Aim: To analyze the representations and meanings of diabetes from the health workers perspective through an ethnographic approach. Method: Participants who attended a national conference on diabetes care were asked to write a narrative responding to the question: "For me, diabetes is. . .". Narratives were qualitatively analyzed by two researchers following the principles of content analysis. Nvivo software was used to organize and code the data. Results: Of the 147 conference participants, 140 narratives were analyzed: 86 written by nurses, 54 by physicians. Six themes emerged: The disease which summarizes the biomedical and biopsychosocial definitions of diabetes; The patient's illness experience, which describes the impact of diabetes on the patients lives; The clinician's experience, where clinicians fear the impact (actual or potential) of diabetes on their families or themselves; The clinician-patient relationship, where the importance of a good patient-clinician relationship and the related emotions are described; and The social and healthcare system, which describes the healthcare system as an aid as well as an obstacle in patients' care. Conclusion: Despite some academic description of diabetes, our results showed that health care workers, especially nurses, have a profound comprehension of the patient illness experience that sometimes leads to the identification with patients. The relationship and patient education were described as a complex and challenging area of practice for both professions. Training on relational and emotional skills could improve the patients care.

"Il diabete è per me": la prospettiva degli operatori sanitari / G. Lamiani, S. Barello, E. Vegni, E.A. Moja. - In: ASSISTENZA INFERMIERISTICA E RICERCA. - ISSN 1592-5986. - 28:3(2009), pp. 138-146.

"Il diabete è per me": la prospettiva degli operatori sanitari

G. Lamiani
Primo
;
E. Vegni
Penultimo
;
E.A. Moja
Ultimo
2009

Abstract

Aim: To analyze the representations and meanings of diabetes from the health workers perspective through an ethnographic approach. Method: Participants who attended a national conference on diabetes care were asked to write a narrative responding to the question: "For me, diabetes is. . .". Narratives were qualitatively analyzed by two researchers following the principles of content analysis. Nvivo software was used to organize and code the data. Results: Of the 147 conference participants, 140 narratives were analyzed: 86 written by nurses, 54 by physicians. Six themes emerged: The disease which summarizes the biomedical and biopsychosocial definitions of diabetes; The patient's illness experience, which describes the impact of diabetes on the patients lives; The clinician's experience, where clinicians fear the impact (actual or potential) of diabetes on their families or themselves; The clinician-patient relationship, where the importance of a good patient-clinician relationship and the related emotions are described; and The social and healthcare system, which describes the healthcare system as an aid as well as an obstacle in patients' care. Conclusion: Despite some academic description of diabetes, our results showed that health care workers, especially nurses, have a profound comprehension of the patient illness experience that sometimes leads to the identification with patients. The relationship and patient education were described as a complex and challenging area of practice for both professions. Training on relational and emotional skills could improve the patients care.
Clinicians' perspective; Diabetes; Implicit representations; Narratives; Qualitative analysis
Settore M-PSI/08 - Psicologia Clinica
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/71953
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