TY - JOUR
T1 - Doctors’ and nurses’ views on patient care for type 2 diabetes
T2 - An interview study in primary health care in Oman
AU - Noor Abdulhadi, Nadia M.
AU - al-Shafaee, Mohammed Ali
AU - Wahlström, Rolf
AU - Hjelm, Katarina
PY - 2013/12/21
Y1 - 2013/12/21
N2 - 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. Barriers to good diabetes care could be related to problems from health-care providers’ side, patients’ side or the health-care 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. 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. Organizational barriers and barriers related to patients and health-care 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.
AB - 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. Barriers to good diabetes care could be related to problems from health-care providers’ side, patients’ side or the health-care 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. 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. Organizational barriers and barriers related to patients and health-care 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.
KW - Oman
KW - culture
KW - patient–provider interaction
KW - professional behaviour
KW - qualitative content analysis
UR - http://www.scopus.com/inward/record.url?scp=84894327084&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894327084&partnerID=8YFLogxK
U2 - 10.1017/S146342361200062X
DO - 10.1017/S146342361200062X
M3 - Article
C2 - 23259934
AN - SCOPUS:84894327084
SN - 1463-4236
VL - 14
SP - 258
EP - 269
JO - Primary Health Care Research and Development
JF - Primary Health Care Research and Development
IS - 3
ER -