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Aim: Structured patient education is one aspect of supporting self-management for people with diabetes. People from the black and minority ethnic groups who live in upper-middle and high income countries are at higher risk of developing type 2 diabetes mellitus than white Caucasians and providing structured patient education in a multicultural society can be challenging for practitioners. To promote a sustainable model of care, with language support, this paper discusses the use of culturally appropriate structured patient education with established tools within routine care. Methods: Structured patient education was provided for people with type 2 diabetes from the Urdu/Punjabi speaking communities in two Health Boards in Scotland during 2013 with language support. Diabetes Nurse Specialists and Practice Nurses with expertise in delivering structured patient education delivered Conversation Maps™, as part of routine care, using Linkworkers in Lothian Health Board and Interpreters in Greater Glasgow and Clyde Health Board to people with type 2 diabetes from the Urdu/Punjabi speaking communities. Results: Three issues were identified that are discussed in this paper. There were challenges in recruitment, working with interpreters and the health literacy of the people attending the education. Diabetes Nurses, who are at the forefront of patient education, need to work with interpreters prior to a group education session to ensure that the interpreters are: familiar with health related concepts; able to translate these concepts into culturally appropriate terminology; familiar and competent in interpreting within a group setting as opposed to one-to-one. Conclusion: Recruiting Urdu/Punjabi speaking people with type 2 diabetes to group education routinely provided in Health Boards is challenging. There are issues around recruitment, working with interpreters in a group setting and health literacy.

international archives of nursing and health care

Discussion of Challenges in Engaging Urdu/Punjabi Speak People with Type 2 Diabetes in Structured Group Patient Education Using Interpretation and Established Educational Tools in Two Health Boards in Scotland