Type 2 Diabetes and Lifestyle Discussions With Practice Nurses in Primary Health Care: A Scoping Review of Patient Experiences

Article

Hills, Sharon, Terry, Daniel, Gazula, Swapnali and Browning, Colette. 2025. "Type 2 Diabetes and Lifestyle Discussions With Practice Nurses in Primary Health Care: A Scoping Review of Patient Experiences." Nursing Open. 12 (10). https://doi.org/10.1002/nop2.70321
Article Title

Type 2 Diabetes and Lifestyle Discussions With Practice Nurses in Primary Health Care: A Scoping Review of Patient Experiences

ERA Journal ID213824
Article CategoryArticle
AuthorsHills, Sharon, Terry, Daniel, Gazula, Swapnali and Browning, Colette
Journal TitleNursing Open
Journal Citation12 (10)
Article Numbere70321
Number of Pages12
Year2025
PublisherWiley-Blackwell
Place of PublicationUnited Kingdom
ISSN2054-1058
Digital Object Identifier (DOI)https://doi.org/10.1002/nop2.70321
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1002/nop2.70321
Abstract

Aim: The aim of this study is to explore the global perceptions of people with type 2 diabetes regarding lifestyle communication in practice nurse consultations within primary health care settings. Design: A scoping review of the peer-reviewed published literature was conducted to identify and examine the characteristics of the experiences of people living with type 2 diabetes during a practice nurse consultation, where lifestyle management is discussed. The PRISMA-ScR checklist guided the review, and CASP guidelines were used to appraise the quality of the included studies. Methods: CINAHL, Medline, PsycINFO and Scopus were searched for papers published between January 2010 and May 2025. Studies were included if they described primary research regarding lifestyle discussion experiences that people living with type 2 diabetes have with practice nurses in the primary care setting. Results: From the 409 papers identified, 10 met the inclusion criteria. Key themes included the importance of unrushed consultations, the supportive yet sometimes unclear role of practice nurses, challenges in managing diabetes, the need for personalised lifestyle advice, clear explanations of health markers and varied motivations for lifestyle changes.
Conclusion: While practice nurses are trusted and valued, significant gaps exist in meeting the needs of people with type 2 diabetes. Comprehensive lifestyle management discussions, detailed dietary information and clear explanations of diabetic-specific serology are lacking. Enhancing training, increasing consultation time, involving family members and exploring eHealth solutions are crucial. Further research on brief behaviour change interventions is needed to support informed decisions and improve care quality.

