Implementing empowerment group education in diabetes.
The overall aim was to gain insight into and understand how physicians and nurses view the implementation of empowerment group education (EGE) in diabetes. Prior to the study the physicians and nurses attended a 2-day empowerment workshop. Further, they had implemented the empowerment approach in two groups of patients with type II diabetes. Three to 9 months later they (five physicians and 11 nurses from six family practices) participated in focus group interviews to evaluate the implementation of the EGE. The interviews were audio-taped, transcribed and analysed using the constant comparative method. The main result showed a conflict in roles. The physicians and nurses knew their role in the traditional approach but not with respect to the empowerment approach, which they needed to grow into. At the same time as they started a new way of working, their role had changed from being an expert to being a facilitator. As experts they felt secure; as facilitators they needed support in their educational process. To implement EGE they required support both from the family practice and from a supervisor in direct connection with the EGE.
Adolfsson
Eva Thors
ET
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. eva.thors-adlofsson@ltvastmanland.se
Smide
Bibbi
B
Gregeby
Emma
E
Fernström
Lillemor
L
Wikblad
Karin
K
D000328:Adult; D001291:Attitude of Health Personnel; D003220:Conflict, Psychological; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control / Q000523:psychology; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D010353:Patient Education as Topic / Q000458:organization & administration*; D010819:Physician's Role; D010821:Physicians, Family / Q000193:education / Q000523:psychology; D011209:Power, Psychological; D011320:Primary Health Care / Q000458:organization & administration; D015397:Program Evaluation; D012649:Self Concept; D012657:Self-Help Groups / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D013548:Sweden