期刊
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
卷 31, 期 4, 页码 241-247出版社
TAYLOR & FRANCIS LTD
DOI: 10.3109/02813432.2013.854445
关键词
Chronic illness; diabetes; elderly people; focus groups; general practice; home-based services; Norway; nursing homes; qualitative research
资金
- Bergen University College
- Western Norway Regional Health Authority (Fund for Patient Safety and Quality Improvement)
- Diabetes Research Foundation of Western Norway
- Norwegian Diabetes Association, southern Norway
Objective. To explore the experiences and clinical challenges that nurses and nursing assistants face when providing high-quality diabetes-specific management and care for elderly people with diabetes in primary care settings. Design. Focus-group interviews. Subjects and setting. Sixteen health care professionals: 12 registered nurses and four nursing assistants from nursing homes (10), district nursing service (5), and a service unit (1) were recruited by municipal managers who had local knowledge and knew the workforce. All the participants were women aged 32-59 years with clinical experience ranging from 1.5 to 38 years. Results. Content analysis revealed a discrepancy between the level of expertise which the participants described as important to delivering high-quality care and their capacity to deliver such care. The discrepancy was due to lack of availability and access to current information, limited ongoing support, lack of cohesion among health care professionals, and limited confidence and autonomy. Challenges to delivering high-quality care included complex, difficult patient situations and lack of confidence to make decisions founded on evidence-based guidelines. Conclusion. Participants lacked confidence and autonomy to manage elderly people with diabetes in municipal care settings. Lack of information, support, and professional cohesion made the role challenging.
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