Pot Chantal H M, Hietbrink Eclaire A G, Laverman Gozewijn D
Department of Internal Medicine/Nephrology, Ziekenhuisgroep Twente, Almelo, the Netherlands.
Department of Biomedical Signals and Systems, University of Twente, Enschede, the Netherlands.
Nurs Open. 2025 Apr;12(4):e70183. doi: 10.1002/nop2.70183.
To explore the implementation of lifestyle counselling in secondary type 2 diabetes mellitus care from the perspective of diabetes nurses.
An exploratory qualitative study.
Semi-structured interviews were conducted with diabetes nurses in a hospital setting. Data were analysed through inductive thematic analysis by two independent coders.
The findings are structured around two main categories: the current role of lifestyle in consultations and nurses' perspectives on the future of lifestyle counselling. Diabetes nurses consider lifestyle an essential component of care but face numerous barriers to discussing it effectively. Key challenges include limited expertise, a lack of practical guidelines, time constraints, patient motivation, and the patient-provider relationship. Nurses prioritise raising awareness, educating, and providing brief personalised advice, while comprehensive lifestyle coaching is beyond their scope. They emphasise the importance of multidisciplinary collaboration to ensure a holistic approach that incorporates multiple lifestyle factors and individual circumstances. Nurses also recognise the potential of eHealth, anti-obesity medication, and novel insulin pumps to support lifestyle changes.
Lifestyle counselling is complex and influenced by various factors. Efforts should focus on specialised training, actionable guidelines, and interdisciplinary collaboration. Advances in medicine and technology offer additional opportunities to enhance patient support.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The role of diabetes nurses should focus on raising awareness, providing education, and offering brief, personalised lifestyle advice. Nurses need the knowledge and skills to identify lifestyle needs and receive an overview of appropriate referral options.
Training programmes should be developed to enhance nurses' competence and confidence in providing lifestyle guidance. Interdisciplinary collaboration must be strengthened both within hospitals and at the regional level. Policymakers should develop practical guidelines encompassing all lifestyle dimensions and providing clear referral pathways to specialised professionals and interventions.
This study adhered to the COREQ criteria.
No Patient or Public Contribution.
从糖尿病护士的角度探讨二级2型糖尿病护理中生活方式咨询的实施情况。
一项探索性定性研究。
在医院环境中对糖尿病护士进行半结构化访谈。由两名独立编码员通过归纳主题分析对数据进行分析。
研究结果围绕两个主要类别展开：生活方式在咨询中的当前作用以及护士对生活方式咨询未来的看法。糖尿病护士认为生活方式是护理的重要组成部分，但在有效讨论生活方式方面面临诸多障碍。主要挑战包括专业知识有限、缺乏实用指南、时间限制、患者积极性以及医患关系。护士将提高认识、教育和提供简短的个性化建议作为优先事项，而全面的生活方式指导超出了他们的职责范围。他们强调多学科协作的重要性，以确保采用综合方法，纳入多种生活方式因素和个人情况。护士还认识到电子健康、抗肥胖药物和新型胰岛素泵在支持生活方式改变方面的潜力。
生活方式咨询很复杂，受到多种因素影响。应将努力重点放在专业培训、可行的指南和跨学科协作上。医学和技术的进步提供了加强患者支持的更多机会。
对专业和/或患者护理的启示：糖尿病护士的角色应侧重于提高认识、提供教育以及提供简短的个性化生活方式建议。护士需要具备识别生活方式需求的知识和技能，并了解适当的转诊选择概况。
应制定培训计划，以提高护士提供生活方式指导的能力和信心。必须在医院内部和区域层面加强跨学科协作。政策制定者应制定涵盖所有生活方式维度并提供明确转诊途径以获得专业人员和干预措施的实用指南。
本研究遵循COREQ标准。
无患者或公众贡献。
