Nurse-led family-based approach in primary health care for patients with type 2 diabetes mellitus: a qualitative study.

Autor: Matrook KA; Royal College of Surgeons in Ireland, Medical University of Bahrain, Busaiteen, Bahrain., Cowman S; School of Nursing and Midwifery, Faculty of Medicine and Health Sciences Royal College of Surgeons, Dublin 2, Ireland., Pertl M; Department of Health Psychology, Faculty of Medicine and Health Sciences Royal College of Surgeons, Dublin 2, Ireland., Whitford D; Department of General Practice, RCSI & UCD Malaysia Campus, George Town, Pulau Pinang, Malaysia.
Jazyk: angličtina
Zdroj: International journal of qualitative studies on health and well-being [Int J Qual Stud Health Well-being] 2024 Dec; Vol. 19 (1), pp. 2323060. Date of Electronic Publication: 2024 Mar 06.
DOI: 10.1080/17482631.2024.2323060
Abstrakt: Purpose: The prevalence of Type 2 diabetes is rapidly increasing, with 537 million people estimated to have diabetes in 2021. The literature suggests that nurses can deliver effective person-centred diabetes care and that families can be essential in supporting patients. Thus, a Nurse-led Family-based (NLFB) approach may be particularly effective. This study aims to explore the perceptions of nurses, adults with type 2 diabetes, and family members regarding the NLFB intervention.
Methods: Guided by the UK Medical Research Council Framework, this seminal study adopted a qualitative, descriptive approach with content analysis. Data were obtained through 16 semi-structured, in-depth interviews. Themes emerged based on an inductive process using constant comparison (Graneheim and Lundman 2004). The COREQ checklist was used in ensuring rigour.
Results: Three main themes emerged includes: (1) nurses' experiences with current diabetes care practices, (2) stakeholders' views on the development of a NLFB approach, and (3) merging the nurse-led family aspects into the diabetes care. The key challenges are the dominant medical model, lack of specialist nurses, and time. The key facilitators are knowledge and social support.
Conclusion: The study recommends stakeholders embrace nursing empowerment strategies and involve families to enhance the nurses' advanced roles and family inclusion in healthcare.
Databáze: MEDLINE