Nursing consultation and diabetes: an educational and transformative process for primary health care
Objective: to analyze the constituent elements that support nursing consultations with people with diabetes mellitus, and to develop an educational process based on the assumptions of the Chronic Conditions Care Model and mediated by a reflective-dialogical process with nurses, aiming to improve th...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
2025-02-01
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| Series: | Revista Latino-Americana de Enfermagem |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692025000100319&lng=en&tlng=en |
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| author | Silvana de Oliveira Silva Andréa Carvalho Araújo Moreira Alexa Pupiara Flores Coelho Centenaro Nara Marilene Oliveira Girardon-Perlini Teresinha Heck Weiller Maria Denise Schimith |
| author_facet | Silvana de Oliveira Silva Andréa Carvalho Araújo Moreira Alexa Pupiara Flores Coelho Centenaro Nara Marilene Oliveira Girardon-Perlini Teresinha Heck Weiller Maria Denise Schimith |
| author_sort | Silvana de Oliveira Silva |
| collection | DOAJ |
| description | Objective: to analyze the constituent elements that support nursing consultations with people with diabetes mellitus, and to develop an educational process based on the assumptions of the Chronic Conditions Care Model and mediated by a reflective-dialogical process with nurses, aiming to improve the quality of the practice in the Family Health Strategy. Method: convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis, with an interpretative approach. Results: the promotion of self-care, the bond between professionals and users, and the support for lifestyle changes for people with diabetes were aligned with the proposed Care Model. On the other hand, attitudes, values and knowledge that weaken care were identified as divergent. The theoretical and practical deepening of the care model, diabetes, dealing with work overload, and the implementation of a guide and a protocol for the development of the nursing consultation were points of convergence for improving the quality of the consultation. It was also observed that nurses’ autonomy was strengthened, critical thinking was awakened, and the search for improvement and redefinition of the relationship with the user was sought. Conclusion: the nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process. |
| format | Article |
| id | doaj-art-6ee56e3cd70b4b698b296eaeb2b8d8ea |
| institution | DOAJ |
| issn | 1518-8345 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista Latino-Americana de Enfermagem |
| spelling | doaj-art-6ee56e3cd70b4b698b296eaeb2b8d8ea2025-08-20T02:43:19ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-83452025-02-013310.1590/1518-8345.7546.4464Nursing consultation and diabetes: an educational and transformative process for primary health careSilvana de Oliveira Silvahttps://orcid.org/0000-0002-1016-0062Andréa Carvalho Araújo Moreirahttps://orcid.org/0000-0001-9855-1449Alexa Pupiara Flores Coelho Centenarohttps://orcid.org/0000-0002-9117-5847Nara Marilene Oliveira Girardon-Perlinihttps://orcid.org/0000-0002-3604-2507Teresinha Heck Weillerhttps://orcid.org/0000-0003-2531-0155Maria Denise Schimithhttps://orcid.org/0000-0002-4867-4990 Objective: to analyze the constituent elements that support nursing consultations with people with diabetes mellitus, and to develop an educational process based on the assumptions of the Chronic Conditions Care Model and mediated by a reflective-dialogical process with nurses, aiming to improve the quality of the practice in the Family Health Strategy. Method: convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis, with an interpretative approach. Results: the promotion of self-care, the bond between professionals and users, and the support for lifestyle changes for people with diabetes were aligned with the proposed Care Model. On the other hand, attitudes, values and knowledge that weaken care were identified as divergent. The theoretical and practical deepening of the care model, diabetes, dealing with work overload, and the implementation of a guide and a protocol for the development of the nursing consultation were points of convergence for improving the quality of the consultation. It was also observed that nurses’ autonomy was strengthened, critical thinking was awakened, and the search for improvement and redefinition of the relationship with the user was sought. Conclusion: the nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692025000100319&lng=en&tlng=enNursing ProcessDiabetes MellitusPrimary Health CareHealthcare ModelsChronic DiseasesProblem-Based Learning. |
| spellingShingle | Silvana de Oliveira Silva Andréa Carvalho Araújo Moreira Alexa Pupiara Flores Coelho Centenaro Nara Marilene Oliveira Girardon-Perlini Teresinha Heck Weiller Maria Denise Schimith Nursing consultation and diabetes: an educational and transformative process for primary health care Revista Latino-Americana de Enfermagem Nursing Process Diabetes Mellitus Primary Health Care Healthcare Models Chronic Diseases Problem-Based Learning. |
| title | Nursing consultation and diabetes: an educational and transformative process for primary health care |
| title_full | Nursing consultation and diabetes: an educational and transformative process for primary health care |
| title_fullStr | Nursing consultation and diabetes: an educational and transformative process for primary health care |
| title_full_unstemmed | Nursing consultation and diabetes: an educational and transformative process for primary health care |
| title_short | Nursing consultation and diabetes: an educational and transformative process for primary health care |
| title_sort | nursing consultation and diabetes an educational and transformative process for primary health care |
| topic | Nursing Process Diabetes Mellitus Primary Health Care Healthcare Models Chronic Diseases Problem-Based Learning. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692025000100319&lng=en&tlng=en |
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