Facilitating patients' diabetes self-management: a primary care intervention framework

J Nurs Care Qual. Apr-Jun 2009;24(2):172-8. doi: 10.1097/01.NCQ.0000347456.59289.22.


A quality primary care framework for diabetes self-management (DSM) is presented on the basis of prevalent office setting changes. Recent DSM research and literature are reviewed concerning (a) patients' DSM perceptions and office visit experiences and (b) more effective office-based DSM programs. This quality primary care framework enables nurse clinicians to more consistently assess and integrate individual patient factors using typically limited clinic resources into office visits to optimize DSM patient outcomes.

Publication types

  • Review

MeSH terms

  • Continuity of Patient Care / organization & administration
  • Diabetes Mellitus / prevention & control*
  • Diabetes Mellitus / psychology
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Models, Nursing
  • Models, Organizational*
  • Needs Assessment
  • Nurse Clinicians
  • Nursing Assessment
  • Office Visits
  • Outcome and Process Assessment, Health Care
  • Patient Education as Topic
  • Patient Participation
  • Practice Guidelines as Topic
  • Primary Health Care / organization & administration*
  • Program Development
  • Program Evaluation
  • Self Care / methods*
  • Self Care / psychology
  • Self Efficacy
  • Total Quality Management / organization & administration*