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Related Experiment Videos

Nurses' views on patient self-management: a qualitative study.

Janet M J Been-Dahmen1,2, Jolanda Dwarswaard1, Johanna M W Hazes2

  • 1Rotterdam University of Applied Sciences, Research Center Innovations in Care, The Netherlands.

Journal of Advanced Nursing
|September 12, 2015
PubMed
Summary

Outpatient nurses hold varied views on chronic disease self-management, impacting patient support. Their perspectives often overlook social and emotional aspects, indicating a need for enhanced training and interventions.

Keywords:
chronic diseasenursesoutpatientqualitative designself-careself-management

Related Experiment Videos

Area of Science:

  • Nursing Science
  • Chronic Care Management
  • Patient Self-Management

Background:

  • Self-management support is crucial in outpatient chronic care nursing.
  • Nurses' interpretations of self-management and their support roles vary.
  • Limited understanding exists regarding nurses' views on patient roles in self-management.

Purpose of the Study:

  • To explore outpatient nurses' perceptions of patient self-management roles.
  • To understand nurses' views on their own support functions in chronic care.
  • To correlate these views with nurse-led self-management interventions.

Main Methods:

  • Qualitative study design utilizing individual semi-structured interviews.
  • Conducted with 27 outpatient nurses at a Dutch university medical hospital (2012-2013).
  • Data analysis involved coding, team discussion, and thematic type construction.

Main Results:

  • Identified three distinct nurse perspectives on self-management support: adherence, symptom monitoring, and illness integration.
  • These views varied in patient role definition, nurse support, and focus (biomedical to biopsychosocial).
  • Nurses' interventions aligned with their specific self-management viewpoints.

Conclusions:

  • Nurses possess diverse perceptions of self-management and their support roles.
  • Social and emotional aspects of chronic illness management were frequently overlooked.
  • A gap exists in training and interventions for comprehensive self-management support.