Exploring facilitators and barriers to patient-provider communication regarding diabetes self-management

Barriers and facilitators to satisfaction with diabetes care: The perspectives of patients attending public diabetic clinics in Dar es Salaam, Tanzania

“…A shared decision-making culture and healthcare plan enhanced comfort and support to patients and ultimately pledged effective information exchange between healthcare providers and patients. These findings are consistent with several related studies conducted in different settings [13,[43][44][45]. For instance, a study conducted among rural African-American adults diagnosed with type diabetes mellitus revealed the presence of profound therapeutic provider-patient partnerships which encouraged them to comply with treatments and seek regular appointments [46].…”

The needs of patients with diabetes for the prevention and treatment of foot complications in Thailand: A qualitative descriptive study

“…In addition, nurses promote the quality of life for PWDs by preparing and supplying knowledge about foot care for preventing foot ulcers or delaying foot complications (Aalaa et al, 2017 ; Kanan et al, 2018 ). According to the literature review, foot care information alone may not be sufficient to promote self-confidence in PWDs, while good training for foot care until reaching patients’ confidence results in the management of abnormal symptoms and foot ulcer management (Kirk et al, 2023 ). Empowerment promotes self-confidence regarding foot care because nurses have more foot care information and are more experts than PWDs, in addition to trustable professionals.…”

“…Due to a shortage of nurses in Thailand, direct care involving providing time is limited because there is still an overwhelming workload, resulting in little effective communication between nurses and PWDs. A shortage of staff and an overwhelming workload are some of the barriers to healthcare service accessibility, leading to nurses being concerned only with the number of PWDs each day rather than the patients concerned (Kirk et al, 2023 ). Typically, PWDs request more time to cater to their needs or consult with nurses, but those nurses are unable to spend sufficient time for those purposes.…”

“…If nurses are empowered, they can connect to those patients (Abbas, 2017 ; Nang et al, 2019 ), resulting in more confidence in the foot care of those patients. In addition, the psychosocial support during the provision of information by nurses also cultivates patient-nurse relationships with sincere communication (Kirk et al, 2023 ), resulting in improved health behavior or diabetes self-management (Kaya & Karaca, 2018 ). PWDs typically experience uncertainty because diabetes is a chronic condition that is unable to be treated, indicating that those patients live their lives with prolonged, unstable, and unpredictable health conditions.…”