scholarly journals Working with patients suffering from chronic diseases – a balancing act for health care professionals. A meta-synthesis of qualitative studies

2019 ◽  
Author(s):  
Heidi Holmen ◽  
Marie Hamilton Larsen ◽  
Merja Helena Sallinen ◽  
Lisbeth Thoresen ◽  
Birgitte Ahlsen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Chronic Diseases ◽  
Health Care Professionals ◽  
Qualitative Interviews ◽  
Qualitative Studies ◽  
Chronic Obstructive ◽  
Number Of Patients

Abstract Background: The number of patients with long-term chronic diseases is increasing. These patients place a strain on health care systems and health care professionals (HCPs). Presently, we aimed to systematically review the literature on HCPs’ experiences working with patients with long-term chronic diseases such as type 2 diabetes, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). Method: A systematic search of papers published between 2002 and July 2019 was conducted in the Embase, AMED, PsycINFO, MEDLINE, CINAHL, and COCHRANE databases to identify studies reporting qualitative interviews addressing HCPs’ experiences working with adults with COPD, CKD or type 2 diabetes. An interdisciplinary research group were involved in all phases of the study. With the help of NVivo, extracts of each paper were coded, and codes were compared across papers and refined using translational analysis. Further codes were clustered in categories that in turn formed overarching themes. Results : Our comprehensive search identified 4170 citations. Of these, 20 papers met our inclusion criteria. Regarding HCPs’ experiences working with patients with COPD, CKD, or type 2 diabetes, we developed 10 sub-categories that formed three overarching main themes of work experiences: 1) individualizing one’s professional approach within the clinical encounter; 2) managing one’s emotions over time; 3) working to maintain professionalism. Overall these three themes suggest that HCPs’ work is a complex balancing act depending on the interaction between patient and professional, reality and professional ideals, and contextual support and managing one’s own emotions. Conclusion: Few qualitative studies highlighted HCPs’ general working experiences, as they mainly focused on the patients’ experiences or HCPs’ experiences of using particular clinical procedures. This study brings new insights about the complexity embedded in HCPs’ work in terms of weighing different, often contrasting aspects, in order to deliver appropriate practice. Acknowledging, discussing and supporting this complexity can empower HCPs to avoid burning out. Leaders, health organizations, and educational institutions have a particular responsibility to provide HCPs with thorough professional knowledge and systematic support.

scholarly journals Working with patients suffering from chronic diseases – a balancing act for health care professionals. A meta-synthesis of qualitative studies

2019 ◽  
Author(s):  
Heidi Holmen ◽  
Marie Hamilton Larsen ◽  
Merja Helena Sallinen ◽  
Lisbeth Thoresen ◽  
Birgitte Ahlsen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Chronic Diseases ◽  
Health Care Professionals ◽  
Qualitative Interviews ◽  
Qualitative Studies ◽  
Chronic Obstructive ◽  
Number Of Patients

Abstract Background: The number of patients with long-term chronic diseases is increasing. These patients place a strain on health care systems and health care professionals (HCPs). Presently, we aimed to systematically review the literature on HCPs’ experiences working with patients with long-term chronic diseases such as type 2 diabetes, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). Method: A systematic search of papers published between 2002 and July 2019 was conducted in the Embase, AMED, PsycINFO, MEDLINE, CINAHL, and COCHRANE databases to identify studies reporting qualitative interviews addressing HCPs’ experiences working with adults with COPD, CKD or type 2 diabetes. An interdisciplinary research group were involved in all phases of the study. With the help of NVivo, extracts of each paper were coded, and codes were compared across papers and refined using translational analysis. Further codes were clustered in categories that in turn formed overarching themes. Results : Our comprehensive search identified 4170 citations. Of these, 20 papers met our inclusion criteria. Regarding HCPs’ experiences working with patients with COPD, CKD, or type 2 diabetes, we developed 10 sub-categories that formed three overarching main themes of work experiences: 1) individualizing one’s professional approach within the clinical encounter; 2) managing one’s emotions over time; 3) working to maintain professionalism. Overall these three themes suggest that HCPs’ work is a complex balancing act depending on the interaction between patient and professional, reality and professional ideals, and contextual support and managing one’s own emotions. Conclusion: Few qualitative studies highlighted HCPs’ general working experiences, as they mainly focused on the patients’ experiences or HCPs’ experiences of using particular clinical procedures. This study brings new insights about the complexity embedded in HCPs’ work in terms of weighing different, often contrasting aspects, in order to deliver appropriate practice. Acknowledging, discussing and supporting this complexity can empower HCPs to avoid burning out. Leaders, health organizations, and educational institutions have a particular responsibility to provide HCPs with thorough professional knowledge and systematic support.

scholarly journals Making the Transition to Insulin Therapy: The Experiences of Samoan People with Type 2 Diabetes in New Zealand

