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Diabetes management challenges in Iran: A qualitative content analysis.
- Source :
- Journal of Nursing Management; Sep2019, Vol. 27 Issue 6, p1091-1097, 7p, 1 Chart
- Publication Year :
- 2019
-
Abstract
- Aim: To explore and analyse diabetes management challenges in the patients visiting a diabetes unit in Iran. Background: Managing a chronic disease like diabetes needs the patients' follow‐up and coherent care delivery system. In fact, it requires a systematic and organised care delivery system with skilful and specialist team. Methods: This qualitative research was conducted at a specialized poly‐clinic of Isfahan insurance organisation in 2016. The research participants were the members of clinic diabetes unit (physician, nurse, secretary, clinic director) and 21 type 2 diabetic patients of the clinic who were selected using purposeful sampling method. Data were collected by semi‐structured interviews and analysed using content analysis. Results: The qualitative findings of this research were obtained in two main categories including the following: (a) weak care delivery system and (b) defective diabetes self‐care. Conclusions: The results of this research have demonstrated that there are system‐centred and patient‐centred challenges in diabetes management, and they can affect the patients' health outcomes. Implications for nursing management: Since diabetes is one of the health system priorities, the findings of this study can be a warning for managers and policy makers to plan seriously to reform diabetes management system infrastructures. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIABETES prevention
ATTITUDE (Psychology)
COMMITMENT (Psychology)
CONTENT analysis
DECISION making
PEOPLE with diabetes
HEALTH facility administration
HEALTH services administrators
PATIENT aftercare
INTERVIEWING
MANAGEMENT
RESEARCH methodology
MEDICAL care
MEDICAL quality control
MEDICAL personnel
PATIENT compliance
PROFESSIONS
RESEARCH funding
HEALTH self-care
DISEASE management
QUALITATIVE research
JUDGMENT sampling
PSYCHOSOCIAL factors
PATIENTS' attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 09660429
- Volume :
- 27
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Nursing Management
- Publication Type :
- Academic Journal
- Accession number :
- 138570815
- Full Text :
- https://doi.org/10.1111/jonm.12777