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Qualitative Health Research
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Relationships and Their Potential for Change Developed in Difficult Type 1 Diabetes

Vibeke Zoffmann

The University Hospitals' Centre for Nursing and Care Research, Copenhagen, Denmark

Marit Kirkevold

University of Aarhus, Denmark University of Oslo, Norway

Few researchers have explored how relationships between patients and providers might change problem solving in clinical practice. The authors used grounded theory to study dyads of 11 people with diabetes and poor glycemic control, and 8 nurses interacting in diabetes teams. Relational Potential for Change was identified as a core category that involved three types of relationships. Professionals mostly shifted between less effective relationships characterized by I-you-distant provider dominance and I-you-blurred sympathy. Although rarely seen, a third relationship, I-you-sorted mutuality proved more effective than the others in exploiting the Relational Potential for Change. The three types of relationship differed in (a) scope of problem solving, (b) the roles assigned to the patient and the professionals, (c) use of difficult feelings and different points of view, and (d) quality of knowledge achieved as the basis for problem solving and decision making. The authors discuss implications for practice and further research.

Key Words: relationship • diabetes • problem solving • change • grounded theory

Qualitative Health Research, Vol. 17, No. 5, 625-638 (2007)
DOI: 10.1177/1049732307301230
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Home page
 Qual Health ResHome page
V. Zoffmann, I. Harder, and M. Kirkevold
A Person-Centered Communication and Reflection Model: Sharing Decision-Making in Chronic Care
Qual Health Res, May 1, 2008; 18(5): 670 - 685.
[Abstract] [PDF]