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Living With Diabetes in Appalachia: A Focus Group Study
Roger Carpenter1, Mary Jane Smith
1West Virginia University School of Nursing, Morgantown.
Holistic Nursing Practice
|June 13, 2018
Summary
This study explored how individuals with type 2 diabetes manage their condition, revealing themes of evolving life processes and vigilant responsibility. Findings inform a new patient-centered, holistic nursing approach for diabetes management in Appalachia.
Area of Science:
- Nursing
- Public Health
- Qualitative Research
Background:
- Diabetes management presents significant challenges, particularly for individuals in rural areas.
- Existing approaches often focus on problems rather than patient-centered care.
- Holistic nursing practices can offer innovative solutions for chronic disease management.
Purpose of the Study:
- To explore how individuals with type 2 diabetes describe managing their condition.
- To link these lived experiences to holistic nursing practice using story theory.
- To develop an innovative, patient-centered practice application for diabetes management.
Main Methods:
- Qualitative focus group study involving nine adults with type 2 diabetes in rural West Virginia.
- Content analysis to identify integrated themes and core qualities of diabetes management.
- Application of story theory to connect findings with holistic nursing practice.
Main Results:
- Key themes identified: living as an evolving process, being on guard, attending to bodily experience, and knowing consequences.
- These themes highlight the dynamic and multifaceted nature of diabetes self-management.
- A patient-centered approach, moving beyond problem-focus, emerged as crucial.
Conclusions:
- The study developed an innovative holistic practice application for diabetes management.
- This approach emphasizes individual preferences and a patient-centered perspective.
- Findings contribute to understanding diabetes self-management in Appalachia and promote holistic care.
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