurse is sent for ”. Anton Chekhov. The Scale of the Problem. Within EU an estimated 10 million people diagnosed with diabetes Estimated 10 million undiagnosed

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Diabetes Nurse Training A European Perspective

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  1. Diabetes NurseTraining A European Perspective Anne-Marie Felton Chairman FEND

  2. Quote “ A doctor is called but a nurse is sent for ” Anton Chekhov

  3. The Scale of the Problem • Within EU an estimated 10 million people diagnosed with diabetes • Estimated 10 million undiagnosed • In UK - estimated 1 million undiagnosed (the “Missing Million”) • The total cost burden in EU countries is in excess of 10% of respective annual health care budgets

  4. Diabetes - A Major Public Health Problem in Europe • The Prevalence of diabetes in Europe will increase from 3.5% to 4.7% over the next 20 years • 10 million people in the EU diagnosed • Additional 10 million undiagnosed (the Missing Millions)

  5. Influencing Factors (1) • Increasing prevalence of diabetes • Specific health needs of the diabetic population • Societal influences, consumer autonomy and empowerment • Differing and increasing expectations of healthcare • Cultural, ethnic and economic factors • Technological and therapeutic advances

  6. Influencing Factors (2) • Psychosocial aspects of nursing care & clinical practice • Effective and appropriate use of nurse manpower • Evolving national priorities in healthcare • Non governmental - national • Patient organisations, diabetes nursing organisations, EADV • Non governmental - international • IDF, WHO, EASD, FEND, patient organisations

  7. Influencing Factors (3) • St Vincent Declaration • Professional Organisations / Associations • Ministries of Health • EU 6th Framework for Research (ERA) • EURADIA • Political lobbying • Media • Scientific press • Relevant National / International Conferences

  8. Evidence Based Research • DCCT • UKPDS • US Diabetes Prevention Programme • Finnish Diabetes Prevention Programme

  9. Education Programmes • DESG Curriculum for Health Care Professionals in TPE (2001) • WHO Report Therapeutic Patient Education (1998) • IDF Training the Trainers curriculum • FEND ENDCUP • National diabetes nursing organisations initiatives in training and education

  10. St Vincent Declaration 10th AnniversaryNurses Working Group Report Clinical Educational Counselling Research The Role of the Diabetes Nurse Advocacy Innovation Managerial Influence Communication

  11. St Vincent Declaration 10th AnniversaryNurses Working Group Report • 50% of working time in clinical diabetes practice • 50% divided between research and education • Diabetes nurses to be members of policy task forces • Basic nurse training curricula to have greater emphasis on diabetes care research and education • Post graduate national accredited training programmes (with ECTS)

  12. Accredited Training Programmes • 1996: 5 in Europe (3 in UK, 1 in Ireland) • 1999: Increase of 5 ( 2 Sweden, 1 Netherlands, 1 Germany and FEND ENDCUP) • 2001: Increase of 1 (Norway) • In development Poland, Slovenia, Spain, Turkey

  13. ENDCUP University Centres • Diabetes Teaching CentreUniversity AutònomaBarcelonaSpain • The Department of Health & Caring Sciences / Department of Nursing StudiesUniversity of UppsalaSweden • The School of Life SciencesUniversity of Surrey Roehampton, LondonUnited Kingdom

  14. Three Compulsory Modules • CLINICAL (June 2002)The School of Life SciencesUniversity of SurreyRoehampton, London • TPPE (December 2002)The Department of Health & Caring Sciences / Department of Nursing StudiesUniversity of Uppsala, Sweden • RESEARCH (July 2003)Diabetes Teaching CentreUniversity AutònomaBarcelona, Spain

  15. Modules • 6 months interval between each module • Unseen paper, viva and Therapeutic Patient Professional Education project presentation • Accreditation by individual universities and FEND • 20 credits ECTS

  16. ENDCUP • Funded by FEND • Criteria agreed between university authorities and FEND • Accredited by respective universities and ECTS

  17. ENDCUP Participants from: Bulgaria Denmark Finland Latvia Lithuania Malta Netherlands Norway Poland Portugal Romania Russia Spain Sweden Switzerland Turkey Ukraine UK Uzbekistan

  18. FEND: Future Developments • FEND Chair in diabetes nursing • FEND collaborative centres • Education exchange programme • European Directory of diabetes nurses • Structured collaboration with relevant organisations

  19. Quote “Human history becomes more and more a race between education and catastrophe ” H. G. Wells

  20. www.fend.org SPONSORSAventis Bayer Becton Dickinson GlaxoSmithKline Lifescan Medisense Novo Nordisk

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