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Diabetes NurseTraining
A European Perspective
Diabetes NurseTraining
A European Perspective
Anne-Marie FeltonChairman FENDAnne-Marie FeltonChairman FEND
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QuoteQuote
“ A doctor is called but a nurse is sent for ”
“ A doctor is called but a nurse is sent for ”
Anton ChekhovAnton Chekhov
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The Scale of the ProblemThe 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
• 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
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Diabetes - A Major Public Health Problem in EuropeDiabetes - 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)
• 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)
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Influencing Factors (1)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
• 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
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Influencing Factors (2)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
• 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
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Influencing Factors (3)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
• 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
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Evidence Based ResearchEvidence Based Research
• DCCT• UKPDS• US Diabetes Prevention Programme• Finnish Diabetes Prevention Programme
• DCCT• UKPDS• US Diabetes Prevention Programme• Finnish Diabetes Prevention Programme
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Education ProgrammesEducation 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
• 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
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St Vincent Declaration 10th AnniversaryNurses Working Group Report
St Vincent Declaration 10th AnniversaryNurses Working Group Report
The Role of the Diabetes NurseThe Role of the Diabetes Nurse
ClinicalClinical CounsellingCounsellingEducationalEducational
InnovationInnovationCommunicationCommunication
ManagerialManagerial
ResearchResearch
InfluenceInfluence
AdvocacyAdvocacy
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St Vincent Declaration 10th AnniversaryNurses Working Group Report
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)
• 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)
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Accredited Training ProgrammesAccredited 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
• 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
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• 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
• 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
ENDCUP University CentresENDCUP University Centres
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Three Compulsory ModulesThree 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
• 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
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ModulesModules
• 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
• 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
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ENDCUPENDCUP
• Funded by FEND• Criteria agreed between university authorities
and FEND• Accredited by respective universities and ECTS
• Funded by FEND• Criteria agreed between university authorities
and FEND• Accredited by respective universities and ECTS
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ENDCUP Participants from:ENDCUP Participants from:
BulgariaDenmarkFinlandLatviaLithuaniaMaltaNetherlandsNorwayPolandPortugal
BulgariaDenmarkFinlandLatviaLithuaniaMaltaNetherlandsNorwayPolandPortugal
RomaniaRussiaSpainSwedenSwitzerlandTurkeyUkraineUKUzbekistan
RomaniaRussiaSpainSwedenSwitzerlandTurkeyUkraineUKUzbekistan
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FEND: Future DevelopmentsFEND: Future Developments
• FEND Chair in diabetes nursing
• FEND collaborative centres
• Education exchange programme
• European Directory of diabetes nurses
• Structured collaboration with relevant organisations
• FEND Chair in diabetes nursing
• FEND collaborative centres
• Education exchange programme
• European Directory of diabetes nurses
• Structured collaboration with relevant organisations
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QuoteQuote
“Human history becomes more and more a race between education and catastrophe ”
“Human history becomes more and more a race between education and catastrophe ”
H. G. WellsH. G. Wells
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www.fend.orgwww.fend.org
SPONSORS Aventis Bayer Becton Dickinson GlaxoSmithKline Lifescan Medisense Novo Nordisk
SPONSORS Aventis Bayer Becton Dickinson GlaxoSmithKline Lifescan Medisense Novo Nordisk