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- Title
Knowledge of Diabetic Retinopathy among Primary Care Nurses Performing Fundus Photography and Agreement with Ophthalmologists on Screening.
- Authors
Fernández-Gutiérrez, Domingo Ángel; Núñez-Marrero, Janet; Martínez-Alberto, Carlos Enrique; Rodríguez-Álvaro, Martín; García-Hernández, Alfonso Miguel; Brito-Brito, Pedro Ruymán; Gray, Richard
- Abstract
Diabetic retinopathy (DR) is one of the complications of diabetes mellitus (DM), with macular oedema being one of the leading causes of avoidable blindness among individuals with DM worldwide. Fundus screening is the only method for early detection and treatment. High-quality training programmes for professionals performing primary care screening are essential to produce high-quality images that facilitate accurate lesion identification. This is a two-phase observational, descriptive, and cross-sectional study. The first phase analysed DR knowledge in a sample of nurses. The second phase explored agreement on DR screening between referral ophthalmologists in image assessment (gold standard) and a small group of nurses involved in the previous phase. In phase 1, the agreement rate for screening results was 90%. In phase 2, the overall raw agreement on the screening of fundus photography results between nurses and ophthalmologists was 75% (Cohen's kappa = 0.477; p < 0.001). Agreement on screening with ophthalmologists was moderate, suggesting that implementing a specific training programme for nurse-led imaging screening would help develop this competence among nurses, ensuring a good level of agreement and patient safety and adding value for users, and also for the sustainability of the healthcare system. This study was not registered.
- Subjects
SPAIN; NURSING audit; STATISTICS; NURSES' attitudes; SCIENTIFIC observation; NURSE-physician relationships; RESEARCH methodology; CROSS-sectional method; MEDICAL office nursing; OPHTHALMOLOGISTS; PHYSICIANS' attitudes; MEDICAL screening; MANN Whitney U Test; PRIMARY health care; PHOTOGRAPHY; RESEARCH funding; DESCRIPTIVE statistics; DIABETIC retinopathy; STATISTICAL sampling; DATA analysis; DATA analysis software; EYE examination; EARLY diagnosis
- Publication
Nursing Reports, 2023, Vol 13, Issue 3, p1064
- ISSN
2039-439X
- Publication type
Article
- DOI
10.3390/nursrep13030093