Related Experiment Videos
'Sustaining Development Towards Remission': A Constructivist Grounded Theory of Healthcare Professionals' Practice in
Songna Jin1, Linyue Tan1, Wei Zhao1
1Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Background:
Type 2 diabetes remission is an achievable, evidence-based therapeutic goal, yet its integration into routine care remains at an early stage. In China, where leading institutions are pioneering remission-oriented practice, healthcare professionals play a pivotal role in shaping its clinical implementation. Nevertheless, how healthcare professionals perceive, interpret, and enact remission-oriented care remains understudied.
Aim:
To explore healthcare professionals' perceptions and experiences regarding type 2 diabetes remission implementation and to develop a constructivist grounded theory explaining how remission-oriented care is supported and advanced in clinical practice.
Design:
A grounded theory study.
Methods:
Using constructivist grounded theory methodology, we conducted semi-structured interviews between March and November 2025. Participants were recruited from healthcare settings that implemented type 2 diabetes remission services in Hunan Province, China, including tertiary hospitals, community hospitals, and healthcare companies. Coding proceeded through three iterative phases: initial coding, focused coding, and theoretical coding, combined with constant comparative methods and reflective memo-writing.
Findings:
We recruited 23 healthcare professionals, including physicians, nurses, dietitians, and healthcare service managers. The core category of the substantive theory, 'sustaining development towards remission', captured the process of remission-oriented care from its conceptual introduction to clinical implementation. This process comprised four interrelated phases: germination, emergence, branching, and flourishing. The theory illustrates how healthcare professionals navigate cognitive adaptation and behavioural transformation in implementing remission-oriented care, highlighting the developmental trajectory of type 2 diabetes remission within routine diabetes management.
Conclusions:
The findings emphasise that achieving type 2 diabetes remission holds significant practical implications for promoting proactive health globally, while also representing a challenging process. It advocates that this approach be incorporated into routine diabetes care pathways to support remission-oriented management of type 2 diabetes, improve patient health outcomes, and optimise the professional contribution of nurses in sustainable diabetes management.
Implications For The Profession:
This study contributes to global understanding of remission-oriented diabetes care by illustrating healthcare professionals' implementation experiences and highlighting the contribution of nurses in supporting remission-oriented management of type 2 diabetes.
Reporting Method:
The COREQ guidelines for qualitative research reporting were followed.
Patient Or Public Contribution:
No patient or public contribution.
Related Concept Videos
01:22Diabetes Mellitus: Type 2 and Gestational
01:26Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
01:15Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
01:24Type II Diabetes II: Pathophysiology
01:26Type II Diabetes I: Introduction
01:18Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results from...