What are the experiences of people with type 2 diabetes commencing insulin who are enrolled in a regional diabetes encounter programme?
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Other Title
Authors
Talbot, Susan
Author ORCID Profiles (clickable)
Degree
Master of Nursing
Grantor
Eastern Institute of Technology
Date
2015
Supervisors
Nguma, Lucy
Monson, Kathy
Monson, Kathy
Type
Masters Thesis
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
New Zealand
patients
type 2 diabetes
insulin therapy
diabetes encounter programme
experience
Diabetes Conversation Map – Starting Insulin™
focus groups
patients
type 2 diabetes
insulin therapy
diabetes encounter programme
experience
Diabetes Conversation Map – Starting Insulin™
focus groups
ANZSRC Field of Research Code (2020)
Citation
Talbot, S. J. (2015). What are the experiences of people with type 2 diabetes commencing insulin who are enrolled in a regional Diabetes Encounter Programme? (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Nursing). Eastern Institute of Technology (EIT), New Zealand.
Abstract
INTRODUCTION
The primary care setting is recognised as an appropriate place for a person with type 2 diabetes to be commenced on insulin therapy. In New Zealand a regional programme has been introduced, designed to provide six funded consultations for people with type 2 diabetes when commencing insulin therapy. However, little is known about the experiences of people who have been enrolled on this programme and what impact it has on their adjustment to insulin therapy.
AIM
The aim of this research is to explore the experiences of people with type 2 diabetes commencing insulin therapy who are enrolled on a New Zealand regional Diabetes Encounter Programme [DEP]. Results from this research may lead to future changes in diabetes services and support.
METHODOLOGY
Research of a qualitative nature has been chosen for this research. An exploratory descriptive design was adopted to gather in-depth narrative data. Purposive sampling was used with maximum variation to allow gathering of data. Data collection was undertaken, via openended questions, using two focus groups, adopting the ‘Diabetes Conversation Map – Starting Insulin’™ as a visual tool to encourage discussion about experiences among participants. The two focus group discussions were audio recorded and transcribed “verbatim”. Thematic analysis was adopted for this research with coding undertaken by the researcher and cofacilitator of the focus groups. Respondent validation was used to improve the accuracy and validity of the data.
FINDINGS
Several themes were revealed in this research, including a lack of knowledge of the progressive nature of type 2 diabetes and the emotional impact this can have. Selfmanagement activities emerged as a prevalent theme including challenges to daily living, coping with hypoglycaemia, sharps disposal and the role media may play in patient satisfaction. Satisfaction including health service satisfaction was also strongly influenced by the patient-health provider relationship and a patient-centred approach to care.
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