Keywordsdiabetes mellitus; communication; type 2; practice nurse; lifestyle discussions
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204205. Nursing
420319. Primary health care
Byline AffiliationsFederation University
School of Nursing and Midwifery
Centre for Health Research
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Terry, Daniel, Peck, Blake, Baker, Ed and Schmitz, David. 2021. "The Rural Nursing Workforce Hierarchy of Needs: Decision-Making concerning Future Rural Healthcare Employment." Health Care: the journal of delivery science and innovation. 9 (9). https://doi.org/10.3390/healthcare9091232
The Kids Are Alright: Outcome of a Safety Programme for Addressing Childhood Injury in Australia
Peck, Blake and Terry, Daniel. 2021. "The Kids Are Alright: Outcome of a Safety Programme for Addressing Childhood Injury in Australia." European Journal of Investigation in Health Psychology and Education. 11 (2), pp. 546-556. https://doi.org/10.3390/ejihpe11020039
Self-Regulation for and of Learning: Student Insights for Online Success in a Bachelor of Nursing Program in Regional Australia
Peck, B., smith, a., Terry, Daniel and Porter, J.. 2021. "Self-Regulation for and of Learning: Student Insights for Online Success in a Bachelor of Nursing Program in Regional Australia ." Nursing Reports. 11 (2), pp. 364-372. https://doi.org/10.3390/nursrep11020035
Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis
Thomas, Nissy, Coleman, Mardhie and Terry, Daniel. 2021. "Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis ." Nursing Reports. 11 (1), pp. 164-174. https://doi.org/10.3390/nursrep11010016
Academic and clinical performance among nursing students: What's grit go to do with it?
Terry, Daniel and Peck, Blake. 2020. "Academic and clinical performance among nursing students: What's grit go to do with it?" Nurse Education Today. 88, pp. 1-6. https://doi.org/10.1016/j.nedt.2020.104371
Factors That Impact Measures of Grit among Nursing Students: A Journey Emblematic of the Koi Fish
Terry, Daniel and Peck, Blacke. "Factors That Impact Measures of Grit among Nursing Students: A Journey Emblematic of the Koi Fish." European Journal of Investigation in Health Psychology and Education. 10 (2), pp. 564-574. https://doi.org/10.3390/ejihpe10020041
Television as a Career Motivator and Education Tool: A Final-Year Nursing Student Cohort Study
Terry, Daniel and Peck, Blake. 2020. "Television as a Career Motivator and Education Tool: A Final-Year Nursing Student Cohort Study." European Journal of Investigation in Health Psychology and Education. 10 (1), pp. 346-357. https://doi.org/10.3390/ejihpe10010026
Supervision in Healthcare: A Critical Review of the Role, Function and Capacity for Training
Terry, Daniel, Nguyen, Hoang, Perkins, Alicia J and Peck, Blake. 2020. "Supervision in Healthcare: A Critical Review of the Role, Function and Capacity for Training." Universal Journal of Public Health. 8 (1), pp. 1-14. https://doi.org/10.13189/ujph.2020.080101
Public perception of medical errors: Experiences and risks shared in Australia
Kim, Jeong-ah, Terry, Daniel, Jang, Sunny, Nguyen, Hoang, Gilbert, Julia and Cruickshank, Mary. 2020. "Public perception of medical errors: Experiences and risks shared in Australia." Universal Journal of Public Health. 8 (1), pp. 35-41. https://doi.org/10.13189/ujph.2020.080104
Communities of Practice: A systematic review and meta-synthesis of what it means and how it really works among nursing students and novices
Terry, Daniel R., Nguyen, Hoang, Peck, Blake, Smith, Andrew and Phan, Hoang. 2020. "Communities of Practice: A systematic review and meta-synthesis of what it means and how it really works among nursing students and novices." Journal of Clinical Nursing. 29 (3-4), pp. 370-380. https://doi.org/10.1111/jocn.15100
A critical appraisal of what organisational approaches are pivotal to improve patient safety.
Kim, Jeong-ah, Terry, Daniel, Jang, Sunny, Gilbert, Julia and Cruickshank, Mary. 2020. "A critical appraisal of what organisational approaches are pivotal to improve patient safety. " Journal of Hospital Administration. 9 (1), pp. 26-34. https://doi.org/10.5430/jha.v9n1p26
The data deficit for asthma emergency presentations might surprise you: How RAHDaR addresses the data chasm.
Terry, Daniel R T, Peck, Blake and Kloot, Kate. 2020. "The data deficit for asthma emergency presentations might surprise you: How RAHDaR addresses the data chasm. " Rural and Remote Health. 20 (2). https://doi.org/10.22605/RRH5776
What Australian Nursing Students Value as Important in Undertaking Rural Practice
