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Diabetes Research NurseBorn in Oxford in 1962.
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Overview:
Jenny Shaw began specialising in diabetes when she worked as a staff nurse at the Radcliffe Hospital in Oxford from 1986 to 1988. She has worked in Oxford ever since, first as a diabetes specialist nurse from 1988 to 1998, then as a research nurse for the past ten years. In recent years, she has been involved in studies concerning the development of new treatments for people with type 2 diabetes. She is interested in the diversity of patients` experiences: `it`s a challenge how to meet that with each patient, and adapt…to that individual, and listen to what they`re saying`.
Please note that Overview relates to date of recording Monday, March 17, 2008
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1 As a student nurse from 1979 to 1983, she learnt very little about diabetes, but her memory is that the diverse needs of insulin-dependent patients were not recognised by either doctors or nurses. [ 43 secs ] |  | 2 She remembers that during her years as a diabetes specialist nurse, changes in both technology and attitudes enabled patients to feel more in control of their situation - though without the psychological support that she feels is lacking even now. [ 59 secs ] | |
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| 01 Born Oxford 1962. Private school. Nursing ambition. Ignorant re degrees. East Berkshire Nursing School. Not rigorous. Responsibility on wards – unsafe. | |
| | 02 Taught little re diabetes – seemed difficult. Mostly Type 1 - ill or ‘brittle’ diabetic. Antiquated blood glucose equipment. Care automated, not psychological. | |
| | 03 Patients bed-bound. Old blood testing meter in intensive care. Urine-testing on wards. BM strips inaccurate. Different insulin strengths – relieved when all U100 at Radcliffe. | |
| 04 Little education – not trained to give it. No specialist. One talk re carbohydrate counting – not understood. One session on Types 1 & 2 .
Placement in theatres – no diabetes. ITU – saw Refulux. | |
| | 05 Staff nurse in diabetes & endocrinology, Radcliffe, Oxford, 1986-8. Mentored by unit sister. Patients admitted – no community DSN. Began education on ward - checklist. Patients kept phoning – need for DSN. | |
| | 06 Became DSN, 1988. Pharmaceutical companies important. Senior nurse left to be lecturer practitioner – nurse education becoming degree level. Told I lacked community training – view changed – team approach evolved. | |
| 07 Set up GP mini-clinics. Busy - called to JR & elsewhere. Tried shared care - GP & hospital. ‘Co-op card’ – lost or not filled in. Large team.
Encouraged audit – GPs didn’t know numbers. Some practice nurses keen. | |
| 08 DSN, 1988-98. Started primary care course. More DSNs appointed, but couldn’t cope with workload – numbers increasing. Stayed in hospital more.
Taught at Brookes University. Created ward link nurses. Exhausted. Maternity leave. | |
| | 09 Changes 1988-98 – improved blood testing, patient empowerment, psychological needs recognised. Young adults’ project included psychologist. Psychological help would benefit adults too. | |
| 10 National conferences – more attended; emphasis on team approach – hospital & community; psychology important; networking.
General hospitals emphasised service delivery more than Oxford.
DSNs became more specialised.
Insulin pen big improvement. | |
| | 11 Became diabetes research nurse, 1998. 5-year CARDS study re lipid-lowering statin for Type 2. Hardest part - recruitment. Advantages for patient. | |
| 12 Changes since 1998 – analogue insulins; inhaled insulin – withdrawn; insulin pumps – not widely-used.
Type 2 - GLP-1 or Exenatide; DPP-4.
Group education - beginning insulin, pre-pregnancy, weight-management; DAFNE, InSight. | |
| | 13 NSF, group education, financial incentives for GPs, but GPs couldn’t cope. | |
| 14 Early 80s – no group education; less specialist help; blood-testing & syringes difficult; little help after discharge.
Now can start insulin with GP or practice nurse; patient group; blood-testing meter; insulin pen. | |
| | 15 Enjoyable job - patients differ, choice of insulin & equipment - refined for individual needs. | |
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-t.jpg "Jenny in 1983 (middle row, 3rd from left)")
