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01-12-2017 | Research | Uitgave 1/2017 Open Access

Journal of Foot and Ankle Research 1/2017

Diabetes educator role boundaries in Australia: a documentary analysis

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2017
Auteurs:
Olivia King, Susan Nancarrow, Sandra Grace, Alan Borthwick
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1186/​s13047-017-0210-9) contains supplementary material, which is available to authorized users.

Abstract

Background

Diabetes educators provide self-management education for people living with diabetes to promote optimal health and wellbeing. Their national association is the Australian Diabetes Educators Association (ADEA), established in 1981. In Australia the diabetes educator workforce is a diverse, interdisciplinary entity, with nurses, podiatrists, dietitians and several other health professional groups recognised by ADEA as providers of diabetes education. Historically nurses have filled the diabetes educator role and anecdotally, nurses are perceived to have wider scope of practice when undertaking the diabetes educator role than the other professions eligible to practise diabetes education. The nature of the interprofessional role boundaries and differing scopes of practice of diabetes educators of various primary disciplines are poorly understood. Informed by a documentary analysis, this historical review explores the interprofessional evolution of the diabetes educator workforce in Australia and describes the major drivers shaping the role boundaries of diabetes educators from 1981 until 2017.

Methods

This documentary analysis was undertaken in the form of a literature review. STARLITE framework guided the searches for grey and peer reviewed literature. A timeline featuring the key events and changes in the diabetes educator workforce was developed. The timeline was analysed and emerging themes were identified as the major drivers of change within this faction of the health workforce.

Results

This historical review illustrates that there have been drivers at the macro, meso and micro levels which reflect and are reflected by the interprofessional role boundaries in the diabetes educator workforce. The most influential drivers of the interprofessional evolution of the diabetes educator workforce occurred at the macro level and can be broadly categorised according to three major influences: the advent of non-medical prescribing; the expansion of the Medicare Benefits Schedule to include rebates for allied health services; and the competency movement.

Conclusion

This analysis illustrates the gradual movement of the diabetes educator workforce from a nursing dominant entity, with an emphasis on interprofessional role boundaries, to an interdisciplinary body, in which role flexibility is encouraged. There is however, recent evidence of role boundary delineation at the meso and micro levels.

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Extra materiaal
Additional file 1: Documents included in analysis. (DOCX 21 kb)
13047_2017_210_MOESM1_ESM.docx
Additional file 2: Quality indicators for documents included. (DOCX 15 kb)
13047_2017_210_MOESM2_ESM.docx
Literatuur
Over dit artikel

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