Diabetes Barriers and Self-Care Management: The Patient Perspective

Deborah Stiffler, Deborah Cullen, Gaye Luna

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


For those individuals diagnosed with diabetes, the challenge is how to cope and manage the many aspects of their lives. The aim of this qualitative synthesis was to evaluate research studies for findings and then synthesize patients’ experiences within the context of diabetes self-care while facing daily barriers. A total of 95 findings from 21 studies were categorized via like themes. These themes were further analyzed and aggregated to represent an interpretive meta-synthesis via a rigorous methodological protocol as described by Pearson, Robertson-Malt, and Rittinmeyer and the Joanna Briggs Institute. Meta-synthesized findings suggest that patients “avoid and hinder self-management” as well as “desire self-care and living life.” Clinicians can improve interactions and potentiate understanding when the therapeutic approach is about the person living with diabetes as opposed to clinical control.

Original languageEnglish (US)
Pages (from-to)601-626
Number of pages26
JournalClinical Nursing Research
Issue number6
StatePublished - Dec 11 2014


  • clinical research areas
  • diabetes
  • diabetes care
  • disease
  • nursing interventions
  • patient education

ASJC Scopus subject areas

  • General Nursing


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