Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis

Abstract

Background: The aim of this study was to comprehend how people with diabetes view their experiences of the possible barriers and facilitators in inpatient care for type 1 diabetes from non-specialized nurses. Design: An interpretative phenomenology analysis (IPA) was conducted. Methods: The sample consisted of people with type 1 diabetes 1 (n = 24) who use the services of the state hospitals in Cyprus. The data were collected in two phases: firstly, focus groups with people with diabetes (n = 2) were conducted and analysed, and then individual semi-structured interviews with people with diabetes (n = 12) were conducted. Results: It is evident from the findings that people with diabetes experienced several barriers in diabetes inpatient care, which is concerning since this can have adverse effects on patients’ outcomes. No facilitators were reported. Conclusion: Significant results were found in relation to the barriers to diabetes inpatient care. Crucially, the findings demonstrate that all these factors can negatively affect the quality of care of patients with diabetes, and most of these factors are related not only to diabetes care but also generally to all patients who receive inpatient care. Interestingly, no participant reported any facilitators to their care, which further affected the negative perceptions of the care received.

Identifying patient preferences for diabetes care: A protocol for implementing a discrete choice experiment in Samoa

“…The review included 45 papers, 22.2% of which focused specifically on DCEs. Attributes identified as important for and/or influencing diabetes care adherence included: intervention/treatment setting [34]; type of provider (i.e., doctors, nurses, educators, case managers, community health workers) [34][35][36][37]; provider/healthcare interactions (i.e., service dissatisfaction [38], as well as providers' cultural competency, consistency of communication, transparency, respect, and compassion) [37][38][39][40][41][42][43][44][45]; shared decision-making [36,44]; levels of diabetes education and knowledge provided [39,41,[45][46][47][48]; treatments that improve quality of life [44,49,50]; medication/treatment side effects [23,[50][51][52][53][54][55][56]; treatment outcomes/goals [9,23,49,52,53,[56][57][58]; un-and under-coordinated care [39,59]; types of selfmanagement and regimen frequency/complexity…”

Aportes de la fenomenología interpretativa a las investigaciones de enfermería y al cuidado enfermero asistencial

“…Este método resulta adecuado para conocer diversos aspectos humanos que en cierta manera fortalecen el objeto de enfermería; el cuidado. En este sentido, la fenomenología interpretativa ha sido una de las más empleadas en estudios fenomenológicos lideradas por profesionales de enfermería en el área clínica o comunitaria [9][10][11] , resaltando aspectos que ante una enfermedad o riesgo potencial los pacientes tienden a experimentar barreras para llevar a cabo el cuidado de su salud, éstas pueden ser atribuidas a la atención médica o por la propia experiencia de la enfermedad, teniendo un impacto negativo en su bienestar 12 .…”

“…Enfatizando en el involucramiento y ejercicio de habilidades que conlleven al cuidado en la diferentes etapas de vida del ser humano, sentando las bases para profundizar en ciertas temáticas y dando origen a valioso conocimiento para mejorar los cuidados enfermeros 12,13 , de ahí la importancia del método interpretativo como directriz para los profesionales en enfermería, especialmente de quienes presentan la inquietud por dedicarse a la investigación científica que provea de habilidad y experiencia a fin de lograr el objetivo de comprender los significados a través de la interpretación.…”

Psychometric evaluation of the Chinese version of fear of hospitalization scale among outpatients: A validation study

“…In addition to patient concerns about surgery and anesthesia, patients experience fear due to a lack of communication and contact with hospital staff and information about various tests, medications, and therapeutic care operations ( Tiwary et al, 2019 ). Conflicting instructions and plans from different healthcare providers can also cause patients to feel confused, fearful, and uncertain of correct statements ( Nikitara et al, 2020 ). The closed management of wards during the prevention and control of the new coronary pneumonia epidemic is an effective means of preventing infection, cutting off transmission routes, and ensuring the health of hospitalized patients.…”