Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study

Abdullah Salim Al Mahrouqi, Robert Kevin Mallinson, Kyeung Mi Oh and Ali A. Weinstein
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Abdullah Salim Al Mahrouqi: Oman Government Ministry of Health, Oman College of Health Sciences, Ibri 516, Oman
Robert Kevin Mallinson: School of Nursing, George Mason University, 4400 University Dr, Fairfax, VA 22030, USA
Kyeung Mi Oh: School of Nursing, George Mason University, 4400 University Dr, Fairfax, VA 22030, USA
Ali A. Weinstein: Department of Global and Community Health, George Mason University, 4400 University Dr, Fairfax, VA 22030, USA

IJERPH, 2022, vol. 19, issue 11, 1-12

Abstract: Patient-centered care enhances diabetes self-management; however, the primary care nurse’s role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurses’ role in promoting diabetes self-management within a patient-centered care approach. The thematic analysis of the data from individual interviews with patients (n = 24) revealed two themes: patients experienced “missteps on an unclear path” and “nurses doing their best.” Patients struggled to identify treatment goals and faltered in their attempts to adopt diabetes self-management behaviors. The nurses’ role was perceived as task-oriented. Nurse narratives (n = 21) revealed that very few nurses were aware of the patient-centered care philosophy. A theme emerged of nurses “needing a new perspective” to transition their care delivery to align with the patient-centered care model. Nurses expected patients to comply with their instructions and missed opportunities for assessment, engagement, and collaborative problem-solving during patient encounters. The shift from a physician-based medical model to a patient-centered primary care delivery system may necessitate that nurses engage more effectively with patients, collaborate on an individual treatment plan, and motivate them to adopt self-management behaviors.

Keywords: patient-centered care; self-management; diabetes; nurses; patients (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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