Terry, Daniel R., Peck, Blake, Smith, Andrew, Stevenson, Tyrin, Nguyen, Hoang and Baker, Ed. 2020. "What Australian Nursing Students Value as Important in Undertaking Rural Practice ." Online Journal of Rural Nursing and Health Care. 20 (1), pp. 32-56. https://doi.org/10.14574/ojrnhc.v20i1.589
Understanding childhood injuries in rural areas: Using Rural Acute Hospital Data Register to address previous data deficiencies
Peck, Blake, Terry, Daniel R and Kloot, Kate. 2020. "Understanding childhood injuries in rural areas: Using Rural Acute Hospital Data Register to address previous data deficiencies." Emergency Medicine Australasia. 32 (4), pp. 646-649. https://doi.org/10.1111/1742-6723.13565
A Narrative Synthesis of Childhood Injury Prevention Programs for Pre-School Children
Peck, Blake, Terry, Daniel and Ervin, Kaye. 2020. "A Narrative Synthesis of Childhood Injury Prevention Programs for Pre-School Children." Universal Journal of Public Health. 8 (6), pp. 193-197. https://doi.org/10.13189/ujph.2020.080602
Workplace Based Assessment Program for International Medical Graduates: An Evaluation of an Australian Trial Site
Terry, Daniel, Peck, Blake and Gazula, Swapnali. 2020. "Workplace Based Assessment Program for International Medical Graduates: An Evaluation of an Australian Trial Site." Universal Journal of Public Health. 8 (6), pp. 198-206. https://doi.org/10.13189/ujph.2020.080603
Occupational Self-Efficacy and Psychological Capital Amongst Nursing Students: A Cross Sectional Study Understanding the Malleable Attributes for Success
Terry, Daniel, Peck, Blake, Smith, Andrew and Nguyen, Hoang. 2020. "Occupational Self-Efficacy and Psychological Capital Amongst Nursing Students: A Cross Sectional Study Understanding the Malleable Attributes for Success." European Journal of Investigation in Health Psychology and Education. 10 (1), pp. 159-172. https://doi.org/10.3390/ejihpe10010014
Traversing the Funambulist’s Fine Line between Nursing and Male Identity: A Systematic Review of the Factors that Influence Men as They Seek to Navigate the Nursing Profession
Terry, Daniel, Peck, Blake, Carden, Clarissa, Perkins, Alicia J. and Smith, Andrew. 2020. "Traversing the Funambulist’s Fine Line between Nursing and Male Identity: A Systematic Review of the Factors that Influence Men as They Seek to Navigate the Nursing Profession ." European Journal of Investigation in Health Psychology and Education. 10 (3), pp. 691-703. https://doi.org/10.3390/ejihpe10030051
Chronic ill health in a regional Victoria setting: A 13-year comparison
Glenister, Kristen, Bourke, Lisa, Terry, Daniel and Simmons, David. 2019. "Chronic ill health in a regional Victoria setting: A 13-year comparison." Australian Journal of Rural Health. 27 (6), pp. 527-534. https://doi.org/10.1111/ajr.12565
Communication training and its effects on carer and care-receiver outcomes in dementia settings: A systematic review
Nguyen, Hoang, Terry, Daniel, Phan, Hoang, Vickers, James and McInerney, Fran. 2019. "Communication training and its effects on carer and care-receiver outcomes in dementia settings: A systematic review ." Journal of Clinical Nursing. 28 (7-8), pp. 1050-1069. https://doi.org/10.1111/jocn.14697
Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria
Gardiner, Gardiner, Robins, Shalley and Terry, Daniel. 2019. "Acute circulatory complications in people with diabetes mellitus type 2: How admission varies between urban and rural Victoria." Australian Journal of Rural Health. 27 (1), pp. 49-56. https://doi.org/10.1111/ajr.12459
Health professional students' rural placement satisfaction and rural practice intentions: A national cross-sectional survey
Smith, Tony, Sutton, Keith, Sabrina, Pit, Muyambi, Kuda, Terry, Daniel, Farthing, Annie, Courtney, Claire and Cross, Merylin. 2018. "Health professional students' rural placement satisfaction and rural practice intentions: A national cross-sectional survey." Australian Journal of Rural Health. 26 (1), pp. 26-32. https://doi.org/10.1111/ajr.12375
Competing food consumption discourses and proper gendered behaviour among over 50s: are you really what you eat?
Malatzky, Christina, Terry, Daniel, Bourke, Lisa, Glenister, Kristen and Ervin, Kaye. 2018. "Competing food consumption discourses and proper gendered behaviour among over 50s: are you really what you eat?" Journal of Research for Consumers. 32, pp. 1-31.
Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians
Terry, Daniel, Robins, Shalley, Gardiner, Samantha, Ruby, Wyett and Islam, Md Rafiqul. 2017. "Asthma hospitalisation trends from 2010 to 2015: variation among rural and metropolitan Australians." BMC Public Health. 17. https://doi.org/10.1186/s12889-017-4704-y