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Issues that impact type-2 diabetes self-management in rural communities

Ross, Selina RN, BSN, ARNP1,2; Benavides-Vaello, Sandra PhD, MPAff. BSN, RN1,3; Schumann, Lorna PhD, NP-C, ACNP, BC, ACNS, BC, CCRN, FAAN1,4; Haberman, Mel PhD, FAAN1,5

Journal of the American Association of Nurse Practitioners: November 2015 - Volume 27 - Issue 11 - p 653–660
doi: 10.1002/2327-6924.12225

Purpose: To evaluate and synthesize the evidence related to issues that impact type-2 diabetes self-management in rural communities.

Data sources: A systematic review of the literature from 2008 to 2013 was conducted using the following health science databases: CINAHL, PubMed, Cochrane Library, and OVID. Other databases searched included the clearinghouses of the Centers for Disease Control (CDC); National Rural Health Association (NRHA), State Offices of Rural Health (SORH), and Rural Health Research & Policy Centers (RHRPC). Keywords used to obtain relevant articles included rural, type-2 diabetes self-management, health disparities, and nursing.

Conclusion: Three themes emerged from the literature examined: barriers to type-2 diabetes self-management, provider tools and education enhance type-2 diabetes self-management, and recommendations and guidelines for diabetes self-management efficacy.

Implications for practice: The information presented here will support healthcare providers in improving preventative care, providing optimal disease management, and assisting with successful type-2 diabetes self-management in rural populations.

1 College of Nursing, Washington State University, Spokane, Washington,

2 (ARNP, Clinical Instructor)

3 (Assistant Professor)

4 (Associate Professor Emeritus)

5 (Director, MN Programs and Certificates & Professor)

Received: 25 September 2013; accepted: 13 February 2014

Correspondence Sandra Benavides-Vaello, MPAff, PhD, RN, College of Nursing, Washington State University, Spokane, PO Box 1495, WA 99210-1495. Fax: 509-324-7341;


© 2015 American Association of Nurse Practitioners
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