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Diabetes management challenges in Iran: A qualitative content analysis
Author(s) -
Molayaghobi Nasrin Soltani,
Abazari Parvaneh,
Taleghani Fariba,
Iraj Bijan
Publication year - 2019
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12777
Subject(s) - diabetes mellitus , medicine , nursing , content analysis , qualitative research , diabetes management , research design , nursing management , family medicine , type 2 diabetes , social science , sociology , endocrinology
Aim To explore and analyse diabetes management challenges in the patients visiting a diabetes unit in Iran. Background Managing a chronic disease like diabetes needs the patients' follow‐up and coherent care delivery system. In fact, it requires a systematic and organised care delivery system with skilful and specialist team. Methods This qualitative research was conducted at a specialized poly‐clinic of Isfahan insurance organisation in 2016. The research participants were the members of clinic diabetes unit (physician, nurse, secretary, clinic director) and 21 type 2 diabetic patients of the clinic who were selected using purposeful sampling method. Data were collected by semi‐structured interviews and analysed using content analysis. Results The qualitative findings of this research were obtained in two main categories including the following: (a) weak care delivery system and (b) defective diabetes self‐care. Conclusions The results of this research have demonstrated that there are system‐centred and patient‐centred challenges in diabetes management, and they can affect the patients’ health outcomes. Implications for nursing management Since diabetes is one of the health system priorities, the findings of this study can be a warning for managers and policy makers to plan seriously to reform diabetes management system infrastructures.