Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Al Mahrouqi, Abdullah Salim, Mallinson, Robert Kevin, Oh, Kyeung Mi, Weinstein, Ali A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
_version_ 1784723446509338624
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
work_keys_str_mv AT almahrouqiabdullahsalim patientsandnursesperceptionsofdiabetesselfmanagementinomanaqualitativestudy
AT mallinsonrobertkevin patientsandnursesperceptionsofdiabetesselfmanagementinomanaqualitativestudy
AT ohkyeungmi patientsandnursesperceptionsofdiabetesselfmanagementinomanaqualitativestudy
AT weinsteinalia patientsandnursesperceptionsofdiabetesselfmanagementinomanaqualitativestudy