title: Lack of individualized perspective: a qualitative study of diabetes care for immigrants in Sweden.
abstract: This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, "the diabetes nurse specialist as the conductor of the visit", and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care.
authors.affiliation: Institution of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. elisabeth.bjork.bramberg@gu.se
authors.forename: Elisabeth Björk
authors.initials: EB
authors.lastname: Brämberg
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Dahlborg-Lyckhage
authors.forename: Sylvia
authors.initials: S
authors.lastname: Määttä
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing*; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D011209:Power, Psychological; D036301:Qualitative Research; D012648:Self Care; D013548:Sweden