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A lesson to learn: patients´critiques of diabetes nursing
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2011 (English)In: The Internet Journal of Advanced Nursing Practice, ISSN 1523-6064, Vol. 11, no 1, 0-0 p.Article in journal (Refereed) Published
Abstract [en]

Background:  Most nurses sincerely wish the best for their patients and express frustration when they do not follow their advice. Reflecting on a critique of diabetes nursing from a patient perspective is essential to bridge gaps between health professionals and patients with diabetes and their understandings of possibly divergent treatment goals. Aim:  The aim of this study was to describe what patients with type 2 diabetes view as most important for diabetes specialty nurses to learn about receiving care for diabetes. Method:  An interview study was conducted among 44 patients diagnosed with type 2 diabetes over two years in Sweden. Narrative interviews were analysed using qualitative content analysis. Findings: ‘Not making a mountain out of a molehill’, ‘the more routine, the less life’, and ‘to err is human’ were identified as themes in the participants’ views about what nurses could learn, reflecting a criticism of some traditional aspects of diabetes nursing; i.e., a one-sided disease perspective, high adherence expectations, and a paternalistic attitude. Conclusion: Diabetes specialty nurses are focused on preventing complications by striving to regulate diabetes. A challenge for these nurses is to show they are partners; i.e., on the same side as the patients. Otherwise, nurses and patients will both lose. Possibly core caring values of nursing such as consoling, relieving, healing, and relating have not been given enough priority or have been replaced with more goal-oriented values such as treating, curing, and being effective.

Place, publisher, year, edition, pages , 2011. Vol. 11, no 1, 0-0 p.
Keyword [en]
Diabetes, illness perspective, disease perspective, adherence, paternalism, patient centredness
National Category
Health Sciences
Research subject
Caring Sciences
URN: urn:nbn:se:umu:diva-55173OAI: diva2:526080
Available from: 2012-05-10 Created: 2012-05-10 Last updated: 2012-05-25Bibliographically approved

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Graneheim, Ulla HällgrenHörnsten, Åsa
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