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- Title
Patients' perspectives of the integration of diabetes self-management training in primary care using principles of person centred care.
- Authors
Grohmann, B.; Gucciardi, E.; Espin, S.
- Abstract
Objectives: Improved education and patient self-management can lead to increased glycemic control and reduce the risk of health complications. This qualitative study explores diabetes patients' perspectives of the care received from diabetes educators (registered nurse and dietitian certified diabetes educators) who traveled to various doctors' offices providing diabetes self-management training (DSMT) and support in primary care using key principles of person centred care. Methods: Three diabetes education programs integrated DSMT in 11 primary care sites in a region of Ontario, Canada from November 2009 to August 2014. Semi-structured interviews were conducted with 23 patients. Data was analyzed using thematic analysis with Nvivo software. Results: Patients described feelings of support following appointments with the diabetes educators by experiencing encouragement and motivation. Relationships developed between patients and educators through the use of goal setting and one-on-one sessions. Patients demonstrated elevated self-efficacy by expressing increased confidence and knowledge with managing their diabetes self-care. The collaborative environment between patients and educators, along with the respect voiced by the patients, fostered a sense of individualistic care. Based on the interviews, the integrated DMST exhibited many of the key principles of person centred care. Implications and Conclusions: Diabetes patients may benefit from the convenient access to an inter-professional team of educators in primary care to improve diabetes self-management. Having the diabetes educators onsite, in direct communication with primary care physicians, benefits both patients and physicians by providing expert care and increasing integrated, comprehensive care. The integration of DMST in primary care provides a person centred care approach to education, training and clinical care that can help to empower individuals to better manage their own care.
- Publication
Canadian Journal of Dietetic Practice & Research, 2015, Vol 76, Issue 3, pe8
- ISSN
1486-3847
- Publication type
Academic Journal