Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia

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,...

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Main Authors:	Saidi, Sanisah, Milnes, Linda, Griffiths, Jane
Format:	Article
Language:	English English English
Published:	Wiley 2018
Subjects:	RT82 Nursing As A Profession
Online Access:	http://irep.iium.edu.my/65024/ http://irep.iium.edu.my/65024/ http://irep.iium.edu.my/65024/ http://irep.iium.edu.my/65024/7/65024%20Fatalism%2C%20faith%20and%20fear.pdf http://irep.iium.edu.my/65024/19/65024%20Fatalism%2C%20faith%20and%20fear%20SCOPUS.pdf http://irep.iium.edu.my/65024/24/65024%20Fatalism%2C%20faith%20and%20fear_wos.pdf

id	iium-65024
recordtype	eprints
spelling	iium-650242019-01-24T03:52:43Z http://irep.iium.edu.my/65024/ Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia Saidi, Sanisah Milnes, Linda Griffiths, Jane RT82 Nursing As A Profession 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 Wiley 2018-06-11 Article PeerReviewed application/pdf en http://irep.iium.edu.my/65024/7/65024%20Fatalism%2C%20faith%20and%20fear.pdf application/pdf en http://irep.iium.edu.my/65024/19/65024%20Fatalism%2C%20faith%20and%20fear%20SCOPUS.pdf application/pdf en http://irep.iium.edu.my/65024/24/65024%20Fatalism%2C%20faith%20and%20fear_wos.pdf Saidi, Sanisah and Milnes, Linda and Griffiths, Jane (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. E-ISSN 1365-2702 https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.14559 10.1111/jocn.14559
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RT82 Nursing As A Profession
spellingShingle	RT82 Nursing As A Profession Saidi, Sanisah Milnes, Linda Griffiths, Jane Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia
description	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
format	Article
author	Saidi, Sanisah Milnes, Linda Griffiths, Jane
author_facet	Saidi, Sanisah Milnes, Linda Griffiths, Jane
author_sort	Saidi, Sanisah
title	Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia
title_short	Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia
title_full	Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia
title_fullStr	Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia
title_full_unstemmed	Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia
title_sort	fatalism, faith and fear: a case study of self‐care practice among adults with type 2 diabetes in urban malaysia
publisher	Wiley
publishDate	2018
url	http://irep.iium.edu.my/65024/ http://irep.iium.edu.my/65024/ http://irep.iium.edu.my/65024/ http://irep.iium.edu.my/65024/7/65024%20Fatalism%2C%20faith%20and%20fear.pdf http://irep.iium.edu.my/65024/19/65024%20Fatalism%2C%20faith%20and%20fear%20SCOPUS.pdf http://irep.iium.edu.my/65024/24/65024%20Fatalism%2C%20faith%20and%20fear_wos.pdf
first_indexed	2023-09-18T21:32:15Z
last_indexed	2023-09-18T21:32:15Z
_version_	1777412588613664768

Fatalism, faith and fear: A case study of self‐care practice among adults with Type 2 diabetes in urban Malaysia

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