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Western Journal of Nursing Research
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What's this?

Health Literacy Self-Management by Patients With Type 2 Diabetes and Stage 3 Chronic Kidney Disease

Teresa J. Sakraida

University of Colorado Denver, Teresa.Sakraida{at}ucdenver.edu

Marylou V. Robinson

University of Colorado Denver

This is a qualitative study report from a parent study that used a concurrent mixed methods design whose aim was to describe the transition and self-management experiences of patients diagnosed with type 2 diabetes mellitus (T2DM) and stage 3 chronic kidney disease (CKD). Six adult men and women recruited from outpatient clinics completed two focus group interviews. Discerned in the ethnographic analysis of interviews and field notes using ATLAS/ti was a pattern of Health Literacy Self-Management with two major threads: (a) transition experience to self-advocacy characterized as seeking useful resources and difficulties in resource use and (b) partnering with the health care provider (HCP) characterized as helpful messaging and messaging confusion. Self-management support includes a shared responsibility and developmental process by the patient and the HCP to achieve quality care. Description of behavioral factors and self-management processes provides a foundation for future study.

Key Words: adults • focus groups • ethnography • self-management • type 2 diabetes mellitus • chronic kidney disease

This version was published on August 1, 2009

Western Journal of Nursing Research, Vol. 31, No. 5, 627-647 (2009)
DOI: 10.1177/0193945909334096
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