The privileged nurse – making sure that the nurse’s voice is heard

Ms Giuliana Murfet1,2

1Tasmanian Health Service, Burnie, Australia , 2Deakin University, Melbourne, Australia


To describe strategies taken to drives nursing-led models of care

Nurses are positioned well to advocate for their patient group. Helping them to make: informed decisions regarding their health, navigate a complex medical system and helping with ethical decisions. Simultaneously, nurses can advocate for the pivotal role of the nurse more broadly to healthcare. The abstract explores activities and strategies that have created a career in diabetes nursing.

The following quote, “Ask not what your country can do for you – ask what you can do for your country” lays the foundation for change. ‘Country’ was substituted with organisation and community. ADEA was the organisation, the national peak body for diabetes educators; community was people living with diabetes. An accumulative identification of linkages and champions, setting sights on lifelong learning and mentoring, intuitive reflexivity, and embracing leadership roles.

A strong voice for diabetes nursing on multiple platforms including national steering committees, research and medical advisory committees; e.g., Cochrane, DVA, PBAC and NHPA. Several research projects that have supported improved health outcomes through models of nursing care; reductions in diverse adverse outcomes of between 15-40%. Inclusion of nurse practitioner role within all diabetes project material and consumer fact-sheets in Australia.

Nurses need to seat themselves at the table, they need to embrace the important information that they can bring and their nuanced understanding of health, to inform care.

As a nurse, one sits in a position of privilege, which can create worthwhile and meaningful change.


Giuliana was one of the first four Nurse Practitioners endorsed to practice in Tasmania in January 2010. She has extensive diabetes advisory and leadership experience nationally; she is the immediate past President of the Australian Diabetes Educators Association and current Chair of Medical, Educational and Scientific Advisory Council for Diabetes Australia that reviews all nationally NDSS funded projects. Key works that supports models of nursing care for diabetes with positive outcomes include the: ‘Retrospective Diabetes in Pregnancy Outcome Study’; ‘Assessment and Management of Obesity and Self-maintenance Study: Implementation of a model of care’;  and, the ‘Healthy Outcomes For the Future’ a project to reduce maternal obesity. She is currently completing a PhD and the thesis title is ‘A competency-based approach to expanding the diabetes healthcare workforce in Australia.