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Doctors' and nurses' views on patient care for type 2 diabetes: an interview study in primary health care in Oman
Karolinska Inst ; Minist Hlth, Oman.
Sultan Qaboos Univ, Oman.
Karolinska Inst ; Uppsala University.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2013 (English)In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 14, no 3, p. 258-269Article in journal (Refereed) Published
Abstract [en]

Aim: This study aimed at exploring the experiences of primary health-care providers of their encounters with patients with type 2 diabetes, and their preferences and suggestions for future improvement of diabetes care. Background: Barriers to good diabetes care could be related to problems from health-care providers' side, patients' side or the healthcare system of the country. Treatment of patients with type 2 diabetes has become a huge challenge in Oman, where the prevalence has increased to high levels. Method: Semi-structured interviews were conducted with 26 health-care professionals, 19 doctors and seven nurses, who worked in primary health care in Oman. Qualitative content analysis was applied. Findings: Organizational barriers and barriers related to patients and healthcare providers were identified. These included workload and lack of teamwork approach. Poor patients' management adherence and influence of culture on their attitudes towards illness were identified. From the providers' side, language barriers, providers' frustration and aggressive attitudes towards the patients were reflected. Decreasing the workload, availability of competent teams with diabetes specialist nurses and continuity of care were suggested. Furthermore, changing professional behaviours towards a more patient-centred approach and need for health education to the patients, especially on self-management, were addressed. Appropriate training for health-care providers in communication skills with emphasis on self-care education and individualization of care according to each patient's needs are important for improvement of diabetes care in Oman.

Place, publisher, year, edition, pages
2013. Vol. 14, no 3, p. 258-269
Keywords [en]
culture, Oman, patient-provider interaction, professional behaviour, qualitative content analysis
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-56668DOI: 10.1017/S146342361200062XISI: 000209619100006Scopus ID: 2-s2.0-84894327084OAI: oai:DiVA.org:lnu-56668DiVA, id: diva2:972611
Available from: 2016-09-21 Created: 2016-09-21 Last updated: 2017-11-21Bibliographically approved

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Hjelm, Katarina

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