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Challenges in managing elderly people with diabetes in primary care settings in Norway

Graue, Marit, Dunning, Trisha, Hausken, Marie Fjelde and Rokne, Berit 2013, Challenges in managing elderly people with diabetes in primary care settings in Norway, Scandinavian Journal of Primary Health Care, vol. 31, no. 4, pp. 1-7, doi: 10.3109/02813432.2013.854445.

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Title Challenges in managing elderly people with diabetes in primary care settings in Norway
Author(s) Graue, Marit
Dunning, TrishaORCID iD for Dunning, Trisha orcid.org/0000-0002-0284-1706
Hausken, Marie Fjelde
Rokne, Berit
Journal name Scandinavian Journal of Primary Health Care
Volume number 31
Issue number 4
Start page 1
End page 7
Total pages 7
Publisher Informa Healthcare
Place of publication London, UK
Publication date 2013
ISSN 0281-3432
Keyword(s) Chronic illness
Diabetes
Elderly people
Focus groups
General practice
Home-based services
Norway
Nursing homes
Qualitative research
Summary Objective
To explore the experiences and clinical challenges that nurses and nursing assistants face when providing high-quality diabetes-specific management and care for elderly people with diabetes in primary care settings.

Design
Focus-group interviews.

Subjects and setting
Sixteen health care professionals: 12 registered nurses and four nursing assistants from nursing homes (10), district nursing service (5), and a service unit (1) were recruited by municipal managers who had local knowledge and knew the workforce. All the participants were women aged 32–59 years with clinical experience ranging from 1.5 to 38 years.

Results
Content analysis revealed a discrepancy between the level of expertise which the participants described as important to delivering high-quality care and their capacity to deliver such care. The discrepancy was due to lack of availability and access to current information, limited ongoing support, lack of cohesion among health care professionals, and limited confidence and autonomy. Challenges to delivering high-quality care included complex, difficult patient situations and lack of confidence to make decisions founded on evidence-based guidelines.

Conclusion
Participants lacked confidence and autonomy to manage elderly people with diabetes in municipal care settings. Lack of information, support, and professional cohesion made the role challenging.
Language eng
DOI 10.3109/02813432.2013.854445
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
HERDC collection year 2013
Copyright notice ©2013, Informa Healthcare
Persistent URL http://hdl.handle.net/10536/DRO/DU:30059610

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Fri, 17 Jan 2014, 15:20:02 EST by Barb Lavelle

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