Theobjective of this inquiry was to interpret the effectiveness ofenhancing disease control after healthcare practitioners who hadreceived training put into practice a self-management programme forthe individuals diagnosed with the type 2 diabetes. The requirementsfor diabetic care entailed an amplified training for the healthcareworkers to boost their skills and confidence in dealing with thesick, both mentally and physically (Wu,Liang, Lee, Yu & Kao, 2014).
Sequentially,the researchers dealt with human as the focus of the study. As aresult, they came up with three of the most relevant variables inthis situation. These included sex, pretest score and age. Theresearch incorporated participants specifically from the outpatienthealth centers in ten Taiwan hospitals. In 2010, years before theresearch, there had been the use of purposive sampling method thathelped in the recruitment of the 228 members from two health checkunits, five local hospitals as well as three regional clinics.Afterwards, the researchers put down the names of the participants anin a self-management programme for people with diabetes (Wu,etal.,2014).
Evenstill, the research had to take place within the five area hospitalsas well as the three regional hospitals. And to enhance the relevanceof the study, there was the inclusion of Wu’s (2007) research thathad found out that in the previous years, there had been a widespreadapplication of the concept of self-management within the framework ofdiabetes health care and it had become a worldwide point of concernin dealing with the pandemic. This study had already discovered thatself-efficiency is a fundamental component of the tactical conceptionof personal management. Moreover, his approach laid emphasis on thepatient-centered approach that as a way of encouraging excellentcommunication between the patients and healthcare providers. Moreimportantly, it was a feature that even though a few comprehendedprovided indisputable support. The outcome of the development of thestudy revealed a constructive relationship between self self-care andefficacy (Wu,etal.,2007).
Asa result, Wu and his counterparts came up with an improvementprogramme for self-efficacy for an average of 145 victims with thetype 2 diabetes whose effect size ranged between zero totwenty-seven. The patients in this study separated themselves intotwo independent groups including a trial self-efficacy set whosenumber was seventy-two together with a control group with a total ofseventy three members. During the process, the researchers made useof a health instruction handbook, a DVD, self-effectivenessperfection groups of counseling together with constant telephonefollow-ups on the self-efficacy groups. The researchers assessed allthe participants at a baseline which was during the end of the thirdmonth and also after the end of sixth months of the research. As aconsequence, the study deduced that the patients who had beenregistered in the self-efficacy perfection programmes had anincreased level of self-efficacy. In addition, their self-carebehaviors had also greatly improved (Wu,etal.,2007).
Insecond similar study by Funnell (2006), psychologist made attempts todiscover if such interventions related to self care could result inimproved levels of blood lipids. They subjected the patients to rapidexercise and superior ways of controlling body weight together withlevels of blood pressure. During the same period, the number ofhospitalizations had to decrease while the levels of support had toincrease equally (Funnell,etal.,2006).In preserving the use of such essential parts of quality life, amajority of the healthcare workers, between 61percet to 72 percenthad a belief that their patients gradually developed poorpsychosocial states. For example, they saw most of their patients ashaving increased tendencies of susceptibility to anxiety, sadness,trauma and falling. However, just about forty percent of the healthpractitioners assessed the definite reasons for the transformedpsychosocial needs and problems of the patients. The outcome was thatthe clinical assistants were shot of the required levels of knowledgeand confidence as well as the other essential approaches to examinethe patient conditions and offer competent psychological supports(Funnell,etal.,2006).
Onthe other hand, this particular study had the first hypothesisstating that in a case where qualified care providers have thecapacity to offer psychological help and support to resolvepsychological setbacks, there come a high probability of raising thedegree of self-assurance and incentive of patients. The impact ofthis is that there is always the improvement in the effectiveness ofthe control of the effect of food on the patient’s blood glucose.The second assumption of this research was that for an opportunity toarise for improving convenient diabetic care, the healthpractitioners need to have better training and perfection to improvetheir self-confidence and proficiency in supervising both the mentaland physical problems of patients. Lastly, the researchers assumedthat an integration of mental health experts and making them parts ofthe diabetes management team where they train the health care giversto recognize and offer psychosocial affairs could enable patients tohave better ways of managing their diseases (Wu,etal.,2014).
Moreover,the study attempted to define the essence of the quasi-experimentaldesign though the way it empirically estimated the fundamentalinfluences of self efficacy on the targeted diabetes population ofpatient. The quasi-experimental layout, through its ability to workwithout the elements of casual assignments to control or treatmentallowed the researchers to monitor the task to completion onlythrough the usual criterion instead of the random approach. Besides,the quasi-experimental design was a qualitative research as itinvolved having an in-depth look at the non-numerical data, in thiscase, the patients, in the process of studying the phenomenon. Asmentioned, the three basic variables for this study were sexes of theparticipants, their ages as well as the pretest scores. The use ofanalysis of covariance or ANCOVA helped in the testing and analysisof the level of efficacy both at the pretest and at the post-testintervals of the various groups. Additionally, ANCOVA assisted in theassessment of efficacy on sex and age followed by the pretest reportsthat were for the control variables (Wu,etal.,2014).As a result, the researcher conducted a difference trial on theafter-test scores in both the two groups.
Conclusively,as a matter of ethical concern, the researchers ensured that everyparticipant for the study voluntarily chose to take part. They hadprior explanations on the details of the study to guarantee theirconsent. The National University Taipei of Health Sciences andNursing as an Institutional Review Board approved the study. Theresearcher was qualified as he had the competence to offerrecommendations related to the responsiveness and relevance ofself-management when caring for diabetic patients (Wu,etal.,2014).However, there was no concern for the provision of confidentiality oranonymity for the participants as they were already outpatients.
Funnell,M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M.,Jensen, B., … & Siminerio, L. M. (2006). National standardsfor diabetes self-management education. Diabetescare,32(Supplement1), S87-S94.
Wu,S. F. V., Liang, S. Y., Lee, M. C., Yu, N. C., & Kao, M. J.(2014). The efficacy of a self‐managementprogramme for people with diabetes, after a special trainingprogramme for healthcare workers in Taiwan: a quasi‐experimentaldesign. Journalof clinical nursing,23(17-18),2515-2524.
Wu,S. F. V., Courtney, M., Edwards, H., McDowell, J.,Shortridge‐Baggett,L. M., & Chang, P. J. (2007). Self‐efficacy,outcome expectations and self‐carebehaviour in people with type 2 diabetes in Taiwan. Journalof clinical nursing,16(11c),250-257.