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Management of gestational diabetes from the patient's perspective - a comparison of Swedish and Middle-Eastern born women.

Hjelm, Katarina; Bard, Karin; Nyberg, Per LU and Apelqvist, Jan LU (2007) In Journal of Clinical Nursing 16(1). p.168-178
Abstract
Aim. To explore patients' evaluation of a specialized diabetes clinic for management of women with gestational diabetes born in Sweden and the Middle East and its contribution to a decreased level of stress and improved coping capability to promote health in patients receiving care.



Background. No studies comparing patients' perceptions of healthcare in women of different origin with gestational diabetes have been found. A perceived clinical problem in specialized diabetes care is of lower activity level in self-care in foreign- than Swedish-born women and the question is whether the healthcare organization is optimal in meeting different individuals' needs.



Design. Explorative study.

... (More)
Aim. To explore patients' evaluation of a specialized diabetes clinic for management of women with gestational diabetes born in Sweden and the Middle East and its contribution to a decreased level of stress and improved coping capability to promote health in patients receiving care.



Background. No studies comparing patients' perceptions of healthcare in women of different origin with gestational diabetes have been found. A perceived clinical problem in specialized diabetes care is of lower activity level in self-care in foreign- than Swedish-born women and the question is whether the healthcare organization is optimal in meeting different individuals' needs.



Design. Explorative study.



Method. Semi-structured individual interviews by external evaluators.



Participants. Consecutive sample. Females with gestational diabetes, 13 born in Sweden and 14 born in the Middle East.



Results. The healthcare model was perceived as functioning well. Swedish women were problem focused and information seeking. Frustration and stress were increased due to perceived delay in information concerning gestational diabetes, limited access to telephone service and lack of confidence in staff because they lacked the expected competence. Control of gestational diabetes and pregnancy by different persons led to perceived lack of holistic care. Women from the Middle East felt cared, had been given the necessary information and claimed to follow advice. Adequate information reduced respondents' anxiety and increased their control over the situation.



Conclusions. The clinic needs to be further improved by adapting programmes to persons to become problem focused by giving adequate information immediately.



Relevance to clinical practice. Cultural differences in coping strategies and attitudes to gestational diabetes need to be considered. Training of staff working with gestational diabetes patients is urgently needed. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
patient-centred care, nursing, migrants, evaluation, gestational diabetes, patient-focused
in
Journal of Clinical Nursing
volume
16
issue
1
pages
168 - 178
publisher
Wiley-Blackwell
external identifiers
  • wos:000242965000019
  • scopus:33845770819
ISSN
1365-2702
DOI
10.1111/j.1365-2702.2005.01422.x
language
English
LU publication?
yes
id
4bfdc20b-5ab9-46c2-a26b-f69416736ce5 (old id 163815)
date added to LUP
2007-07-23 14:29:58
date last changed
2017-01-01 06:40:53
@article{4bfdc20b-5ab9-46c2-a26b-f69416736ce5,
  abstract     = {Aim. To explore patients' evaluation of a specialized diabetes clinic for management of women with gestational diabetes born in Sweden and the Middle East and its contribution to a decreased level of stress and improved coping capability to promote health in patients receiving care.<br/><br>
<br/><br>
Background. No studies comparing patients' perceptions of healthcare in women of different origin with gestational diabetes have been found. A perceived clinical problem in specialized diabetes care is of lower activity level in self-care in foreign- than Swedish-born women and the question is whether the healthcare organization is optimal in meeting different individuals' needs.<br/><br>
<br/><br>
Design. Explorative study.<br/><br>
<br/><br>
Method. Semi-structured individual interviews by external evaluators.<br/><br>
<br/><br>
Participants. Consecutive sample. Females with gestational diabetes, 13 born in Sweden and 14 born in the Middle East.<br/><br>
<br/><br>
Results. The healthcare model was perceived as functioning well. Swedish women were problem focused and information seeking. Frustration and stress were increased due to perceived delay in information concerning gestational diabetes, limited access to telephone service and lack of confidence in staff because they lacked the expected competence. Control of gestational diabetes and pregnancy by different persons led to perceived lack of holistic care. Women from the Middle East felt cared, had been given the necessary information and claimed to follow advice. Adequate information reduced respondents' anxiety and increased their control over the situation.<br/><br>
<br/><br>
Conclusions. The clinic needs to be further improved by adapting programmes to persons to become problem focused by giving adequate information immediately.<br/><br>
<br/><br>
Relevance to clinical practice. Cultural differences in coping strategies and attitudes to gestational diabetes need to be considered. Training of staff working with gestational diabetes patients is urgently needed.},
  author       = {Hjelm, Katarina and Bard, Karin and Nyberg, Per and Apelqvist, Jan},
  issn         = {1365-2702},
  keyword      = {patient-centred care,nursing,migrants,evaluation,gestational diabetes,patient-focused},
  language     = {eng},
  number       = {1},
  pages        = {168--178},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Management of gestational diabetes from the patient's perspective - a comparison of Swedish and Middle-Eastern born women.},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2005.01422.x},
  volume       = {16},
  year         = {2007},
}