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Research Summary: Nursing Management for Gestational Diabetes Mellitus

Research Summary: Nursing Management for Gestational Diabetes Mellitus

Diabetes has been the most prevalent disease in our healthcare system. My research article focuses on gestational diabetes; the title is ‘Guidelines for the nursing management of gestational diabetes mellitus: An integrative literature review’.

The type of research study of this article is an integrative literature review, that was conducted June, 2018. There was an extensive search, extraction, appraisal and selection of data from existing nursing management guidelines of gestational diabetes mellitus; this was according to stages reported by Knafl and Whittemore in the journal of nursing, 2005. Five step process was used which include research question formulation, guidelines identified critical appraisal, data extraction and analysis (Mensah et al., 2020).

The purpose of the research study is to help nurses and midwives understand the relevant guidelines which will help them conduct early screening, diagnosis and management of gestational diabetes mellitus. This purpose is essential because it has prevented and reduced pre- and post-pregnancy complications for both the child and the mother. Research question for the study was; if there are guidelines for the nursing management of gestational diabetes mellitus, while some guidelines are designed for medical practitioners (Zhang et al., 2019).

The results of the study showed that there was need for early screening and diagnosis of gestational diabetes. Guidelines for nursing management were found mostly management during pregnancy, intra and postpartum gestational diabetes mellitus. However, these guidelines differed in their practices and were not comprehensive. There were several contextual barriers to nursing management such as high nursing staff turnover, lack of trained nurses, lack of standard protocol and lack of poor referral systems (Mensah et al., 2020).

The paper recommended women need to be educated on how to maintain physical fitness and healthy diet. As well as train nurses on pregnancy-specific lifestyle screening, treatment and modifications for complications. The methodology was extensive although some guidelines were unable to be accessed because of subscription. In conclusion, some guidelines for nursing management of gestational diabetes mellitus were found but weren’t comprehensive and the study didn’t consider the recommendations’ implementation barriers. Therefore, there is need for development of further guidelines and critical scrutinizing of the guidelines of nursing management (Mensah et al., 2020).

References

Mensah, G. P., ten Ham‐Baloyi, W., van Rooyen, D., & Jardien‐Baboo, S. (2020).

Guidelines for the nursing management of gestational diabetes mellitus: An integrative literature review. Nursing Open7(1), 78-90.

Zhang, M., Zhou, Y., Zhong, J., Wang, K., Ding, Y., & Li, L. (2019). Current guidelines

on the management of gestational diabetes mellitus: a content analysis and appraisal. BMC pregnancy and childbirth19(1), 1-15.