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ABSTRACT
Purpose
The prevalence of Type 2 diabetes is rapidly increasing, with 537 million people estimated to have diabetes in 2021. The literature suggests that nurses can deliver effective person-centred diabetes care and that families can be essential in supporting patients. Thus, a Nurse-led Family-based (NLFB) approach may be particularly effective. This study aims to explore the perceptions of nurses, adults with type 2 diabetes, and family members regarding the NLFB intervention.
Methods
Guided by the UK Medical Research Council Framework, this seminal study adopted a qualitative, descriptive approach with content analysis. Data were obtained through 16 semi-structured, in-depth interviews. Themes emerged based on an inductive process using constant comparison (Graneheim and Lundman 2004). The COREQ checklist was used in ensuring rigour.
Results
Three main themes emerged includes: (1) nurses’ experiences with current diabetes care practices, (2) stakeholders’ views on the development of a NLFB approach, and (3) merging the nurse-led family aspects into the diabetes care. The key challenges are the dominant medical model, lack of specialist nurses, and time. The key facilitators are knowledge and social support.
Conclusion
The study recommends stakeholders embrace nursing empowerment strategies and involve families to enhance the nurses’ advanced roles and family inclusion in healthcare.
Acknowledgments
The research team would like to thank Ms. Mona from the Ministry of health for the support in the recruitment of participants.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Ethics approval
This study received ethics approval from Royal College of Surgeons in Ireland Research Ethics Committee.
Supplementary material
Supplemental data for this article can be accessed online at https://doi.org/10.1080/17482631.2024.2323060
Correction Statement
This article has been republished with minor changes. These changes do not impact the academic content of the article.
Additional information
Funding
Notes on contributors
Khadija A. Matrook
Dr Khadija A. Matrook is a lecturer in Nursing in RCSI Bahrain. While studying and working at national and international levels, Dr Khadija have an experience of about 19 years in nursing education, public health, and research. She worked for RCSI, Ministry of Health, World Health Organization, National Health Regulatory Authority, and Geneva foundation for Medical Education Research. She holds a PhD from RCSI- Ireland, Master of Public Health - USA, Advanced diploma in Cognitive Behavioural Therapy - UK, and BSc Nursing.
Seamus Cowman
Prof Seamus Cowman is a Professor Emeritus (Nursing) in the Royal College of Surgeons in Ireland. Pro Cowman have over Twenty years of experience teaching students and supervising research. His teaching experience includes undergraduate and postgraduate students. On subjects areas of Clinical nursing practice, Nursing research, Nursing standards and quality, Professionality and accountability, Pro cowman supervised six PhD students, to completion, 6 MSc and over 80 MSc Dissertations.
Maria Pertl
Dr Maria Pertl is a Lecturer in the Department of Health Psychology. Maria completed her PhD, MSc, and undergraduate degree in Psychology in Trinity College Dublin. Her doctoral research, conferred in 2013, investigated the contributing factors to cancer-related fatigue and evaluated the effectiveness of a psychological intervention for cancer survivors with persistent fatigue. Maria is on the Editorial Board of BMC Psychology. She has been on the executive committee of the Division of Health Psychology in the Psychological Society of Ireland since 2016.
David Whitford
Prof David Whitford is the President, CEO and Registrar of RCSI & UCD Malaysia Campus. Pro Whitford have over 30 years of research experience, starting as a GP trainee, in a research general practice, in the first research Primary Trust in England and latterly in RCSI and RCSI Bahrain. This has led to over 50 peer reviewed publications in international journals and over €2 million in research grants. Have supervised 3 PhDs and 7 Masters to completion, alongside multiple undergraduate research studies: