Improving health empowerment related to diabetes self-care among Native Hawaiian patients at the Queen Emma Clinics

dc.contributor.advisor Glauberman, Gary Hiraide, Liliuokalani Shiomi
dc.contributor.department Nursing 2021-09-30T18:18:23Z 2021-09-30T18:18:23Z 2021 D.N.P.
dc.subject Nursing
dc.subject culturally competent care
dc.subject diabetes
dc.subject Native Hawaiian
dc.subject storytelling
dc.title Improving health empowerment related to diabetes self-care among Native Hawaiian patients at the Queen Emma Clinics
dc.type Thesis
dcterms.abstract Background: Diabetes mellitus (DM 2) is the most commonly diagnosed metabolic disease in the primary care setting. The rate is particularly high among Native Hawaiians (NHs). Despite their increased risk, interventions are typically based on Western populations. Interventions that are not culturally competent are less effective than those that are culturally tailored. Purpose: The purpose of this evidence-based practice (EBP) change project was to provide DM 2 health education for NH patients who attend Queen Emma Clinics (QEC) using “talk-story” and moʻolelo (storytelling) sessions with a peer support approach. Methods: This project was a five-part series of “talk-story” sessions involving one-on-one DM 2 moʻolelo health education with patients via phone once a week at QEC. Results: Six patients completed the entire program. There were three major themes expressed by patients: culturally relevant approaches to DM 2 care for NH patients, progression toward health empowerment, and influences of self-care for DM 2. Discussion: This EBP project was successful in improving health empowerment. Patients were able to identify motivators for self-care, identify challenges, and discuss coping mechanisms such as involving family members in their health. Conclusion: Storytelling and peer-to-peer conversational style sessions are effective ways to promote health empowerment among NH patients and ultimately promote positive lifestyle adaptations for NH DM2 patients. Implications: This approach helps clinicians understand key motivators for their patients, helps build rapport between patients and providers and helps patients reflect on the active role they play in their health.
dcterms.extent 35 pages
dcterms.language en
dcterms.publisher University of Hawai'i at Manoa
dcterms.rights All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
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