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

Article

Hills, Sharon, Terry, Daniel, Gazula, Swapnali and Browning, Colette. 2022. "Practice nurses’ communication with people living with type 2 diabetes: A scoping review." Patient Education and Counseling. 105 (8), pp. 2664-2670. https://doi.org/10.1016/j.pec.2022.03.024
Article Title

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

ERA Journal ID13745
Article CategoryArticle
AuthorsHills, Sharon, Terry, Daniel, Gazula, Swapnali and Browning, Colette
Journal TitlePatient Education and Counseling
Journal Citation105 (8), pp. 2664-2670
Number of Pages7
Year2022
PublisherElsevier
Place of PublicationIreland
ISSN0738-3991
1873-5134
Digital Object Identifier (DOI)https://doi.org/10.1016/j.pec.2022.03.024
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0738399122001380
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.

KeywordsBehaviour change ; Lifestyle discussion ; Communication; Practice nurse ; Diabetes type 2 ; Scoping review
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420503. Community and primary care
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Byline AffiliationsFederation University
School of Nursing and Midwifery
University of Tasmania
Australian National University
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