Saidi, S, Milnes, LJ orcid.org/0000-0002-1110-6527 and Griffiths, J (2018) Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia. Journal of Clinical Nursing, 27 (19-20). pp. 3758-3767. ISSN 0962-1067
Abstract
Aims and objectives: To explore self‐care and self‐care support in patients with Type 2 diabetes in urban Malaysia.
Background: The prevalence of Type 2 diabetes in Malaysia and associated long‐term and life‐changing complications is increasing. With effective self‐care and self‐care support, severe complications of the condition can be avoided or reduced. Prior to this study, no evidence existed about Malaysian patients’ management of the condition or support for self‐care from the healthcare system.
Design: A single embedded qualitative case study.
Methods: Semistructured interviews with 18 patients with Type 2 diabetes aged 28–69 years, healthcare professionals (n = 19), observations (n = 13) of clinic appointments from two urban settings in Malaysia and a documentary analysis. Recordings were transcribed verbatim, field notes were made during observations and the data analysed and synthesised within and across case using Framework analysis.
Findings: Three main themes explained self‐care and self‐care support in Malaysia: fatalism, faith and fear. Patients were fatalistic about developing diabetes—they perceived it as inevitable because it is so common in Malaysia. However, faith in God, coupled with fear of the consequences of diabetes, motivated them to engage in self‐care practices. The fear was largely induced by diabetes healthcare professionals working in overcrowded clinics, and stretched thinly across the service, who used a direct and uncompromising approach to instil the importance of self‐care to avoid severe long‐term complications.
Conclusion: This study provided important insight on how people in Malaysia developed diabetes, their responses to the disease and the approach of healthcare professionals in supporting them to engage with self‐care.
Relevance to clinical practice: Any future development of self‐care programmes in Malaysia needs to recognise the factors that motivate patients to self‐care and include components that build self‐efficacy.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Saidi S, Milnes LJ, Griffiths J. Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia. J Clin Nurs. 2018;27:3758–3767, which has been published in final form at https://doi.org/10.1111/jocn.14559. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | adult nursing; case study; diabetes mellitus Type 2; qualitative research; self‐care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Child (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 14 Aug 2018 15:15 |
Last Modified: | 11 Jun 2019 00:43 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/jocn.14559 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:134488 |