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Successful diabetes management requires functional collaboration between health care professionals and diabetic patients, which is accomplished through the process of interaction. However, the relationships between diabetes management, collaboration, and professional–patient interaction and the significance of professional–patient interaction for the collaboration process have not been studied extensively in the context of type 2 diabetes care. This communication science study aimed to describe the experiences of type 2 diabetic patients to show how professional–patient interaction facilitates and impedes diabetes management–related collaboration. Patients’ (N = 41) perspectives were studied qualitatively by examining their experiences (N=63) with doctors and nurses that they found to facilitate or impede diabetes management. Data were collected using an open survey and semi-structured interviews during the years 2014 and 2015. The research data were combined at the analysis phase and were analyzed using qualitative content analysis. The critical incident technique was applied in conducting the study. Professional–patient interaction both facilitated and impeded diabetes management–related collaboration, especially in three sub-areas: the sharing of information, showing and receiving social support, and defining the collaboration-related roles. Through these sub-areas, professional–patient interaction was related both to the planning of diabetes management and its implementation. A central element to the facilitating and impeding significance of professional-patient interaction was found to be whether professionals and diabetic patients managed to build a common interaction style. The results of this study can be utilized to update the quality criteria for diabetes care and, therefore, to evaluate and develop diabetes management–related collaboration. publishedVersion

Objective: To describe and synthesize client-centered care and service in home care for older persons. Methods: The study was an integrative review using the guidelines for literature reviews by the Joanna Briggs Institute. The research process followed the Whittemore and Knafl framework and PRISMA toolkit in the selection of eligible articles. The CINAHL, Medline, Scopus, Web of Science and Social Sciences abstracts were searched for articles published between January 2007 and May 2020 according to previously designed search strategies. In total, 24 articles were deemed relevant for an analysis using a thematic analysis. Results: The analysis resulted in four themes with sub-themes which revealed that client-centered care and service in home care consist of: 1) Clients’ involvement in their own care; self-care, decision-making, satisfactory daily life, 2) Family members’ and care partners’ participation in care; family members’ and care partners’ commitment to care, family members’ and care partners’ competence in care, 3) Communication and co-operation; communication models, empowerment, partnership, and 4) Evidence-based service competence; delivery and organization of services, implementation of services, versatile clinical skills, quality outcomes and personnel wellbeing. Conclusions: According to the results, achieving client-centered care and service in home care requires the realization of all of the above aspects. The practice of nursing must better identify all dimensions of client-centered care and take these into account in the delivery of home care services.KEY POINTS Client-centeredness is a fundamental value and the basis of nursing and care in home care provided for older persons This paper: deepens and structures the concept of client-centered care in the context of home care. assists professionals to understand the factors behind client-centered care within the home care environment. provides deeper understanding of the roles of the older person, family members, and the service system in developing client-centered services in home care for older persons. publishedVersion