{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T18:29:30Z","timestamp":1793644170936,"version":"4.5.1"},"reference-count":44,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the association between fatalism, diabetes\u2010related stigma and self\u2010care in individuals with type 2 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive, cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was conducted in the internal medicine outpatient clinic of a training and research hospital in Northern T\u00fcrkiye (April\u2013December 2024). The study sample consisted of 150 individuals with type 2 diabetes aged 18\u2009years and over, who were literate, had no psychiatric or communication problems and voluntarily agreed to participate in the study. Data were collected using the Diabetes Introduction Form, Diabetes Fatalism Scale, Type 2 Diabetes Stigma Assessment Scale and Diabetes Self\u2010Care Scale. Descriptive statistics, correlation analysis and multiple linear regression were performed using SPSS 26.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants had a mean fatalism score of 51.50\u2009\u00b1\u20099.45 (possible range: 12\u201372), a stigma score of 39.61\u2009\u00b1\u200915.80 (possible range: 19\u201390) and a self\u2010care score of 84.39\u2009\u00b1\u200914.96 (possible range: 35\u2013140), with higher scores indicating higher levels of fatalism, stigma and self\u2010care, respectively. Diabetes fatalism and stigma were moderately and negatively correlated with self\u2010care (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Regression analysis showed that fatalism (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.466,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and stigma (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.174,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030) significantly predicted lower self\u2010care levels, explaining 15.7% of the variance in self\u2010care behaviours.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fatalistic beliefs and diabetes\u2010related stigma have a detrimental impact on self\u2010care behaviours among adults with type 2 diabetes. Interventions targeting psychosocial determinants should be prioritized to improve diabetes self\u2010management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Nurses are in a key position to assess and address fatalistic beliefs and stigma during routine diabetes care. Incorporating psychosocial screening into clinical practice and providing tailored education and counselling may reduce stigma, improve patients' sense of control and ultimately enhance self\u2010care behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>Although adults with type 2 diabetes participated in the study as respondents, they were not involved in the design, conduct, analysis or interpretation of the research. The study used validated self\u2010report instruments, and therefore patients or members of the public did not have an active role in shaping the research process beyond providing data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70694","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T18:53:45Z","timestamp":1784055225000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Fatalism and Diabetes\u2010Related Stigma With Self\u2010Care in Individuals With Type 2 Diabetes: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3904-951X","authenticated-orcid":false,"given":"Derya","family":"\u015eim\u015fekli","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing Ardahan University  Ardahan 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