Adaptation and negotiation as an approach to care in paediatric diabetes specialist nursing practice: a critical review

Authors

  • MARIE MARSHALL BSc, RSCN, RGN,

    1. Paediatric Diabetes Nurse Specialist, St Mary's Hospital, Manchester, UK,
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  • ELIZABETH FLEMING BSc, RN,

    1. Research Assistant, Clinical Nursing Practice Research Unit, Department of Primary & Community Nursing, Faculty of Health, University of Central Lancashire, Preston, UK,
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  • WARREN GILLIBRAND MSc, RN,

    1. Lecturer, Clinical Nursing Practice Research Unit, Department of Primary & Community Nursing, Faculty of Health, University of Central Lancashire, Preston, UK,
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  • BERNIE CARTER PhD, RSCN

    1. Professor of Children's Nursing, Department of Primary & Community Nursing, Faculty of Health, University of Central Lancashire, Preston, UK
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Warren Gillibrand, Clinical Nursing Practice Research Unit, Department of Primary & Community Nursing, Faculty of Health, University of Central Lancashire, Preston PR1 2HE, UK (tel.: +44 1772 893775; e-mail: wpgillibrand@uclan.ac.uk).

Abstract

• Considerable attention has been given to diabetes care in children. However, nursing practice may be guided by biomedical models.

• Diabetes care in children should focus on family-centred approaches arguably based in the community.

• Psychosocial constructs have an important role in the development of self-management of chronic illness in children.

• Paediatric diabetes nurse specialists are pivotal in facilitating family-centred care based on personal models of child and family interventions.

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