title: Issues that impact type-2 diabetes self-management in rural communities.
abstract: OBJECTIVE
  To evaluate and synthesize the evidence related to issues that impact type-2 diabetes self-management in rural communities.
  
  
  METHODS
  A systematic review of the literature from 2008 to 2013 was conducted using the following health science databases: CINAHL, PubMed, Cochrane Library, and OVID. Other databases searched included the clearinghouses of the Centers for Disease Control (CDC); National Rural Health Association (NRHA), State Offices of Rural Health (SORH), and Rural Health Research & Policy Centers (RHRPC). Keywords used to obtain relevant articles included rural, type-2 diabetes self-management, health disparities, and nursing.
  
  
  CONCLUSIONS
  Three themes emerged from the literature examined: barriers to type-2 diabetes self-management, provider tools and education enhance type-2 diabetes self-management, and recommendations and guidelines for diabetes self-management efficacy.
  
  
  CONCLUSIONS
  The information presented here will support healthcare providers in improving preventative care, providing optimal disease management, and assisting with successful type-2 diabetes self-management in rural populations.
authors.affiliation: College of Nursing, Washington State University, Spokane, Washington.
authors.forename: Selina
authors.initials: S
authors.lastname: Ross
authors.affiliation: College of Nursing, Washington State University, Spokane, Washington.
authors.forename: Sandra
authors.initials: S
authors.lastname: Benavides-Vaello
authors.affiliation: College of Nursing, Washington State University, Spokane, Washington.
authors.forename: Lorna
authors.initials: L
authors.lastname: Schumann
authors.affiliation: College of Nursing, Washington State University, Spokane, Washington.
authors.forename: Mel
authors.initials: M
authors.lastname: Haberman
mesh_terms: D003152:Community Health Nursing; D003924:Diabetes Mellitus, Type 2 / Q000451:nursing / Q000517:prevention & control*; D006801:Humans; D009722:Nurse Practitioners; D017410:Practice Guidelines as Topic; D019035:Rural Health Services; D012648:Self Care; D014481:United States
keywords: Diabetes type 2; management; review; rural