Norwegian nurse-midwives’ perspectives on the provision of antenatal diabetes care in an outpatient setting: A qualitative study

Risa, Christina Furskog; Friberg, Febe; Lidén, Eva

doi:10.1016/j.wombi.2015.01.013

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…Te participants were active in diferent phases, according to their profession and placement in the chain of health care. Descriptions of the act of balancing between normalcy and illness came up several times in the interviews, and this has also been reported in previous research concerning healthcare professionals' experience working with women with GDM [8,10]. Tis balancing act was described in diferent ways; for example, that a lack of time puts the illness in priority instead of the pregnancy and also that it was important to emphasise that lifestyle advice should be considered for everybody, thus as something normal and not specifcally because of their GDM.…”

Section: Results Discussionsupporting

confidence: 59%

“…In a Norwegian study, midwives at a special care unit for women with diabetes mellitus were interviewed. They described a conflict owing to lack of time, where medical issues were prioritised, and person-centred care with a midwifery focus was given less space and time [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Examples of the few existing studies [8][9][10][11] indicate organisational issues and a clinical struggle to handle and balance diferent situations and work tasks in a tight time schedule. Tus, a need for further research within the area to map and increase understanding/knowledge about work with patients with GDM is necessary, during pregnancy as well as after delivery.…”

Section: Introductionmentioning

confidence: 99%

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Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study

Köpsén

Lilja

Hellgren

et al. 2023

Nursing Research and Practice

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Background. Gestational diabetes mellitus (GDM) is increasing and is associated with adverse outcomes for both mother and child. The metabolic demands of pregnancy can reveal a predisposition for type 2 diabetes mellitus (T2DM), and women with a history of GDM are more likely to develop T2DM than women with normoglycemic pregnancies. Aim. The aim of this study was to explore midwives’ and diabetes nurses’ experience of their role in screening, care, and follow-up of women with gestational diabetes mellitus and, further, to explore their opinions and thoughts about existing routines and guidelines. Method. Individual interviews were performed with ten diabetes nurses and eight midwives working in primary and special care. Qualitative content analysis was done according to Graneheim and Lundman. Results. The analysis of the interviews resulted in the overall theme “An act of balance between normalcy and illness, working for motivation with dilemmas throughout the chain of health care.” Difficulties in carrying out the important task of handling GDM while at the same time keeping the pregnancy in focus were central. Women were described as highly motivated to maintain a healthy lifestyle during pregnancy with the baby in mind, but it seemed difficult to maintain this after delivery, and compliance with long-term follow-up with the aim of reducing the risk of T2DM was low. The women came to the first follow-up but did not continue with later contact. This was at a time when the women felt healthy and were focusing on the baby and not themselves. A lack of cooperation and easy access to a dietician and physiotherapist were pointed out as well as a wish for resources such as group activities and multiprofessional teams.

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Section: Results Discussionsupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study

Köpsén

Lilja

Hellgren

et al. 2023

Nursing Research and Practice

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show abstract

“…Finally, trustworthiness was ensured by involving all authors in the data analysis, a team that was experienced with qualitative studies and thematic analysis. 25,26 One limitation is that the participants were interviewed 24-30 months after delivery. This might have caused recall bias on participants' experiences.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

358 Gestational diabetes mellitus follow-up in norwegian primary health care: A qualitative study

Toft

Økland

Risa

2022

European Journal of Obstetrics & Gynecology and Reproductiv

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“…This background likely improved the quality of the data. Finally, trustworthiness was ensured by involving all authors in the data analysis, a team experienced with qualitative studies and thematic analysis (25,26).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study

2021

Self Cite

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BackgroundWomen with gestational diabetes mellitus (GDM) have a tenfold increased risk of developing diabetes, and a high risk of recurrent GDM. Endorsing the life-course approach aiming to prevent disease and promote health across generations, the Norwegian GDM guideline recommends follow-up in primary care after delivery, with information on the increased risks, lifestyle counselling, and annual diabetes screening. Few reports exist on Norwegian women’s experiences of GDM follow-up. AimTo elucidate women’s experiences with follow-up of GDM in pregnancy and after delivery, and to explore their attitudes to diabetes risk and motivation for lifestyle changes. Design & settingQualitative study in primary care in the region of Stavanger, Norway. MethodSemi-structured in-depth interviews were conducted 24–30 months after delivery with 14 women aged 28–44 years, with a history of GDM. Data were analysed thematically. ResultsMost women were satisfied with the follow-up during pregnancy; however, only two women were followed-up according to the guideline after delivery. In most encounters with GPs after delivery, GDM was not mentioned. To continue the healthy lifestyle adopted in pregnancy, awareness of future risk was a motivational factor, and the women asked for tailored information on individual risk and improved support. The main themes emerging from the analysis were as follows: stigma and shame; uncertainty; gaining control and finding balance; and a need for support to sustain change. ConclusionWomen experienced a lack of support for GDM in Norwegian primary care after delivery. To maintain a healthy lifestyle, women suggested being given tailored information and improved support.

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Norwegian nurse-midwives’ perspectives on the provision of antenatal diabetes care in an outpatient setting: A qualitative study

Cited by 8 publications

References 20 publications

Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study

Midwives’ and Diabetes Nurses’ Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study

358 Gestational diabetes mellitus follow-up in norwegian primary health care: A qualitative study

Gestational diabetes mellitus follow-up in Norwegian primary health care: a qualitative study

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