Diabetes NurseTraining

A European Perspective

Diabetes NurseTraining

A European Perspective

Anne-Marie FeltonChairman FENDAnne-Marie FeltonChairman FEND

QuoteQuote

“ A doctor is called but a nurse is sent for ”

“ A doctor is called but a nurse is sent for ”

Anton ChekhovAnton Chekhov

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

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)

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

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

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

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

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

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

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)

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

• 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

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

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

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

ENDCUP Participants from:ENDCUP Participants from:

BulgariaDenmarkFinlandLatviaLithuaniaMaltaNetherlandsNorwayPolandPortugal

BulgariaDenmarkFinlandLatviaLithuaniaMaltaNetherlandsNorwayPolandPortugal

RomaniaRussiaSpainSwedenSwitzerlandTurkeyUkraineUKUzbekistan

RomaniaRussiaSpainSwedenSwitzerlandTurkeyUkraineUKUzbekistan

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

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

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