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Enhanced self‐monitoring blood glucose in non‐insulin‐requiring Type 2 diabetes: A qualitative study in primary care
Author(s) -
Brackney Dana Elisabeth
Publication year - 2018
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.14369
Subject(s) - blood glucose monitoring , type 2 diabetes , medicine , diabetes mellitus , context (archaeology) , self monitoring , diabetes management , transtheoretical model , motivational interviewing , glycemic , self management , type 1 diabetes , debriefing , intervention (counseling) , blood glucose self monitoring , psychology , nursing , social psychology , continuous glucose monitoring , medical education , endocrinology , paleontology , machine learning , computer science , biology
Aims and objectives To contribute to both theoretical and practical understanding of the role of self‐monitoring blood glucose for self‐management by describing the experience of people with non‐insulin‐requiring Type 2 diabetes in an enhanced structured self‐monitoring blood glucose intervention. Background The complex context of self‐monitoring blood glucose in Type 2 diabetes requires a deeper understanding of the clients’ illness experience with structured self‐monitoring of blood glucose. Clients’ numeracy skills contribute to their response to blood glucose readings. Nurses’ use of motivational interviewing to increase clients’ regulatory self‐efficacy is important to the theoretical perspective of the study. Design A qualitative descriptive study. Methods A purposive sample of eleven adults recently (<2 years) diagnosed with non‐insulin‐requiring Type 2 diabetes who had experienced a structured self‐monitoring blood glucose intervention participated in this study. Audio recordings of semi‐structured interviews and photographs of logbooks were analysed for themes using constant comparison and member checking. Results The illness experience states of Type 2 diabetes include ‘Diagnosis,’ ‘Behavior change,’ and ‘Routine checking.’ People check blood glucose to confirm their Type 2 diabetes diagnosis, to console their diabetes‐related fears, to create personal explanations of health behaviour's impact on blood glucose, to activate behaviour change and to congratulate their diabetes self‐management efforts. Conclusions These findings support the Transtheoretical model's stages of change and change processes. Blood glucose checking strengthens the relationships between theoretical concepts found in Diabetes Self‐management Education‐Support including the following: engagement, information sharing and behavioural support. Relevance to clinical practice Tailoring diabetes care specifically to clients’ stage of their illness experience with use of self‐monitoring blood glucose contributes to engagement in self‐management. Motivational interviewing and collaborative decision‐making using blood glucose checking increase regulatory self‐efficacy for people living with non‐insulin‐requiring Type 2 diabetes.