Enhanced Self-Monitoring Blood Glucose In Non-Insulin-Requiring Type 2 Diabetes: A Qualitative Study In Primary Care

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Dr.. Dana Brackney, Assistant Professor (Creator)
Appalachian State University (ASU )
Web Site: https://library.appstate.edu/

Abstract: Aims and objectives: To contribute to both theoretical and practical understanding of the role of self-monitoring blood glucose for self-management by describing the experience of people with non-insulin-requiring Type 2 diabetes in an enhanced structured self-monitoring blood glucose intervention. Background: The complex context of self-monitoring blood glucose in Type 2 diabetes requires a deeper understanding of the clients’ illness experience with structured self-monitoring of blood glucose. Clients’ numeracy skills contribute to their response to blood glucose readings. Nurses’ use of motivational interviewing to increase clients’ regulatory self-efficacy is important to the theoretical perspective of the study. Design: A qualitative descriptive study. Methods: A purposive sample of eleven adults recently (<2 years) diagnosed with non-insulin-requiring Type 2 diabetes who had experienced a structured self-monitoring blood glucose intervention participated in this study. Audio recordings of semi-structured interviews and photographs of logbooks were analysed for themes using constant comparison and member checking. Results: The illness experience states of Type 2 diabetes include ‘Diagnosis,’ ‘Behavior change,’ and ‘Routine checking.’ People check blood glucose to confirm their Type 2 diabetes diagnosis, to console their diabetes-related fears, to create personal explanations of health behaviour’s impact on blood glucose, to activate behaviour change and to congratulate their diabetes self-management efforts. Conclusions: These findings support the Transtheoretical model’s stages of change and change processes. Blood glucose checking strengthens the relationships between theoretical concepts found in Diabetes Self-management Education-Support including the following: engagement, information sharing and behavioural support. Relevance to clinical practice: Tailoring diabetes care specifically to clients’ stage of their illness experience with use of self-monitoring blood glucose contributes to engagement in self-management. Motivational interviewing and collaborative decision-making using blood glucose checking increase regulatory self-efficacy for people living with non-insulin-requiring Type 2 diabetes.

Additional Information

Brackney DE. Enhanced self-monitoring blood glucose in non-insulin-requiring Type 2 diabetes: A qualitative study in primary care. J Clin Nurs. 2018; 27:2120–2131. https://doi.org/10.1111/jocn.14369. Publisher version of record available at: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.14369
Language: English
Date: 2018
nursing intervention, patient-centered care, qualitative descriptive, self-management, Type 2 diabetes

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