Cargando…
Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study
Introduction: Diabetes mellitus type 2 (DM2), one of the four most important chronic diseases worldwide, is generally considered to be preventable. However, it is not yet sufficiently clear whether an aligned collaboration between different health professions could facilitate behavioral changes to b...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649872/ https://www.ncbi.nlm.nih.gov/pubmed/33224632 http://dx.doi.org/10.1177/2164956120946701 |
_version_ | 1783607410267521024 |
---|---|
author | Wieser, Heike Piccoliori, Giuliano Siller, Marianne Comploj, Evi Stummer, Harald |
author_facet | Wieser, Heike Piccoliori, Giuliano Siller, Marianne Comploj, Evi Stummer, Harald |
author_sort | Wieser, Heike |
collection | PubMed |
description | Introduction: Diabetes mellitus type 2 (DM2), one of the four most important chronic diseases worldwide, is generally considered to be preventable. However, it is not yet sufficiently clear whether an aligned collaboration between different health professions could facilitate behavioral changes to be made by patients with DM2 regarding their eating and physical activity habits. Objective: To explore if and how far in current outpatient care for 3 health-care professions it is an objective to collaborate with each other supporting patients with DM2 in changing their eating and physical activity habits. Methods: We conducted 18 qualitative problem centered interviews with selected family physicians, nurses, dieticians working in outpatient setting and patients with DM2, transcribed verbatim, and analyzed with qualitative content analysis. Results: Issues identified ranged from description and reflection of current health-care practice, strategies, and hindrances to cope with changes of eating and physical activity behaviors as well as for health-care practice regarding interprofessional collaboration and patient-centered care up to considerations about collaboration and patient centricity (for health professionals and patients to achieve goals) and changes and ideas of “ideal care practice”. Discussion: The included professional groups work predominantly for themselves. Collaboration currently only takes place when individually triggered and neither structured nor organized. |
format | Online Article Text |
id | pubmed-7649872 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-76498722020-11-19 Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study Wieser, Heike Piccoliori, Giuliano Siller, Marianne Comploj, Evi Stummer, Harald Glob Adv Health Med Original Article Introduction: Diabetes mellitus type 2 (DM2), one of the four most important chronic diseases worldwide, is generally considered to be preventable. However, it is not yet sufficiently clear whether an aligned collaboration between different health professions could facilitate behavioral changes to be made by patients with DM2 regarding their eating and physical activity habits. Objective: To explore if and how far in current outpatient care for 3 health-care professions it is an objective to collaborate with each other supporting patients with DM2 in changing their eating and physical activity habits. Methods: We conducted 18 qualitative problem centered interviews with selected family physicians, nurses, dieticians working in outpatient setting and patients with DM2, transcribed verbatim, and analyzed with qualitative content analysis. Results: Issues identified ranged from description and reflection of current health-care practice, strategies, and hindrances to cope with changes of eating and physical activity behaviors as well as for health-care practice regarding interprofessional collaboration and patient-centered care up to considerations about collaboration and patient centricity (for health professionals and patients to achieve goals) and changes and ideas of “ideal care practice”. Discussion: The included professional groups work predominantly for themselves. Collaboration currently only takes place when individually triggered and neither structured nor organized. SAGE Publications 2020-08-13 /pmc/articles/PMC7649872/ /pubmed/33224632 http://dx.doi.org/10.1177/2164956120946701 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Wieser, Heike Piccoliori, Giuliano Siller, Marianne Comploj, Evi Stummer, Harald Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study |
title | Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study |
title_full | Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study |
title_fullStr | Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study |
title_full_unstemmed | Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study |
title_short | Living on the Own Island? Aligned Collaboration Between Family Physicians, Nurses, Dieticians, and Patients With Diabetes Type 2 in an Outpatient Care Setting in Northern Italy: Findings From a Qualitative Study |
title_sort | living on the own island? aligned collaboration between family physicians, nurses, dieticians, and patients with diabetes type 2 in an outpatient care setting in northern italy: findings from a qualitative study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649872/ https://www.ncbi.nlm.nih.gov/pubmed/33224632 http://dx.doi.org/10.1177/2164956120946701 |
work_keys_str_mv | AT wieserheike livingontheownislandalignedcollaborationbetweenfamilyphysiciansnursesdieticiansandpatientswithdiabetestype2inanoutpatientcaresettinginnorthernitalyfindingsfromaqualitativestudy AT piccoliorigiuliano livingontheownislandalignedcollaborationbetweenfamilyphysiciansnursesdieticiansandpatientswithdiabetestype2inanoutpatientcaresettinginnorthernitalyfindingsfromaqualitativestudy AT sillermarianne livingontheownislandalignedcollaborationbetweenfamilyphysiciansnursesdieticiansandpatientswithdiabetestype2inanoutpatientcaresettinginnorthernitalyfindingsfromaqualitativestudy AT complojevi livingontheownislandalignedcollaborationbetweenfamilyphysiciansnursesdieticiansandpatientswithdiabetestype2inanoutpatientcaresettinginnorthernitalyfindingsfromaqualitativestudy AT stummerharald livingontheownislandalignedcollaborationbetweenfamilyphysiciansnursesdieticiansandpatientswithdiabetestype2inanoutpatientcaresettinginnorthernitalyfindingsfromaqualitativestudy |