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Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study
Patient-centered care enhances diabetes self-management; however, the primary care nurse’s role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurs...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180150/ https://www.ncbi.nlm.nih.gov/pubmed/35682513 http://dx.doi.org/10.3390/ijerph19116929 |
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author | Al Mahrouqi, Abdullah Salim Mallinson, Robert Kevin Oh, Kyeung Mi Weinstein, Ali A. |
author_facet | Al Mahrouqi, Abdullah Salim Mallinson, Robert Kevin Oh, Kyeung Mi Weinstein, Ali A. |
author_sort | Al Mahrouqi, Abdullah Salim |
collection | PubMed |
description | Patient-centered care enhances diabetes self-management; however, the primary care nurse’s role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurses’ role in promoting diabetes self-management within a patient-centered care approach. The thematic analysis of the data from individual interviews with patients (n = 24) revealed two themes: patients experienced “missteps on an unclear path” and “nurses doing their best.” Patients struggled to identify treatment goals and faltered in their attempts to adopt diabetes self-management behaviors. The nurses’ role was perceived as task-oriented. Nurse narratives (n = 21) revealed that very few nurses were aware of the patient-centered care philosophy. A theme emerged of nurses “needing a new perspective” to transition their care delivery to align with the patient-centered care model. Nurses expected patients to comply with their instructions and missed opportunities for assessment, engagement, and collaborative problem-solving during patient encounters. The shift from a physician-based medical model to a patient-centered primary care delivery system may necessitate that nurses engage more effectively with patients, collaborate on an individual treatment plan, and motivate them to adopt self-management behaviors. |
format | Online Article Text |
id | pubmed-9180150 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91801502022-06-10 Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study Al Mahrouqi, Abdullah Salim Mallinson, Robert Kevin Oh, Kyeung Mi Weinstein, Ali A. Int J Environ Res Public Health Article Patient-centered care enhances diabetes self-management; however, the primary care nurse’s role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurses’ role in promoting diabetes self-management within a patient-centered care approach. The thematic analysis of the data from individual interviews with patients (n = 24) revealed two themes: patients experienced “missteps on an unclear path” and “nurses doing their best.” Patients struggled to identify treatment goals and faltered in their attempts to adopt diabetes self-management behaviors. The nurses’ role was perceived as task-oriented. Nurse narratives (n = 21) revealed that very few nurses were aware of the patient-centered care philosophy. A theme emerged of nurses “needing a new perspective” to transition their care delivery to align with the patient-centered care model. Nurses expected patients to comply with their instructions and missed opportunities for assessment, engagement, and collaborative problem-solving during patient encounters. The shift from a physician-based medical model to a patient-centered primary care delivery system may necessitate that nurses engage more effectively with patients, collaborate on an individual treatment plan, and motivate them to adopt self-management behaviors. MDPI 2022-06-06 /pmc/articles/PMC9180150/ /pubmed/35682513 http://dx.doi.org/10.3390/ijerph19116929 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Al Mahrouqi, Abdullah Salim Mallinson, Robert Kevin Oh, Kyeung Mi Weinstein, Ali A. Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study |
title | Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study |
title_full | Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study |
title_fullStr | Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study |
title_full_unstemmed | Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study |
title_short | Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study |
title_sort | patients’ and nurses’ perceptions of diabetes self-management in oman: a qualitative study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180150/ https://www.ncbi.nlm.nih.gov/pubmed/35682513 http://dx.doi.org/10.3390/ijerph19116929 |
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