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The Stance and Assessment of Expert Nurses to the care of Type 2 Diabetes: Support for Patients Having Difficulty Maintaining Diet with Self-Management Naoko Yamagishi 1 , Akiko Tonosaki 2 1Keio university, Faculty of Nursing and Medical Care 2National College of Nursing, Japan Keyword: 糖尿病看護 , 熟練看護師 , アセスメント , 看護師の姿勢 , 食事療法 , Diabetes nursing , Expert nurse , Assessment , Stance , Diet pp.138-146
Published Date 2010/9/30
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 The aim of this study is to reveal the stance and assessment conducted by expert nurses in respect to patients with type 2 diabetes having difficulty maintaining diet with self-management. The subjects surveyed were 5 nurses with high practical ability and with at least 5 years of experience in diabetes nursing in which they individually counseled and guided patients at outpatient clinics. We collected data through interviews and analyzed it qualitatively.

 Expert nurses had improved the quality of the assessment by “believing in patients from the view of living person and establishing a relationship of trust to talk each other about anything honestly.” Additionally, “grasping the patient's background including the meaning of life and eating” occupied the central position to find a clue for solution relating to their self-management. Moreover, expert nurses linked their assessment to the backgrounds of the patients when “finding any little change or an effort in their feelings or thoughts and actions for changing dietary habit,” when “judging how patients feel while maintaining diet with self-management by putting themselves in the patients' shoes and paying attention to the nonverbal body language of the patients,” when “investigating the hidden problems looking back the approaches of selfmanagement with the patients.” Furthermore, in apprehending these factors syntagmatically and using their intuition, expert nurses were “seizing the timing to explain self-management or to accept suggestions without fail” in their nursing support.


Copyright © 2010, Japan Academy of Diabetes Education and Nursing. All rights reserved.

基本情報

電子版ISSN 2432-3713 印刷版ISSN 1342-8497 日本糖尿病教育・看護学会

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