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Managing type 1 diabetes at work - A qualitative meta-synthesis.

Emma Victoria Shiel1, Steve Hemingway2, Rajeeb Kumar Sah2

  • 1University of Huddersfield, School of Human and Health Sciences, Queensgate, Huddersfield HD1 3DH, United Kingdom; University of Manchester, Division of Nursing, Social Work, and Midwifery, Oxford Rd, Manchester M13 9PL, United Kingdom.

Primary Care Diabetes
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Managing type 1 diabetes at work is complex. Integrating self-management with job demands, termed "containment," can cause conflict and health issues, highlighting the need for supportive workplaces.

Keywords:
Qualitative researchSelf-managementType 1 diabetesWorkplace accommodationsWorkplace support

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Area of Science:

  • Occupational Health
  • Endocrinology
  • Qualitative Research Synthesis

Background:

  • Type 1 diabetes (T1D) management requires continuous attention.
  • Balancing T1D self-care with work responsibilities presents unique challenges for individuals.
  • Existing research has not fully synthesized qualitative insights into the lived experiences of T1D management in the workplace.

Purpose of the Study:

  • To synthesize qualitative findings on the experiences of individuals managing type 1 diabetes in professional settings.
  • To understand the interplay between T1D self-management and work demands.
  • To identify facilitators and barriers to effective T1D management at work.

Main Methods:

  • A qualitative meta-synthesis approach was employed.
  • Constant comparative methods, reciprocal analysis, and line-of-argument synthesis were utilized.
  • Findings were expressed through narrative synthesis.

Main Results:

  • Thirteen qualitative studies were included, revealing a complex relationship between T1D and work.
  • Individuals with T1D seek to minimize disruption to daily routines while balancing health and work.
  • The strategy of 'containment,' integrating self-management with work, emerged but can lead to psychosocial conflict and adverse health outcomes.

Conclusions:

  • Supportive and empowering work environments are crucial for mitigating T1D-related workplace tensions.
  • Facilitating T1D self-management while preserving autonomy requires integrated support systems.
  • Further research is needed to define specific strategies for creating more accommodating workplaces for individuals with T1D, aiding workforce reentry and retention.