2021 ◽  
Author(s):  
◽  
Sera Tapu-Ta'ala
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
New Zealand ◽  
Insulin Therapy ◽  
Health Care Professionals ◽  
Pacific People ◽  
Qualitative Descriptive

<p>Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.</p>

scholarly journals Making the Transition to Insulin Therapy: The Experiences of Samoan People with Type 2 Diabetes in New Zealand

2021 ◽  
Author(s):  
◽  
Sera Tapu-Ta'ala
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
New Zealand ◽  
Insulin Therapy ◽  
Health Care Professionals ◽  
Pacific People ◽  
Qualitative Descriptive

<p>Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.</p>

scholarly journals Prevalence of the Effects of Anxiety and Depression on People with Type 2 Diabetes Mellitus: An Analysis of Health Policy Studies in Improving the Quality of Life of Poor Families in the Urban Areas of West Lombok, Indonesia

2020 ◽  
Vol 16 (9) ◽  
pp. 1002-1010
Author(s):  
Chairun Nasirin ◽  
Andries Lionardo
Keyword(s):  
Type 2 Diabetes ◽  
Chronic Diseases ◽  
Urban Areas ◽  
Economic Conditions ◽  
Anxiety And Depression ◽  
Diabetic Patients ◽  
Health Examination ◽  
Number Of Patients ◽  
The Government

Background: To explore the tendency of the effects of anxiety and depression that occur in type 2 diabetes patients, especially poor patients who live in the urban areas with poor economic conditions, who do not have health access from the government, and live away from the hospitals. Methods: It is a cross-sectional study which aimed to determine the number of patients who experienced anxiety and depression problems due to the declining health conditions caused by diabetes. A sample size of 98 diabetics experiencing anxiety and depression when the treatment was carried out was included. The study design included a qualitative study with in-depth interviews with respondents who were at risk of diabetes, as well as to determine the level of anxiety and depression that occurred when medical care was provided and the feelings experienced by the respondents after the completion of treatment. Results: Diabetic patients are generally unaware that their illness is a chronic disease that takes a long time to treat. When the patients are sick, most of them do not immediately go to the hospital or a specialist to get their health examination and treatment, because the hospital is far from the patients’ residence. Furthermore, some patients still use traditional medicine and non-medical treatment, so when the patients with critical conditions are taken to the hospital, they already have chronic diabetes. Conclusions: The lack of access to health for chronic patients with poor economic conditions who live far from the hospitals and the scarcity of medical staff to carry out treatment of chronic diseases such as diabetes for poor patients in urban areas certainly have an impact on increasing the number of patients with chronic diseases. Therefore, the government is expected to be able to provide easy health policies to remote rural communities in order to achieve optimal community welfare and health.

Characteristics and outcomes of covid-19 patients treated at Hue Central Hospital - Facility 2

2021 ◽  
Author(s):  
Nhu Hiep Pham
Keyword(s):  
Type 2 Diabetes ◽  
Chronic Diseases ◽  
Average Concentration ◽  
Chronic Obstructive ◽  
Central Hospital ◽  
Old Patients ◽  
Study Results ◽  
Significant Difference ◽  
D Dimer

Background: To date, many countries/regions around the world have reported Patients with COVID-19, which is an acute respiratory inflammatory disease caused by a new strain of the coronavirus.The aim of this study is to evaluate the treatment efficacy of COVID -19 patients at the Hue Central Hospital-branch 2. Methods: Twenty four COVID-19 patients transferred from Da Nang were included in the study. Results: There was no statistically significant difference in age and sex between men and women (p> 0.05). There were 16patients (66.67%) with chronic renal failure (CRF) accounting for the highest proportion, 12 patients (50%) with hypertension (HYP), 06 patients (25%) with type 2 diabetes (diabetes), 06 patients (25%) with exacerbation of chronic obstructive pulmonary disease (COPD), 04 cases (16.67%) with cancer, 09 cases (37.50%) with 02 chronic diseases, 05 cases (20.83%) with 03 chronic diseases, 1 case (4.17%) with 04 chronic diseases. The average concentration of D-dimer was extremelyhigh (9057.38+154.34 ng/mL). 14 COVID-19 patients (58.33%) had mechanical ventilation, 09 patients (37.50%) were on hemodialysis cycle, 09 patients (29.17%) were on continuous renal replacement therapy (CRRT), 3 patients (12.50%) were on dialysis ECMO, 12 patients must use vasopressors (Noradrenalin, Adrenalin, Dobutamine). The Mortality was equal to the survival rate. Conclusion: The extremely elevated plasma D-dimer concentration is one of the high-risk factors for mortality in COVID-19 patients. COVID-19 old Patients who also suffer from chronic diseases such as hypertension, obesity, type 2 diabetes, coronary artery disease, chronic kidney failure are highly associated with the increased mortality rate.

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