Purpose The purpose of this study was to explore experiences of hospitalized patients as they transition insulin pump self-management from home to hospital and the experience of nurses caring for them. Patients are often more knowledgeable about the pump than their nurses, which could lead to undiscovered challenges. Little is known about the hospital experience related to insulin pump therapy from nurses’ and patients’ perspectives. Methods A qualitative approach with interpretive descriptive design and purposive sampling was used. Eligible patients were ≥18 years of age, able to read and speak English, and admitted to non-ICU settings ≥20 hours. Eligible nurses cared for at least 1 patient using an insulin pump. Patients and nurses were interviewed separately. Interviews were audiotaped and transcribed verbatim. Data were analyzed using a constant comparative method. Coding was performed independently and jointly to reach consensus on emerging themes. Results Hospitalized patients and nurses had an array of perceptions highlighting challenges and adaption to “finding the balance” in managing diabetes when patients wore their insulin pumps. There were 4 interrelated themes representing a continuum of trust to lack of trust, control versus lack of control, effective communication to limited communication, and staff knowledge to lack of knowledge. Conclusions Results of this study provide valuable insights into the challenges for both patients and nurses. A standardized approach to caring for this population is necessary. These findings can inform the development of nursing education programs and policies aimed at improving their experiences.

中文翻译：

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“寻找平衡”：医院护士和糖尿病患者使用胰岛素泵体验的定性研究

目的 本研究的目的是探讨住院患者将胰岛素泵自我管理从家庭过渡到医院的经历以及护士照顾他们的经历。患者通常比他们的护士更了解泵，这可能会导致未发现的挑战。从护士和患者的角度，对与胰岛素泵治疗相关的医院经验知之甚少。方法 使用具有解释性描述设计和目的性抽样的定性方法。符合条件的患者年龄≥18 岁，能够阅读和说英语，并在非 ICU 环境中住院 20 小时以上。符合条件的护士使用胰岛素泵护理至少 1 名患者。患者和护士分别接受采访。采访被录音并逐字转录。使用恒定比较方法分析数据。编码是独立和联合进行的，以就新兴主题达成共识。结果住院患者和护士有一系列的看法，突出了当患者佩戴胰岛素泵时在管理糖尿病方面“找到平衡”的挑战和适应。有 4 个相互关联的主题，代表信任与缺乏信任、控制与缺乏控制、有效沟通与有限沟通以及员工知识与缺乏知识的连续统一体。结论 本研究的结果为了解患者和护士面临的挑战提供了宝贵的见解。有必要采用标准化的方法来照顾这一人群。这些发现可以为护理教育计划和政策的发展提供信息，以改善他们的体验。