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Perceived Barriers of Adult Medicine Nurses for Providing Self-Management Education to Type 2 Diabetic Patients

Qadri, Sara Fatima
http://rave.ohiolink.edu/etdc/view?acc_num=osu1388677153

Abstract Details

2014, Master of Science, Ohio State University, Allied Medical Professions.
According to available literature, controlling type 2 diabetes through self-management prevents additional complications that will increase healthcare costs. Nurses are in the first line for providing patients with self-management education and training, they typically get to know the patients on a more personal level than the physicians and address feelings and attitudes rather than just the disease itself. The fact that self-management education being provided by nurses is not consistent despite positive results and policy enforcement/recommendation is concerning. This study aims to assess the perceived attitudes and perceived barriers that exist thus contributing to the literature by describing the perceived self-management provider barriers that exist in a city funded Public Health system serving under represented communities, where the need for providing said self-management education is crucial. This study will address the following research objectives: 1. Describe adult medicine nurses perceptions that make giving diabetes self-management education challenging. 2. Describe adult medicine nurses level of training and ability to provide diabetes self-management education. 3. Describe techniques used by adult medicine nurses when providing diabetes self-management education to adult patients. This is a descriptive study utilizing a triangulation technique employing pre-collected de-identified data from both a questionnaire and focus groups/interview to optimize the objectives of the study. The data was collected as a quality assurance program by a second year Master of Public Health candidate completing Practicum hours at a large public health department in a major metropolitan American city. The sample utilized was convenience sample; thirty four participants (both nurses and CMAs) for the questionnaire and eight total nurses (from five different clinics) for the focus groups/interviews. None of the available participants declined participation. The data was examined qualitatively by three separate field experts for the emergence of themes and checked against each other for consensus. Themes emerging as barriers to providing patient education were both patient/provider and organizational in nature. Patient/provider barriers included themes such as: education level of patient, patient understanding/ acceptance of illness, compliance of medication, diet or exercise, language barrier, culture/religion, age of patient and income. Organizational barriers included themes such as: lack of current materials, time, short staffing, and lack of Certified Diabetes Educators. The themes that emerged were consistent with the available literature. Perceived expertise of the nurses was found to be inconsistent between the questionnaire and focus group/interview. Of the nurses who took the questionnaire, 75% felt they were knowledgeable and confident in their ability to provide appropriate self-management training. The other quarter stated their knowledge was “adequate” and they need more training. The focus groups/interviews, responses painted a different picture. The same nurses responded in these groups stating they did not feel confident in their knowledge and needed more time to perform the function and up to date training and materials to keep up with current practices. This difference is speculated to be due to the different methods utilized to collect the data. Finally, the methods used to provide self-management education identified were in line with adult learning techniques such as repeat, practical, reinforce and teach back. The responses are consistent with what the literature recommends, indicating the nurses know and understand the principles that are found in the literature. However, there is an opportunity to develop a more systematic approach in order to overcome the barriers identified through the first research question and ensure continuity of care.
Jill Clutter (Advisor)
Georgianna Sergakis (Committee Member)
Randi Love (Committee Member)
104 p.
Health Care Management; Public Health
Type 2 Diabetes; Self-management; Barriers; Perceived barriers

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Citations

  • Qadri, S. F. (2014). Perceived Barriers of Adult Medicine Nurses for Providing Self-Management Education to Type 2 Diabetic Patients [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1388677153

    APA Style (7th edition)

  • Qadri, Sara. Perceived Barriers of Adult Medicine Nurses for Providing Self-Management Education to Type 2 Diabetic Patients. 2014. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1388677153.

    MLA Style (8th edition)

  • Qadri, Sara. "Perceived Barriers of Adult Medicine Nurses for Providing Self-Management Education to Type 2 Diabetic Patients." Master's thesis, Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1388677153

    Chicago Manual of Style (17th edition)

osu1388677153
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This open access ETD is published by The Ohio State University and OhioLINK.