ArticleInternational journal of qualitative studies on health and well-being2026
Diabetes specialist nurses' reasoning on their professional practice in contemporary primary diabetes healthcare: a focus group study.
Article in International journal of qualitative studies on health and well-being, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionThe prevalence of type 2 diabetes is increasing alarmingly worldwide. Evidence consistently shows that nurse-led care by diabetes specialist nurses is crucial for delivering efficient front-line primary diabetes management. This study aimed to explore diabetes specialist nurses' experiences of the prerequisites for person-centred care and for their professional practice in primary diabetes healthcare.
methodsA total of 16 diabetes specialist nurses from western Sweden participated in four focus-group discussions during May 2025. The data were analysed to identify common themes among the participants' experiences according to Krueger and Casey's descriptions.
resultsThe analysis resulted in one main theme: "maintaining professionalism in a changing and strained primary diabetes care". This theme included five subthemes that described diabetes specialist nurses' experiences regarding the prerequisites for person-centred care and professional practice. The diabetes specialist nurses reported daily challenges in delivering person-centred care in contemporary primary diabetes healthcare. Their professional commitment was evident in their clinical practice and in their efforts to maintain professional competence. Despite emphasising the importance of long-term, person-centred patient engagement in diabetes care, they face limited time to interact with patients and insufficient managerial support for their professional learning. DISCUSSION: The findings underscore diabetes specialist nurses' need for organisational support, particularly from managers who value and actively promote person-centred care, as well as opportunities for continuous professional development. Taken together, such supportive measures could lay the groundwork for a sustainable primary healthcare system for diabetes in the future.
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