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Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study

Author

Listed:
  • Abdullah Salim Al Mahrouqi

    (Oman Government Ministry of Health, Oman College of Health Sciences, Ibri 516, Oman)

  • Robert Kevin Mallinson

    (School of Nursing, George Mason University, 4400 University Dr, Fairfax, VA 22030, USA)

  • Kyeung Mi Oh

    (School of Nursing, George Mason University, 4400 University Dr, Fairfax, VA 22030, USA)

  • Ali A. Weinstein

    (Department of Global and Community Health, George Mason University, 4400 University Dr, Fairfax, VA 22030, USA)

Abstract

Patient-centered care enhances diabetes self-management; however, the primary care nurse’s role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurses’ role in promoting diabetes self-management within a patient-centered care approach. The thematic analysis of the data from individual interviews with patients (n = 24) revealed two themes: patients experienced “missteps on an unclear path” and “nurses doing their best.” Patients struggled to identify treatment goals and faltered in their attempts to adopt diabetes self-management behaviors. The nurses’ role was perceived as task-oriented. Nurse narratives (n = 21) revealed that very few nurses were aware of the patient-centered care philosophy. A theme emerged of nurses “needing a new perspective” to transition their care delivery to align with the patient-centered care model. Nurses expected patients to comply with their instructions and missed opportunities for assessment, engagement, and collaborative problem-solving during patient encounters. The shift from a physician-based medical model to a patient-centered primary care delivery system may necessitate that nurses engage more effectively with patients, collaborate on an individual treatment plan, and motivate them to adopt self-management behaviors.

Suggested Citation

  • Abdullah Salim Al Mahrouqi & Robert Kevin Mallinson & Kyeung Mi Oh & Ali A. Weinstein, 2022. "Patients’ and Nurses’ Perceptions of Diabetes Self-Management in Oman: A Qualitative Study," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6929-:d:832376
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    References listed on IDEAS

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    1. Roohangiz Norouzinia & Maryam Aghabarari & Maryam Shiri & Mehrdad Karimi & Elham Samami, 2016. "Communication Barriers Perceived by Nurses and Patients," Global Journal of Health Science, Canadian Center of Science and Education, vol. 8(6), pages 1-65, June.
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