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Journal of Transcultural Nursing
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A Grounded Theory Study of the Experience of Type 2 Diabetes Mellitus in First Nations Adults in Canada

Cheri Ann Hernandez, RN, PhD, CDE

University of Windsor

Irwin Antone, MD, CCFP, FCFP

Southwest Middlesex Health Centre

Ida Cornelius, RN, BScN

Oneida Health Centre

Diabetes among First Nations peoples has reached epidemic proportions, and diabetes prevalence, complications, and mortality rates are higher than in Whites. The purpose of this grounded theory study was to investigate the experience of Type 2 diabetes in First Nations adults. Ten individuals living in one reserve community, in southwestern Ontario, participated in this research. Participants were interviewed on two occasions by a First Nations nurse. All interviews were audiotaped and transcribed verbatim. A three-phase process of integration emerged, similar to the process of integration discovered in prior research with Type 1 diabetic Whites. However, there were some important differences in the characteristics of these three phases. In addition, there were surprising findings related to beliefs about the type of diabetes educator desired by these First Nations clients.

Journal of Transcultural Nursing, Vol. 10, No. 3, 220-228 (1999)
DOI: 10.1177/104365969901000313
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Home page
 Evid. Based Nurs.Home page
C. A. Hernandez
Adults living with Type 1 diabetes experienced transformation as an evolving process of responding to illness related challenges and as an outcome of a differentiation of self and body
Evid. Based Nurs., July 1, 2000; 3(3): 93 - 93.
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