Cargando…

Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients

Steroid-induced hyperglycaemia (SIH) is a common adverse effect in patients both with and without diabetes. This project aimed to improve the screening and diagnosis of SIH by improving the knowledge of healthcare professionals who contribute to the management of SIH in hospitalised patients. Monito...

Descripción completa

Detalles Bibliográficos
Autores principales: Kempegowda, Punith, Livesey, Alana C, McFarlane-Majeed, Laura, Chandan, Joht Singh, Smyth, Theresa, Stewart, Martha, Blackwood, Karen, McMahon, Michelle, Melapatte, Anitha Vijayan, Salahuddin, Sofia, Webber, Jonathan, Ghosh, Sandip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878254/
https://www.ncbi.nlm.nih.gov/pubmed/29610773
http://dx.doi.org/10.1136/bmjoq-2017-000238
_version_ 1783310823055163392
author Kempegowda, Punith
Livesey, Alana C
McFarlane-Majeed, Laura
Chandan, Joht Singh
Smyth, Theresa
Stewart, Martha
Blackwood, Karen
McMahon, Michelle
Melapatte, Anitha Vijayan
Salahuddin, Sofia
Webber, Jonathan
Ghosh, Sandip
author_facet Kempegowda, Punith
Livesey, Alana C
McFarlane-Majeed, Laura
Chandan, Joht Singh
Smyth, Theresa
Stewart, Martha
Blackwood, Karen
McMahon, Michelle
Melapatte, Anitha Vijayan
Salahuddin, Sofia
Webber, Jonathan
Ghosh, Sandip
author_sort Kempegowda, Punith
collection PubMed
description Steroid-induced hyperglycaemia (SIH) is a common adverse effect in patients both with and without diabetes. This project aimed to improve the screening and diagnosis of SIH by improving the knowledge of healthcare professionals who contribute to the management of SIH in hospitalised patients. Monitoring and diagnosis of SIH were measured in areas of high steroid use in our hospital from May 2016 to January 2017. Several interventions were implemented to improve knowledge and screening for SIH including a staff education programme for nurses, healthcare assistants and doctors. The Trust guidelines for SIH management were updated based on feedback from staff. The changes to the guideline included shortening the document from 14 to 4 pages, incorporating a flowchart summarising the management of SIH and publishing the guideline on the Trust intranet. A questionnaire based on the recommendations of the Joint British Diabetes Societies for SIH was used to assess the change in knowledge pre-intervention and post-intervention. Results showed an increase in junior doctors’ knowledge of this topic. Although there was an initial improvement in screening for SIH, this returned to near baseline by the end of the study. This study highlights that screening for SIH can be improved by increasing the knowledge of healthcare staff. However, there is a need for ongoing interventions to sustain this change.
format Online
Article
Text
id pubmed-5878254
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-58782542018-04-02 Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients Kempegowda, Punith Livesey, Alana C McFarlane-Majeed, Laura Chandan, Joht Singh Smyth, Theresa Stewart, Martha Blackwood, Karen McMahon, Michelle Melapatte, Anitha Vijayan Salahuddin, Sofia Webber, Jonathan Ghosh, Sandip BMJ Open Qual Original Article Steroid-induced hyperglycaemia (SIH) is a common adverse effect in patients both with and without diabetes. This project aimed to improve the screening and diagnosis of SIH by improving the knowledge of healthcare professionals who contribute to the management of SIH in hospitalised patients. Monitoring and diagnosis of SIH were measured in areas of high steroid use in our hospital from May 2016 to January 2017. Several interventions were implemented to improve knowledge and screening for SIH including a staff education programme for nurses, healthcare assistants and doctors. The Trust guidelines for SIH management were updated based on feedback from staff. The changes to the guideline included shortening the document from 14 to 4 pages, incorporating a flowchart summarising the management of SIH and publishing the guideline on the Trust intranet. A questionnaire based on the recommendations of the Joint British Diabetes Societies for SIH was used to assess the change in knowledge pre-intervention and post-intervention. Results showed an increase in junior doctors’ knowledge of this topic. Although there was an initial improvement in screening for SIH, this returned to near baseline by the end of the study. This study highlights that screening for SIH can be improved by increasing the knowledge of healthcare staff. However, there is a need for ongoing interventions to sustain this change. BMJ Publishing Group 2018-03-14 /pmc/articles/PMC5878254/ /pubmed/29610773 http://dx.doi.org/10.1136/bmjoq-2017-000238 Text en © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Original Article
Kempegowda, Punith
Livesey, Alana C
McFarlane-Majeed, Laura
Chandan, Joht Singh
Smyth, Theresa
Stewart, Martha
Blackwood, Karen
McMahon, Michelle
Melapatte, Anitha Vijayan
Salahuddin, Sofia
Webber, Jonathan
Ghosh, Sandip
Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
title Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
title_full Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
title_fullStr Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
title_full_unstemmed Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
title_short Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
title_sort are they high on steroids? tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878254/
https://www.ncbi.nlm.nih.gov/pubmed/29610773
http://dx.doi.org/10.1136/bmjoq-2017-000238
work_keys_str_mv AT kempegowdapunith aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT liveseyalanac aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT mcfarlanemajeedlaura aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT chandanjohtsingh aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT smyththeresa aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT stewartmartha aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT blackwoodkaren aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT mcmahonmichelle aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT melapatteanithavijayan aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT salahuddinsofia aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT webberjonathan aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients
AT ghoshsandip aretheyhighonsteroidstailoredinterventionshelpimprovescreeningforsteroidinducedhyperglycaemiainhospitalisedpatients