Journal of Nursing Theory and Practice

[A possible role of Advanced Practice Nurses in primary care - the possibility of screening for retinopathy in patients with diabetes]

TOKODI Attila Csaba1, GALLOVICH Éva2, RAJKI Veronika1,3

DECEMBER 15, 2021

Journal of Nursing Theory and Practice - 2021;34(6)

Review

[WHO data show that the prevalence of diabetes is constantly rising. The ocular complication of diabetes (Diabetic Retinopathy (DR)) is one of the leading causes of blindness worldwide. While the screening of the fundus is performed by ophthalmologists and optometrists in Hungary, internationally, the expertise of APN nurses is relied upon in primary care in many places. In Hungary, with modern methods, by integrating screening into primary care and at the same time by involving APN community nurses with master degree, the current screening rate of DR can be improved in the short term. In Hungary, the APN training leading to a university degree was launched in September 2017. The first APN community nurses with advanced competencies and master degree graduated in February 2019. In accordance with their qualifications, they have complex knowledge of the diagnosis of diabetes, the implementation of its screening, as well as the pharmacological and non-pharmacological therapy of the disease, and the tasks of nursing and patient education. They are able to independently evaluate the findings and decide on the modification, discontinuation of the required medication order, and the revision of the treatment plan. APN community nurses with a university degree are suitable for the care and follow-up of chronic patients in general practitioner practices and practice communities according to their level of competence.]

AFFILIATIONS

  1. Szegedi Tudomány­egyetem Egészségtudományi és Szociális Képzési Kar Ápolási Tanszék
  2. Evina Kft. Háziorvosi Szolgálat
  3. Semmelweis Egyetem Egészségtudományi Kar Ápolástan Tanszék

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