Supporting patients learning to live with diabetes: a phenomenological study

Area of Science:

• Nursing
• Diabetes Care
• Patient Education

Background:

• Supporting patients with diabetes requires a nuanced approach from healthcare professionals.
• Understanding the perspective of diabetes specialist nurses (DSNs) is crucial for optimizing patient learning and self-management.
• Existing literature may not fully capture the self-reflective practices of DSNs in patient support.

Purpose of the Study:

• To explore the phenomenon of supporting patients learning to live with diabetes from the perspective of diabetes specialist nurses (DSNs).
• To identify the key principles and strategies employed by DSNs in facilitating patient self-management and learning.
• To understand the professional insights and challenges faced by DSNs in their supportive role.

Main Methods:

• Qualitative study employing reflective lifeworld research principles.
• Data collected through six semi-structured interviews with 16 diabetes specialist nurses (DSNs).
• Thematic analysis of interview transcripts to identify patterns in DSNs' approaches to patient support.

Main Results:

• DSNs utilize a self-critical approach, recognizing the importance of not assuming patient responsibility.
• Support involves encouraging patient self-reflection and goal-oriented self-management.
• Effective support necessitates a tactful, challenging approach, addressing patient emotions and fears.

Conclusions:

• DSNs facilitate patient learning by empowering them to take ownership of their diabetes management.
• The DSN role requires critical self-awareness, emotional intelligence, and a focus on patient autonomy.
• Mentorship and professional support for DSNs are essential for effective patient care and role fulfillment.