scholarly journals Perceptions of Type 2 Diabetes Patients Towards Diabetes Management Visits at Public Primary Health Care Centers with Diverse Opinions Towards Nurse-led Clinics in Muscat, Oman: A Pilot Qualitative Study

2020 ◽  
Vol 35 (6) ◽  
pp. e196-e196
Author(s):  
Kamila Al-Alawi ◽  
Ahmed Al-Mandhari

Objectives: The literature has described several positive outcomes related to diabetes management via nurse-led clinics. This is especially true where a shortage of physicians is recorded within a team-based approach. We sought to explore the perceptions of patients with type 2 diabetes towards the current diabetes management visits at public primary health care centers in Muscat, Oman and their opinions towards nurse-led diabetes management clinics. Methods: This pilot qualitative study included seven semi-structured interviews with type 2 diabetes patients from four purposely selected public primary health care centers in Muscat. Qualitative thematic analysis was applied. Results: Patients with type 2 diabetes expressed their satisfaction with the present diabetes management visits at public primary health care. Their opinions towards nurse-led clinic were diverse and divided patients into three categories: those who totally refused the nurse-led clinics, those who accepted the clinics but with reservations, and patients that totally accepted the nurse-led clinics. The patients’ main concern was the nurses’ abilities to handle and understand the disease and its management. Conclusions: Our pilot study revealed type 2 diabetes patients’ satisfaction with the current diabetes management clinics. However, transformation to nurse-led clinics within team-based approach requires further studies with a bigger sample size. Further studies on requirements related to the Omani health care system and a better understanding of patients’ worries and their readiness to accept the concept of nurse-led clinics and their outcomes are also recommended.

2020 ◽  
Vol 12 (4) ◽  
pp. 10
Author(s):  
Nadia A. Suraj ◽  
Hashim S. Elwagie

Diabetes education, with its role in improvement in knowledge, attitude and practice, lead to better control of the disease, and is accepted to be an important part of diabetes management. The Study aimed to determine the effect of diabetes education on health status of type 2 diabetes patients attending Diabetes Mini Clinics at Primary Health Care centers in Khartoum state, Sudan. The study design was quasi-experimental. Sample of seventy-eight type 2 diabetes patients was selected from eleven reverence family health centers, which contain diabetes mini clinic. Seventy of participants continued until the end of the study. A pre –post questionnaire was used to collect the data, which entered and analyzed by using Statistical Package for the Social Sciences, percentage, mean and standard deviation and paired T. test were used to analyze the data. The level of statistical significance was set at P. value ˂ 0.05. The results showed Diabetes education had positive effect on glycemic control (P. value = .001), diastolic blood pressure (P. value = .017), and quality of life (P. value = .001). The study recommended that coverage of primary health care centers with diabetes education service is very important and other studies is needed for more evaluation. 


2021 ◽  
Vol 13 (8) ◽  
pp. 14
Author(s):  
Amer Al-Sahouri ◽  
Joy Merrell

OBJECTIVE: This study aimed to explore health care workers’ perceptions, awareness and attitudes towards the factors that contribute to poor glycemic control among patients with Type-2 diabetes in Jordan. MATERIAL & METHODS: A qualitative study was conducted to seek rich, in-depth data about health care workers’ perceptions and attitudes regarding Type-2 diabetes. Ten semi-structured interviews were conducted with primary health care workers: four nurses, physician, dietitian, pharmacist, lab technician, dentist and receptionist who were recruited using purposive sampling. All interviews were audio recorded, transcribed and uploaded to the qualitative data analysis software package NVivo 12. Thematic analysis was used to analyze the data. RESULTS: Four themes were derived from the interview analysis: lack of knowledge of patients regarding diabetes and its management; influence of socio-cultural factors on patients’ diabetes management behaviors included eating pattern and physical activity; challenges related to the health care system including medication insecurity and health insurance policies and challenges related to staff shortages and poor patient-staff communication. CONCLUSION: The findings suggest that medical and nursing practice could usefully move away from a task-oriented medical model towards a more holistic approach in diabetes management. Health promotion should be delivered in a wider context to target the population in different age groups to raise awareness of diabetes amongst the general population in Jordan. Nurses’ skills and knowledge could be utilized to rectify patients’ misconceptions and beliefs regarding diabetes treatment.


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