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dc.contributor.authorGraue, Mariten_US
dc.contributor.authorDunning, Trishaen_US
dc.contributor.authorHausken, Marie Fjeldeen_US
dc.contributor.authorRokne, Beriten_US
dc.PublishedGraue M, Dunning, Hausken, Rokne B. Challenges in managing elderly people with diabetes in primary care settings in Norway. Scandinavian Journal of Primary Health Care. 2013;31(4):241-247eng
dc.description.abstractObjective. To explore the experiences and clinical challenges that nurses and nursing assistants face when providing high-quality diabetes-specific management and care for elderly people with diabetes in primary care settings. Design. Focus-group interviews. Subjects and setting. Sixteen health care professionals: 12 registered nurses and four nursing assistants from nursing homes (10), district nursing service (5), and a service unit (1) were recruited by municipal managers who had local knowledge and knew the workforce. All the participants were women aged 32–59 years with clinical experience ranging from 1.5 to 38 years. Results. Content analysis revealed a discrepancy between the level of expertise which the participants described as important to delivering high-quality care and their capacity to deliver such care. The discrepancy was due to lack of availability and access to current information, limited ongoing support, lack of cohesion among health care professionals, and limited confidence and autonomy. Challenges to delivering high-quality care included complex, difficult patient situations and lack of confidence to make decisions founded on evidence-based guidelines. Conclusion. Participants lacked confidence and autonomy to manage elderly people with diabetes in municipal care settings. Lack of information, support, and professional cohesion made the role challenging.en_US
dc.publisherTaylor & Franciseng
dc.rightsAttribution CC BYeng
dc.subjectChronic illnesseng
dc.subjectelderly peopleeng
dc.subjectfocus groupseng
dc.subjectGeneral practiceeng
dc.subjecthome-based serviceseng
dc.subjectNursing homeseng
dc.subjectQualitative researcheng
dc.titleChallenges in managing elderly people with diabetes in primary care settings in Norwayen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2013 Informa Healthcare
dc.source.journalScandinavian Journal of Primary Health Care
dc.relation.projectNorges forskningsråd: 221065

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