Evidence map›Paper›PMID 40223769›Full record

ArticleNursing open2025

Implementing Lifestyle Counselling Into Secondary Type 2 Diabetes Care: Perspectives From Diabetes Nurses.

Chantal H M Pot, Eclaire A G Hietbrink, Gozewijn D Laverman

Abstract read
In one paragraph

Article in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Chantal H M PotDepartment of Internal Medicine/Nephrology, Ziekenhuisgroep Twente, Almelo, the Netherlands.
Eclaire A G HietbrinkDepartment of Internal Medicine/Nephrology, Ziekenhuisgroep Twente, Almelo, the Netherlands.ORCID https://orcid.org/0000-0003-2973-8095
Gozewijn D LavermanDepartment of Internal Medicine/Nephrology, Ziekenhuisgroep Twente, Almelo, the Netherlands.

Funding

Dutch Diabetes Fund 2019.30.037
6 · The paper itself

Abstract

aimTo explore the implementation of lifestyle counselling in secondary type 2 diabetes mellitus care from the perspective of diabetes nurses.

designAn exploratory qualitative study.

methodsSemi-structured interviews were conducted with diabetes nurses in a hospital setting. Data were analysed through inductive thematic analysis by two independent coders.

resultsThe findings are structured around two main categories: the current role of lifestyle in consultations and nurses' perspectives on the future of lifestyle counselling. Diabetes nurses consider lifestyle an essential component of care but face numerous barriers to discussing it effectively. Key challenges include limited expertise, a lack of practical guidelines, time constraints, patient motivation, and the patient-provider relationship. Nurses prioritise raising awareness, educating, and providing brief personalised advice, while comprehensive lifestyle coaching is beyond their scope. They emphasise the importance of multidisciplinary collaboration to ensure a holistic approach that incorporates multiple lifestyle factors and individual circumstances. Nurses also recognise the potential of eHealth, anti-obesity medication, and novel insulin pumps to support lifestyle changes.

conclusionsLifestyle counselling is complex and influenced by various factors. Efforts should focus on specialised training, actionable guidelines, and interdisciplinary collaboration. Advances in medicine and technology offer additional opportunities to enhance patient support. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The role of diabetes nurses should focus on raising awareness, providing education, and offering brief, personalised lifestyle advice. Nurses need the knowledge and skills to identify lifestyle needs and receive an overview of appropriate referral options. IMPACT: Training programmes should be developed to enhance nurses' competence and confidence in providing lifestyle guidance. Interdisciplinary collaboration must be strengthened both within hospitals and at the regional level. Policymakers should develop practical guidelines encompassing all lifestyle dimensions and providing clear referral pathways to specialised professionals and interventions. REPORTING

methodThis study adhered to the COREQ criteria. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

CounselingDiabetes Mellitus, Type 2Life StyleNursesAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative Researchdiabetes nursehealthcareimplementationlifestyletype 2 diabetes mellitus

Identifiers

PMID40223769
PMCPMC11995167

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.