This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. From this perspective, PCC focuses on consultations where health professionals use counselling methods to activate and motivate person to become partners in healthcare decisions (Coulter et al., 2015 Olsson et al., 2013). PCC refers to a philosophy that understands patients as equal partners in planning, developing and assessing care rather than focusing on the disease (de Silva, 2014 Olsson, Jakobsson Ung, Swedberg, & Ekman, 2013). The World Health Organization (2013) emphasizes the importance of person-centred care (PCC) to promote better health outcomes and improve well-being.
Obviously, there is a need to develop counselling methods and competences aimed at stimulating motivation for adequate diabetes management. The International Diabetes Foundation (IDF) argues that without effective patient counselling methods in diabetes care, the burden of living with the disease will continue to increase (IDF, 2015). Previous research has shown that many people with T2DM find it difficult to self-manage their diabetes condition, as its management requires considerable self-discipline and motivation (Carolan, Holman, & Ferrari, 2015 Oftedal, Bru, &
T2DM is a chronic condition that involves daily, complex self-management behaviours, such as diet, physical activity, blood glucose monitoring and sometimes medication, to achieve metabolic control and prevent long-term complications (Cefalu, 2016 IDF, 2015). At present, 382 million people worldwide are living with diabetes, a figure estimated to rise by 2035 to 592 million, of whom over 90% will have T2DM (IDF, 2015). Type 2 diabetes mellitus (T2DM) is undoubtedly one of the most important health challenges of the 21st century (IDF, 2015). Moreover, the nurses perceived the approach to be generally helpful, as it stimulated reflections about diabetes management and about their own counselling practices. The overall findings indicate that the process of learning to practise Guided Self-Determination increased the nurses' counselling competence. Results: Three themes that reflect nurses' processes in learning to use the Guided Self-Determination approach were identified: (1) from an unfamiliar interaction to "cracking the code" (2) from an unspecific approach to a structured, reflective, but demanding approach and (3) from a nurse-centred to a patient-centred approach. The data were analysed using qualitative content analysis. Method: Data were collected in 2014-2015 by means of individual interviews with four diabetes nurses at two points in time. Design: A descriptive qualitative design. Norwegian Research Council, Grant/Award Number: 221065.Īim: To describe how diabetes nurses in primary care experience the process of learning to practise the person-centred counselling approach Guided Self-Determination among adults with type 2 diabetes. Learning to practise the Guided Self-Determination approach in type 2 diabetes in primary care: A qualitative pilot studyīj0rg Oftedal1© | Beate-Christin Hope Kolltveit2 | Vibeke Zoffmann3 | Asa Hörnsten4© | Marit Graue2ĭepartment of Health Studies, University of Stavanger, Stavanger, NorwayĢCentre for Evidence-Based Practice, Bergen University College, Bergen, NorwayģThe Research Unit Women's and Children's Health, The Juliane Marie Centre, Copenhagen University Hospital, Copenhagen, DenmarkĤDepartment of Nursing, Umea University, Umea, Swedenīj0rg Oftedal, Faculty of Social Sciences, Department of Health Studies University of Stavanger, N- 4068 Stavanger, Norway. Received: 8 July 2016 | Accepted: 14 December 2016
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