Practice nurses' communication with people living with type 2 diabetes: A scoping review.

Sharon Hills, Daniel Terry, Swapnali Gazula, Colette Browning

Journal: Patient education and counseling 2022;105(8):2664-2670

PMID: 35393227

Full Text on Elsevier Science View on PubMed

Abstract

OBJECTIVE

To identify the key characteristics of practice nurses' communication with people living with Type 2 Diabetes (T2D) where lifestyle activities are discussed.

METHODS

A scoping review of the peer-reviewed literature was conducted. Reflexive thematic analysis was used to identify key themes that emerged. The PRISMA-ScR checklist was followed.

RESULTS

25 studies were retained in the final review. Nurses who were committed to engaging in lifestyle discussions created supportive environments and built rapport to enable change conversations. However, this was present in just 20% of the studies. In most studies, (60%) nurses continued to use traditional health education communication styles, had little understanding of behaviour change theories, lacked skills in behaviour change counselling and were reluctant to engage in behaviour change discussions with people with T2D .

CONCLUSIONS

Nurses require a deeper understanding of behavioural change theories and skills in behavioural counselling.

PRACTICE IMPLICATIONS

Practice nurses have a unique opportunity to facilitate T2D remission by engaging in evidence-based behaviour change communication. A behaviour change training intervention is needed that recognises the environment of practice nurse consultations. It needs to be pragmatic and fully consider the enablers and barriers to addressing behaviour change in both the nurse and the person with T2D.

Address: Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia. Electronic address: [email protected].; Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia. Electronic address: [email protected].; Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia. Electronic address: [email protected].; Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia; Australia Research School of Population Health, Australian National University; Health Innovation and Transformation Centre, Federation University. Electronic address: [email protected].

DOI: 10.1016/j.pec.2022.03.024

Link outs

Free resources

Medical:

https://medlineplus.gov/diabetestype2.html

Subscription / membership required

Full Text Sources:

MeSH Terms: Communication, Diabetes Mellitus, Type 2, Humans, Life Style, Nurse-Patient Relations