Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jun 6;19(11):6929.
doi: 10.3390/ijerph19116929.

Patients' and Nurses' Perceptions of Diabetes Self-Management in Oman: A Qualitative Study

Abdullah Salim Al Mahrouqi  1 , Robert Kevin Mallinson  2 , Kyeung Mi Oh  2 , Ali A Weinstein  3
Affiliations

Patients' and Nurses' Perceptions of Diabetes Self-Management in Oman: A Qualitative Study

Abdullah Salim Al Mahrouqi et al. Int J Environ Res Public Health. .

Abstract

Patient-centered care enhances diabetes self-management; however, the primary care nurse's role in promoting diabetes self-management within a patient-centered care model is unexplored. This study investigated the perceptions of Omani patients with type-2 diabetes and their clinic nurses on the nurses' role in promoting diabetes self-management within a patient-centered care approach. The thematic analysis of the data from individual interviews with patients (n = 24) revealed two themes: patients experienced "missteps on an unclear path" and "nurses doing their best." Patients struggled to identify treatment goals and faltered in their attempts to adopt diabetes self-management behaviors. The nurses' role was perceived as task-oriented. Nurse narratives (n = 21) revealed that very few nurses were aware of the patient-centered care philosophy. A theme emerged of nurses "needing a new perspective" to transition their care delivery to align with the patient-centered care model. Nurses expected patients to comply with their instructions and missed opportunities for assessment, engagement, and collaborative problem-solving during patient encounters. The shift from a physician-based medical model to a patient-centered primary care delivery system may necessitate that nurses engage more effectively with patients, collaborate on an individual treatment plan, and motivate them to adopt self-management behaviors.

Keywords: diabetes; nurses; patient-centered care; patients; self-management.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there is no conflict of interest.

References

    1. International Diabetes Federation About Diabetes: Diabetes Facts & Figures. [(accessed on 23 April 2021)]. Available online: https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html.
    1. Al-Lawati J.A., Panduranga P., Al-Shaikh H.A., Morsi M., Mohsin N., Khandekar R.B., Al-Lawati H.J., Bayoumi R.A. Epidemiology of diabetes mellitus in Oman results from two decades of research. Sultan Qaboos Univ. Med. J. 2015;15:226–233. - PMC - PubMed
    1. Al-Shafaee M., Al-Farsi Y., Al-Kaabi Y., Banerjee Y., Al-Zadjali N., Al-Zakwani I. Quality of diabetes care in primary health centers in north al-Batinah of Oman. Open Cardiovasc. Med. J. 2014;8:48–54. doi: 10.2174/1874192401408010048. - DOI - PMC - PubMed
    1. Al-Mawali A., Al-Harrasi A., Jayapal S.K., Morsi M., Pinto A.D., Al-Shekaili W., Al-Kharusi H., Al-Balushi Z., Idikula J. Prevalence and risk factors of diabetes in a large community-based study in the Sultanate of Oman: STEPS survey 2017. BMC Endocr. Disord. 2021;21:42. doi: 10.1186/s12902-020-00655-9. - DOI - PMC - PubMed
    1. World Health Organization Regional Office for the Eastern Mediterranean. Oman Health Profile 2015. 2016. [(accessed on 18 November 2020)]. Available online: https://apps.who.int/iris/handle/10665/253772.