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1、Master’sThesis–P.Agema;McMasterUniversity-NursingTHEDIABETESEDUCATORROLEINONTARIO159Master’sThesis–P.Agema;McMasterUniversity-NursingTHEDIABETESEDUCATORROLEINONTARIO:APROVINCIALPERSPECTIVEBy:PIETERAGEMA,B.Sc.(Honours),B.Sc.N.AThesisSubmittedtotheSchool
2、ofGraduateStudiesinPartialFulfilmentoftheRequirementsfortheDegreeMasterofScienceinNursingMcMasterUniversity©CopyrightbyPieterAgema,tbd159Master’sThesis–P.Agema;McMasterUniversity-NursingMcMasterUniversityMASTEROFSCIENCEinNURSING(2013)Hamilton,OntarioTI
3、TLE:TheDiabetesEducatorRoleinOntario:AProvincialPerspectiveAUTHOR:PieterAgema,B.Sc.(Honours),B.Sc.N.(McMasterUniversity)SUPERVISOR:AssistantProfessorD.SherifaliNUMBEROFPAGES:1-191(Willadaptatfinalversion)159Master’sThesis–P.Agema;McMasterUniversity-Nur
4、singAbstractBackground:Asthediabetes(DM)epidemicinCanadacontinuestogrow,theneedtoprovidediabetesself-managementeducation(DSME)becomesincreasinglyimportant.ResearchhasshownthatDSMEcanimprovebothphysiologicalandbehaviouraloutcomesinindividualswithDM.Diab
5、eteseducators(DE)playanessentialroleinprovidingDSMEtoindividualswithDM.AlthoughconsideredanimportantroleinthecareofindividualswithDM,theDEroleisnotwelldescribedinOntario.Buildingaprovince-widedescriptionofDEs’rolewouldoutlinetheroleofDEinOntarioisenact
6、ed,andsuggestpossibleareasforimprovement.Thespecificobjectivesofthisstudyare:a)TodescribethedemographiccharacteristicsofDEsinOntario;b)Toidentifythestructures,processes,andoutcomesassociatedwiththeroleofDEs;c)Toidentifythefacilitatorsandbarrierstoprovi
7、dingDSMEinOntario;d)ToidentifytheassociationbetweenkeycharacteristicsofDEs(profession,education,certification,practice-setting,andDM-specifictraining)andthestructures,processesandoutcomesofthisrole.Methods:Thiscross-sectionalstudyusedanonlinequestionna
8、ire,theDiabetesEducatorQuestionnaire(DEQ).TheDEQwasdevelopedusingtheInternationalStandardsforDiabetesEducationandDonabedian’sframeworktoexaminethestructures,processesandoutcomesassociatedwiththeroleofDEs.Thestudyconsistedofthreesequenti