Educational Challenges to Nurses and Nurse Aides of Caring for Diabetic Patients at Home: A Systematic Review

Document Type : Systematic Review


School of Nursing and Midwifery, Faculty of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Introduction: T The prevalence of diabetes among the elderly presents nurses and nurse aides with new challenges to providing high-quality, evidence-based care in nursing homes. Considering the importance of home care, this overview seeks to examine the challenges to organizational home-based care in nursing and nursing patients with diabetes.
Methods: A systematic review of intervention studies from between 2012 and 2016 was conducted using standard and sensitive keywords such as: “development,” “implementation,” “evaluation,” “education,” “diabetes patient,” “home care,” and ”nursing homes” with other possible word combinations, such as advancement, assessment, nursing care providers, and home care centers. The databases searched included PubMed, Science Direct, Ovid, Wiley, and Scholar. The articles which met the inclusion criteria and quality standards for this study were selected for review.
Results: Out of 543 retrieved articles, seven articles were analyzed in a case study. Three articles showed the professional development of nurses, the exchange of their experiences, professional self-confidence, increased professional development, and improved communication between care-provider and caregivers.
Conclusions: Now more than ever, the lack of continuous training in treatment and care plays a pivotal role among teaching staff as a basic requirement for reducing the incidence of complications of diabetes among individuals, especially the elderly. Getting to know more about the benefits of severe glycemic control in people with advanced disease can help achieve therapeutic goals.