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Contrasting Patient and Practitioner Perspectives in Type 2 Diabetes Management
dc.contributor.authorHunt, Lindaen_US
dc.contributor.authorArar, Nedalen_US
dc.contributor.authorLarme, Anneen_US
dc.contributor.authorRankin, Sallyen_US
dc.contributor.authorAnderson, Robert M.en_US
dc.date.accessioned2010-04-14T14:13:43Z
dc.date.available2010-04-14T14:13:43Z
dc.date.issued1998en_US
dc.identifier.citationHunt, Linda; Arar, Nedal; Larme, Anne; Rankin, Sally; Anderson, Robert (1998). "Contrasting Patient and Practitioner Perspectives in Type 2 Diabetes Management." Western Journal of Nursing Research 6(20): 656-682. <http://hdl.handle.net/2027.42/69023>en_US
dc.identifier.issn0193-9459en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/69023
dc.description.abstractStudies of self-care behaviors in the management of type 2 diabetes of ten focus on patient knowledge and montivation, without considering the role of practitioner orientations. Using an exploratory descriptive design, we conducted open-ended interviews with 51 type 2 diabetes patients and 35 practitionersfrom clinics in San Antonio and Laredo, Texas. We found critical differences between patient andpractitioner goals, evaluations, and strategies in diabetes management, especially regarding such key concepts as "control" and "taking care of self:" Practitioners' perspectives are rooted in a clinical context, emphasizing technical considerations, whereas patients'perspectives exist within a life-world context andforeground practical and experiential considerations. These result in very different approaches to treatment. Practitioners, presuming failed treatment indicates uncooperativeness, try to inform and motivate patients. The patients we interviewed, however, understood and were committed to type 2 diabetes selfcare, but lackedfull access to behavioral options due to theirpoverty and limited social power.en_US
dc.format.extent3108 bytes
dc.format.extent2573909 bytes
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dc.publisherSAGE PUBLICATIONS, INC.en_US
dc.titleContrasting Patient and Practitioner Perspectives in Type 2 Diabetes Managementen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelNursingen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumUniversity of Michigan Diabetes Research and Training Centeren_US
dc.contributor.affiliationotherSchool of Nursing, University of Texas Health Science Centeren_US
dc.contributor.affiliationotherDepartment of Orthodonticsen_US
dc.contributor.affiliationotherUniversity of California, San Franciscoen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/69023/2/10.1177_019394599802000602.pdf
dc.identifier.doi10.1177/019394599802000602en_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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