Oftedal Bjørg, Kolltveit Beate-Christin Hope, Zoffmann Vibeke, Hörnsten Åsa, Graue Marit
Department of Health Studies University of Stavanger Stavanger Norway.
Centre for Evidence-Based Practice Bergen University College Bergen Norway.
Nurs Open. 2017 Feb 10;4(3):134-142. doi: 10.1002/nop2.76. eCollection 2017 Jul.
To describe how diabetes nurses in primary care experience the process of learning to practise the person-centred counselling approach Guided Self-Determination among adults with type 2 diabetes.
A descriptive qualitative design.
Data were collected in 2014-2015 by means of individual interviews with four diabetes nurses at two points in time. The data were analysed using qualitative content analysis.
Three themes that reflect nurses' processes in learning to use the Guided Self-Determination approach were identified: (1) from an unfamiliar interaction to "cracking the code"; (2) from an unspecific approach to a structured, reflective, but demanding approach; and (3) from a nurse-centred to a patient-centred approach. The overall findings indicate that the process of learning to practise Guided Self-Determination increased the nurses' counselling competence. Moreover, the nurses perceived the approach to be generally helpful, as it stimulated reflections about diabetes management and about their own counselling practices.
描述基层医疗中的糖尿病护士如何体验学习对2型糖尿病成人患者实施以患者为中心的咨询方法——引导式自主（咨询法）的过程。
描述性定性设计。
2014年至2015年，通过在两个时间点对四名糖尿病护士进行个人访谈收集数据。采用定性内容分析法对数据进行分析。
确定了反映护士学习使用引导式自主方法过程的三个主题：（1）从不熟悉的互动到“破解密码”；（2）从非特定方法到结构化、反思性但要求较高的方法；（3）从以护士为中心到以患者为中心的方法。总体研究结果表明，学习实施引导式自主的过程提高了护士的咨询能力。此外，护士们认为该方法总体上很有帮助，因为它激发了对糖尿病管理及自身咨询实践的思考。
