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Jenny in 1983 (middle row, 3rd from left)

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Jenny in 1983 (middle row, 3rd from left) Jenny Shaw, 2008
 
 
Interview 94 Jenny Shaw

Diabetes Research Nurse
Born in Oxford in 1962.


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 17 March 2008

 Short samples

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.
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02 Taught little re diabetes – seemed difficult. Mostly Type 1 - ill or ‘brittle` diabetic. Antiquated blood glucose equipment. Care automated, not psychological.
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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.
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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.
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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.
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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.
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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.
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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.
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09 Changes 1988-98 – improved blood testing, patient empowerment, psychological needs recognised. Young adults` project included psychologist. Psychological help would benefit adults too.
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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.
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11 Became diabetes research nurse, 1998. 5-year CARDS study re lipid-lowering statin for Type 2. Hardest part - recruitment. Advantages for patient.
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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.
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13 NSF, group education, financial incentives for GPs, but GPs couldn`t cope.
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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.
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15 Enjoyable job - patients differ, choice of insulin & equipment - refined for individual needs.
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Transcript
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